HDR CPT CODES AND DESCRIPTIONS ONLY ARE COPYRIGHT HDR 2002 AMERICAN MEDICAL ASSOCIATION. ALL RIGHTS HDR RESERVED. APPLICABLE FARS/DFARS APPLY. HDR THE FOLLOWING STATEMENT APPLIES TO ALL DENTAL HDR CODES (HCPCS START WITH LETTER D): COPYRIGHT HDR 2002 AMERICAN DENTAL ASSOCIATION. ALL RIGHTS HDR RESERVED. A0021 Outside state ambulance serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0080 Noninterest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0090 Interest escort in non er I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0100 Nonemergency transport taxi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0110 Nonemergency transport bus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0120 Noner transport mini-bus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0130 Noner transport wheelch van I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0140 Nonemergency transport air I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0160 Noner transport case worker I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0170 Transport parking fees/tolls I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0180 Noner transport lodgng recip I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0190 Noner transport meals recip I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0200 Noner transport lodgng escrt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0210 Noner transport meals escort I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0225 Neonatal emergency transport I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0380 Basic life support mileage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0382 Basic support routine suppls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0384 Bls defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0390 Advanced life support mileag I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0392 Als defibrillation supplies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0394 Als IV drug therapy supplies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0396 Als esophageal intub suppls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0398 Als routine disposble suppls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0420 Ambulance waiting 1/2 hr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0422 Ambulance 02 life sustaining X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0424 Extra ambulance attendant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0425 Ground mileage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0426 Als 1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0427 ALS1-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0428 bls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0429 BLS-emergency X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0430 Fixed wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0431 Rotary wing air transport X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0432 PI volunteer ambulance co X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0433 als 2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0434 Specialty care transport X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0435 Fixed wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0436 Rotary wing air mileage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0888 Noncovered ambulance mileage N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A0999 Unlisted ambulance service X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4206 1 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4207 2 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4208 3 CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4209 5+ CC sterile syringe&needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4210 Nonneedle injection device N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4211 Supp for self-adm injections P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4212 Non coring needle or stylet P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4213 20+ CC syringe only I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4214 30 CC sterile water/saline B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4215 Sterile needle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4220 Infusion pump refill kit P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4221 Maint drug infus cath per wk X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4222 Drug infusion pump supplies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4230 Infus insulin pump non needl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4231 Infusion insulin pump needle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4232 Syringe w/needle insulin 3cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4244 Alcohol or peroxide per pint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4245 Alcohol wipes per box I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4246 Betadine/phisohex solution I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4247 Betadine/iodine swabs/wipes I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4250 Urine reagent strips/tablets N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4253 Blood glucose/reagent strips P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4254 Battery for glucose monitor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4255 Glucose monitor platforms X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4256 Calibrator solution/chips P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4257 Replace Lensshield Cartridge X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4258 Lancet device each P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4259 Lancets per box P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4260 Levonorgestrel implant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4261 Cervical cap contraceptive N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4262 Temporary tear duct plug B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4263 Permanent tear duct plug B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4265 Paraffin P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4266 Diaphragm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4267 Male condom I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4268 Female condom I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4269 Spermicide I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4270 Disposable endoscope sheath B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4280 Brst prsths adhsv attchmnt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4281 Replacement breastpump tube I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4282 Replacement breastpump adpt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4283 Replacement breastpump cap I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4284 Replcmnt breast pump shield I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4285 Replcmnt breast pump bottle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4286 Replcmnt breastpump lok ring I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4290 Sacral nerve stim test lead X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4300 Cath impl vasc access portal B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4301 Implantable access syst perc P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4305 Drug delivery system >=50 ML P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4306 Drug delivery system <=5 ML P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4310 Insert tray w/o bag/cath P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4311 Catheter w/o bag 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4312 Cath w/o bag 2-way silicone P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4313 Catheter w/bag 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4314 Cath w/drainage 2-way latex P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4315 Cath w/drainage 2-way silcne P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4316 Cath w/drainage 3-way P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4319 Sterile H2O irrigation solut X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4320 Irrigation tray P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4321 Cath therapeutic irrig agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4322 Irrigation syringe P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4323 Saline irrigation solution P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4324 Male ext cath w/adh coating X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4325 Male ext cath w/adh strip X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4326 Male external catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4327 Fem urinary collect dev cup P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4328 Fem urinary collect pouch P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4330 Stool collection pouch P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4331 Extension drainage tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4332 Lubricant for cath insertion X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4333 Urinary cath anchor device X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4334 Urinary cath leg strap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4335 Incontinence supply P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4338 Indwelling catheter latex P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4340 Indwelling catheter special P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4344 Cath indw foley 2 way silicn P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4346 Cath indw foley 3 way P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4347 Male external catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4348 Male ext cath extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4351 Straight tip urine catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4352 Coude tip urinary catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4353 Intermittent urinary cath X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4354 Cath insertion tray w/bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4355 Bladder irrigation tubing P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4356 Ext ureth clmp or compr dvc P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4357 Bedside drainage bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4358 Urinary leg or abdomen bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4359 Urinary suspensory w/o leg b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4360 Adult incontinence garment F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4361 Ostomy face plate P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4362 Solid skin barrier P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4364 Adhesive, liquid or equal P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4365 Adhesive remover wipes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4367 Ostomy belt P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4368 Ostomy filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4369 Skin barrier liquid per oz X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4370 Skin barrier paste per oz D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4371 Skin barrier powder per oz X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4372 Skin barrier solid 4x4 equiv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4373 Skin barrier with flange X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4374 Skin barrier extended wear D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4375 Drainable plastic pch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4376 Drainable rubber pch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4377 Drainable plstic pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4378 Drainable rubber pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4379 Urinary plastic pouch w fcpl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4380 Urinary rubber pouch w fcplt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4381 Urinary plastic pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4382 Urinary hvy plstc pch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4383 Urinary rubber pouch w/o fp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4384 Ostomy faceplt/silicone ring X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4385 Ost skn barrier sld ext wear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4386 Ost skn barrier w flng ex wr D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4387 Ost clsd pouch w att st barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4388 Drainable pch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4389 Drainable pch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4390 Drainable pch ex wear convex X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4391 Urinary pouch w ex wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4392 Urinary pouch w st wear barr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4393 Urine pch w ex wear bar conv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4394 Ostomy pouch liq deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4395 Ostomy pouch solid deodorant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4396 Peristomal hernia supprt blt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4397 Irrigation supply sleeve P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4398 Ostomy irrigation bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4399 Ostomy irrig cone/cath w brs P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4400 Ostomy irrigation set P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4402 Lubricant per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4404 Ostomy ring each P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4405 Nonpectin based ostomy paste X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4406 Pectin based ostomy paste X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4407 Ext wear ost skn barr <=4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4408 Ext wear ost skn barr >4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4409 Ost skn barr w flng <=4 sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4410 Ost skn barr w flng >4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4413 2 pc drainable ost pouch X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4414 Ostomy sknbarr w flng <=4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4415 Ostomy skn barr w flng >4sq” X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4421 Ostomy supply misc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4422 Ost pouch absorbent material X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4450 Non-waterproof tape X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4452 Waterproof tape X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4454 Tape all types all sizes D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4455 Adhesive remover per ounce P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4458 Reusable enema bag I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4460 Elastic compression bandage D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4462 Abdmnl drssng holder/binder X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4464 Joint support device/garment F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4465 Non-elastic extremity binder P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4470 Gravlee jet washer P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4480 Vabra aspirator P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4481 Tracheostoma filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4483 Moisture exchanger X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4490 Above knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4495 Thigh length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4500 Below knee surgical stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4510 Full length surg stocking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4521 Adult size diaper sm each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4522 Adult size diaper med each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4523 Adult size diaper lg each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4524 Adult size diaper xl each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4525 Adult size brief sm each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4526 Adult size brief med each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4527 Adult size brief lg each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4528 Adult size brief xl each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4529 Child size diaper sm/med ea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4530 Child size diaper lg each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4531 Child size brief sm/med each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4532 Child size brief lg each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4533 Youth size diaper each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4534 Youth size brief each N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4535 Disp incont liner/shield ea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4536 Prot underwr wshbl any sz ea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4537 Under pad reusable any sz ea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4538 Diaper sv ea reusable diaper N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4550 Surgical trays B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4554 Disposable underpads I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4556 Electrodes, pair P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4557 Lead wires, pair P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4558 Conductive paste or gel P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4561 Pessary rubber, any type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4562 Pessary, non rubber,any type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4565 Slings X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4570 Splint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4572 Rib belt D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4575 Hyperbaric o2 chamber disps N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4580 Cast supplies (plaster) I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4590 Special casting material I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4595 TENS suppl 2 lead per month X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4606 Oxygen probe used w oximeter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4608 Transtracheal oxygen cath X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4609 Trach suction cath clsed sys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4610 Trach sctn cath 72h clsedsys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4611 Heavy duty battery X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4612 Battery cables X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4613 Battery charger X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4614 Hand-held PEFR meter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4615 Cannula nasal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4616 Tubing (oxygen) per foot X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4617 Mouth piece X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4618 Breathing circuits X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4619 Face tent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4620 Variable concentration mask X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4621 Tracheotomy mask or collar X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4622 Tracheostomy or larngectomy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4623 Tracheostomy inner cannula X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4624 Tracheal suction tube X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4625 Trach care kit for new trach X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4626 Tracheostomy cleaning brush X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4627 Spacer bag/reservoir N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4628 Oropharyngeal suction cath X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4629 Tracheostomy care kit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 A4631 Wheelchair battery X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4632 Infus pump rplcemnt battery X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4633 Uvl replacement bulb X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4634 Replacement bulb th lightbox X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4635 Underarm crutch pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4636 Handgrip for cane etc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4637 Repl tip cane/crutch/walker X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4639 Infrared ht sys replcmnt pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4640 Alternating pressure pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4641 Diagnostic imaging agent E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4642 Satumomab pendetide per dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4643 High dose contrast MRI E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4644 Contrast 100-199 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4645 Contrast 200-299 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4646 Contrast 300-399 MGs iodine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4647 Supp- paramagnetic contr mat B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4649 Surgical supplies P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4651 Calibrated microcap tube X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4652 Microcapillary tube sealant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4653 PD catheter anchor belt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4656 Needle any size X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4657 Syringe w/wo needle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4660 Sphyg/bp app w cuff and stet X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4663 Dialysis blood pressure cuff X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4670 Automatic bp monitor, dial N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4680 Activated carbon filter, ea X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4690 Dialyzer, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4706 Bicarbonate conc sol per gal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4707 Bicarbonate conc pow per pac X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4708 Acetate conc sol per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4709 Acid conc sol per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4712 Sterile water inj per 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4714 Treated water per gallon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4719 "Y set" tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4720 Dialysat sol fld vol > 249cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4721 Dialysat sol fld vol > 999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4722 Dialys sol fld vol > 1999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4723 Dialys sol fld vol > 2999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4724 Dialys sol fld vol > 3999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4725 Dialys sol fld vol > 4999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4726 Dialys sol fld vol > 5999cc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4730 Fistula cannulation set, ea X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4736 Topical anesthetic, per gram X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4737 Inj anesthetic per 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4740 Shunt accessory X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4750 Art or venous blood tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4755 Comb art/venous blood tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4760 Dialysate sol test kit, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4765 Dialysate conc pow per pack X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4766 Dialysate conc sol add 10 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4770 Blood collection tube/vacuum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4771 Serum clotting time tube X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4772 Blood glucose test strips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4773 Occult blood test strips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4774 Ammonia test strips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4801 Heparin per 1000 units D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4802 Protamine sulfate per 50 mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4860 Disposable catheter tips X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4870 Plumb/elec wk hm hemo equip X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4890 Repair/maint cont hemo equip R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 A4911 Drain bag/bottle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4913 Misc dialysis supplies noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4918 Venous pressure clamp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4927 Non-sterile gloves X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4928 Surgical mask X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4929 Tourniquet for dialysis, ea X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4930 Sterile, gloves per pair X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4931 Reusable oral thermometer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A4932 Reusable rectal thermometer I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5051 Pouch clsd w barr attached P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5052 Clsd ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5053 Clsd ostomy pouch faceplate P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5054 Clsd ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5055 Stoma cap P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5061 Pouch drainable w barrier at P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5062 Drnble ostomy pouch w/o barr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5063 Drain ostomy pouch w/flange P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5071 Urinary pouch w/barrier P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5072 Urinary pouch w/o barrier P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5073 Urinary pouch on barr w/flng P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5081 Continent stoma plug P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5082 Continent stoma catheter P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5093 Ostomy accessory convex inse P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5102 Bedside drain btl w/wo tube P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5105 Urinary suspensory P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5112 Urinary leg bag P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5113 Latex leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5114 Foam/fabric leg strap P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5119 Skin barrier wipes box pr 50 P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5121 Solid skin barrier 6x6 P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5122 Solid skin barrier 8x8 P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5123 Skin barrier with flange D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5126 Disk/foam pad +or- adhesive P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5131 Appliance cleaner P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5200 Percutaneous catheter anchor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5500 Diab shoe for density insert X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5501 Diabetic custom molded shoe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5503 Diabetic shoe w/roller/rockr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5504 Diabetic shoe with wedge X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5505 Diab shoe w/metatarsal bar X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5506 Diabetic shoe w/off set heel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5507 Modification diabetic shoe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5508 Diabetic deluxe shoe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5509 Direct heat form shoe insert X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5510 Compression form shoe insert X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A5511 Custom fab molded shoe inser X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6000 Wound warming wound cover N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6010 Collagen based wound filler X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6011 Collagen gel/paste wound fil X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6021 Collagen dressing <=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6022 Collagen drsg>6<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6023 Collagen dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6024 Collagen dsg wound filler X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6025 Silicone gel sheet, each I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6154 Wound pouch each P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6196 Alginate dressing <=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6197 Alginate drsg >16 <=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6198 alginate dressing > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6199 Alginate drsg wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6200 Compos drsg <=16 no border X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6201 Compos drsg >16<=48 no bdr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6202 Compos drsg >48 no border X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6203 Composite drsg <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6204 Composite drsg >16<=48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6205 Composite drsg > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6206 Contact layer <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6207 Contact layer >16<= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6208 Contact layer > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 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 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 A6212 Foam drg <=16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 A6214 Foam drg > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6215 Foam dressing wound filler P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6216 Non-sterile gauze<=16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6217 Non-sterile gauze>16<=48 sq P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6218 Non-sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6219 Gauze <= 16 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6220 Gauze >16 <=48 sq in w/bordr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6221 Gauze > 48 sq in w/border P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 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 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 A6228 Gauze <= 16 sq in water/sal P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6229 Gauze >16<=48 sq in watr/sal P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6230 Gauze > 48 sq in water/salne P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6231 Hydrogel dsg<=16 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6232 Hydrogel dsg>16<=48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6233 Hydrogel dressing >48 sq in X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6234 Hydrocolld drg <=16 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6235 Hydrocolld drg >16<=48 w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6236 Hydrocolld drg > 48 in w/o b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6237 Hydrocolld drg <=16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6238 Hydrocolld drg >16<=48 w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6239 Hydrocolld drg > 48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6240 Hydrocolld drg filler paste P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6241 Hydrocolloid drg filler dry P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6242 Hydrogel drg <=16 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6243 Hydrogel drg >16<=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6244 Hydrogel drg >48 in w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6245 Hydrogel drg <= 16 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6246 Hydrogel drg >16<=48 in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6247 Hydrogel drg > 48 sq in w/b P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6248 Hydrogel drsg gel filler P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6250 Skin seal protect moisturizr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 A6252 Absorpt drg >16 <=48 w/o bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 A6254 Absorpt drg <=16 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6255 Absorpt drg >16<=48 in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6256 Absorpt drg > 48 sq in w/bdr P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6257 Transparent film <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6258 Transparent film >16<=48 in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6259 Transparent film > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6260 Wound cleanser any type/size P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6261 Wound filler gel/paste /oz P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6262 Wound filler dry form / gram P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6263 Non-sterile elastic gauze/yd D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6264 Non-sterile no elastic gauze D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6265 Tape per 18 sq inches D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6266 Impreg gauze no h20/sal/yard P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6402 Sterile gauze <= 16 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6403 Sterile gauze>16 <= 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6404 Sterile gauze > 48 sq in P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6405 Sterile elastic gauze /yd D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6406 Sterile non-elastic gauze/yd D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6410 Sterile eye pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6411 Non-sterile eye pad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6412 Occlusive eye patch I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6421 Pad bandage >=3 <5in w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6422 Conf bandage ns >=3<5”w/roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6424 Conf bandage ns >=5”w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6426 Conf bandage s >=3<5” w/roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6428 Conf bandage s >=5” w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6430 Lt compres bdg >=3<5”w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6432 Lt compres bdg >=5”w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6434 Mo compres bdg >=3<5”w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6436 Hi compres bdg >=3<5”w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6438 Self-adher bdg >=3<5”w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6440 Zinc paste bdg >=3<5”w /roll X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6501 Compres burngarment bodysuit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6502 Compres burngarment chinstrp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6503 Compres burngarment facehood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6504 Cmprsburngarment glove-wrist X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6505 Cmprsburngarment glove-elbow X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6506 Cmprsburngrmnt glove-axilla X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6507 Cmprs burngarment foot-knee X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6508 Cmprs burngarment foot-thigh X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6509 Compres burn garment jacket X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6510 Compres burn garment leotard X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6511 Compres burn garment panty X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A6512 Compres burn garment, noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7000 Disposable canister for pump X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7001 Nondisposable pump canister X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7002 Tubing used w suction pump X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7003 Nebulizer administration set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7004 Disposable nebulizer sml vol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7005 Nondisposable nebulizer set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7006 Filtered nebulizer admin set X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7007 Lg vol nebulizer disposable X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7008 Disposable nebulizer prefill X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7009 Nebulizer reservoir bottle X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7010 Disposable corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7011 Nondispos corrugated tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7012 Nebulizer water collec devic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7013 Disposable compressor filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7014 Compressor nondispos filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7015 Aerosol mask used w nebulize X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7016 Nebulizer dome & mouthpiece X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7017 Nebulizer not used w oxygen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7018 Water distilled w/nebulizer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7019 Saline solution dispenser X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7020 Sterile H2O or NSS w lgv neb X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7025 Replace chest compress vest X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7026 Replace chst cmprss sys hose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7030 CPAP full face mask X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7031 Replacement facemask interfa X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7032 Replacement nasal cushion X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7033 Replacement nasal pillows X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7034 Nasal application device X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7035 Pos airway press headgear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7036 Pos airway press chinstrap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7037 Pos airway pressure tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7038 Pos airway pressure filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7039 Filter, non disposable w pap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7042 Implanted pleural catheter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7043 Vacuum drainagebottle/tubing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7044 PAP oral interface X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7501 Tracheostoma valve w diaphra X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7502 Replacement diaphragm/fplate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7503 HMES filter holder or cap X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7504 Tracheostoma HMES filter X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7505 HMES or trach valve housing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7506 HMES/trachvalve adhesivedisk X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7507 Integrated filter & holder X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7508 Housing & Integrated Adhesiv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A7509 Heat & moisture exchange sys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9150 Misc/exper non-prescript dru E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9270 Non-covered item or service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9300 Exercise equipment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9500 Technetium TC 99m sestamibi E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9502 Technetium TC99M tetrofosmin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9503 Technetium TC 99m medronate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9504 Technetium tc 99m apcitide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9505 Thallous chloride TL 201/mci E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9507 Indium/111 capromab pendetid E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9508 Iobenguane sulfate I-131 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9510 Technetium TC99m Disofenin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9511 Technetium TC 99m depreotide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9512 Technetiumtc99mpertechnetate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9513 Technetium tc-99m mebrofenin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9514 Technetiumtc99mpyrophosphate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9515 Technetium tc-99m pentetate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9516 I-123 sodium iodide capsule X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9517 I-131 sodium iodide capsule X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9518 I-131 sodium iodide solution X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9519 Technetiumtc-99mmacroag albu X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9520 Technetiumtc-99m sulfur clld X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9521 Technetiumtc-99m exametazine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9522 Indium111ibritumomabtiuxetan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9523 Yttrium90ibritumomabtiuxetan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9524 Iodinated I-131 serumalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9600 Strontium-89 chloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9603 I-131sodiumiodidecap per mci X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9605 Samarium sm153 lexidronamm E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9699 Noc therapeutic radiopharm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9700 Echocardiography Contrast E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9900 Supply/accessory/service X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 A9901 Delivery/set up/dispensing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0120 Periodic oral evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0140 Limit oral eval problm focus N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0150 Comprehensve oral evaluation R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0160 Extensv oral eval prob focus N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0170 Re-eval,est pt,problem focus N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0180 Comp periodontal evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0210 Intraor complete film series I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0220 Intraoral periapical first f I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0230 Intraoral periapical ea add I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0240 Intraoral occlusal film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0250 Extraoral first film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0260 Extraoral ea additional film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0270 Dental bitewing single film R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0272 Dental bitewings two films R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0274 Dental bitewings four films R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0277 Vert bitewings-sev to eight R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0290 Dental film skull/facial bon I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0310 Dental saliography I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0320 Dental tmj arthrogram incl i I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0321 Dental other tmj films I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0322 Dental tomographic survey I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0330 Dental panoramic film I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0340 Dental cephalometric film I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0350 Oral/facial images I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0415 Bacteriologic study N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0425 Caries susceptibility test N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0460 Pulp vitality test R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0470 Diagnostic casts N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0472 Gross exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0473 Micro exam, prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0474 Micro w exam of surg margins R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0480 Cytopath smear prep & report R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D0501 Histopathologic examinations D 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0502 Other oral pathology procedu R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D0999 Unspecified diagnostic proce R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D1110 Dental prophylaxis adult N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1120 Dental prophylaxis child N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1201 Topical fluor w prophy child N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1203 Topical fluor w/o prophy chi N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1204 Topical fluor w/o prophy adu N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1205 Topical fluoride w/ prophy a N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1310 Nutri counsel-control caries N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1320 Tobacco counseling N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1330 Oral hygiene instruction N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1351 Dental sealant per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D1510 Space maintainer fxd unilat R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D1515 Fixed bilat space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D1520 Remove unilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D1525 Remove bilat space maintain R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D1550 Recement space maintainer R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D2110 Amalgam one surface primary F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2120 Amalgam two surfaces primary F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2130 Amalgam three surfaces prima F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2131 Amalgam four/more surf prima F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2140 Amalgam one surface permanen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2150 Amalgam two surfaces permane N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2160 Amalgam three surfaces perma N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2161 Amalgam 4 or > surfaces perm N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2330 Resin one surface-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2331 Resin two surfaces-anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2332 Resin three surfaces-anterio N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2335 Resin 4/> surf or w incis an N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2336 Composite resin crown F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2337 Compo resin crown ant-perm F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2380 Resin one surf poster primar F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2381 Resin two surf poster primar F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2382 Resin three/more surf post p F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2385 Resin one surf poster perman F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2386 Resin two surf poster perman F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2387 Resin three/more surf post p F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2388 Resin four/more, post perm F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2390 Ant resin-based cmpst crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2391 Post 1 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2392 Post 2 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2393 Post 3 srfc resinbased cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2394 Post >=4srfc resinbase cmpst N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2410 Dental gold foil one surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2420 Dental gold foil two surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2430 Dental gold foil three surfa N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2510 Dental inlay metalic 1 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2520 Dental inlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2530 Dental inlay metl 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2542 Dental onlay metallic 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2543 Dental onlay metallic 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2544 Dental onlay metl 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2610 Inlay porcelain/ceramic 1 su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2620 Inlay porcelain/ceramic 2 su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2630 Dental onlay porc 3/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2642 Dental onlay porcelin 2 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2643 Dental onlay porcelin 3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2644 Dental onlay porc 4/more sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2650 Inlay composite/resin one su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2651 Inlay composite/resin two su N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2652 Dental inlay resin 3/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2662 Dental onlay resin 2 surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2663 Dental onlay resin 3 surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2664 Dental onlay resin 4/mre sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2710 Crown resin laboratory N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2720 Crown resin w/ high noble me N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2721 Crown resin w/ base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2722 Crown resin w/ noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2740 Crown porcelain/ceramic subs N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2750 Crown porcelain w/ h noble m N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2751 Crown porcelain fused base m N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2752 Crown porcelain w/ noble met N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2780 Crown 3/4 cast hi noble met N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2781 Crown 3/4 cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2790 Crown full cast high noble m N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2791 Crown full cast base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2792 Crown full cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2799 Provisional crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2910 Dental recement inlay N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2920 Dental recement crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2930 Prefab stnlss steel crwn pri N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2931 Prefab stnlss steel crown pe N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2932 Prefabricated resin crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2933 Prefab stainless steel crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2940 Dental sedative filling N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2950 Core build-up incl any pins N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2951 Tooth pin retention N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2952 Post and core cast + crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2953 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2954 Prefab post/core + crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2955 Post removal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2957 Each addtnl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2960 Laminate labial veneer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2961 Lab labial veneer resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2962 Lab labial veneer porcelain N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2970 Temporary- fractured tooth R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D2980 Crown repair N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D2999 Dental unspec restorative pr R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D3110 Pulp cap direct N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3120 Pulp cap indirect N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3220 Therapeutic pulpotomy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3221 Gross pulpal debridement N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3230 Pulpal therapy anterior prim N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3240 Pulpal therapy posterior pri N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3310 Anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3320 Root canal therapy 2 canals N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3330 Root canal therapy 3 canals N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3331 Non-surg tx root canal obs N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3332 Incomplete endodontic tx N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3333 Internal root repair N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3346 Retreat root canal anterior N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3347 Retreat root canal bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3348 Retreat root canal molar N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3351 Apexification/recalc initial N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3352 Apexification/recalc interim N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3353 Apexification/recalc final N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3410 Apicoect/perirad surg anter N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3421 Root surgery bicuspid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3425 Root surgery molar N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3426 Root surgery ea add root N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3430 Retrograde filling N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3450 Root amputation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3460 Endodontic endosseous implan R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D3470 Intentional replantation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3910 Isolation- tooth w rubb dam N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3920 Tooth splitting N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3950 Canal prep/fitting of dowel N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D3999 Endodontic procedure R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4210 Gingivectomy/plasty per quad I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4211 Gingivectomy/plasty per toot I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4220 Gingival curettage per quadr F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4240 Gingival flap proc w/ planin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4241 Gngvl flap w rootplan 1-3 th N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4245 Apically positioned flap N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4249 Crown lengthen hard tissue N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4260 Osseous surgery per quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4261 Osseous surgl-3teethperquad N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4263 Bone replce graft first site R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4264 Bone replce graft each add R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4265 Bio mtrls to aid soft/os reg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4266 Guided tiss regen resorble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4267 Guided tiss regen nonresorb N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4268 Surgical revision procedure R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4270 Pedicle soft tissue graft pr R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4271 Free soft tissue graft proc R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4273 Subepithelial tissue graft R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4274 Distal/proximal wedge proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4275 Soft tissue allograft N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4276 Con tissue w dble ped graft N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4320 Provision splnt intracoronal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4321 Provisional splint extracoro N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4341 Periodontal scaling & root N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4342 Periodontal scaling 1-3teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4355 Full mouth debridement R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4381 Localized chemo delivery R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D4910 Periodontal maint procedures N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4920 Unscheduled dressing change N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D4999 Unspecified periodontal proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5110 Dentures complete maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5120 Dentures complete mandible N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5130 Dentures immediat maxillary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5140 Dentures immediat mandible N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5211 Dentures maxill part resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5212 Dentures mand part resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5213 Dentures maxill part metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5214 Dentures mandibl part metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5281 Removable partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5410 Dentures adjust cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5411 Dentures adjust cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5421 Dentures adjust part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5422 Dentures adjust part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5510 Dentur repr broken compl bas N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5520 Replace denture teeth complt N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5610 Dentures repair resin base N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5620 Rep part denture cast frame N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5630 Rep partial denture clasp N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5640 Replace part denture teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5650 Add tooth to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5660 Add clasp to partial denture N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5670 Replc tth&acrlc on mtl frmwk N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5671 Replc tth&acrlc mandibular N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5710 Dentures rebase cmplt maxil N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5711 Dentures rebase cmplt mand N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5720 Dentures rebase part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5721 Dentures rebase part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5730 Denture reln cmplt maxil ch N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5731 Denture reln cmplt mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5740 Denture reln part maxil chr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5741 Denture reln part mand chr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5750 Denture reln cmplt max lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5751 Denture reln cmplt mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5760 Denture reln part maxil lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5761 Denture reln part mand lab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5810 Denture interm cmplt maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5811 Denture interm cmplt mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5820 Denture interm part maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5821 Denture interm part mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5850 Denture tiss conditn maxill N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5851 Denture tiss condtin mandbl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5860 Overdenture complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5861 Overdenture partial N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5862 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5867 Replacement of precision att N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5875 Prosthesis modification N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5899 Removable prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5911 Facial moulage sectional R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D5912 Facial moulage complete R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D5913 Nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5914 Auricular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5915 Orbital prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5916 Ocular prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5919 Facial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5922 Nasal septal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5923 Ocular prosthesis interim I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5924 Cranial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5925 Facial augmentation implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5926 Replacement nasal prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5927 Auricular replacement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5928 Orbital replacement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5929 Facial replacement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5931 Surgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5932 Postsurgical obturator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5933 Refitting of obturator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5934 Mandibular flange prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5935 Mandibular denture prosth I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5936 Temp obturator prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5937 Trismus appliance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5951 Feeding aid R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D5952 Pediatric speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5953 Adult speech aid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5954 Superimposed prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5955 Palatal lift prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5958 Intraoral con def inter plt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5959 Intraoral con def mod palat I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5960 Modify speech aid prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5982 Surgical stent I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5983 Radiation applicator R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D5984 Radiation shield R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D5985 Radiation cone locator R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D5986 Fluoride applicator N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5987 Commissure splint R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D5988 Surgical splint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D5999 Maxillofacial prosthesis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6010 Odontics endosteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6020 Odontics abutment placement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6040 Odontics eposteal implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6050 Odontics transosteal implnt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6053 Implnt/abtmnt spprt remv dnt N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6054 Implnt/abtmnt spprt remvprtl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6055 Implant connecting bar I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6056 Prefabricated abutment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6057 Custom abutment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6058 Abutment supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6059 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6060 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6061 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6062 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6063 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6064 Abutment supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6065 Implant supported crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6066 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6067 Implant supported mtl crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6068 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6069 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6070 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6071 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6072 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6073 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6074 Abutment supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6075 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6076 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6077 Implant supported retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6078 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6079 Implnt/abut suprtd fixd dent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6080 Implant maintenance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6090 Repair implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6095 Odontics repr abutment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6100 Removal of implant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6199 Implant procedure I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6210 Prosthodont high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6211 Bridge base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6212 Bridge noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6240 Bridge porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6241 Bridge porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6242 Bridge porcelain nobel metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6245 Bridge porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6250 Bridge resin w/high noble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6251 Bridge resin base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6252 Bridge resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6253 Provisional pontic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6519 Inlay/onlay porce/ceramic F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6520 Dental retainer two surfaces F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6530 Retainer metallic 3+ surface F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6543 Dental retainr onlay 3 surf F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6544 Dental retainr onlay 4/more F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6545 Dental retainr cast metl N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6548 Porcelain/ceramic retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6600 Porcelain/ceramic inlay 2srf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6601 Porc/ceram inlay >= 3 surfac N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6602 Cst hgh nble mtl inlay 2 srf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6603 Cst hgh nble mtl inlay >=3sr N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6604 Cst bse mtl inlay 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6605 Cst bse mtl inlay >= 3 surfa N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6606 Cast noble metal inlay 2 sur N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6607 Cst noble mtl inlay >=3 surf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6608 Onlay porc/crmc 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6609 Onlay porc/crmc >=3 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6610 Onlay cst hgh nbl mtl 2 srfc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6611 Onlay cst hgh nbl mtl >=3srf N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6612 Onlay cst base mtl 2 surface N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6613 Onlay cst base mtl >=3 surfa N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6614 Onlay cst nbl mtl 2 surfaces N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6615 Onlay cst nbl mtl >=3 surfac N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6720 Retain crown resin w hi nble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6721 Crown resin w/base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6722 Crown resin w/noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6740 Crown porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6750 Crown porcelain high noble N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6751 Crown porcelain base metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6752 Crown porcelain noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6780 Crown 3/4 high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6781 Crown 3/4 cast based metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6782 Crown 3/4 cast noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6783 Crown 3/4 porcelain/ceramic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6790 Crown full high noble metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6791 Crown full base metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6792 Crown full noble metal cast N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6793 Provisional retainer crown N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6920 Dental connector bar R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D6930 Dental recement bridge N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6940 Stress breaker N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6950 Precision attachment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6970 Post & core plus retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6971 Cast post bridge retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6972 Prefab post & core plus reta N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6973 Core build up for retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6975 Coping metal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6976 Each addtnl cast post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6977 Each addtl prefab post N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6980 Bridge repair N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6985 Pediatric partial denture fx N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D6999 Fixed prosthodontic proc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7110 Oral surgery single tooth D 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7111 Coronal remnants deciduous t R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7120 Each add tooth extraction D 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7130 Tooth root removal D 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7140 Extraction erupted tooth/exr R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7210 Rem imp tooth w mucoper flp R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7220 Impact tooth remov soft tiss R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7230 Impact tooth remov part bony R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7240 Impact tooth remov comp bony R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7241 Impact tooth rem bony w/comp R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7250 Tooth root removal R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7260 Oral antral fistula closure R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7261 Primary closure sinus perf R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7270 Tooth reimplantation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7272 Tooth transplantation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7280 Exposure impact tooth orthod N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7281 Exposure tooth aid eruption N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7282 Mobilize erupted/malpos toot N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7285 Biopsy of oral tissue hard I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7286 Biopsy of oral tissue soft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7287 Cytology sample collection I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7290 Repositioning of teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7291 Transseptal fiberotomy R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7310 Alveoplasty w/ extraction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7320 Alveoplasty w/o extraction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7340 Vestibuloplasty ridge extens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7350 Vestibuloplasty exten graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 D7411 Excision benign lesion>1.25c I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7412 Excision benign lesion compl I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7413 Excision malig lesion<=1.25c I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7414 Excision malig lesion>1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7415 Excision malig les complicat I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7420 Lesion > 1.25 cm F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7430 Exc benign tumor to 1.25 cm F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7431 Benign tumor exc > 1.25 cm F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7440 Malig tumor exc to 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7441 Malig tumor > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7450 Rem odontogen cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7451 Rem odontogen cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7460 Rem nonodonto cyst to 1.25cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7461 Rem nonodonto cyst > 1.25 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7465 Lesion destruction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7471 Rem exostosis any site I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7472 Removal of torus palatinus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7473 Remove torus mandibularis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7480 Partial ostectomy F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7485 Surg reduct osseoustuberosit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7490 Mandible resection I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7510 I&d absc intraoral soft tiss I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7520 I&d abscess extraoral I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7530 Removal fb skin/areolar tiss I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7540 Removal of fb reaction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7550 Removal of sloughed off bone I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7560 Maxillary sinusotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7610 Maxilla open reduct simple I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7620 Clsd reduct simpl maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7630 Open red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7640 Clsd red simpl mandible fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7650 Open red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7660 Clsd red simp malar/zygom fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7670 Closd rductn splint alveolus I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7671 Alveolus open reduction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7680 Reduct simple facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7710 Maxilla open reduct compound I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7720 Clsd reduct compd maxilla fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7730 Open reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7740 Clsd reduct compd mandble fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7750 Open red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7760 Clsd red comp malar/zygma fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7770 Open reduc compd alveolus fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7771 Alveolus clsd reduc stblz te I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7780 Reduct compnd facial bone fx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7810 Tmj open reduct-dislocation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7820 Closed tmp manipulation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7830 Tmj manipulation under anest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7840 Removal of tmj condyle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7850 Tmj meniscectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7852 Tmj repair of joint disc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7854 Tmj excisn of joint membrane I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7856 Tmj cutting of a muscle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7858 Tmj reconstruction I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7860 Tmj cutting into joint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7865 Tmj reshaping components I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7870 Tmj aspiration joint fluid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7871 Lysis + lavage w catheters N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7872 Tmj diagnostic arthroscopy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7873 Tmj arthroscopy lysis adhesn I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7874 Tmj arthroscopy disc reposit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7875 Tmj arthroscopy synovectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7876 Tmj arthroscopy discectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7877 Tmj arthroscopy debridement I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7880 Occlusal orthotic appliance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7899 Tmj unspecified therapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7910 Dent sutur recent wnd to 5cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7911 Dental suture wound to 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7912 Suture complicate wnd > 5 cm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7920 Dental skin graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7940 Reshaping bone orthognathic R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D7941 Bone cutting ramus closed I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7943 Cutting ramus open w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7944 Bone cutting segmented I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7945 Bone cutting body mandible I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7946 Reconstruction maxilla total I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7947 Reconstruct maxilla segment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7948 Reconstruct midface no graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7949 Reconstruct midface w/graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7950 Mandible graft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7955 Repair maxillofacial defects I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7960 Frenulectomy/frenulotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7970 Excision hyperplastic tissue I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7971 Excision pericoronal gingiva I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7972 Surg redct fibrous tuberosit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7980 Sialolithotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7981 Excision of salivary gland I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7982 Sialodochoplasty I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7983 Closure of salivary fistula I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7990 Emergency tracheotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7991 Dental coronoidectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7995 Synthetic graft facial bones I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7996 Implant mandible for augment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7997 Appliance removal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D7999 Oral surgery procedure I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8010 Limited dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8020 Limited dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8030 Limited dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8040 Limited dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8050 Intercep dental tx primary N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8060 Intercep dental tx transitn N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8070 Compre dental tx transition N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8080 Compre dental tx adolescent N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8090 Compre dental tx adult N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8210 Orthodontic rem appliance tx N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8220 Fixed appliance therapy habt N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8660 Preorthodontic tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8670 Periodic orthodontc tx visit N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8680 Orthodontic retention N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8690 Orthodontic treatment N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8691 Repair ortho appliance N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8692 Replacement retainer N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D8999 Orthodontic procedure N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9110 Tx dental pain minor proc R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9210 Dent anesthesia w/o surgery I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9211 Regional block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9212 Trigeminal block anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9215 Local anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9220 General anesthesia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9221 General anesthesia ea ad 15m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9230 Analgesia R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9241 Intravenous sedation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9242 IV sedation ea ad 30 m I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9248 Sedation (non-iv) R 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9310 Dental consultation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9410 Dental house call I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9420 Hospital call I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9430 Office visit during hours I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9440 Office visit after hours I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9450 Case presentation tx plan I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9610 Dent therapeutic drug inject I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9630 Other drugs/medicaments R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9910 Dent appl desensitizing med N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9911 Appl desensitizing resin N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9920 Behavior management N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9930 Treatment of complications R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9940 Dental occlusal guard R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9941 Fabrication athletic guard N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9950 Occlusion analysis R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9951 Limited occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9952 Complete occlusal adjustment R 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0000000 36.7856 09 D9970 Enamel microabrasion N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9971 Odontoplasty 1-2 teeth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9972 Extrnl bleaching per arch N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9973 Extrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9974 Intrnl bleaching per tooth N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 D9999 Adjunctive procedure I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0001 Drawing blood for specimen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0002 Temporary urinary catheter D 0.50 3.32 0.17 0.03 3.85 0.70 0000.00.00.0020100 36.7856 09 G0004 ECG transm phys review & int D 0.52 7.10 7.10 0.45 8.07 8.07 4XXX.00.00.0000000 36.7856 01 G0005 ECG 24 hour recording D 0.00 1.18 1.18 0.07 1.25 1.25 3XXX.00.00.0000000 36.7856 01 G0006 ECG transmission & analysis D 0.00 5.71 5.71 0.36 6.07 6.07 3XXX.00.00.0000000 36.7856 01 G0007 ECG phy review & interpret D 0.52 0.21 0.21 0.02 0.75 0.75 2XXX.00.00.0000000 36.7856 09 G0008 Admin influenza virus vac X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0009 Admin pneumococcal vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0010 Admin hepatitis b vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0015 Post symptom ECG tracing D 0.00 5.71 5.71 0.36 6.07 6.07 3XXX.00.00.0000000 36.7856 01 G0025 Collagen skin test kit D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0026 Fecal leukocyte examination D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0027 Semen analysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0030 PET imaging prev PET single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0030TCPET imaging prev PET single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003026PET imaging prev PET single A 1.50 0.52 0.52 0.04 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G0031 PET imaging prev PET multple C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0031TCPET imaging prev PET multple C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003126PET imaging prev PET multple A 1.87 0.70 0.70 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 G0032 PET follow SPECT 78464 singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0032TCPET follow SPECT 78464 singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003226PET follow SPECT 78464 singl A 1.50 0.52 0.52 0.05 2.07 2.07 1XXX.00.00.0000000 36.7856 09 G0033 PET follow SPECT 78464 mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0033TCPET follow SPECT 78464 mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003326PET follow SPECT 78464 mult A 1.87 0.70 0.70 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 G0034 PET follow SPECT 76865 singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0034TCPET follow SPECT 76865 singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003426PET follow SPECT 76865 singl A 1.50 0.52 0.52 0.05 2.07 2.07 1XXX.00.00.0000000 36.7856 09 G0035 PET follow SPECT 78465 mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0035TCPET follow SPECT 78465 mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003526PET follow SPECT 78465 mult A 1.87 0.70 0.70 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 G0036 PET follow cornry angio sing C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0036TCPET follow cornry angio sing C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003626PET follow cornry angio sing A 1.50 0.52 0.52 0.04 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G0037 PET follow cornry angio mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0037TCPET follow cornry angio mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003726PET follow cornry angio mult A 1.87 0.70 0.70 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 G0038 PET follow myocard perf sing C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0038TCPET follow myocard perf sing C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003826PET follow myocard perf sing A 1.50 0.52 0.52 0.04 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G0039 PET follow myocard perf mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0039TCPET follow myocard perf mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G003926PET follow myocard perf mult A 1.87 0.70 0.70 0.07 2.64 2.64 1XXX.00.00.0000000 36.7856 09 G0040 PET follow stress echo singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0040TCPET follow stress echo singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004026PET follow stress echo singl A 1.50 0.52 0.52 0.04 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G0041 PET follow stress echo mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0041TCPET follow stress echo mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004126PET follow stress echo mult A 1.87 0.70 0.70 0.05 2.62 2.62 1XXX.00.00.0000000 36.7856 09 G0042 PET follow ventriculogm sing C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0042TCPET follow ventriculogm sing C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004226PET follow ventriculogm sing A 1.50 0.52 0.52 0.04 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G0043 PET follow ventriculogm mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0043TCPET follow ventriculogm mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004326PET follow ventriculogm mult A 1.87 0.70 0.70 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 G0044 PET following rest ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0044TCPET following rest ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004426PET following rest ECG singl A 1.50 0.52 0.52 0.04 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G0045 PET following rest ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0045TCPET following rest ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004526PET following rest ECG mult A 1.87 0.70 0.70 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 G0046 PET follow stress ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0046TCPET follow stress ECG singl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004626PET follow stress ECG singl A 1.50 0.52 0.52 0.04 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G0047 PET follow stress ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0047TCPET follow stress ECG mult C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G004726PET follow stress ECG mult A 1.87 0.70 0.70 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 G0050 Residual urine by ultrasound D 0.00 0.81 0.81 0.04 0.85 0.85 3XXX.00.00.0000000 36.7856 01 G0101 CA screen;pelvic/breast exam A 0.45 0.51 0.17 0.01 0.97 0.63 0XXX.00.00.0000000 36.7856 09 G0102 Prostate ca screening; dre A 0.17 0.38 0.06 0.01 0.56 0.24 0XXX.00.00.0099999 36.7856 09 G0103 Psa, total screening X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0104 CA screen;flexi sigmoidscope A 0.96 1.82 0.52 0.05 2.83 1.53 0000.00.00.0020100 36.7856 09 G0105 Colorectal scrn; hi risk ind A 3.70 8.03 1.72 0.20 11.93 5.62 0000.00.00.0020100 36.7856 09 G0106 Colon CA screen;barium enema A 0.99 2.56 2.56 NA 0.15 3.70 3.70 1XXX.00.00.0000000 36.7856 09 G0106TCColon CA screen;barium enema A 0.00 2.22 2.22 NA 0.11 2.33 2.33 1XXX.00.00.0000000 36.7856 03 G010626Colon CA screen;barium enema A 0.99 0.34 0.34 0.04 1.37 1.37 1XXX.00.00.0000000 36.7856 09 G0107 CA screen; fecal blood test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0108 Diab manage trn per indiv A 0.00 0.82 0.82 NA 0.01 0.83 0.83 0XXX.00.00.0000000 36.7856 09 G0109 Diab manage trn ind/group A 0.00 0.48 0.48 NA 0.01 0.49 0.49 0XXX.00.00.0000000 36.7856 09 G0110 Nett pulm-rehab educ; ind R 0.90 0.71 0.30 0.03 1.64 1.23 0XXX.00.00.0000000 36.7856 09 G0111 Nett pulm-rehab educ; group R 0.27 0.29 0.14 0.01 0.57 0.42 0XXX.00.00.0000000 36.7856 09 G0112 Nett;nutrition guid, initial R 1.72 1.22 0.67 0.05 2.99 2.44 0XXX.00.00.0000000 36.7856 09 G0113 Nett;nutrition guid,subseqnt R 1.29 0.84 0.42 0.04 2.17 1.75 0XXX.00.00.0000000 36.7856 09 G0114 Nett; psychosocial consult R 1.20 0.50 0.38 0.03 1.73 1.61 0XXX.00.00.0000000 36.7856 09 G0115 Nett; psychological testing R 1.20 0.65 0.38 0.04 1.89 1.62 0XXX.00.00.0000000 36.7856 09 G0116 Nett; psychosocial counsel R 1.11 1.02 0.34 0.04 2.17 1.49 0XXX.00.00.0000000 36.7856 09 G0117 Glaucoma scrn hgh risk direc T 0.45 0.94 0.21 0.02 1.41 0.68 0XXX.00.00.0000000 36.7856 09 G0118 Glaucoma scrn hgh risk direc T 0.17 0.81 0.08 0.01 0.99 0.26 0XXX.00.00.0000000 36.7856 09 G0120 Colon ca scrn; barium enema A 0.99 2.56 2.56 NA 0.15 3.70 3.70 1XXX.00.00.0000000 36.7856 09 G0120TCColon ca scrn; barium enema A 0.00 2.22 2.22 NA 0.11 2.33 2.33 1XXX.00.00.0000000 36.7856 09 G012026Colon ca scrn; barium enema A 0.99 0.34 0.34 0.04 1.37 1.37 1XXX.00.00.0000000 36.7856 09 G0121 Colon ca scrn not hi rsk ind A 3.70 8.03 1.72 0.20 11.93 5.62 0000.00.00.0020100 36.7856 09 G0122 Colon ca scrn; barium enema N+ 0.99 2.61 2.61 NA 0.15 3.75 3.75 1XXX.00.00.0099999 36.7856 09 G0122TCColon ca scrn; barium enema N+ 0.00 2.22 2.22 NA 0.11 2.33 2.33 1XXX.00.00.0099999 36.7856 09 G012226Colon ca scrn; barium enema N+ 0.99 0.39 0.39 0.04 1.42 1.42 1XXX.00.00.0099999 36.7856 09 G0123 Screen cerv/vag thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0124 Screen c/v thin layer by MD A 0.42 0.19 0.19 0.01 0.62 0.62 0XXX.00.00.0000000 36.7856 09 G0125 PET image pulmonary nodule C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0125TCPET image pulmonary nodule C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G012526PET image pulmonary nodule A 1.50 0.52 0.52 0.05 2.07 2.07 1XXX.00.00.0000000 36.7856 09 G0127 Trim nail(s) R 0.17 0.26 0.07 0.01 0.44 0.25 0000.00.00.0020100 36.7856 09 G0128 CORF skilled nursing service R 0.08 0.03 0.03 0.01 0.12 0.12 0XXX.00.00.0000000 36.7856 09 G0130 Single energy x-ray study A 0.22 0.90 0.90 NA 0.05 1.17 1.17 1XXX.00.00.0000000 36.7856 09 G0130TCSingle energy x-ray study A 0.00 0.79 0.79 NA 0.04 0.83 0.83 1XXX.00.00.0000000 36.7856 01 G013026Single energy x-ray study A 0.22 0.11 0.11 0.01 0.34 0.34 1XXX.00.00.0000000 36.7856 09 G0131 CT scan, bone density study D 0.25 3.18 3.18 0.14 3.57 3.57 1XXX.00.00.0000000 36.7856 09 G0131TCCT scan, bone density study D 0.00 3.05 3.05 0.13 3.18 3.18 1XXX.00.00.0000000 36.7856 01 G013126CT scan, bone density study D 0.25 0.13 0.13 0.01 0.39 0.39 1XXX.00.00.0000000 36.7856 09 G0132 CT scan, bone density study D 0.22 0.90 0.90 0.05 1.17 1.17 1XXX.00.00.0000000 36.7856 09 G0132TCCT scan, bone density study D 0.00 0.79 0.79 0.04 0.83 0.83 1XXX.00.00.0000000 36.7856 01 G013226CT scan, bone density study D 0.22 0.11 0.11 0.01 0.34 0.34 1XXX.00.00.0000000 36.7856 09 G0141 Scr c/v cyto,autosys and md A 0.42 0.19 0.19 0.01 0.62 0.62 0XXX.00.00.0000000 36.7856 09 G0143 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0144 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0145 Scr c/v cyto,thinlayer,rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0147 Scr c/v cyto, automated sys X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0148 Scr c/v cyto, autosys, rescr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0166 Extrnl counterpulse, per tx A 0.07 5.57 0.03 0.01 5.65 0.11 0XXX.00.00.0099999 36.7856 09 G0167 Hyperbaric oz tx;no md reqrd C 0.00 0.00 0.00 0.00 0.00 0.00 5XXX.00.00.0099999 36.7856 09 G0168 Wound closure by adhesive A 0.45 2.24 0.18 0.01 2.70 0.64 0000.00.00.0020100 36.7856 09 G0173 Stereo radoisurgery,complete X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0175 OPPS Service,sched team conf X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0176 OPPS/PHP;activity therapy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0177 OPPS/PHP; train & educ serv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0179 MD recertification HHA PT A 0.45 1.09 1.09 NA 0.01 1.55 1.55 0XXX.00.00.0000000 36.7856 09 G0180 MD certification HHA patient A 0.67 1.31 1.31 NA 0.02 2.00 2.00 0XXX.00.00.0000000 36.7856 09 G0181 Home health care supervision A 1.73 1.56 1.56 NA 0.06 3.35 3.35 0XXX.00.00.0000000 36.7856 09 G0182 Hospice care supervision A 1.73 1.75 1.75 NA 0.06 3.54 3.54 0XXX.00.00.0000000 36.7856 09 G0185 Transpuppillary thermotx D 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 G0186 Dstry eye lesn,fdr vssl tech C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 G0187 Dstry mclr drusen,photocoag D 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 G0192 Immunization oral/intranasal F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0193 Endoscopicstudyswallowfunctn D 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 G0194 Sensorytestingendoscopicstud D 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 G0195 Clinicalevalswallowingfunct D 1.50 1.95 0.76 0.07 3.52 2.33 0XXX.00.00.0000000 36.7856 09 G0196 Evalofswallowingwithradioopa D 1.50 1.95 0.76 0.07 3.52 2.33 0XXX.00.00.0000000 36.7856 09 G0197 Evalofptforprescipspeechdevi D 1.35 2.11 0.75 0.04 3.50 2.14 0XXX.00.00.0000000 36.7856 09 G0198 Patientadapation&trainforspe D 0.99 1.14 0.58 0.03 2.16 1.60 0XXX.00.00.0000000 36.7856 09 G0199 Reevaluationofpatientusespec D 1.01 1.92 0.56 0.03 2.96 1.60 0XXX.00.00.0000000 36.7856 09 G0200 Evalofpatientprescipofvoicep D 1.35 2.11 0.75 0.04 3.50 2.14 0XXX.00.00.0000000 36.7856 09 G0201 Modifortraininginusevoicepro D 0.99 1.14 0.58 0.03 2.16 1.60 0XXX.00.00.0000000 36.7856 09 G0202 Screeningmammographydigital A 0.70 2.80 2.80 NA 0.09 3.59 3.59 1XXX.00.00.0002000 36.7856 09 G0202TCScreeningmammographydigital A 0.00 2.53 2.53 NA 0.06 2.59 2.59 1XXX.00.00.0002000 36.7856 09 G020226Screeningmammographydigital A 0.70 0.27 0.27 0.03 1.00 1.00 1XXX.00.00.0002000 36.7856 09 G0204 Diagnosticmammographydigital A 0.87 2.84 2.84 NA 0.10 3.81 3.81 1XXX.00.00.0002000 36.7856 09 G0204TCDiagnosticmammographydigital A 0.00 2.50 2.50 NA 0.06 2.56 2.56 1XXX.00.00.0002000 36.7856 09 G020426Diagnosticmammographydigital A 0.87 0.34 0.34 0.04 1.25 1.25 1XXX.00.00.0002000 36.7856 09 G0206 Diagnosticmammographydigital A 0.70 2.28 2.28 NA 0.09 3.07 3.07 1XXX.00.00.0000000 36.7856 09 G0206TCDiagnosticmammographydigital A 0.00 2.01 2.01 NA 0.05 2.06 2.06 1XXX.00.00.0000000 36.7856 09 G020626Diagnosticmammographydigital A 0.70 0.27 0.27 0.04 1.01 1.01 1XXX.00.00.0000000 36.7856 09 G0210 PET img wholebody dxlung C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0210TCPET img wholebody dxlung C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021026PET img wholebody dxlung A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0211 PET img wholbody init lung C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0211TCPET img wholbody init lung C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021126PET img wholbody init lung A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0212 PET img wholebod restag lung C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0212TCPET img wholebod restag lung C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021226PET img wholebod restag lung A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0213 PET img wholbody dx C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0213TCPET img wholbody dx C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021326PET img wholbody dx A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0214 PET img wholebod init C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0214TCPET img wholebod init C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021426PET img wholebod init A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0215 PETimg wholebod restag C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0215TCPETimg wholebod restag C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021526PETimg wholebod restag A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0216 PET img wholebod dx melanoma C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0216TCPET img wholebod dx melanoma C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021626PET img wholebod dx melanoma A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0217 PET img wholebod init melan C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0217TCPET img wholebod init melan C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021726PET img wholebod init melan A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0218 PET img wholebod restag mela C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0218TCPET img wholebod restag mela C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G021826PET img wholebod restag mela A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0219 PET img wholbod melano nonco N+ 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 G0219TCPET img wholbod melano nonco N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 01 G021926PET img wholbod melano nonco N+ 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 G0220 PET img wholebod dx lymphoma C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0220TCPET img wholebod dx lymphoma C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022026PET img wholebod dx lymphoma A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0221 PET imag wholbod init lympho C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0221TCPET imag wholbod init lympho C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022126PET imag wholbod init lympho A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0222 PET imag wholbod resta lymph C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0222TCPET imag wholbod resta lymph C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022226PET imag wholbod resta lymph A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0223 PET imag wholbod reg dx head C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0223TCPET imag wholbod reg dx head C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022326PET imag wholbod reg dx head A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0224 PET imag wholbod reg ini hea C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0224TCPET imag wholbod reg ini hea C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022426PET imag wholbod reg ini hea A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0225 PET whol restag headneckonly C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0225TCPET whol restag headneckonly C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022526PET whol restag headneckonly A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0226 PET img wholbody dx esophagl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0226TCPET img wholbody dx esophagl C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022626PET img wholbody dx esophagl A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0227 PET img wholbod ini esophage C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0227TCPET img wholbod ini esophage C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022726PET img wholbod ini esophage A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0228 PET img wholbod restg esopha C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0228TCPET img wholbod restg esopha C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022826PET img wholbod restg esopha A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0229 PET img metaboloc brain pres C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0229TCPET img metaboloc brain pres C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G022926PET img metaboloc brain pres A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0230 PET myocard viability post C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0230TCPET myocard viability post C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G023026PET myocard viability post A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0231 PET WhBD colorec; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0231TCPET WhBD colorec; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G023126PET WhBD colorec; gamma cam A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0232 PET whbd lymphoma; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0232TCPET whbd lymphoma; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G023226PET whbd lymphoma; gamma cam A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0233 PET whbd melanoma; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0233TCPET whbd melanoma; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G023326PET whbd melanoma; gamma cam A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0234 PET WhBD pulm nod; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0234TCPET WhBD pulm nod; gamma cam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G023426PET WhBD pulm nod; gamma cam A 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 G0236 Digital film convert diag ma A 0.06 0.44 0.44 NA 0.02 0.52 0.52 1ZZZ.00.00.0000000 36.7856 09 G0236TCDigital film convert diag ma A 0.00 0.42 0.42 NA 0.01 0.43 0.43 1ZZZ.00.00.0000000 36.7856 09 G023626Digital film convert diag ma A 0.06 0.02 0.02 0.01 0.09 0.09 1ZZZ.00.00.0000000 36.7856 09 G0237 Therapeutic procd strg endur A 0.00 0.47 0.47 NA 0.02 0.49 0.49 0XXX.00.00.0000000 36.7856 09 G0238 Oth resp proc, indiv C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 G0239 Oth resp proc, group C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 G0240 Critic care by MD transport D 4.00 1.60 1.60 0.14 5.74 5.74 0XXX.00.00.0000000 36.7856 09 G0241 Each additional 30 minutes D 2.00 0.80 0.80 0.07 2.87 2.87 0ZZZ.00.00.0000000 36.7856 09 G0242 Multisource photon ster plan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0243 Multisour photon stero treat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0244 Observ care by facility topt E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0245 Initial foot exam pt lops R 0.88 0.77 0.32 0.05 1.70 1.25 0XXX.00.00.0000000 36.7856 09 G0246 Followup eval of foot pt lop R 0.45 0.52 0.16 0.02 0.99 0.63 0XXX.00.00.0000000 36.7856 09 G0247 Routine footcare pt w lops R 0.50 0.52 0.21 0.05 1.07 0.76 0ZZZ.00.00.0000000 36.7856 09 G0248 Demonstrate use home inr mon R 0.00 4.30 4.30 NA 0.01 4.31 4.31 3XXX.00.00.0000000 36.7856 01 G0249 Provide test material,equipm R 0.00 3.35 3.35 NA 0.01 3.36 3.36 3XXX.00.00.0000000 36.7856 01 G0250 MD review interpret of test R 0.18 0.07 0.07 0.01 0.26 0.26 2XXX.00.00.0000000 36.7856 09 G0251 Linear acc based stero radio E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0252 PET imaging initial dx N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 G0252TCPET imaging initial dx N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 G025226PET imaging initial dx N+ 1.50 0.60 0.60 0.04 2.14 2.14 1XXX.00.00.0099999 36.7856 09 G0253 PET image brst dection recur C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0253TCPET image brst dection recur C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G025326PET image brst dection recur A 1.87 0.73 0.73 0.07 2.67 2.67 1XXX.00.00.0000000 36.7856 09 G0254 PET image brst eval to tx C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0254TCPET image brst eval to tx C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G025426PET image brst eval to tx A 1.87 0.73 0.73 0.07 2.67 2.67 1XXX.00.00.0000000 36.7856 09 G0255 Current percep threshold tst N+ 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 G0255TCCurrent percep threshold tst N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 01 G025526Current percep threshold tst N+ 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 G0256 Prostate brachy w palladium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0257 Unsched dialysis ESRD pt hos E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0258 IV infusion during obs stay E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0259 Inject for sacroiliac joint E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0260 Inj for sacroiliac jt anesth E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0261 Prostate brachy w iodine see E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0262 Sm intestinal image capsule A 2.12 18.67 18.67 NA 0.08 20.87 20.87 1XXX.00.00.0000000 36.7856 01 G0262TCSm intestinal image capsule A 0.00 17.84 17.84 NA 0.06 17.90 17.90 1XXX.00.00.0000000 36.7856 01 G026226Sm intestinal image capsule A 2.12 0.83 0.83 0.02 2.97 2.97 1XXX.00.00.0000000 36.7856 09 G0263 Adm with CHF, CP, asthma E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0264 Assmt otr CHF, CP, asthma E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0265 Cryopresevation Freeze+stora X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0266 Thawing + expansion froz cel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0267 Bone marrow or psc harvest X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0268 Removal of impacted wax md A 0.61 0.57 0.24 0.04 1.22 0.89 0000.00.00.0022100 36.7856 09 G0269 Occlusive device in vein art B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0270 MNT subs tx for change dx A 0.00 0.47 0.47 NA 0.01 0.48 0.48 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 G0272 Naso/oro gastric tube pl MD A 0.32 0.13 0.13 NA 0.02 0.47 0.47 0000.00.00.0000100 36.7856 09 G0273 Pretx planning, non-Hodgkins A 0.86 11.36 11.36 NA 0.28 12.50 12.50 1XXX.00.00.0020000 36.7856 01 G0273TCPretx planning, non-Hodgkins A 0.00 11.02 11.02 NA 0.25 11.27 11.27 1XXX.00.00.0020000 36.7856 01 G027326Pretx planning, non-Hodgkins A 0.86 0.34 0.34 0.03 1.23 1.23 1XXX.00.00.0020000 36.7856 09 G0274 Radiopharm tx, non-Hodgkins A 2.07 3.42 3.42 NA 0.20 5.69 5.69 1XXX.00.00.0000000 36.7856 01 G0274TCRadiopharm tx, non-Hodgkins A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 01 G027426Radiopharm tx, non-Hodgkins A 2.07 0.81 0.81 0.08 2.96 2.96 1XXX.00.00.0000000 36.7856 09 G0275 Renal angio, cardiac cath A 0.25 0.10 0.10 0.01 0.36 0.36 0ZZZ.00.00.0000000 36.7856 09 G0278 Iliac art angio,cardiac cath A 0.25 0.10 0.10 0.01 0.36 0.36 0ZZZ.00.00.0000000 36.7856 09 G0279 Excorp shock tx, elbow epi C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 G0280 Excorp shock tx other than C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 G0281 Elec stim unattend for press A 0.18 0.16 0.16 0.01 0.35 0.35 7XXX.00.00.0000000 36.7856 09 G0282 Elect stim wound care not pd N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0283 Elec stim other than wound A 0.18 0.16 0.16 0.01 0.35 0.35 7XXX.00.00.0000000 36.7856 09 G0288 Recon, CTA for surg plan A 0.00 10.57 10.57 NA 0.15 10.72 10.72 3XXX.00.00.0000000 36.7856 01 G0289 Arthro, loose body + chondro A 1.48 0.58 0.58 0.27 2.33 2.33 0ZZZ.00.00.0001000 36.7856 09 G0290 Drug-eluting stents, single E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0291 Drug-eluting stents,each add E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0292 Adm exp drugs,clinical trial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0293 Non-cov surg proc,clin trial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0294 Non-cov proc, clinical trial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0295 Electromagnetic therapy onc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G0296 PET imge restag thyrod cance C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 G0296TCPET imge restag thyrod cance C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 G029626PET imge restag thyrod cance A 1.87 0.73 0.73 0.07 2.67 2.67 1XXX.00.00.0000000 36.7856 09 G9001 MCCD, initial rate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9002 MCCD,maintenance rate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9003 MCCD, risk adj hi, initial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9004 MCCD, risk adj lo, initial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9005 MCCD, risk adj, maintenance X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9006 MCCD, Home monitoring X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9007 MCCD, sch team conf X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9008 Mccd,phys coor-care ovrsght X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9009 MCCD, risk adj, level 3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9010 MCCD, risk adj, level 4 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9011 MCCD, risk adj, level 5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9012 Other Specified Case Mgmt X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 G9016 Demo-smoking cessation coun N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0001 Alcohol and/or drug assess I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0002 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0003 Alcohol and/or drug screenin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0004 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0005 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0006 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0007 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0008 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0009 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0010 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0011 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0012 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0013 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0014 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0015 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0016 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0017 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0018 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0019 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0020 Alcohol and/or drug services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0021 Alcohol and/or drug training I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0022 Alcohol and/or drug interven I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0023 Alcohol and/or drug outreach I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0024 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0025 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0026 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0027 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0028 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0029 Alcohol and/or drug preventi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0030 Alcohol and/or drug hotline I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0031 MH health assess by non-md I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0032 MH svc plan dev by non-md I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0033 Oral med adm direct observe I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0034 Med trng & support per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0035 MH partial hosp tx under 24h I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0036 Comm psy face-face per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0037 Comm psy sup tx pgm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0038 Self-help/peer svc per 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0039 Asser com tx face-face/15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0040 Assert comm tx pgm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0041 Fos c chld non-ther per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0042 Fos c chld non-ther per mon I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0043 Supported housing, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0044 Supported housing, per month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0045 Respite not-in-home per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0046 Mental health service, nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0047 Alcohol/drug abuse svc nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H0048 Spec coll non-blood:a/d test I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1000 Prenatal care atrisk assessm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1001 Antepartum management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1002 Carecoordination prenatal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1003 Prenatal at risk education I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1004 Follow up home visit/prental I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1005 Prenatalcare enhanced srv pk I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1010 Nonmed family planning ed I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H1011 Family assessment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H2000 Comp multidisipln evaluation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 H2001 Rehabilitation program 1/2 d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0120 Tetracyclin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0130 Abciximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0150 Injection adenosine 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0151 Adenosine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0170 Adrenalin epinephrin inject E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0190 Inj biperiden lactate/5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0200 Alatrofloxacin mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0205 Alglucerase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0207 Amifostine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0210 Methyldopate hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0256 Alpha 1 proteinase inhibitor E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0270 Alprostadil for injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0275 Alprostadil urethral suppos E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0280 Aminophyllin 250 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0282 Amiodarone HCl E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0285 Amphotericin B E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0286 Amphotericin B lipid complex D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0287 Amphotericin b lipid complex E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0288 Ampho b cholesteryl sulfate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0289 Amphotericin b liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0290 Ampicillin 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0295 Ampicillin sodium per 1.5 gm E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0300 Amobarbital 125 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0330 Succinycholine chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0350 Injection anistreplase 30 u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0360 Hydralazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0380 Inj metaraminol bitartrate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0390 Chloroquine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0395 Arbutamine HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0456 Azithromycin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0460 Atropine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0470 Dimecaprol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0475 Baclofen 10 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0476 Baclofen intrathecal trial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0500 Dicyclomine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0515 Inj benztropine mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0520 Bethanechol chloride inject E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0530 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0540 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0550 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0560 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0570 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0580 Penicillin g benzathine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0585 Botulinum toxin a per unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0587 Botulinum toxin type B E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0592 Buprenorphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0600 Edetate calcium disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0610 Calcium gluconate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0620 Calcium glycer & lact/10 ML E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0630 Calcitonin salmon injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0635 Calcitriol injection D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0636 Inj calcitriol per 0.1 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0637 Caspofungin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0640 Leucovorin calcium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0670 Inj mepivacaine HCL/10 ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0690 Cefazolin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0692 Cefepime HCl for injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0694 Cefoxitin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0696 Ceftriaxone sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0697 Sterile cefuroxime injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0698 Cefotaxime sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0702 Betamethasone acet&sod phosp E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0704 Betamethasone sod phosp/4 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0706 Caffeine citrate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0710 Cephapirin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0713 Inj ceftazidime per 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0715 Ceftizoxime sodium / 500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0720 Chloramphenicol sodium injec E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0725 Chorionic gonadotropin/1000u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0735 Clonidine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0740 Cidofovir injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0743 Cilastatin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0744 Ciprofloxacin iv E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0745 Inj codeine phosphate /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0760 Colchicine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0770 Colistimethate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0780 Prochlorperazine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0800 Corticotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0835 Inj cosyntropin per 0.25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0850 Cytomegalovirus imm IV /vial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0880 Darbepoetin alfa injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0895 Deferoxamine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0900 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0945 Brompheniramine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J0970 Estradiol valerate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1000 Depo-estradiol cypionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1020 Methylprednisolone 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1030 Methylprednisolone 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1040 Methylprednisolone 80 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1050 Medroxyprogesterone inj D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1051 Medroxyprogesterone inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1055 Medrxyprogester acetate inj N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1056 MA/EC contraceptiveinjection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1060 Testosterone cypionate 1 ML E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1070 Testosterone cypionat 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1080 Testosterone cypionat 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1094 Inj dexamethasone acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1095 Inj dexamethasone acetate D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1100 Dexamethasone sodium phos E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1110 Inj dihydroergotamine mesylt E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1120 Acetazolamid sodium injectio E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1160 Digoxin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1165 Phenytoin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1170 Hydromorphone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1180 Dyphylline injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1190 Dexrazoxane HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1200 Diphenhydramine hcl injectio E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1205 Chlorothiazide sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1212 Dimethyl sulfoxide 50% 50 ML E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1230 Methadone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1240 Dimenhydrinate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1245 Dipyridamole injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1250 Inj dobutamine HCL/250 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1260 Dolasetron mesylate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1270 Injection, doxercalciferol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1320 Amitriptyline injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1325 Epoprostenol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1327 Eptifibatide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1330 Ergonovine maleate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1364 Erythro lactobionate /500 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1380 Estradiol valerate 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1390 Estradiol valerate 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1410 Inj estrogen conjugate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1435 Injection estrone per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1436 Etidronate disodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1438 Etanercept injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1440 Filgrastim 300 mcg injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1441 Filgrastim 480 mcg injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1450 Fluconazole E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1452 Intraocular Fomivirsen na E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1455 Foscarnet sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1460 Gamma globulin 1 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1470 Gamma globulin 2 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1480 Gamma globulin 3 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1490 Gamma globulin 4 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1500 Gamma globulin 5 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1510 Gamma globulin 6 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1520 Gamma globulin 7 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1530 Gamma globulin 8 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1540 Gamma globulin 9 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1550 Gamma globulin 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1560 Gamma globulin > 10 CC inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1561 Immune globulin 500 mg D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1563 IV immune globulin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1564 Immune globulin 10 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1565 RSV-ivig E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1570 Ganciclovir sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1580 Garamycin gentamicin inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1590 Gatifloxacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1600 Gold sodium thiomaleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1610 Glucagon hydrochloride/1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1620 Gonadorelin hydroch/ 100 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1626 Granisetron HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1630 Haloperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1631 Haloperidol decanoate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1642 Inj heparin sodium per 10 u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1644 Inj heparin sodium per 1000u E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1645 Dalteparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1650 Inj enoxaparin sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1652 Fondaparinux sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1655 Tinzaparin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1670 Tetanus immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1700 Hydrocortisone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1710 Hydrocortisone sodium ph inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1720 Hydrocortisone sodium succ i E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1730 Diazoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1742 Ibutilide fumarate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1745 Infliximab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1750 Iron dextran E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1755 Iron sucrose injection D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1756 Iron sucrose injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1785 Injection imiglucerase /unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1790 Droperidol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1800 Propranolol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1810 Droperidol/fentanyl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1815 Insulin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1817 Insulin for insulin pump use E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1820 Insulin injection D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1825 Interferon beta-1a I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1830 Interferon beta-1b / .25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1835 Itraconazole injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1840 Kanamycin sulfate 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1850 Kanamycin sulfate 75 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1885 Ketorolac tromethamine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1890 Cephalothin sodium injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1910 Kutapressin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1940 Furosemide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1950 Leuprolide acetate /3.75 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1955 Inj levocarnitine per 1 gm E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1956 Levofloxacin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1960 Levorphanol tartrate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1980 Hyoscyamine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J1990 Chlordiazepoxide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2000 Lidocaine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2010 Lincomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2020 Linezolid injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2060 Lorazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2150 Mannitol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2175 Meperidine hydrochl /100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2180 Meperidine/promethazine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2210 Methylergonovin maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2250 Inj midazolam hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2260 Inj milrinone lactate / 5 ML E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2270 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2271 Morphine so4 injection 100mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2275 Morphine sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2300 Inj nalbuphine hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2310 Inj naloxone hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2320 Nandrolone decanoate 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2321 Nandrolone decanoate 100 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2322 Nandrolone decanoate 200 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2324 Nesiritide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2352 Octreotide acetate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2355 Oprelvekin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2360 Orphenadrine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2370 Phenylephrine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2400 Chloroprocaine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2405 Ondansetron hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2410 Oxymorphone hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2430 Pamidronate disodium /30 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2440 Papaverin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2460 Oxytetracycline injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2500 Paricalcitol D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2501 Paricalcitol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2510 Penicillin g procaine inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2515 Pentobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2540 Penicillin g potassium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2543 Piperacillin/tazobactam E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2545 Pentamidine isethionte/300mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2550 Promethazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2560 Phenobarbital sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2590 Oxytocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2597 Inj desmopressin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2650 Prednisolone acetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2670 Totazoline hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2675 Inj progesterone per 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2680 Fluphenazine decanoate 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2690 Procainamide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2700 Oxacillin sodium injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2710 Neostigmine methylslfte inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2720 Inj protamine sulfate/10 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2725 Inj protirelin per 250 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2730 Pralidoxime chloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2760 Phentolaine mesylate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2765 Metoclopramide hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2770 Quinupristin/dalfopristin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2780 Ranitidine hydrochloride inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2788 Rho d immune globulin 50 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2790 Rho d immune globulin inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2792 Rho(D) immune globulin h, sd E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2795 Ropivacaine HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2800 Methocarbamol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2810 Inj theophylline per 40 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2820 Sargramostim injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2910 Aurothioglucose injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2912 Sodium chloride injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2915 NA Ferric Gluconate Complex D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2916 Na ferric gluconate complex E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2920 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2930 Methylprednisolone injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2940 Somatrem injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2941 Somatropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2950 Promazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2993 Reteplase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2995 Inj streptokinase /250000 IU E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J2997 Alteplase recombinant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3000 Streptomycin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3010 Fentanyl citrate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3030 Sumatriptan succinate / 6 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3070 Pentazocine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3100 Tenecteplase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3105 Terbutaline sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3120 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3130 Testosterone enanthate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3140 Testosterone suspension inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3150 Testosteron propionate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3230 Chlorpromazine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3240 Thyrotropin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3245 Tirofiban hydrochloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3250 Trimethobenzamide hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3260 Tobramycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3265 Injection torsemide 10 mg/ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3280 Thiethylperazine maleate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3301 Triamcinolone acetonide inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3302 Triamcinolone diacetate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3303 Triamcinolone hexacetonl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3305 Inj trimetrexate glucoronate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3310 Perphenazine injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3315 Triptorelin pamoate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3320 Spectinomycn di-hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3350 Urea injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3360 Diazepam injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3364 Urokinase 5000 IU injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3365 Urokinase 250,000 IU inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3370 Vancomycin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3395 Verteporfin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3400 Triflupromazine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3410 Hydroxyzine hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3420 Vitamin b12 injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3430 Vitamin k phytonadione inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3470 Hyaluronidase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3475 Inj magnesium sulfate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3480 Inj potassium chloride E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3485 Zidovudine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3487 Zoledronic acid E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3490 Drugs unclassified injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3520 Edetate disodium per 150 mg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3530 Nasal vaccine inhalation E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3535 Metered dose inhaler drug N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3570 Laetrile amygdalin vit B17 N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J3590 Unclassified biologics E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7030 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7040 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7042 5% dextrose/normal saline E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7050 Normal saline solution infus E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7051 Sterile saline/water E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7060 5% dextrose/water E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7070 D5w infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7100 Dextran 40 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7110 Dextran 75 infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7120 Ringers lactate infusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7130 Hypertonic saline solution E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7190 Factor viii X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7191 Factor VIII (porcine) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7192 Factor viii recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7193 Factor IX non-recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7194 Factor ix complex X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7195 Factor IX recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7197 Antithrombin iii injection X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7198 Anti-inhibitor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7199 Hemophilia clot factor noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7300 Intraut copper contraceptive N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7302 Levonorgestrel iu contracept N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7308 Aminolevulinic acid hcl top D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7310 Ganciclovir long act implant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7316 Sodium hyaluronate injection F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7317 Sodium hyaluronate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7320 Hylan G-F 20 injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7330 Cultured chondrocytes implnt E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7340 Metabolic active D/E tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7342 Metabolically active tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7350 Injectable human tissue E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7500 Azathioprine oral 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7501 Azathioprine parenteral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7502 Cyclosporine oral 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7504 Lymphocyte immune globulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7505 Monoclonal antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7506 Prednisone oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7507 Tacrolimus oral per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7508 Tacrolimus oral per 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7509 Methylprednisolone oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7510 Prednisolone oral per 5 mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7511 Antithymocyte globuln rabbit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7513 Daclizumab, parenteral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7515 Cyclosporine oral 25 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7516 Cyclosporin parenteral 250mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7517 Mycophenolate mofetil oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7520 Sirolimus, oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7525 Tacrolimus injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7599 Immunosuppressive drug noc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7608 Acetylcysteine inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7618 Albuterol inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7619 Albuterol inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7622 Beclomethasone inhalatn sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7624 Betamethasone inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7626 Budesonide inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7628 Bitolterol mes inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7629 Bitolterol mes inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7631 Cromolyn sodium inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7633 Budesonide concentrated sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7635 Atropine inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7636 Atropine inhal sol unit dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7637 Dexamethasone inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7638 Dexamethasone inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7639 Dornase alpha inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7641 Flunisolide, inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7642 Glycopyrrolate inhal sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7643 Glycopyrrolate inhal sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7644 Ipratropium brom inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7648 Isoetharine hcl inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7649 Isoetharine hcl inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7658 Isoproterenolhcl inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7659 Isoproterenol hcl inh sol ud E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7668 Metaproterenol inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7669 Metaproterenol inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7680 Terbutaline so4 inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7681 Terbutaline so4 inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7682 Tobramycin inhalation sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7683 Triamcinolone inh sol con E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7684 Triamcinolone inh sol u d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7699 Inhalation solution for DME E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J7799 Non-inhalation drug for DME E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8499 Oral prescrip drug non chemo N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8510 Oral busulfan E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8520 Capecitabine, oral, 150 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8521 Capecitabine, oral, 500 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8530 Cyclophosphamide oral 25 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8560 Etoposide oral 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8600 Melphalan oral 2 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8610 Methotrexate oral 2.5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8700 Temozolmide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J8999 Oral prescription drug chemo E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9000 Doxorubic hcl 10 MG vl chemo E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9001 Doxorubicin hcl liposome inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9010 Alemtuzumab injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9015 Aldesleukin/single use vial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9017 Arsenic trioxide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9020 Asparaginase injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9031 Bcg live intravesical vac E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9040 Bleomycin sulfate injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9045 Carboplatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9050 Carmus bischl nitro inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9060 Cisplatin 10 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9062 Cisplatin 50 MG injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9065 Inj cladribine per 1 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9070 Cyclophosphamide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9080 Cyclophosphamide 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9090 Cyclophosphamide 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9091 Cyclophosphamide 1.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9092 Cyclophosphamide 2.0 grm inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9093 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9094 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9095 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9096 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9097 Cyclophosphamide lyophilized E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9100 Cytarabine hcl 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9110 Cytarabine hcl 500 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9120 Dactinomycin actinomycin d E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9130 Dacarbazine 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9140 Dacarbazine 200 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9150 Daunorubicin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9151 Daunorubicin citrate liposom E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9160 Denileukin diftitox, 300 mcg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9165 Diethylstilbestrol injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9170 Docetaxel E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9180 Epirubicin HCl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9181 Etoposide 10 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9182 Etoposide 100 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9185 Fludarabine phosphate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9190 Fluorouracil injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9200 Floxuridine injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9201 Gemcitabine HCl E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9202 Goserelin acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9206 Irinotecan injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9208 Ifosfomide injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9209 Mesna injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9211 Idarubicin hcl injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9212 Interferon alfacon-1 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9213 Interferon alfa-2a inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9214 Interferon alfa-2b inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9215 Interferon alfa-n3 inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9216 Interferon gamma 1-b inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9217 Leuprolide acetate suspnsion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9218 Leuprolide acetate injeciton E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9219 Leuprolide acetate implant E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9230 Mechlorethamine hcl inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9245 Inj melphalan hydrochl 50 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9250 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9260 Methotrexate sodium inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9265 Paclitaxel injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9266 Pegaspargase/singl dose vial E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9268 Pentostatin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9270 Plicamycin (mithramycin) inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9280 Mitomycin 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9290 Mitomycin 20 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9291 Mitomycin 40 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9293 Mitoxantrone hydrochl / 5 MG E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9300 Gemtuzumab ozogamicin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9310 Rituximab cancer treatment E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9320 Streptozocin injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9340 Thiotepa injection E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9350 Topotecan E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9355 Trastuzumab E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9357 Valrubicin, 200 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9360 Vinblastine sulfate inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9370 Vincristine sulfate 1 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9375 Vincristine sulfate 2 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9380 Vincristine sulfate 5 MG inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9390 Vinorelbine tartrate/10 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9600 Porfimer sodium E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 J9999 Chemotherapy drug E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 M0064 Visit for drug monitoring A 0.37 0.35 0.12 0.01 0.73 0.50 0XXX.00.00.0000000 36.7856 09 M0075 Cellular therapy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 M0076 Prolotherapy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 M0100 Intragastric hypothermia N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 M0300 IV chelationtherapy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 M0301 Fabric wrapping of aneurysm N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P2028 Cephalin floculation test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P2029 Congo red blood test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P2031 Hair analysis N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P2033 Blood thymol turbidity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P2038 Blood mucoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P3000 Screen pap by tech w md supv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P3001 Screening pap smear by phys A 0.42 0.19 0.19 0.01 0.62 0.62 0XXX.00.00.0000000 36.7856 09 P7001 Culture bacterial urine I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9010 Whole blood for transfusion E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9011 Blood split unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9012 Cryoprecipitate each unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9016 RBC leukocytes reduced E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9017 One donor fresh frozn plasma E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9019 Platelets, each unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9020 Plaelet rich plasma unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9021 Red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9022 Washed red blood cells unit E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9023 Frozen plasma, pooled, sd X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9031 Platelets leukocytes reduced X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9032 Platelets, irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9033 Platelets leukoreduced irrad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9034 Platelets, pheresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9035 Platelet pheres leukoreduced X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9036 Platelet pheresis irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9037 Plate pheres leukoredu irrad X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9038 RBC irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9039 RBC deglycerolized X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9040 RBC leukoreduced irradiated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9041 Albumin (human),5%, 50ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9043 Plasma protein fract,5%,50ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9044 Cryoprecipitatereducedplasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9045 Albumin (human), 5%, 250 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9046 Albumin (human), 25%, 20 ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9047 Albumin (human), 25%, 50ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9048 Plasmaprotein fract,5%,250ml X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9050 Granulocytes, pheresis unit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9603 One-way allow prorated miles X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9604 One-way allow prorated trip X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9612 Catheterize for urine spec X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 P9615 Urine specimen collect mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0035 Cardiokymography A 0.17 0.46 0.46 NA 0.03 0.66 0.66 1XXX.00.00.0000000 36.7856 09 Q0035TCCardiokymography A 0.00 0.39 0.39 NA 0.02 0.41 0.41 1XXX.00.00.0000000 36.7856 01 Q003526Cardiokymography A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 Q0091 Obtaining screen pap smear A 0.37 0.68 0.14 0.01 1.06 0.52 0XXX.00.00.0000000 36.7856 09 Q0092 Set up port xray equipment A 0.00 0.32 0.32 NA 0.01 0.33 0.33 3XXX.00.00.0000000 36.7856 09 Q0111 Wet mounts/ w preparations X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0112 Potassium hydroxide preps X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0113 Pinworm examinations X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0114 Fern test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0115 Post-coital mucous exam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0136 Non esrd epoetin alpha inj E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0144 Azithromycin dihydrate, oral N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0163 Diphenhydramine HCl 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0164 Prochlorperazine maleate 5mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0165 Prochlorperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0166 Granisetron HCl 1 mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0167 Dronabinol 2.5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0168 Dronabinol 5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0169 Promethazine HCl 12.5mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0170 Promethazine HCl 25 mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0171 Chlorpromazine HCl 10mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0172 Chlorpromazine HCl 25mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0173 Trimethobenzamide HCl 250mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0174 Thiethylperazine maleate10mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0175 Perphenazine 4mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0176 Perphenazine 8mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0177 Hydroxyzine pamoate 25mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0178 Hydroxyzine pamoate 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0179 Ondansetron HCl 8mg oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0180 Dolasetron mesylate oral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0181 Unspecified oral anti-emetic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0183 Nonmetabolic active tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0184 Metabolically active tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q0187 Factor viia recombinant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q1001 Ntiol category 1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q1002 Ntiol category 2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q1003 Ntiol category 3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q1004 Ntiol category 4 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q1005 Ntiol category 5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2001 Oral cabergoline 0.5 mg N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2002 Elliotts b solution per ml E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2003 Aprotinin, 10,000 kiu E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2004 Bladder calculi irrig sol E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2005 Corticorelin ovine triflutat E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2006 Digoxin immune fab (ovine) E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2007 Ethanolamine oleate 100 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2008 Fomepizole, 15 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2009 Fosphenytoin, 50 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2010 Glatiramer acetate, per dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2011 Hemin, per 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2012 Pegademase bovine, 25 iu E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2013 Pentastarch 10% solution E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2014 Sermorelin acetate, 0.5 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2017 Teniposide, 50 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2018 Urofollitropin, 75 iu E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2019 Basiliximab E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2020 Histrelin acetate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2021 Lepirudin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q2022 VonWillebrandFactrCmplxperIU E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3000 Rubidium RB-82 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 09 Q3001 Brachytherapy Radioelements E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3002 Gallium ga 67 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3003 Technetium tc99m bicisate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3004 Xenon xe 133 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3005 Technetium tc99m mertiatide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3006 Technetium tc99m glucepatate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3007 Sodium phosphate p32 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3008 Indium 111-in pentetreotide E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3009 Technetium tc99m oxidronate E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3010 Technetium tc99mlabeledrbcs E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3011 Chromic phosphate p32 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3012 Cyanocobalamin cobalt co57 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3014 Telehealth facility fee X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3017 ALS assessment F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3019 ALS emer trans no ALS serv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3020 ALS nonemer trans no ALS ser X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3021 Ped hepatitis b vaccine inj F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3022 Hepatitis b vaccine adult ds F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3023 Injection hepatitis Bvaccine F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3025 IM inj interferon beta 1-a E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3026 Subc inj interferon beta-1a I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3030 Sodium hyaluronate 20-25 mg F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q3031 Collagen skin test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 09 Q4001 Cast sup body cast plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4002 Cast sup body cast fiberglas X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4003 Cast sup shoulder cast plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4004 Cast sup shoulder cast fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4005 Cast sup long arm adult plst X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4006 Cast sup long arm adult fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4007 Cast sup long arm ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4008 Cast sup long arm ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4009 Cast sup sht arm adult plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4010 Cast sup sht arm adult fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4011 Cast sup sht arm ped plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4012 Cast sup sht arm ped fbrglas X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4013 Cast sup gauntlet plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4014 Cast sup gauntlet fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4015 Cast sup gauntlet ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4016 Cast sup gauntlet ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4017 Cast sup lng arm splint plst X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4018 Cast sup lng arm splint fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4019 Cast sup lng arm splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4020 Cast sup lng arm splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4021 Cast sup sht arm splint plst X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4022 Cast sup sht arm splint fbrg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4023 Cast sup sht arm splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4024 Cast sup sht arm splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4025 Cast sup hip spica plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4026 Cast sup hip spica fiberglas X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4027 Cast sup hip spica ped plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4028 Cast sup hip spica ped fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4029 Cast sup long leg plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4030 Cast sup long leg fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4031 Cast sup lng leg ped plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4032 Cast sup lng leg ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4033 Cast sup lng leg cylinder pl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4034 Cast sup lng leg cylinder fb X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4035 Cast sup lngleg cylndr ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4036 Cast sup lngleg cylndr ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4037 Cast sup shrt leg plaster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4038 Cast sup shrt leg fiberglass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4039 Cast sup shrt leg ped plster X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4040 Cast sup shrt leg ped fbrgls X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4041 Cast sup lng leg splnt plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4042 Cast sup lng leg splnt fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4043 Cast sup lng leg splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4044 Cast sup lng leg splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4045 Cast sup sht leg splnt plstr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4046 Cast sup sht leg splnt fbrgl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4047 Cast sup sht leg splnt ped p X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4048 Cast sup sht leg splnt ped f X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4049 Finger splint, static X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4050 Cast supplies unlisted X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4051 Splint supplies misc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q4052 Octreotide injection, depot E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 09 Q4053 Injection, PegFilgrastim 1mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 09 Q4076 Dopamine hcl 40 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 09 Q4077 Treprostinil, 1 mg E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 09 Q4078 Ammonia N-13, per dose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 0.0000 09 Q9920 Epoetin with hct <= 20 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9921 Epoetin with hct = 21 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9922 Epoetin with hct = 22 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9923 Epoetin with hct = 23 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9924 Epoetin with hct = 24 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9925 Epoetin with hct = 25 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9926 Epoetin with hct = 26 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9927 Epoetin with hct = 27 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9928 Epoetin with hct = 28 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9929 Epoetin with hct = 29 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9930 Epoetin with hct = 30 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9931 Epoetin with hct = 31 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9932 Epoetin with hct = 32 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9933 Epoetin with hct = 33 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9934 Epoetin with hct = 34 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9935 Epoetin with hct = 35 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9936 Epoetin with hct = 36 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9937 Epoetin with hct = 37 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9938 Epoetin with hct = 38 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9939 Epoetin with hct = 39 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 Q9940 Epoetin with hct >= 40 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 R0070 Transport portable x-ray C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 36.7856 09 R0075 Transport port x-ray multipl C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 36.7856 09 R0076 Transport portable EKG B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0009 Injection, butorphanol tartr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0012 Butorphanol tartrate, nasal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0014 Tacrine hydrochloride, 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0016 Injection, amikacin sulfate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0017 Injection, aminocaproic acid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0020 Injection, bupivicaine hydro I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0021 Injection, cefoperazone sod I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0023 Injection, cimetidine hydroc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0028 Injection, famotidine, 20 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0030 Injection, metronidazole I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0032 Injection, nafcillin sodium I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0034 Injection, ofloxacin, 400 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0039 Injection, sulfamethoxazole I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0040 Injection, ticarcillin disod I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0071 Injection, acyclovir sodium I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0072 Injection, amikacin sulfate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0073 Injection, aztreonam, 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0074 Injection, cefotetan disodiu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0077 Injection, clindamycin phosp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0078 Injection, fosphenytoin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0079 Octreotide 100 mcg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0080 Injection, pentamidine iseth I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0081 Injection, piperacillin sodi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0085 injection, gatifloxacin F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0087 Alemtuzumab 30 mg F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0088 Imatinib 100 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0090 Sildenafil citrate, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0091 Granisetron 1mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0092 Hydromorphone 250 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0093 Morphine 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0106 Bupropion HCL SR 60 tablets I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0108 Mercaptopurine 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0112 Inj darbepoetin F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0114 Treprostinil sodium inject I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0122 Inj menotropins 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0124 Inj urofollitropin 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0126 Inj follitropin alfa 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0128 Inj follitropin beta 75 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0130 Inj c gonadotropin 5000 iu I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0132 Inj ganirelix acetat 250 mcg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0155 Epoprostenol dilutant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0156 Exemestane, 25 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0157 Becaplermin gel 1%, 0.5 gm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0170 Anastrozole 1 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0171 Bumetanide 0.5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0172 Chlorambucil 2 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0173 Dexamethasone 4 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0174 Dolasetron 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0175 Flutamide 125 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0176 Hydroxyurea 500 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0177 Levamisole 50 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0178 Lomustine 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0179 Megestrol 20 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0181 Ondansetron 4 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0182 Procarbazine 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0183 Prochlorperazine 5 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0187 Tamoxifen 10 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0189 Testosterone pellet 75 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0190 Mifepristone, oral, 200 mg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0191 Misoprostol, oral, 200 mcg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0195 Pneumococcal conjugate vac I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0199 Med abortion inc all ex drug I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0206 Surgery in office F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0208 Paramed intrcept nonvol I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0209 WC van mileage per mi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0215 Nonemerg transp mileage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0220 Medical conference by physic I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0221 Medical conference, 60 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0250 Comp geriatr assmt team I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0255 Hospice refer visit nonmd I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0260 H&P for surgery I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0302 Completed EPSDT I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0310 Hospitalist visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0340 Lifestyle mod 1st stage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0341 Lifestyle mod 2 or 3 stage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0342 Lifestyle mod 4th stage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0390 Rout foot care per visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0395 Impression casting ft I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0400 Global eswl kidney I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0500 Dispos cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0504 Singl prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0506 Bifoc prscp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0508 Trifoc prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0510 Non-prscrp lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0512 Daily cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0514 Color cont lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0516 Safety frames I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0518 Sunglass frames I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0580 Polycarb lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0581 Nonstnd lens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0590 Misc integral lens serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0592 Comp cont lens eval I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0601 Screening proctoscopy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0605 Digital rectal examination, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0610 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0612 Annual gynecological examina I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0620 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0621 Routine ophthalmological exa I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0622 Phys exam for college I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0630 Removal of sutures I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0800 Laser in situ keratomileusis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0810 Photorefractive keratectomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0812 Phototherap keratect I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0820 Computerized corneal topogra I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S0830 Ultrasound pachymetry I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S1001 Deluxe item I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S1002 Custom item I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S1015 IV tubing extension set I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S1016 Non-pvc intravenous administ I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S1025 Inhal nitric oxide neonate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S1030 Gluc monitor purchase I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S1031 Gluc monitor rental I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2053 Transplantation of small int I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2054 Transplantation of multivisc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2055 Harvesting of donor multivis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2060 Lobar lung transplantation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2061 Donor lobectomy (lung) I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2065 Simult panc kidn trans I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2080 Laup I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2102 Islet cell tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2103 Adrenal tissue transplant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2107 Adoptive immunotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2112 Knee arthroscp harv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2115 Periacetabular osteotomy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2120 Low density lipoprotein(LDL) I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2130 ERA of reflux saphenous vein I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2140 Cord blood harvesting I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2142 Cord blood-derived stem-cell I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2150 BMT harv/transpl 28d pkg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2180 Donor leukocyte infusion F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2202 Echosclerotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2205 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2206 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2207 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2208 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2209 Minimally invasive direct co I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2211 Transv carotid stent placemt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2250 Uterine artery emboliz I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2260 Induced abortion 17-24 weeks I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2300 Arthroscopy, shoulder, surgi I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2340 Chemodenervation of abductor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2341 Chemodenerv adduct vocal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2342 Nasal endoscop po debrid I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2350 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2351 Diskectomy, anterior, with d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2360 Vertebroplast cerv 1st I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2361 Vertebroplast cerv addl I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2370 Intradiscal electrothermal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2371 Each additional interspace I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2400 Fetal surg congen hernia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2401 Fetal surg urin trac obstr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2402 Fetal surg cong cyst malf I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2403 Fetal surg pulmon sequest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2404 Fetal surg myelomeningo I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2405 Fetal surg sacrococ teratoma I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2409 Fetal surg noc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S2411 Fetoscop laser ther TTTS I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3600 Stat lab I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3601 Stat lab home/nf I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3620 Newborn metabolic screening I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3630 Eosinophil blood count I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3645 HIV-1 antibody testing of or I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3650 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3652 Saliva test, hormone level; I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3701 NMP-22 assay I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3708 Gastrointestinal fat absorpt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3818 BRCA1 gene anal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3819 BRCA2 gene anal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3830 Gene test HNPCC comp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3831 Gene test HNPCC single I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3835 Gene test cystic fibrosis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3837 Gene test hemochromato I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3900 Surface EMG I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3902 Ballistocardiogram I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S3904 Masters two step I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4005 Interim labor facility globa I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4011 IVF package I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4013 Compl GIFT case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4014 Compl ZIFT case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4015 Complete IVF nos case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4016 Frozen IVF case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4017 IVF canc a stim case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4018 F EMB trns canc case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4020 IVF canc a aspir case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4021 IVF canc p aspir case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4022 Asst oocyte fert case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4023 Incompl donor egg case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4025 Donor serv IVF case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4026 Procure donor sperm I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4027 Store prev froz embryos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4028 Microsurg epi sperm asp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4030 Sperm procure init visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4031 Sperm procure subs visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4035 Stimulated IUI case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4036 Intravag cult case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4037 Cryo embryo transf case rate I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4040 Monit store cryo embryo 30 d I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4980 Levonorgestrel ius F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4981 Insert levonorgestrel ius I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4989 Contracept IUD I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4990 Nicotine patch legend I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4991 Nicotine patch nonlegend I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4993 Contraceptive pills for bc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S4995 Smoking cessation gum I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5000 Prescription drug, generic I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5001 Prescription drug,brand name I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5010 5% dextrose and 0.45% saline I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5011 5% dextrose in lactated ring I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5012 5% dextrose with potassium I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5013 5%dextrose/0.45%saline1000ml I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5014 D5W/0.45NS w KCl and MGS04 I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5035 HIT routine device maint I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5036 HIT device repair I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5497 HIT cath care noc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5498 HIT simple cath care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5501 HIT complex cath care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5502 HIT interim cath care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5517 HIT declotting kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5518 HIT cath repair kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5520 HIT picc insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5521 HIT midline cath insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5522 HIT picc insert no supp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S5523 HIP midline cath insert kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8002 Ibritumomab tiuxetan F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8003 Ibritumomab tiuxetan,perdose F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8030 Tantalum ring application I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8035 Magnetic source imaging I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8037 mrcp I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8040 Topographic brain mapping I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8042 MRI low field I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8049 Intraoperative radiation the I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8055 Us guidance fetal reduct I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8080 Scintimammography I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8085 Fluorine-18 fluorodeoxygluco I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8092 Electron beam computed tomog I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8095 Wig (for medically-induced h I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8096 Portable peak flow meter I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8097 Asthma kit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8100 Spacer without mask I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8101 Spacer with mask I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8105 Oximeter for measuring blood F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8110 Peak expiratory flow rate (p I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8180 Trach shower protector I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8181 Trach tube holder I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8182 Humidifier non-servo I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8183 Humidifier dual servo I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8185 Flutter device I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8186 Swivel adaptor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8189 Trach supply noc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8190 Electronic spirometer I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8200 Chest compression vest F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8205 Chest compression system gen F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8210 Mucus trap I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8260 Oral orthotic for treatment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8262 Mandib ortho repos device I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8265 Haberman feeder I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8401 Child-size diaper F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8403 Adult-size pull-up brief F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8404 Child-size pull-up brief F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8405 Incontinence liners, each F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8415 Supplies for home delivery I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8420 Custom gradient sleev/glov I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8421 Ready gradient sleev/glov I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8422 Custom grad sleeve med I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8423 Custom grad sleeve heavy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8424 Ready gradient sleeve I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8425 Custom grad glove med I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8426 Custom grad glove heavy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8427 Ready gradient glove I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8428 Ready gradient gauntlet I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8429 Gradient pressure wrap I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8430 Padding for comprssn bdg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8431 Compression bandage I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8433 Skin support/breast prosth I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8450 Splint digit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8451 Splint wrist or ankle I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8452 Splint elbow I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8490 100 insulin syringes I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8945 PT phonophoresis 30 mins I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8950 Complex lymphedema therapy, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S8999 Resuscitation bag I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9001 Home uterine monitor with or I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9007 Ultrafiltration monitor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9015 Automated EEG monitoring I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9022 Digital subtraction angiogra I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9024 Paranasal sinus ultrasound I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9025 Omnicardiogram/cardiointegra I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9034 ESWL for gallstones I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9055 Procuren or other growth fac I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9056 Coma stimulation per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9061 Medical supplies and equipme I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9075 Smoking cessation treatment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9083 Urgent care center global I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9088 Services provided in urgent I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9090 Vertebral axial decompressio I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9092 Canolith repositioning I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9098 Home phototherapy visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9105 Evaluation by ocularist I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9109 CHF telemonitoring month I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9117 Back school visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9122 Home health aide or certifie I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9123 Nursing care, in the home; b I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9124 Nursing care, in the home; b I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9125 Respite care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9126 Hospice care, in the home, p I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9127 Social work visit, in the ho I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9128 Speech therapy, in the home, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9129 Occupational therapy, in the I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9131 PT in the home per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9140 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9141 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9145 Insulin pump initiation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9208 Home mgmt preterm labor I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9209 Home mgmt PPROM I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9211 Home mgmt gest hypertension I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9212 Hm postpar hyper per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9213 Hm preeclamp per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9214 Hm gest dm per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9216 Gest hyper w nurs diem F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9217 Postpar hyper w nurs diem F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9218 Preeclamp w nurs diem F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9325 HIT pain mgmt per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9326 HIT cont pain per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9327 HIT int pain per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9328 HIT pain imp pump diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9329 HIT chemo per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9330 HIT cont chem diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9331 HIT intermit chemo diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9336 HIT cont anticoag diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9338 HIT immunotherapy diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9339 HIT periton dialysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9340 HIT enteral per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9341 HIT enteral grav diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9342 HIT enteral pump diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9343 HIT enteral bolus nurs I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9345 HIT anti-hemophil diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9346 HIT alpha-1-proteinas diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9347 HIT longterm infusion diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9348 HIT sympathomim diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9349 HIT tocolysis diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9351 HIT cont antiemetic diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9353 HIT cont insulin diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9355 HIT chelation diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9357 HIT enzyme replace diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9359 HIT anti-tnf per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9361 HIT diuretic infus diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9363 HIT anti-spasmotic diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9364 HIT tpn total diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9365 HIT tpn 1 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9366 HIT tpn 2 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9367 HIT tpn 3 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9368 HIT tpn over 3l diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9370 HT inj antiemetic diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9372 HT inj anticoag diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9373 HIT hydra total diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9374 HIT hydra 1 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9375 HIT hydra 2 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9376 HIT hydra 3 liter diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9377 HIT hydra over 3l diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9379 HIT noc per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9381 HIT high risk/escort I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9401 Anticoag clinic per session I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9430 Pharmacy comp/disp serv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9435 Medical foods for inborn err I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9436 Lamaze class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9437 Childbirth refresher class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9438 Cesarean birth class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9439 VBAC class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9441 Asthma education I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9442 Birthing class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9443 Lactation class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9444 Parenting class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9445 PT education noc individ I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9446 PT education noc group I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9447 Infant safety class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9449 Weight mgmt class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9451 Exercise class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9452 Nutrition class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9453 Smoking cessation class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9454 Stress mgmt class I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9455 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9460 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9465 Diabetic Management Program, I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9470 Nutritional counseling, diet I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9472 Cardiac rehabilitation progr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9473 Pulmonary rehabilitation pro I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9474 Enterostomal therapy by a re I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9475 Ambulatory setting substance I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9480 Intensive outpatient psychia I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9485 Crisis intervention mental h I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9494 HIT antibiotic total diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9497 HIT antibiotic q3h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9500 HIT antibiotic q24h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9501 HIT antibiotic q12h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9502 HIT antibiotic q8h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9503 HIT antibiotic q6h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9504 HIT antibiotic q4h diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9524 Nursing services related to I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9529 Venipuncture home/snf I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9537 HT hem horm inj diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9538 HIT blood products diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9542 HT inj noc per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9543 Administration of medication F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9546 Home inf blood prod nurs ser I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9558 HT inj growth horm diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9559 HIT inj interferon diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9560 HT inj hormone diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9562 Palivizumab home inj perdiem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9590 In home irrigation therapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9800 HT rn per hour F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9802 Specialty drug admin/nsg srv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9803 Each additional hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9810 HT pharm per hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9970 Health club membership yr I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9975 Transplant related per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9981 Med record copy admin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9982 Med record copy per page I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9986 Not medically necessary svc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9989 Services outside US I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9990 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9991 Services provided as part of I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9992 Transportation costs to and I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9994 Lodging costs (e.g. hotel ch I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9996 Meals for clinical trial par I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 S9999 Sales tax I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1000 Private duty/independent nsg I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1001 Nursing assessment/evaluatn I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1002 RN services up to 15 minutes I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1003 LPN/LVN services up to 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1004 Nsg aide service up to 15min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1005 Respite care service 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1006 Family/Couple Counseling I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1007 Treatment Plan Development I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1008 Day Treatment for Individual I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1009 Child Sitting Services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1010 Meals when Receive Services I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1011 Alcohol/Substance Abuse NOC I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1012 Alcohol/Substance Abuse Skil I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1013 Sign Lang/Oral Interpreter I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1014 Telehealth transmit, per min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1015 Clinic service I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1016 Case management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1017 Targeted case management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1018 School-based IEP ser bundled I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1019 Personal care ser per 15 min I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1020 Personal care ser per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1021 HH Aide or cn aide per visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1022 Contracted services per day I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1023 Program intake assessment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1024 Team evaluation & management I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1025 Ped compr care pkg, per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1026 Ped compr care pkg, per hour I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1027 Family training & counseling I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1028 Home environment assessment I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1029 Dwelling lead investigation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1030 RN home care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1031 LPN home care per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1500 Reusable diaper/pant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1502 Medication admin visit I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T1999 NOC retail items andsupplies I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T2001 N-et; patient attend/escort I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T2002 N-et; per diem I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T2003 N-et; encounter/trip I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T2004 N-et; commerc carrier pass I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T2005 N-et; stretcher van I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T2006 Amb response & trt, no trans I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 T2007 Non-emer transport wait time I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2020 Vision svcs frames purchases X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2025 Eyeglasses delux frames N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2100 Lens spher single plano 4.00 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2101 Single visn sphere 4.12-7.00 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2102 Singl visn sphere 7.12-20.00 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2103 Spherocylindr 4.00d/12-2.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2104 Spherocylindr 4.00d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2105 Spherocylinder 4.00d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2106 Spherocylinder 4.00d/>6.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2107 Spherocylinder 4.25d/12-2d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2108 Spherocylinder 4.25d/2.12-4d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2109 Spherocylinder 4.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2110 Spherocylinder 4.25d/over 6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2111 Spherocylindr 7.25d/.25-2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2112 Spherocylindr 7.25d/2.25-4d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2113 Spherocylindr 7.25d/4.25-6d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2114 Spherocylinder over 12.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2115 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2116 Nonaspheric lens bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2117 Aspheric lens bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2118 Lens aniseikonic single X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2199 Lens single vision not oth c X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2200 Lens spher bifoc plano 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2201 Lens sphere bifocal 4.12-7.0 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2202 Lens sphere bifocal 7.12-20. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2203 Lens sphcyl bifocal 4.00d/.1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2204 Lens sphcy bifocal 4.00d/2.1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2205 Lens sphcy bifocal 4.00d/4.2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2206 Lens sphcy bifocal 4.00d/ove X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2207 Lens sphcy bifocal 4.25-7d/. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2208 Lens sphcy bifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2209 Lens sphcy bifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2210 Lens sphcy bifocal 4.25-7/ov X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2211 Lens sphcy bifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 V2214 Lens sphcyl bifocal over 12. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2215 Lens lenticular bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2216 Lens lenticular nonaspheric X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2217 Lens lenticular aspheric bif X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2218 Lens aniseikonic bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2219 Lens bifocal seg width over X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2220 Lens bifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2299 Lens bifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2300 Lens sphere trifocal 4.00d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2301 Lens sphere trifocal 4.12-7. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2302 Lens sphere trifocal 7.12-20 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2303 Lens sphcy trifocal 4.0/.12- X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2304 Lens sphcy trifocal 4.0/2.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2305 Lens sphcy trifocal 4.0/4.25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2306 Lens sphcyl trifocal 4.00/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2307 Lens sphcy trifocal 4.25-7/. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2308 Lens sphc trifocal 4.25-7/2. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2309 Lens sphc trifocal 4.25-7/4. X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2310 Lens sphc trifocal 4.25-7/>6 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2311 Lens sphc trifo 7.25-12/.25- X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 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 9XXX.00.00.0099999 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 9XXX.00.00.0099999 36.7856 09 V2314 Lens sphcyl trifocal over 12 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2315 Lens lenticular trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2316 Lens lenticular nonaspheric X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2317 Lens lenticular aspheric tri X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2318 Lens aniseikonic trifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2319 Lens trifocal seg width > 28 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2320 Lens trifocal add over 3.25d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2399 Lens trifocal speciality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2410 Lens variab asphericity sing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2430 Lens variable asphericity bi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2499 Variable asphericity lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2500 Contact lens pmma spherical X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2501 Cntct lens pmma-toric/prism X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2502 Contact lens pmma bifocal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2503 Cntct lens pmma color vision X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2510 Cntct gas permeable sphericl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2511 Cntct toric prism ballast X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2512 Cntct lens gas permbl bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2513 Contact lens extended wear X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2520 Contact lens hydrophilic P 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2521 Cntct lens hydrophilic toric X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2522 Cntct lens hydrophil bifocl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2523 Cntct lens hydrophil extend X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2530 Contact lens gas impermeable X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2531 Contact lens gas permeable X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2599 Contact lens/es other type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2600 Hand held low vision aids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2610 Single lens spectacle mount X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2615 Telescop/othr compound lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2623 Plastic eye prosth custom X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2624 Polishing artifical eye X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2625 Enlargemnt of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2626 Reduction of eye prosthesis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2627 Scleral cover shell X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2628 Fabrication & fitting X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2629 Prosthetic eye other type X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2630 Anter chamber intraocul lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2631 Iris support intraoclr lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2632 Post chmbr intraocular lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2700 Balance lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2710 Glass/plastic slab off prism X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2715 Prism lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2718 Fresnell prism press-on lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2730 Special base curve X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2740 Rose tint plastic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2741 Non-rose tint plastic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2742 Rose tint glass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2743 Non-rose tint glass X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2744 Tint photochromatic lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2750 Anti-reflective coating X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2755 UV lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2760 Scratch resistant coating X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2770 Occluder lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2780 Oversize lens/es X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2781 Progressive lens per lens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2785 Corneal tissue processing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2790 Amniotic membrane X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V2799 Miscellaneous vision service X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5008 Hearing screening N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5010 Assessment for hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5011 Hearing aid fitting/checking N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5014 Hearing aid repair/modifying N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5020 Conformity evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5030 Body-worn hearing aid air N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5040 Body-worn hearing aid bone N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5050 Hearing aid monaural in ear N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5060 Behind ear hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5070 Glasses air conduction N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5080 Glasses bone conduction N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5090 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5095 Implant mid ear hearing pros N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5100 Body-worn bilat hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5110 Hearing aid dispensing fee N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5120 Body-worn binaur hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5130 In ear binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5140 Behind ear binaur hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5150 Glasses binaural hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5160 Dispensing fee binaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5170 Within ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5180 Behind ear cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5190 Glasses cros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5200 Cros hearing aid dispens fee N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5210 In ear bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5220 Behind ear bicros hearing ai N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5230 Glasses bicros hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5240 Dispensing fee bicros N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5241 Dispensing fee, monaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5242 Hearing aid, monaural, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5243 Hearing aid, monaural, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5244 Hearing aid, prog, mon, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5245 Hearing aid, prog, mon, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5246 Hearing aid, prog, mon, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5247 Hearing aid, prog, mon, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5248 Hearing aid, binaural, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5249 Hearing aid, binaural, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5250 Hearing aid, prog, bin, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5251 Hearing aid, prog, bin, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5252 Hearing aid, prog, bin, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5253 Hearing aid, prog, bin, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5254 Hearing id, digit, mon, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5255 Hearing aid, digit, mon, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5256 Hearing aid, digit, mon, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5257 Hearing aid, digit, mon, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5258 Hearing aid, digit, bin, cic N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5259 Hearing aid, digit, bin, itc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5260 Hearing aid, digit, bin, ite N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5261 Hearing aid, digit, bin, bte N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5262 Hearing aid, disp, monaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5263 Hearing aid, disp, binaural N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5264 Ear mold/insert N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5265 Ear mold/insert, disp N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5266 Battery for hearing device N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5267 Hearing aid supply/accessory N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5268 ALD Telephone Amplifier N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5269 Alerting device, any type N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5270 ALD, TV amplifier, any type N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5271 ALD, TV caption decoder N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5272 Tdd N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5273 ALD for cochlear implant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5274 ALD unspecified N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5275 Ear impression N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5298 Hearing aid noc N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5299 Hearing service R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 V5336 Repair communication device N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 V5362 Speech screening R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 01 V5363 Language screening R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 01 V5364 Dysphagia screening R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 01 0001T Endovas repr abdo ao aneurys C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0002T Endovas repr abdo ao aneurys C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0003T Cervicography C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0005T Perc cath stent/brain cv art C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0006T Perc cath stent/brain cv art C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0007T Perc cath stent/brain cv art C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0008T Upper gi endoscopy w/suture C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0009T Endometrial cryoablation C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0010T Tb test, gamma interferon C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0012T Osteochondral knee autograft C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0013T Osteochondral knee allograft C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0014T Meniscal transplant, knee C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0016T Thermotx choroid vasc lesion C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0017T Photocoagulat macular drusen C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0001000 36.7856 09 0018T Transcranial magnetic stimul C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0019T Extracorp shock wave tx, ms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 0020T Extracorp shock wave tx, ft C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0021T Fetal oximetry, trnsvag/cerv C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0023T Phenotype drug test, hiv 1 C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0024T Transcath cardiac reduction C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0025T Ultrasonic pachymetry C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0002000 36.7856 09 0026T Measure remnant lipoproteins C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0027T Endoscopic epidural lysis C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0028T Dexa body composition study C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0029T Magnetic tx for incontinence C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0030T Antiprothrombin antibody C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0031T Speculoscopy C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0032T Speculoscopy w/direct sample C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0033T Endovasc taa repr incl subcl C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0034T Endovasc taa repr w/o subcl C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0035T Insert endovasc prosth, taa C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0036T Endovasc prosth, taa, add-on C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0037T Artery transpose/endovas taa C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0038T Rad endovasc taa rpr w/cover C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0039T Rad s/i, endovasc taa repair C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0040T Rad s/i, endovasc taa prosth C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0041T Detect ur infect agnt w/cpas C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0042T Ct perfusion w/contrast, cbf C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0043T Co expired gas analysis C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 0044T Whole body photography C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 10021 Fna w/o image A 1.27 2.37 0.53 0.07 3.71 1.87 0XXX.00.00.0000000 36.7856 09 10022 Fna w/image A 1.27 2.66 0.44 0.05 3.98 1.76 0XXX.00.00.0000000 36.7856 09 10040 Acne surgery A 1.18 1.10 0.71 0.05 2.33 1.94 0010.10.80.1020100 36.7856 09 10060 Drainage of skin abscess A 1.17 1.49 0.67 0.08 2.74 1.92 0010.10.80.1020100 36.7856 09 10061 Drainage of skin abscess A 2.40 1.88 1.41 0.17 4.45 3.98 0010.10.80.1020100 36.7856 09 10080 Drainage of pilonidal cyst A 1.17 2.13 0.73 0.09 3.39 1.99 0010.10.80.1020100 36.7856 09 10081 Drainage of pilonidal cyst A 2.45 2.90 1.55 0.19 5.54 4.19 0010.10.80.1020100 36.7856 09 10120 Remove foreign body A 1.22 1.54 0.36 0.10 2.86 1.68 0010.10.80.1020100 36.7856 09 10121 Remove foreign body A 2.69 2.96 1.79 0.25 5.90 4.73 0010.10.80.1020100 36.7856 09 10140 Drainage of hematoma/fluid A 1.53 1.49 0.87 0.15 3.17 2.55 0010.10.80.1020100 36.7856 09 10160 Puncture drainage of lesion A 1.20 0.77 0.42 0.11 2.08 1.73 0010.10.80.1020100 36.7856 09 10180 Complex drainage, wound A 2.25 1.48 1.27 0.25 3.98 3.77 0010.10.80.1020100 36.7856 09 11000 Debride infected skin A 0.60 0.64 0.24 0.05 1.29 0.89 0000.00.00.0020100 36.7856 09 11001 Debride infected skin add-on A 0.30 0.38 0.11 0.02 0.70 0.43 0ZZZ.00.00.0000100 36.7856 09 11010 Debride skin, fx A 4.20 2.40 1.96 0.45 7.05 6.61 0010.10.80.1022100 36.7856 09 11011 Debride skin/muscle, fx A 4.95 3.83 2.60 0.53 9.31 8.08 0000.00.00.0022100 36.7856 09 11012 Debride skin/muscle/bone, fx A 6.88 5.51 4.23 0.89 13.28 12.00 0000.00.00.0022100 36.7856 09 11040 Debride skin, partial A 0.50 0.52 0.21 0.05 1.07 0.76 0000.00.00.0020100 36.7856 09 11041 Debride skin, full A 0.82 0.66 0.33 0.06 1.54 1.21 0000.00.00.0020100 36.7856 09 11042 Debride skin/tissue A 1.12 0.97 0.47 0.09 2.18 1.68 0000.00.00.0020100 36.7856 09 11043 Debride tissue/muscle A 2.38 3.57 2.64 0.24 6.19 5.26 0010.10.80.1020100 36.7856 09 11044 Debride tissue/muscle/bone A 3.06 4.73 3.91 0.34 8.13 7.31 0010.10.80.1020100 36.7856 09 11055 Trim skin lesion R 0.43 0.51 0.18 0.02 0.96 0.63 0000.00.00.0020100 36.7856 09 11056 Trim skin lesions, 2 to 4 R 0.61 0.58 0.26 0.03 1.22 0.90 0000.00.00.0020100 36.7856 09 11057 Trim skin lesions, over 4 R 0.79 0.65 0.33 0.04 1.48 1.16 0000.00.00.0020100 36.7856 09 11100 Biopsy of skin lesion A 0.81 1.24 0.38 0.04 2.09 1.23 0000.00.00.0020100 36.7856 09 11101 Biopsy, skin add-on A 0.41 0.38 0.20 0.02 0.81 0.63 0ZZZ.00.00.0000100 36.7856 09 11200 Removal of skin tags A 0.77 1.23 0.31 0.04 2.04 1.12 0010.10.80.1020100 36.7856 09 11201 Remove skin tags add-on A 0.29 0.56 0.12 0.02 0.87 0.43 0ZZZ.00.00.0000100 36.7856 09 11300 Shave skin lesion A 0.51 0.99 0.22 0.03 1.53 0.76 0000.00.00.0020000 36.7856 09 11301 Shave skin lesion A 0.85 1.10 0.39 0.04 1.99 1.28 0000.00.00.0020000 36.7856 09 11302 Shave skin lesion A 1.05 1.30 0.48 0.05 2.40 1.58 0000.00.00.0020000 36.7856 09 11303 Shave skin lesion A 1.24 1.59 0.54 0.06 2.89 1.84 0000.00.00.0020000 36.7856 09 11305 Shave skin lesion A 0.67 0.84 0.27 0.04 1.55 0.98 0000.00.00.0020000 36.7856 09 11306 Shave skin lesion A 0.99 1.10 0.43 0.05 2.14 1.47 0000.00.00.0020000 36.7856 09 11307 Shave skin lesion A 1.14 1.29 0.50 0.05 2.48 1.69 0000.00.00.0020000 36.7856 09 11308 Shave skin lesion A 1.41 1.45 0.61 0.07 2.93 2.09 0000.00.00.0020000 36.7856 09 11310 Shave skin lesion A 0.73 1.11 0.33 0.04 1.88 1.10 0000.00.00.0020000 36.7856 09 11311 Shave skin lesion A 1.05 1.23 0.50 0.05 2.33 1.60 0000.00.00.0020000 36.7856 09 11312 Shave skin lesion A 1.20 1.43 0.57 0.06 2.69 1.83 0000.00.00.0020000 36.7856 09 11313 Shave skin lesion A 1.62 1.81 0.74 0.09 3.52 2.45 0000.00.00.0020000 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 36.7856 09 11446 Exc face-mm b9+marg > 4 cm A 4.49 4.26 2.88 0.30 9.05 7.67 0010.10.80.1020100 36.7856 09 11450 Removal, sweat gland lesion A 2.73 4.12 0.98 0.26 7.11 3.97 0090.10.71.1920100 36.7856 09 11451 Removal, sweat gland lesion A 3.95 4.98 1.43 0.39 9.32 5.77 0090.10.71.1920000 36.7856 09 11462 Removal, sweat gland lesion A 2.51 4.10 0.95 0.23 6.84 3.69 0090.10.71.1920000 36.7856 09 11463 Removal, sweat gland lesion A 3.95 5.60 1.57 0.40 9.95 5.92 0090.10.71.1920000 36.7856 09 11470 Removal, sweat gland lesion A 3.25 4.54 1.23 0.30 8.09 4.78 0090.10.71.1920100 36.7856 09 11471 Removal, sweat gland lesion A 4.41 5.69 1.72 0.40 10.50 6.53 0090.10.71.1920000 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 36.7856 09 11606 Exc tr-ext mlg+marg > 4 cm A 3.43 3.96 1.76 0.28 7.67 5.47 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 36.7856 09 11640 Exc face-mm malig+marg 0.5 < A 1.35 2.54 1.14 0.10 3.99 2.59 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 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 0010.10.80.1020100 36.7856 09 11646 Exc face-mm mlg+marg > 4 cm A 5.95 5.73 3.60 0.46 12.14 10.01 0010.10.80.1020100 36.7856 09 11719 Trim nail(s) R 0.17 0.25 0.07 0.01 0.43 0.25 0000.00.00.0020100 36.7856 09 11720 Debride nail, 1-5 A 0.32 0.34 0.13 0.02 0.68 0.47 0000.00.00.0000100 36.7856 09 11721 Debride nail, 6 or more A 0.54 0.44 0.21 0.04 1.02 0.79 0000.00.00.0000100 36.7856 09 11730 Removal of nail plate A 1.13 0.81 0.44 0.09 2.03 1.66 0000.00.00.0020100 36.7856 09 11732 Remove nail plate, add-on A 0.57 0.30 0.23 0.05 0.92 0.85 0ZZZ.00.00.0000100 36.7856 09 11740 Drain blood from under nail A 0.37 0.82 0.14 0.03 1.22 0.54 0000.00.00.0020100 36.7856 09 11750 Removal of nail bed A 1.86 1.72 0.77 0.16 3.74 2.79 0010.10.80.1020100 36.7856 09 11752 Remove nail bed/finger tip A 2.67 2.11 1.76 0.33 5.11 4.76 0010.10.80.1020100 36.7856 09 11755 Biopsy, nail unit A 1.31 1.11 0.56 0.06 2.48 1.93 0000.00.00.0020000 36.7856 09 11760 Repair of nail bed A 1.58 1.80 1.25 0.17 3.55 3.00 0010.10.80.1020100 36.7856 09 11762 Reconstruction of nail bed A 2.89 2.24 1.88 0.32 5.45 5.09 0010.10.80.1020100 36.7856 09 11765 Excision of nail fold, toe A 0.69 1.13 0.49 0.05 1.87 1.23 0010.10.80.1020100 36.7856 09 11770 Removal of pilonidal lesion A 2.61 2.98 1.23 0.24 5.83 4.08 0010.10.80.1020100 36.7856 09 11771 Removal of pilonidal lesion A 5.74 5.50 3.91 0.56 11.80 10.21 0090.10.71.1920100 36.7856 09 11772 Removal of pilonidal lesion A 6.98 6.41 4.36 0.68 14.07 12.02 0090.10.71.1920100 36.7856 09 11900 Injection into skin lesions A 0.52 0.75 0.22 0.02 1.29 0.76 0000.00.00.0020100 36.7856 09 11901 Added skin lesions injection A 0.80 0.72 0.36 0.03 1.55 1.19 0000.00.00.0020100 36.7856 09 11920 Correct skin color defects R 1.61 2.16 0.80 0.17 3.94 2.58 0000.00.00.0020000 36.7856 09 11921 Correct skin color defects R 1.93 2.52 1.00 0.21 4.66 3.14 0000.00.00.0020000 36.7856 09 11922 Correct skin color defects R 0.49 0.38 0.26 0.05 0.92 0.80 0ZZZ.00.00.0000000 36.7856 09 11950 Therapy for contour defects R 0.84 1.22 0.42 0.06 2.12 1.32 0000.00.00.0020000 36.7856 09 11951 Therapy for contour defects R 1.19 1.61 0.52 0.10 2.90 1.81 0000.00.00.0020000 36.7856 09 11952 Therapy for contour defects R 1.69 1.97 0.70 0.17 3.83 2.56 0000.00.00.0020000 36.7856 09 11954 Therapy for contour defects R 1.85 2.59 0.93 0.19 4.63 2.97 0000.00.00.0020000 36.7856 09 11960 Insert tissue expander(s) A 9.08 10.94 NA 10.94 0.88 20.90 20.90 0090.10.71.1920100 36.7856 09 11970 Replace tissue expander A 7.06 4.98 NA 4.98 0.77 12.81 12.81 0090.10.71.1920100 36.7856 09 11971 Remove tissue expander(s) A 2.13 6.33 3.86 0.21 8.67 6.20 0090.10.71.1920000 36.7856 09 11975 Insert contraceptive cap N+ 1.48 1.44 0.58 0.14 3.06 2.20 9XXX.00.00.0099999 36.7856 09 11976 Removal of contraceptive cap R 1.78 1.62 0.70 0.17 3.57 2.65 0000.00.00.0020000 36.7856 09 11977 Removal/reinsert contra cap N+ 3.30 2.30 1.28 0.31 5.91 4.89 9XXX.00.00.0099999 36.7856 09 11980 Implant hormone pellet(s) A 1.48 1.07 0.56 0.10 2.65 2.14 0000.00.00.0020100 36.7856 09 11981 Insert drug implant device A 1.48 1.59 0.58 0.14 3.21 2.20 0XXX.00.00.0020000 36.7856 09 11982 Remove drug implant device A 1.78 1.71 0.70 0.17 3.66 2.65 0XXX.00.00.0020000 36.7856 09 11983 Remove/insert drug implant A 3.30 2.30 1.28 0.31 5.91 4.89 0XXX.00.00.0020000 36.7856 09 12001 Repair superficial wound(s) A 1.70 2.16 0.44 0.13 3.99 2.27 0010.10.80.1020100 36.7856 09 12002 Repair superficial wound(s) A 1.86 2.23 0.92 0.15 4.24 2.93 0010.10.80.1020100 36.7856 09 12004 Repair superficial wound(s) A 2.24 2.51 1.03 0.17 4.92 3.44 0010.10.80.1020100 36.7856 09 12005 Repair superficial wound(s) A 2.86 3.07 1.22 0.23 6.16 4.31 0010.10.80.1020100 36.7856 09 12006 Repair superficial wound(s) A 3.67 3.69 1.53 0.31 7.67 5.51 0010.10.80.1020100 36.7856 09 12007 Repair superficial wound(s) A 4.12 4.16 1.83 0.37 8.65 6.32 0010.10.80.1020110 36.7856 09 12011 Repair superficial wound(s) A 1.76 2.34 0.44 0.14 4.24 2.34 0010.10.80.1020100 36.7856 09 12013 Repair superficial wound(s) A 1.99 2.49 0.96 0.16 4.64 3.11 0010.10.80.1020100 36.7856 09 12014 Repair superficial wound(s) A 2.46 2.77 1.08 0.18 5.41 3.72 0010.10.80.1020100 36.7856 09 12015 Repair superficial wound(s) A 3.19 3.38 1.27 0.24 6.81 4.70 0010.10.80.1020100 36.7856 09 12016 Repair superficial wound(s) A 3.93 3.81 1.55 0.32 8.06 5.80 0010.10.80.1020100 36.7856 09 12017 Repair superficial wound(s) A 4.71 1.90 NA 1.90 0.39 7.00 7.00 0010.10.80.1020000 36.7856 09 12018 Repair superficial wound(s) A 5.53 2.27 NA 2.27 0.46 8.26 8.26 0010.10.80.1020210 36.7856 09 12020 Closure of split wound A 2.62 2.55 1.42 0.24 5.41 4.28 0010.10.80.1020100 36.7856 09 12021 Closure of split wound A 1.84 1.70 1.02 0.19 3.73 3.05 0010.10.80.1020100 36.7856 09 12031 Layer closure of wound(s) A 2.15 2.29 0.77 0.15 4.59 3.07 0010.10.80.1020100 36.7856 09 12032 Layer closure of wound(s) A 2.47 2.98 1.28 0.15 5.60 3.90 0010.10.80.1020100 36.7856 09 12034 Layer closure of wound(s) A 2.92 3.21 1.44 0.21 6.34 4.57 0010.10.80.1020100 36.7856 09 12035 Layer closure of wound(s) A 3.43 3.15 1.67 0.30 6.88 5.40 0010.10.80.1020100 36.7856 09 12036 Layer closure of wound(s) A 4.05 5.26 2.46 0.41 9.72 6.92 0010.10.80.1020100 36.7856 09 12037 Layer closure of wound(s) A 4.67 5.62 2.80 0.49 10.78 7.96 0010.10.80.1020010 36.7856 09 12041 Layer closure of wound(s) A 2.37 2.48 0.83 0.17 5.02 3.37 0010.10.80.1020100 36.7856 09 12042 Layer closure of wound(s) A 2.74 3.17 1.41 0.17 6.08 4.32 0010.10.80.1020100 36.7856 09 12044 Layer closure of wound(s) A 3.14 3.26 1.60 0.24 6.64 4.98 0010.10.80.1020100 36.7856 09 12045 Layer closure of wound(s) A 3.64 3.58 1.87 0.34 7.56 5.85 0010.10.80.1020100 36.7856 09 12046 Layer closure of wound(s) A 4.25 5.53 2.55 0.40 10.18 7.20 0010.10.80.1020000 36.7856 09 12047 Layer closure of wound(s) A 4.65 6.15 2.89 0.41 11.21 7.95 0010.10.80.1020210 36.7856 09 12051 Layer closure of wound(s) A 2.47 3.16 1.41 0.16 5.79 4.04 0010.10.80.1020100 36.7856 09 12052 Layer closure of wound(s) A 2.77 3.12 1.38 0.17 6.06 4.32 0010.10.80.1020100 36.7856 09 12053 Layer closure of wound(s) A 3.12 3.26 1.54 0.20 6.58 4.86 0010.10.80.1020100 36.7856 09 12054 Layer closure of wound(s) A 3.46 3.60 1.64 0.25 7.31 5.35 0010.10.80.1020100 36.7856 09 12055 Layer closure of wound(s) A 4.43 4.60 2.19 0.35 9.38 6.97 0010.10.80.1020100 36.7856 09 12056 Layer closure of wound(s) A 5.24 6.62 3.05 0.43 12.29 8.72 0010.10.80.1020000 36.7856 09 12057 Layer closure of wound(s) A 5.96 6.14 3.73 0.50 12.60 10.19 0010.10.80.1020210 36.7856 09 13100 Repair of wound or lesion A 3.12 3.50 1.84 0.21 6.83 5.17 0010.10.80.1020100 36.7856 09 13101 Repair of wound or lesion A 3.92 3.76 2.29 0.22 7.90 6.43 0010.10.80.1020100 36.7856 09 13102 Repair wound/lesion add-on A 1.24 0.76 0.58 0.10 2.10 1.92 0ZZZ.00.00.0000100 36.7856 09 13120 Repair of wound or lesion A 3.30 3.60 1.88 0.23 7.13 5.41 0010.10.80.1020100 36.7856 09 13121 Repair of wound or lesion A 4.33 3.99 2.39 0.25 8.57 6.97 0010.10.80.1020100 36.7856 09 13122 Repair wound/lesion add-on A 1.44 0.89 0.65 0.12 2.45 2.21 0ZZZ.00.00.0000100 36.7856 09 13131 Repair of wound or lesion A 3.79 3.88 2.21 0.25 7.92 6.25 0010.10.80.1020100 36.7856 09 13132 Repair of wound or lesion A 5.95 4.72 3.25 0.32 10.99 9.52 0010.10.80.1020100 36.7856 09 13133 Repair wound/lesion add-on A 2.19 1.22 1.05 0.17 3.58 3.41 0ZZZ.00.00.0000100 36.7856 09 13150 Repair of wound or lesion A 3.81 5.29 2.64 0.29 9.39 6.74 0010.10.80.1020100 36.7856 09 13151 Repair of wound or lesion A 4.45 5.27 3.08 0.28 10.00 7.81 0010.10.80.1020100 36.7856 09 13152 Repair of wound or lesion A 6.33 6.01 3.98 0.38 12.72 10.69 0010.10.80.1020100 36.7856 09 13153 Repair wound/lesion add-on A 2.38 1.37 1.16 0.18 3.93 3.72 0ZZZ.00.00.0000100 36.7856 09 13160 Late closure of wound A 10.48 6.33 NA 6.33 1.19 18.00 18.00 0090.10.71.1920100 36.7856 09 14000 Skin tissue rearrangement A 5.89 7.60 4.65 0.46 13.95 11.00 0090.10.71.1920100 36.7856 09 14001 Skin tissue rearrangement A 8.47 8.94 5.96 0.65 18.06 15.08 0090.10.71.1920100 36.7856 09 14020 Skin tissue rearrangement A 6.59 8.10 5.35 0.50 15.19 12.44 0090.10.71.1920100 36.7856 09 14021 Skin tissue rearrangement A 10.06 9.53 7.12 0.69 20.28 17.87 0090.10.71.1920100 36.7856 09 14040 Skin tissue rearrangement A 7.87 8.77 7.05 0.55 17.19 15.47 0090.10.71.1920100 36.7856 09 14041 Skin tissue rearrangement A 11.49 11.01 8.91 0.71 23.21 21.11 0090.10.71.1920100 36.7856 09 14060 Skin tissue rearrangement A 8.50 9.48 7.84 0.59 18.57 16.93 0090.10.71.1920100 36.7856 09 14061 Skin tissue rearrangement A 12.29 12.05 9.77 0.75 25.09 22.81 0090.10.71.1920100 36.7856 09 14300 Skin tissue rearrangement A 11.76 11.44 9.36 0.88 24.08 22.00 0090.10.71.1920100 36.7856 09 14350 Skin tissue rearrangement A 9.61 6.36 NA 6.36 1.09 17.06 17.06 0090.10.71.1920000 36.7856 09 15000 Skin graft A 4.00 3.66 2.22 0.37 8.03 6.59 0000.00.00.0000100 36.7856 09 15001 Skin graft add-on A 1.00 1.26 0.42 0.11 2.37 1.53 0ZZZ.00.00.0000200 36.7856 09 15050 Skin pinch graft A 4.30 5.12 3.99 0.46 9.88 8.75 0090.10.71.1920100 36.7856 09 15100 Skin split graft A 9.05 11.70 8.09 0.94 21.69 18.08 0090.10.71.1920100 36.7856 09 15101 Skin split graft add-on A 1.72 3.27 1.48 0.18 5.17 3.38 0ZZZ.00.00.0000100 36.7856 09 15120 Skin split graft A 9.83 10.23 8.03 0.90 20.96 18.76 0090.10.71.1920100 36.7856 09 15121 Skin split graft add-on A 2.67 4.19 1.85 0.27 7.13 4.79 0ZZZ.00.00.0000110 36.7856 09 15200 Skin full graft A 8.03 9.60 5.54 0.73 18.36 14.30 0090.10.71.1920100 36.7856 09 15201 Skin full graft add-on A 1.32 1.05 0.64 0.14 2.51 2.10 0ZZZ.00.00.0000000 36.7856 09 15220 Skin full graft A 7.87 9.74 6.18 0.68 18.29 14.73 0090.10.71.1920100 36.7856 09 15221 Skin full graft add-on A 1.19 0.93 0.58 0.12 2.24 1.89 0ZZZ.00.00.0000100 36.7856 09 15240 Skin full graft A 9.04 9.25 7.01 0.80 19.09 16.85 0090.10.71.1920100 36.7856 09 15241 Skin full graft add-on A 1.86 1.47 0.94 0.17 3.50 2.97 0ZZZ.00.00.0000100 36.7856 09 15260 Skin full graft A 10.06 9.91 8.90 0.63 20.60 19.59 0090.10.71.1920100 36.7856 09 15261 Skin full graft add-on A 2.23 2.91 1.60 0.17 5.31 4.00 0ZZZ.00.00.0000100 36.7856 09 15342 Cultured skin graft, 25 cm A 1.00 2.06 0.75 0.09 3.15 1.84 0010.10.80.1020100 36.7856 09 15343 Culture skn graft addl 25 cm A 0.25 0.26 0.10 0.02 0.53 0.37 0ZZZ.00.00.0000100 36.7856 09 15350 Skin homograft A 4.00 8.44 4.34 0.42 12.86 8.76 0090.10.71.1920100 36.7856 09 15351 Skin homograft add-on A 1.00 0.95 0.41 0.11 2.06 1.52 0ZZZ.00.00.0000100 36.7856 09 15400 Skin heterograft A 4.00 4.84 4.84 0.40 9.24 9.24 0090.10.71.1920100 36.7856 09 15401 Skin heterograft add-on A 1.00 1.25 0.46 0.11 2.36 1.57 0ZZZ.00.00.0000100 36.7856 09 15570 Form skin pedicle flap A 9.21 8.16 6.07 0.96 18.33 16.24 0090.10.71.1920100 36.7856 09 15572 Form skin pedicle flap A 9.27 7.75 5.80 0.93 17.95 16.00 0090.10.71.1920100 36.7856 09 15574 Form skin pedicle flap A 9.88 8.32 6.84 0.92 19.12 17.64 0090.10.71.1920100 36.7856 09 15576 Form skin pedicle flap A 8.69 8.91 6.29 0.72 18.32 15.70 0090.10.71.1920100 36.7856 09 15600 Skin graft A 1.91 6.13 2.34 0.19 8.23 4.44 0090.10.71.1920000 36.7856 09 15610 Skin graft A 2.42 3.39 2.62 0.25 6.06 5.29 0090.10.71.1920000 36.7856 09 15620 Skin graft A 2.94 6.74 3.39 0.28 9.96 6.61 0090.10.71.1920100 36.7856 09 15630 Skin graft A 3.27 6.19 3.66 0.28 9.74 7.21 0090.10.71.1920100 36.7856 09 15650 Transfer skin pedicle flap A 3.97 6.17 3.73 0.36 10.50 8.06 0090.10.71.1920000 36.7856 09 15732 Muscle-skin graft, head/neck A 17.84 12.70 NA 12.70 1.50 32.04 32.04 0090.10.71.1920210 36.7856 09 15734 Muscle-skin graft, trunk A 17.79 12.73 NA 12.73 1.91 32.43 32.43 0090.10.71.1920210 36.7856 09 15736 Muscle-skin graft, arm A 16.27 11.81 NA 11.81 1.78 29.86 29.86 0090.10.71.1920110 36.7856 09 15738 Muscle-skin graft, leg A 17.92 12.25 NA 12.25 1.95 32.12 32.12 0090.10.71.1920210 36.7856 09 15740 Island pedicle flap graft A 10.25 9.00 7.05 0.62 19.87 17.92 0090.10.71.1920100 36.7856 09 15750 Neurovascular pedicle graft A 11.41 8.20 NA 8.20 1.16 20.77 20.77 0090.10.71.1920200 36.7856 09 15756 Free myo/skin flap microvasc A 35.23 20.85 NA 20.85 3.11 59.19 59.19 0090.10.71.1920220 36.7856 09 15757 Free skin flap, microvasc A 35.23 21.96 NA 21.96 3.37 60.56 60.56 0090.10.71.1920220 36.7856 09 15758 Free fascial flap, microvasc A 35.10 22.00 NA 22.00 3.52 60.62 60.62 0090.10.71.1920220 36.7856 09 15760 Composite skin graft A 8.74 9.10 6.62 0.72 18.56 16.08 0090.10.71.1920100 36.7856 09 15770 Derma-fat-fascia graft A 7.52 6.08 NA 6.08 0.78 14.38 14.38 0090.10.71.1920210 36.7856 09 15775 Hair transplant punch grafts R 3.96 2.87 1.35 0.43 7.26 5.74 0000.00.00.0020000 36.7856 09 15776 Hair transplant punch grafts R 5.54 5.75 2.89 0.60 11.89 9.03 0000.00.00.0020000 36.7856 09 15780 Abrasion treatment of skin A 7.29 6.61 6.58 0.41 14.31 14.28 0090.10.71.1920000 36.7856 09 15781 Abrasion treatment of skin A 4.85 5.07 4.80 0.27 10.19 9.92 0090.10.71.1920100 36.7856 09 15782 Abrasion treatment of skin A 4.32 4.30 4.15 0.21 8.83 8.68 0090.10.71.1920000 36.7856 09 15783 Abrasion treatment of skin A 4.29 4.72 3.57 0.26 9.27 8.12 0090.10.71.1920000 36.7856 09 15786 Abrasion, lesion, single A 2.03 1.77 1.29 0.11 3.91 3.43 0010.10.80.1020100 36.7856 09 15787 Abrasion, lesions, add-on A 0.33 0.32 0.16 0.02 0.67 0.51 0ZZZ.00.00.0000100 36.7856 09 15788 Chemical peel, face, epiderm R 2.09 3.14 1.03 0.11 5.34 3.23 0090.10.71.1920100 36.7856 09 15789 Chemical peel, face, dermal R 4.92 6.17 3.51 0.27 11.36 8.70 0090.10.71.1920100 36.7856 09 15792 Chemical peel, nonfacial R 1.86 2.96 2.17 0.10 4.92 4.13 0090.10.71.1920000 36.7856 09 15793 Chemical peel, nonfacial A 3.74 3.50 NA 3.50 0.17 7.41 7.41 0090.10.71.1920000 36.7856 09 15810 Salabrasion A 4.74 3.73 3.73 0.42 8.89 8.89 0090.10.71.1920000 36.7856 09 15811 Salabrasion A 5.39 6.09 4.73 0.52 12.00 10.64 0090.10.71.1920000 36.7856 09 15819 Plastic surgery, neck A 9.38 6.67 NA 6.67 0.77 16.82 16.82 0090.10.71.1920000 36.7856 09 15820 Revision of lower eyelid A 5.15 7.12 5.25 0.30 12.57 10.70 0090.10.71.1921000 36.7856 09 15821 Revision of lower eyelid A 5.72 7.47 5.41 0.31 13.50 11.44 0090.10.71.1921000 36.7856 09 15822 Revision of upper eyelid A 4.45 6.06 4.23 0.22 10.73 8.90 0090.10.71.1921100 36.7856 09 15823 Revision of upper eyelid A 7.05 8.06 6.13 0.32 15.43 13.50 0090.10.71.1921100 36.7856 09 15824 Removal of forehead wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 36.7856 09 15825 Removal of neck wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 36.7856 09 15826 Removal of brow wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 36.7856 09 15828 Removal of face wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 36.7856 09 15829 Removal of skin wrinkles R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0021000 36.7856 09 15831 Excise excessive skin tissue A 12.40 7.69 NA 7.69 1.30 21.39 21.39 0090.10.71.1920210 36.7856 09 15832 Excise excessive skin tissue A 11.59 7.68 NA 7.68 1.21 20.48 20.48 0090.10.71.1920210 36.7856 09 15833 Excise excessive skin tissue A 10.64 7.06 NA 7.06 1.17 18.87 18.87 0090.10.71.1920000 36.7856 09 15834 Excise excessive skin tissue A 10.85 6.95 NA 6.95 1.18 18.98 18.98 0090.10.71.1920000 36.7856 09 15835 Excise excessive skin tissue A 11.67 6.93 NA 6.93 1.13 19.73 19.73 0090.10.71.1920000 36.7856 09 15836 Excise excessive skin tissue A 9.34 6.18 NA 6.18 0.95 16.47 16.47 0090.10.71.1920000 36.7856 09 15837 Excise excessive skin tissue A 8.43 7.40 6.42 0.78 16.61 15.63 0090.10.71.1920000 36.7856 09 15838 Excise excessive skin tissue A 7.13 5.68 NA 5.68 0.58 13.39 13.39 0090.10.71.1920000 36.7856 09 15839 Excise excessive skin tissue A 9.38 7.21 5.75 0.88 17.47 16.01 0090.10.71.1920000 36.7856 09 15840 Graft for face nerve palsy A 13.26 9.75 NA 9.75 1.15 24.16 24.16 0090.10.71.1920100 36.7856 09 15841 Graft for face nerve palsy A 23.26 14.51 NA 14.51 2.65 40.42 40.42 0090.10.71.1920210 36.7856 09 15842 Flap for face nerve palsy A 37.96 22.78 NA 22.78 3.99 64.73 64.73 0090.10.71.1920210 36.7856 09 15845 Skin and muscle repair, face A 12.57 8.47 NA 8.47 0.80 21.84 21.84 0090.10.71.1920200 36.7856 09 15850 Removal of sutures B+ 0.78 1.44 0.30 0.04 2.26 1.12 9XXX.00.00.0099999 36.7856 09 15851 Removal of sutures A 0.86 1.64 0.34 0.05 2.55 1.25 0000.00.00.0020100 36.7856 09 15852 Dressing change,not for burn A 0.86 1.75 0.36 0.07 2.68 1.29 0000.00.00.0020100 36.7856 09 15860 Test for blood flow in graft A 1.95 1.30 0.81 0.13 3.38 2.89 0000.00.00.0020000 36.7856 09 15876 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 15877 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 15878 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 15879 Suction assisted lipectomy R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 15920 Removal of tail bone ulcer A 7.95 5.49 NA 5.49 0.83 14.27 14.27 0090.10.71.1920000 36.7856 09 15922 Removal of tail bone ulcer A 9.90 7.31 NA 7.31 1.06 18.27 18.27 0090.10.71.1920210 36.7856 09 15931 Remove sacrum pressure sore A 9.24 5.56 NA 5.56 0.95 15.75 15.75 0090.10.71.1920100 36.7856 09 15933 Remove sacrum pressure sore A 10.85 7.98 NA 7.98 1.14 19.97 19.97 0090.10.71.1920000 36.7856 09 15934 Remove sacrum pressure sore A 12.69 8.29 NA 8.29 1.35 22.33 22.33 0090.10.71.1920100 36.7856 09 15935 Remove sacrum pressure sore A 14.57 9.96 NA 9.96 1.56 26.09 26.09 0090.10.71.1920210 36.7856 09 15936 Remove sacrum pressure sore A 12.38 8.79 NA 8.79 1.32 22.49 22.49 0090.10.71.1920110 36.7856 09 15937 Remove sacrum pressure sore A 14.21 10.25 NA 10.25 1.51 25.97 25.97 0090.10.71.1920210 36.7856 09 15940 Remove hip pressure sore A 9.34 5.92 NA 5.92 0.98 16.24 16.24 0090.10.71.1920100 36.7856 09 15941 Remove hip pressure sore A 11.43 9.80 NA 9.80 1.23 22.46 22.46 0090.10.71.1920000 36.7856 09 15944 Remove hip pressure sore A 11.46 8.59 NA 8.59 1.21 21.26 21.26 0090.10.71.1920000 36.7856 09 15945 Remove hip pressure sore A 12.69 9.51 NA 9.51 1.38 23.58 23.58 0090.10.71.1920000 36.7856 09 15946 Remove hip pressure sore A 21.57 13.95 NA 13.95 2.32 37.84 37.84 0090.10.71.1920210 36.7856 09 15950 Remove thigh pressure sore A 7.54 5.15 NA 5.15 0.80 13.49 13.49 0090.10.71.1920100 36.7856 09 15951 Remove thigh pressure sore A 10.72 7.99 NA 7.99 1.14 19.85 19.85 0090.10.71.1920010 36.7856 09 15952 Remove thigh pressure sore A 11.39 7.39 NA 7.39 1.19 19.97 19.97 0090.10.71.1920210 36.7856 09 15953 Remove thigh pressure sore A 12.63 8.79 NA 8.79 1.38 22.80 22.80 0090.10.71.1920110 36.7856 09 15956 Remove thigh pressure sore A 15.52 10.40 NA 10.40 1.64 27.56 27.56 0090.10.71.1920110 36.7856 09 15958 Remove thigh pressure sore A 15.48 10.72 NA 10.72 1.66 27.86 27.86 0090.10.71.1920210 36.7856 09 15999 Removal of pressure sore C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 16000 Initial treatment of burn(s) A 0.89 1.07 0.27 0.06 2.02 1.22 0000.00.00.0020100 36.7856 09 16010 Treatment of burn(s) A 0.87 1.19 0.36 0.07 2.13 1.30 0000.00.00.0020100 36.7856 09 16015 Treatment of burn(s) A 2.35 1.89 0.94 0.22 4.46 3.51 0000.00.00.0020100 36.7856 09 16020 Treatment of burn(s) A 0.80 1.13 0.26 0.06 1.99 1.12 0000.00.00.0020100 36.7856 09 16025 Treatment of burn(s) A 1.85 1.88 0.67 0.16 3.89 2.68 0000.00.00.0020100 36.7856 09 16030 Treatment of burn(s) A 2.08 3.05 0.91 0.18 5.31 3.17 0000.00.00.0020100 36.7856 09 16035 Incision of burn scab, initi A 3.75 1.50 NA 1.50 0.36 5.61 5.61 0090.10.71.1920100 36.7856 09 16036 Incise burn scab, addl incis A 1.50 0.62 NA 0.62 0.11 2.23 2.23 0ZZZ.00.00.0000100 36.7856 09 17000 Destroy benign/premlg lesion A 0.60 1.04 0.27 0.03 1.67 0.90 0010.10.80.1020100 36.7856 09 17003 Destroy lesions, 2-14 A 0.15 0.12 0.07 0.01 0.28 0.23 0ZZZ.00.00.0000100 36.7856 09 17004 Destroy lesions, 15 or more A 2.79 2.45 1.27 0.12 5.36 4.18 0010.10.80.1000100 36.7856 09 17106 Destruction of skin lesions A 4.59 4.77 3.21 0.28 9.64 8.08 0090.10.71.1920100 36.7856 09 17107 Destruction of skin lesions A 9.16 7.30 5.37 0.53 16.99 15.06 0090.10.71.1920100 36.7856 09 17108 Destruction of skin lesions A 13.20 9.35 7.66 0.89 23.44 21.75 0090.10.71.1920000 36.7856 09 17110 Destruct lesion, 1-14 A 0.65 1.71 0.45 0.04 2.40 1.14 0010.10.80.1020100 36.7856 09 17111 Destruct lesion, 15 or more A 0.92 1.75 0.56 0.04 2.71 1.52 0010.10.80.1020100 36.7856 09 17250 Chemical cautery, tissue A 0.50 1.23 0.34 0.04 1.77 0.88 0000.00.00.0020100 36.7856 09 17260 Destruction of skin lesions A 0.91 1.37 0.41 0.04 2.32 1.36 0010.10.80.1020100 36.7856 09 17261 Destruction of skin lesions A 1.17 1.62 0.55 0.05 2.84 1.77 0010.10.80.1020100 36.7856 09 17262 Destruction of skin lesions A 1.58 1.89 0.75 0.07 3.54 2.40 0010.10.80.1020100 36.7856 09 17263 Destruction of skin lesions A 1.79 2.07 0.82 0.08 3.94 2.69 0010.10.80.1020100 36.7856 09 17264 Destruction of skin lesions A 1.94 2.25 0.86 0.08 4.27 2.88 0010.10.80.1020100 36.7856 09 17266 Destruction of skin lesions A 2.34 2.57 0.96 0.11 5.02 3.41 0010.10.80.1020100 36.7856 09 17270 Destruction of skin lesions A 1.32 1.70 0.60 0.06 3.08 1.98 0010.10.80.1020100 36.7856 09 17271 Destruction of skin lesions A 1.49 1.79 0.71 0.06 3.34 2.26 0010.10.80.1020100 36.7856 09 17272 Destruction of skin lesions A 1.77 2.00 0.85 0.07 3.84 2.69 0010.10.80.1020100 36.7856 09 17273 Destruction of skin lesions A 2.05 2.23 0.96 0.09 4.37 3.10 0010.10.80.1020100 36.7856 09 17274 Destruction of skin lesions A 2.59 2.61 1.18 0.11 5.31 3.88 0010.10.80.1020100 36.7856 09 17276 Destruction of skin lesions A 3.20 3.03 1.42 0.15 6.38 4.77 0010.10.80.1020100 36.7856 09 17280 Destruction of skin lesions A 1.17 1.61 0.53 0.05 2.83 1.75 0010.10.80.1020100 36.7856 09 17281 Destruction of skin lesions A 1.72 1.92 0.82 0.07 3.71 2.61 0010.10.80.1020100 36.7856 09 17282 Destruction of skin lesions A 2.04 2.17 0.98 0.09 4.30 3.11 0010.10.80.1020100 36.7856 09 17283 Destruction of skin lesions A 2.64 2.58 1.23 0.11 5.33 3.98 0010.10.80.1020100 36.7856 09 17284 Destruction of skin lesions A 3.21 2.99 1.49 0.14 6.34 4.84 0010.10.80.1020100 36.7856 09 17286 Destruction of skin lesions A 4.44 3.78 2.18 0.22 8.44 6.84 0010.10.80.1020100 36.7856 09 17304 1 stage mohs, up to 5 spec A 7.60 8.09 3.66 0.31 16.00 11.57 0000.00.00.0000100 36.7856 09 17305 2 stage mohs, up to 5 spec A 2.85 3.81 1.37 0.12 6.78 4.34 0000.00.00.0000100 36.7856 09 17306 3 stage mohs, up to 5 spec A 2.85 3.81 1.38 0.12 6.78 4.35 0000.00.00.0000100 36.7856 09 17307 Mohs addl stage up to 5 spec A 2.85 3.82 1.40 0.12 6.79 4.37 0000.00.00.0000100 36.7856 09 17310 Mohs any stage > 5 spec each A 0.62 1.48 0.31 0.05 2.15 0.98 0ZZZ.00.00.0000100 36.7856 09 17340 Cryotherapy of skin A 0.76 0.38 0.26 0.04 1.18 1.06 0010.10.80.1020100 36.7856 09 17360 Skin peel therapy A 1.43 1.59 0.72 0.06 3.08 2.21 0010.10.80.1020100 36.7856 09 17380 Hair removal by electrolysis R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 17999 Skin tissue procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 19000 Drainage of breast lesion A 0.84 1.20 0.29 0.07 2.11 1.20 0000.00.00.0020100 36.7856 09 19001 Drain breast lesion add-on A 0.42 0.82 0.14 0.03 1.27 0.59 0ZZZ.00.00.0000100 36.7856 09 19020 Incision of breast lesion A 3.57 6.81 3.39 0.35 10.73 7.31 0090.10.71.1921100 36.7856 09 19030 Injection for breast x-ray A 1.53 3.56 0.52 0.07 5.16 2.12 0000.00.00.0021100 36.7856 09 19100 Bx breast percut w/o image A 1.27 1.43 0.44 0.10 2.80 1.81 0000.00.00.0021100 36.7856 09 19101 Biopsy of breast, open A 3.18 5.02 1.89 0.20 8.40 5.27 0010.10.80.1021100 36.7856 09 19102 Bx breast percut w/image A 2.00 4.86 0.68 0.13 6.99 2.81 0000.00.00.0021100 36.7856 09 19103 Bx breast percut w/device A 3.70 12.31 1.27 0.16 16.17 5.13 0000.00.00.0021100 36.7856 09 19110 Nipple exploration A 4.30 8.62 4.43 0.44 13.36 9.17 0090.10.71.1921100 36.7856 09 19112 Excise breast duct fistula A 3.67 9.15 3.08 0.38 13.20 7.13 0090.10.71.1921000 36.7856 09 19120 Removal of breast lesion A 5.56 4.92 3.09 0.56 11.04 9.21 0090.10.71.1920100 36.7856 09 19125 Excision, breast lesion A 6.06 5.05 3.26 0.61 11.72 9.93 0090.10.71.1920110 36.7856 09 19126 Excision, addl breast lesion A 2.93 1.02 NA 1.02 0.30 4.25 4.25 0ZZZ.00.00.0000110 36.7856 09 19140 Removal of breast tissue A 5.14 9.35 3.65 0.52 15.01 9.31 0090.10.71.1921100 36.7856 09 19160 Removal of breast tissue A 5.99 4.52 NA 4.52 0.61 11.12 11.12 0090.10.71.1921000 36.7856 09 19162 Remove breast tissue, nodes A 13.53 7.88 NA 7.88 1.38 22.79 22.79 0090.10.71.1921210 36.7856 09 19180 Removal of breast A 8.80 5.93 NA 5.93 0.88 15.61 15.61 0090.10.71.1921210 36.7856 09 19182 Removal of breast A 7.73 4.98 NA 4.98 0.79 13.50 13.50 0090.10.71.1921210 36.7856 09 19200 Removal of breast A 15.49 9.07 NA 9.07 1.51 26.07 26.07 0090.10.71.1921210 36.7856 09 19220 Removal of breast A 15.72 9.12 NA 9.12 1.56 26.40 26.40 0090.10.71.1921210 36.7856 09 19240 Removal of breast A 16.00 8.74 NA 8.74 1.62 26.36 26.36 0090.10.71.1921210 36.7856 09 19260 Removal of chest wall lesion A 15.44 9.13 NA 9.13 1.64 26.21 26.21 0090.10.71.1920210 36.7856 09 19271 Revision of chest wall A 18.90 11.31 NA 11.31 2.27 32.48 32.48 0090.10.71.1920210 36.7856 09 19272 Extensive chest wall surgery A 21.55 12.24 NA 12.24 2.54 36.33 36.33 0090.10.71.1920210 36.7856 09 19290 Place needle wire, breast A 1.27 2.89 0.43 0.06 4.22 1.76 0000.00.00.0020100 36.7856 09 19291 Place needle wire, breast A 0.63 1.69 0.21 0.03 2.35 0.87 0ZZZ.00.00.0000000 36.7856 09 19295 Place breast clip, percut A 0.00 2.65 2.65 NA 0.01 2.66 2.66 0ZZZ.00.00.0000000 36.7856 09 19316 Suspension of breast A 10.69 7.57 NA 7.57 1.15 19.41 19.41 0090.10.71.1921210 36.7856 09 19318 Reduction of large breast A 15.62 11.72 NA 11.72 1.69 29.03 29.03 0090.10.71.1921210 36.7856 09 19324 Enlarge breast A 5.85 4.25 NA 4.25 0.63 10.73 10.73 0090.10.71.1921000 36.7856 09 19325 Enlarge breast with implant A 8.45 6.25 NA 6.25 0.90 15.60 15.60 0090.10.71.1921000 36.7856 09 19328 Removal of breast implant A 5.68 4.54 NA 4.54 0.61 10.83 10.83 0090.10.71.1921100 36.7856 09 19330 Removal of implant material A 7.59 5.20 NA 5.20 0.81 13.60 13.60 0090.10.71.1921100 36.7856 09 19340 Immediate breast prosthesis A 6.33 3.19 NA 3.19 0.68 10.20 10.20 0ZZZ.00.00.0001110 36.7856 09 19342 Delayed breast prosthesis A 11.20 7.83 NA 7.83 1.21 20.24 20.24 0090.10.71.1921010 36.7856 09 19350 Breast reconstruction A 8.92 13.45 6.80 0.95 23.32 16.67 0090.10.71.1921100 36.7856 09 19355 Correct inverted nipple(s) A 7.57 13.63 5.41 0.80 22.00 13.78 0090.10.71.1921000 36.7856 09 19357 Breast reconstruction A 18.16 9.82 NA 9.82 1.96 29.94 29.94 0090.10.71.1921210 36.7856 09 19361 Breast reconstruction A 19.26 10.27 NA 10.27 2.08 31.61 31.61 0090.10.71.1921210 36.7856 09 19364 Breast reconstruction A 41.00 25.22 NA 25.22 3.91 70.13 70.13 0090.10.71.1921210 36.7856 09 19366 Breast reconstruction A 21.28 10.27 NA 10.27 2.27 33.82 33.82 0090.10.71.1921210 36.7856 09 19367 Breast reconstruction A 25.73 17.47 NA 17.47 2.78 45.98 45.98 0090.10.71.1921210 36.7856 09 19368 Breast reconstruction A 32.42 21.08 NA 21.08 3.51 57.01 57.01 0090.10.71.1921210 36.7856 09 19369 Breast reconstruction A 29.82 20.65 NA 20.65 3.24 53.71 53.71 0090.10.71.1921210 36.7856 09 19370 Surgery of breast capsule A 8.05 6.08 NA 6.08 0.86 14.99 14.99 0090.10.71.1921100 36.7856 09 19371 Removal of breast capsule A 9.35 7.15 NA 7.15 1.01 17.51 17.51 0090.10.71.1921100 36.7856 09 19380 Revise breast reconstruction A 9.14 7.05 NA 7.05 0.98 17.17 17.17 0090.10.71.1921100 36.7856 09 19396 Design custom breast implant A 2.17 6.25 1.02 0.23 8.65 3.42 0000.00.00.0021000 36.7856 09 19499 Breast surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 20000 Incision of abscess A 2.12 2.16 1.18 0.17 4.45 3.47 0010.10.80.1020100 36.7856 09 20005 Incision of deep abscess A 3.42 3.03 2.21 0.34 6.79 5.97 0010.10.80.1020100 36.7856 09 20100 Explore wound, neck A 10.08 5.82 4.37 0.99 16.89 15.44 0010.10.80.1021200 36.7856 09 20101 Explore wound, chest A 3.22 2.90 1.50 0.24 6.36 4.96 0010.10.80.1020100 36.7856 09 20102 Explore wound, abdomen A 3.94 3.39 1.75 0.35 7.68 6.04 0010.10.80.1020200 36.7856 09 20103 Explore wound, extremity A 5.30 4.26 3.02 0.57 10.13 8.89 0010.10.80.1020000 36.7856 09 20150 Excise epiphyseal bar A 13.69 8.96 NA 8.96 0.96 23.61 23.61 0090.10.69.2121210 36.7856 09 20200 Muscle biopsy A 1.46 1.70 0.61 0.17 3.33 2.24 0000.00.00.0020100 36.7856 09 20205 Deep muscle biopsy A 2.35 3.87 0.96 0.23 6.45 3.54 0000.00.00.0020100 36.7856 09 20206 Needle biopsy, muscle A 0.99 3.15 0.35 0.06 4.20 1.40 0000.00.00.0020100 36.7856 09 20220 Bone biopsy, trocar/needle A 1.27 4.87 2.93 0.06 6.20 4.26 0000.00.00.0020100 36.7856 09 20225 Bone biopsy, trocar/needle A 1.87 4.37 3.02 0.11 6.35 5.00 0000.00.00.0020100 36.7856 09 20240 Bone biopsy, excisional A 3.23 4.22 NA 4.22 0.33 7.78 7.78 0010.10.80.1020100 36.7856 09 20245 Bone biopsy, excisional A 7.78 6.91 NA 6.91 0.44 15.13 15.13 0010.10.80.1020100 36.7856 09 20250 Open bone biopsy A 5.03 4.37 NA 4.37 0.50 9.90 9.90 0010.10.80.1020100 36.7856 09 20251 Open bone biopsy A 5.56 4.92 NA 4.92 0.79 11.27 11.27 0010.10.80.1020200 36.7856 09 20500 Injection of sinus tract A 1.23 5.89 3.82 0.10 7.22 5.15 0010.10.80.1020100 36.7856 09 20501 Inject sinus tract for x-ray A 0.76 3.14 0.26 0.03 3.93 1.05 0000.00.00.0020100 36.7856 09 20520 Removal of foreign body A 1.85 5.60 3.59 0.17 7.62 5.61 0010.10.80.1020100 36.7856 09 20525 Removal of foreign body A 3.50 6.84 4.38 0.40 10.74 8.28 0010.10.80.1020100 36.7856 09 20526 Ther injection, carp tunnel A 0.94 0.77 0.41 0.06 1.77 1.41 0000.00.00.0021100 36.7856 09 20550 Inj tendon sheath/ligament A 0.75 0.76 0.24 0.06 1.57 1.05 0000.00.00.0020100 36.7856 09 20551 Inject tendon origin/insert A 0.75 0.70 0.34 0.06 1.51 1.15 0000.00.00.0020100 36.7856 09 20552 Inject trigger point, 1 or 2 A 0.66 0.66 0.30 0.06 1.38 1.02 0000.00.00.0020100 36.7856 09 20553 Inject trigger points, =/> 3 A 0.75 0.75 0.34 0.06 1.56 1.15 0000.00.00.0020100 36.7856 09 20600 Drain/inject, joint/bursa A 0.66 0.66 0.36 0.06 1.38 1.08 0000.00.00.0021100 36.7856 09 20605 Drain/inject, joint/bursa A 0.68 0.78 0.37 0.06 1.52 1.11 0000.00.00.0021100 36.7856 09 20610 Drain/inject, joint/bursa A 0.79 0.97 0.42 0.08 1.84 1.29 0000.00.00.0021100 36.7856 09 20612 Aspirate/inj ganglion cyst A 0.70 0.77 0.28 0.06 1.53 1.04 0000.00.00.0020100 36.7856 09 20615 Treatment of bone cyst A 2.28 4.87 2.69 0.19 7.34 5.16 0010.10.80.1020100 36.7856 09 20650 Insert and remove bone pin A 2.23 5.08 3.29 0.28 7.59 5.80 0010.10.80.1020110 36.7856 09 20660 Apply, rem fixation device A 2.51 2.28 NA 2.28 0.48 5.27 5.27 0000.00.00.0000100 36.7856 09 20661 Application of head brace A 4.89 6.91 NA 6.91 0.92 12.72 12.72 0090.10.69.2120100 36.7856 09 20662 Application of pelvis brace A 6.07 6.27 NA 6.27 0.81 13.15 13.15 0090.10.69.2120000 36.7856 09 20663 Application of thigh brace A 5.43 5.58 NA 5.58 0.77 11.78 11.78 0090.10.69.2120000 36.7856 09 20664 Halo brace application A 8.06 8.62 NA 8.62 1.49 18.17 18.17 0090.10.69.2120100 36.7856 09 20665 Removal of fixation device A 1.31 2.14 1.30 0.17 3.62 2.78 0010.10.80.1020000 36.7856 09 20670 Removal of support implant A 1.74 6.09 3.55 0.23 8.06 5.52 0010.10.80.1020100 36.7856 09 20680 Removal of support implant A 3.35 5.37 5.37 0.46 9.18 9.18 0090.10.69.2120000 36.7856 09 20690 Apply bone fixation device A 3.52 1.82 NA 1.82 0.47 5.81 5.81 0090.10.69.2120100 36.7856 09 20692 Apply bone fixation device A 6.41 3.05 NA 3.05 0.60 10.06 10.06 0090.10.69.2120210 36.7856 09 20693 Adjust bone fixation device A 5.86 13.20 NA 13.20 0.85 19.91 19.91 0090.10.69.2120100 36.7856 09 20694 Remove bone fixation device A 4.16 9.45 6.56 0.57 14.18 11.29 0090.10.69.2120100 36.7856 09 20802 Replantation, arm, complete A 41.15 27.57 NA 27.57 5.81 74.53 74.53 0090.10.69.2121210 36.7856 09 20805 Replant forearm, complete A 50.00 43.16 NA 43.16 3.95 97.11 97.11 0090.10.69.2121210 36.7856 09 20808 Replantation hand, complete A 61.65 49.60 NA 49.60 6.49 117.74 117.74 0090.10.69.2121210 36.7856 09 20816 Replantation digit, complete A 30.94 46.54 NA 46.54 3.01 80.49 80.49 0090.10.69.2120210 36.7856 09 20822 Replantation digit, complete A 25.59 42.54 NA 42.54 3.07 71.20 71.20 0090.10.69.2120210 36.7856 09 20824 Replantation thumb, complete A 30.94 45.41 NA 45.41 3.48 79.83 79.83 0090.10.69.2121210 36.7856 09 20827 Replantation thumb, complete A 26.41 45.08 NA 45.08 3.21 74.70 74.70 0090.10.69.2121210 36.7856 09 20838 Replantation foot, complete A 41.41 28.58 NA 28.58 5.85 75.84 75.84 0090.10.69.2121210 36.7856 09 20900 Removal of bone for graft A 5.58 6.60 6.39 0.77 12.95 12.74 0090.10.69.2120210 36.7856 09 20902 Removal of bone for graft A 7.55 9.17 NA 9.17 1.06 17.78 17.78 0090.10.69.2120210 36.7856 09 20910 Remove cartilage for graft A 5.34 8.85 6.69 0.50 14.69 12.53 0090.10.69.2120000 36.7856 09 20912 Remove cartilage for graft A 6.35 7.49 NA 7.49 0.55 14.39 14.39 0090.10.69.2120000 36.7856 09 20920 Removal of fascia for graft A 5.31 5.57 NA 5.57 0.54 11.42 11.42 0090.10.69.2120110 36.7856 09 20922 Removal of fascia for graft A 6.61 8.97 6.40 0.88 16.46 13.89 0090.10.69.2120210 36.7856 09 20924 Removal of tendon for graft A 6.48 7.16 NA 7.16 0.82 14.46 14.46 0090.10.69.2120210 36.7856 09 20926 Removal of tissue for graft A 5.53 6.42 NA 6.42 0.73 12.68 12.68 0090.10.69.2120100 36.7856 09 20930 Spinal bone allograft B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 20931 Spinal bone allograft A 1.81 0.96 NA 0.96 0.34 3.11 3.11 0ZZZ.00.00.0001110 36.7856 09 20936 Spinal bone autograft B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 20937 Spinal bone autograft A 2.79 1.49 NA 1.49 0.43 4.71 4.71 0ZZZ.00.00.0001210 36.7856 09 20938 Spinal bone autograft A 3.02 1.59 NA 1.59 0.52 5.13 5.13 0ZZZ.00.00.0001210 36.7856 09 20950 Fluid pressure, muscle A 1.26 2.24 NA 2.24 0.16 3.66 3.66 0000.00.00.0020000 36.7856 09 20955 Fibula bone graft, microvasc A 39.21 29.76 NA 29.76 4.35 73.32 73.32 0090.10.69.2120210 36.7856 09 20956 Iliac bone graft, microvasc A 39.27 28.79 NA 28.79 5.77 73.83 73.83 0090.10.69.2120210 36.7856 09 20957 Mt bone graft, microvasc A 40.65 21.19 NA 21.19 5.74 67.58 67.58 0090.10.69.2120210 36.7856 09 20962 Other bone graft, microvasc A 39.27 28.28 NA 28.28 5.19 72.74 72.74 0090.10.69.2120210 36.7856 09 20969 Bone/skin graft, microvasc A 43.92 32.14 NA 32.14 4.34 80.40 80.40 0090.10.69.2120210 36.7856 09 20970 Bone/skin graft, iliac crest A 43.06 30.05 NA 30.05 4.64 77.75 77.75 0090.10.69.2120210 36.7856 09 20972 Bone/skin graft, metatarsal A 42.99 18.39 NA 18.39 6.07 67.45 67.45 0090.10.69.2120200 36.7856 09 20973 Bone/skin graft, great toe A 45.76 28.24 NA 28.24 4.65 78.65 78.65 0090.10.69.2120210 36.7856 09 20974 Electrical bone stimulation A 0.62 0.42 0.33 0.09 1.13 1.04 0000.00.00.0000100 36.7856 09 20975 Electrical bone stimulation A 2.60 1.38 NA 1.38 0.42 4.40 4.40 0000.00.00.0000210 36.7856 09 20979 Us bone stimulation A 0.62 0.73 0.35 0.04 1.39 1.01 0000.00.00.0000100 36.7856 09 20999 Musculoskeletal surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 21010 Incision of jaw joint A 10.14 7.16 NA 7.16 0.54 17.84 17.84 0090.10.69.2121000 36.7856 09 21015 Resection of facial tumor A 5.29 7.09 NA 7.09 0.52 12.90 12.90 0090.10.69.2120100 36.7856 09 21025 Excision of bone, lower jaw A 10.06 7.35 6.87 0.79 18.20 17.72 0090.10.69.2120100 36.7856 09 21026 Excision of facial bone(s) A 4.85 5.39 5.08 0.40 10.64 10.33 0090.10.69.2120100 36.7856 09 21029 Contour of face bone lesion A 7.71 6.96 6.15 0.74 15.41 14.60 0090.10.69.2120000 36.7856 09 21030 Excise max/zygoma b9 tumor A 3.89 4.36 3.64 0.60 8.85 8.13 0090.10.69.2120100 36.7856 09 21031 Remove exostosis, mandible A 3.24 3.35 2.17 0.28 6.87 5.69 0090.10.69.2120100 36.7856 09 21032 Remove exostosis, maxilla A 3.24 3.32 2.29 0.27 6.83 5.80 0090.10.69.2120100 36.7856 09 21034 Excise max/zygoma mlg tumor A 16.17 10.67 10.64 1.37 28.21 28.18 0090.10.69.2120210 36.7856 09 21040 Excise mandible lesion A 3.89 3.76 2.58 0.19 7.84 6.66 0090.10.69.2120100 36.7856 09 21041 Removal of jaw bone lesion D 6.71 5.68 4.46 0.56 12.95 11.73 0090.10.69.2120100 36.7856 09 21044 Removal of jaw bone lesion A 11.86 7.96 NA 7.96 0.87 20.69 20.69 0090.10.69.2120210 36.7856 09 21045 Extensive jaw surgery A 16.17 10.29 NA 10.29 1.20 27.66 27.66 0090.10.69.2120210 36.7856 09 21046 Remove mandible cyst complex A 13.00 10.42 NA 10.42 1.01 24.43 24.43 0090.10.69.2120210 36.7856 09 21047 Excise lwr jaw cyst w/repair A 18.75 9.87 NA 9.87 1.53 30.15 30.15 0090.10.69.2120210 36.7856 09 21048 Remove maxilla cyst complex A 13.50 10.63 NA 10.63 1.01 25.14 25.14 0090.10.69.2120210 36.7856 09 21049 Excis uppr jaw cyst w/repair A 18.00 9.55 NA 9.55 1.01 28.56 28.56 0090.10.69.2120210 36.7856 09 21050 Removal of jaw joint A 10.77 11.63 NA 11.63 0.84 23.24 23.24 0090.10.69.2121000 36.7856 09 21060 Remove jaw joint cartilage A 10.23 10.09 NA 10.09 1.16 21.48 21.48 0090.10.69.2121210 36.7856 09 21070 Remove coronoid process A 8.20 5.98 NA 5.98 0.67 14.85 14.85 0090.10.69.2121000 36.7856 09 21076 Prepare face/oral prosthesis A 13.42 9.49 7.13 1.36 24.27 21.91 0010.10.80.1020000 36.7856 09 21077 Prepare face/oral prosthesis A 33.75 23.88 17.94 3.43 61.06 55.12 0090.10.69.2121000 36.7856 09 21079 Prepare face/oral prosthesis A 22.34 16.88 12.41 1.59 40.81 36.34 0090.10.69.2120100 36.7856 09 21080 Prepare face/oral prosthesis A 25.10 18.97 13.94 2.55 46.62 41.59 0090.10.69.2120100 36.7856 09 21081 Prepare face/oral prosthesis A 22.88 17.28 12.71 1.87 42.03 37.46 0090.10.69.2120000 36.7856 09 21082 Prepare face/oral prosthesis A 20.87 14.77 11.10 1.46 37.10 33.43 0090.10.69.2120000 36.7856 09 21083 Prepare face/oral prosthesis A 19.30 14.58 10.72 1.96 35.84 31.98 0090.10.69.2120000 36.7856 09 21084 Prepare face/oral prosthesis A 22.51 17.01 12.51 1.57 41.09 36.59 0090.10.69.2120000 36.7856 09 21085 Prepare face/oral prosthesis A 9.00 6.37 4.79 0.65 16.02 14.44 0010.10.80.1020000 36.7856 09 21086 Prepare face/oral prosthesis A 24.92 18.83 13.84 1.86 45.61 40.62 0090.10.69.2121000 36.7856 09 21087 Prepare face/oral prosthesis A 24.92 17.63 13.24 2.22 44.77 40.38 0090.10.69.2120000 36.7856 09 21088 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2100000 36.7856 09 21089 Prepare face/oral prosthesis C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2100100 36.7856 09 21100 Maxillofacial fixation A 4.22 5.93 4.05 0.18 10.33 8.45 0090.10.69.2120000 36.7856 09 21110 Interdental fixation A 5.21 5.31 4.32 0.28 10.80 9.81 0090.10.69.2120100 36.7856 09 21116 Injection, jaw joint x-ray A 0.81 7.71 0.29 0.05 8.57 1.15 0000.00.00.0020100 36.7856 09 21120 Reconstruction of chin A 4.93 9.80 6.08 0.29 15.02 11.30 0090.10.69.2120110 36.7856 09 21121 Reconstruction of chin A 7.64 7.94 6.21 0.56 16.14 14.41 0090.10.69.2120200 36.7856 09 21122 Reconstruction of chin A 8.52 7.63 NA 7.63 0.59 16.74 16.74 0090.10.69.2120200 36.7856 09 21123 Reconstruction of chin A 11.16 8.08 NA 8.08 1.16 20.40 20.40 0090.10.69.2120210 36.7856 09 21125 Augmentation, lower jaw bone A 10.62 9.53 8.07 0.72 20.87 19.41 0090.10.69.2120200 36.7856 09 21127 Augmentation, lower jaw bone A 11.12 9.80 7.50 0.76 21.68 19.38 0090.10.69.2120210 36.7856 09 21137 Reduction of forehead A 9.82 8.03 NA 8.03 0.53 18.38 18.38 0090.10.69.2120200 36.7856 09 21138 Reduction of forehead A 12.19 9.40 NA 9.40 1.47 23.06 23.06 0090.10.69.2120210 36.7856 09 21139 Reduction of forehead A 14.61 9.78 NA 9.78 1.02 25.41 25.41 0090.10.69.2120210 36.7856 09 21141 Reconstruct midface, lefort A 18.10 10.79 NA 10.79 1.63 30.52 30.52 0090.10.69.2120210 36.7856 09 21142 Reconstruct midface, lefort A 18.81 12.16 NA 12.16 1.16 32.13 32.13 0090.10.69.2120210 36.7856 09 21143 Reconstruct midface, lefort A 19.58 11.10 NA 11.10 0.90 31.58 31.58 0090.10.69.2120210 36.7856 09 21145 Reconstruct midface, lefort A 19.94 11.25 NA 11.25 2.09 33.28 33.28 0090.10.69.2120200 36.7856 09 21146 Reconstruct midface, lefort A 20.71 11.92 NA 11.92 2.13 34.76 34.76 0090.10.69.2120210 36.7856 09 21147 Reconstruct midface, lefort A 21.77 12.15 NA 12.15 1.52 35.44 35.44 0090.10.69.2120200 36.7856 09 21150 Reconstruct midface, lefort A 25.24 16.33 NA 16.33 1.09 42.66 42.66 0090.10.69.2120200 36.7856 09 21151 Reconstruct midface, lefort A 28.30 19.93 NA 19.93 1.98 50.21 50.21 0090.10.69.2120200 36.7856 09 21154 Reconstruct midface, lefort A 30.52 19.84 NA 19.84 4.86 55.22 55.22 0090.10.69.2120210 36.7856 09 21155 Reconstruct midface, lefort A 34.45 20.75 NA 20.75 5.48 60.68 60.68 0090.10.69.2120200 36.7856 09 21159 Reconstruct midface, lefort A 42.38 25.58 NA 25.58 6.74 74.70 74.70 0090.10.69.2120210 36.7856 09 21160 Reconstruct midface, lefort A 46.44 26.69 NA 26.69 4.39 77.52 77.52 0090.10.69.2120200 36.7856 09 21172 Reconstruct orbit/forehead A 27.80 15.82 NA 15.82 1.91 45.53 45.53 0090.10.69.2120210 36.7856 09 21175 Reconstruct orbit/forehead A 33.17 20.06 NA 20.06 5.16 58.39 58.39 0090.10.69.2120200 36.7856 09 21179 Reconstruct entire forehead A 22.25 17.84 NA 17.84 2.48 42.57 42.57 0090.10.69.2120200 36.7856 09 21180 Reconstruct entire forehead A 25.19 18.59 NA 18.59 2.15 45.93 45.93 0090.10.69.2120210 36.7856 09 21181 Contour cranial bone lesion A 9.90 8.34 NA 8.34 0.97 19.21 19.21 0090.10.69.2120000 36.7856 09 21182 Reconstruct cranial bone A 32.19 21.89 NA 21.89 2.53 56.61 56.61 0090.10.69.2120210 36.7856 09 21183 Reconstruct cranial bone A 35.31 23.87 NA 23.87 2.75 61.93 61.93 0090.10.69.2120210 36.7856 09 21184 Reconstruct cranial bone A 38.24 24.30 NA 24.30 4.12 66.66 66.66 0090.10.69.2120200 36.7856 09 21188 Reconstruction of midface A 22.46 15.62 NA 15.62 1.85 39.93 39.93 0090.10.69.2120200 36.7856 09 21193 Reconst lwr jaw w/o graft A 17.15 10.78 NA 10.78 1.53 29.46 29.46 0090.10.69.2122210 36.7856 09 21194 Reconst lwr jaw w/graft A 19.84 12.72 NA 12.72 1.39 33.95 33.95 0090.10.69.2122200 36.7856 09 21195 Reconst lwr jaw w/o fixation A 17.24 12.35 NA 12.35 1.20 30.79 30.79 0090.10.69.2122200 36.7856 09 21196 Reconst lwr jaw w/fixation A 18.91 12.91 NA 12.91 1.62 33.44 33.44 0090.10.69.2122210 36.7856 09 21198 Reconstr lwr jaw segment A 14.16 11.66 NA 11.66 1.05 26.87 26.87 0090.10.69.2120210 36.7856 09 21199 Reconstr lwr jaw w/advance A 16.00 9.29 NA 9.29 1.26 26.55 26.55 0090.10.69.2120210 36.7856 09 21206 Reconstruct upper jaw bone A 14.10 9.72 NA 9.72 1.01 24.83 24.83 0090.10.69.2120210 36.7856 09 21208 Augmentation of facial bones A 10.23 9.69 8.36 0.92 20.84 19.51 0090.10.69.2120000 36.7856 09 21209 Reduction of facial bones A 6.72 7.97 5.79 0.60 15.29 13.11 0090.10.69.2120200 36.7856 09 21210 Face bone graft A 10.23 8.99 8.14 0.88 20.10 19.25 0090.10.69.2120100 36.7856 09 21215 Lower jaw bone graft A 10.77 8.90 7.08 1.04 20.71 18.89 0090.10.69.2120110 36.7856 09 21230 Rib cartilage graft A 10.77 10.06 NA 10.06 0.96 21.79 21.79 0090.10.69.2120000 36.7856 09 21235 Ear cartilage graft A 6.72 12.21 8.03 0.52 19.45 15.27 0090.10.69.2120100 36.7856 09 21240 Reconstruction of jaw joint A 14.05 11.30 NA 11.30 1.15 26.50 26.50 0090.10.69.2121210 36.7856 09 21242 Reconstruction of jaw joint A 12.95 11.07 NA 11.07 1.40 25.42 25.42 0090.10.69.2121210 36.7856 09 21243 Reconstruction of jaw joint A 20.79 13.76 NA 13.76 1.85 36.40 36.40 0090.10.69.2121210 36.7856 09 21244 Reconstruction of lower jaw A 11.86 9.17 NA 9.17 0.95 21.98 21.98 0090.10.69.2120210 36.7856 09 21245 Reconstruction of jaw A 11.86 12.18 10.18 0.88 24.92 22.92 0090.10.69.2120200 36.7856 09 21246 Reconstruction of jaw A 12.47 10.33 10.33 1.21 24.01 24.01 0090.10.69.2120200 36.7856 09 21247 Reconstruct lower jaw bone A 22.63 16.39 NA 16.39 2.21 41.23 41.23 0090.10.69.2120210 36.7856 09 21248 Reconstruction of jaw A 11.48 8.99 7.76 1.01 21.48 20.25 0090.10.69.2120100 36.7856 09 21249 Reconstruction of jaw A 17.52 11.51 10.20 1.39 30.42 29.11 0090.10.69.2120000 36.7856 09 21255 Reconstruct lower jaw bone A 16.72 11.44 NA 11.44 1.13 29.29 29.29 0090.10.69.2120210 36.7856 09 21256 Reconstruction of orbit A 16.19 13.27 NA 13.27 1.04 30.50 30.50 0090.10.69.2120210 36.7856 09 21260 Revise eye sockets A 16.52 10.71 NA 10.71 1.25 28.48 28.48 0090.10.69.2120210 36.7856 09 21261 Revise eye sockets A 31.49 20.59 NA 20.59 2.20 54.28 54.28 0090.10.69.2120210 36.7856 09 21263 Revise eye sockets A 28.42 12.98 NA 12.98 2.16 43.56 43.56 0090.10.69.2120210 36.7856 09 21267 Revise eye sockets A 18.90 14.48 NA 14.48 1.35 34.73 34.73 0090.10.69.2120210 36.7856 09 21268 Revise eye sockets A 24.48 16.12 NA 16.12 0.79 41.39 41.39 0090.10.69.2120210 36.7856 09 21270 Augmentation, cheek bone A 10.23 9.54 9.54 0.73 20.50 20.50 0090.10.69.2120210 36.7856 09 21275 Revision, orbitofacial bones A 11.24 10.78 NA 10.78 1.03 23.05 23.05 0090.10.69.2120210 36.7856 09 21280 Revision of eyelid A 6.03 6.07 NA 6.07 0.27 12.37 12.37 0090.10.69.2121000 36.7856 09 21282 Revision of eyelid A 3.49 5.15 NA 5.15 0.21 8.85 8.85 0090.10.69.2121100 36.7856 09 21295 Revision of jaw muscle/bone A 1.53 4.35 NA 4.35 0.13 6.01 6.01 0090.10.69.2120000 36.7856 09 21296 Revision of jaw muscle/bone A 4.25 4.55 NA 4.55 0.30 9.10 9.10 0090.10.69.2120000 36.7856 09 21299 Cranio/maxillofacial surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 21300 Treatment of skull fracture A 0.72 2.73 0.26 0.09 3.54 1.07 0000.00.00.0020000 36.7856 09 21310 Treatment of nose fracture A 0.58 2.68 0.15 0.05 3.31 0.78 0000.00.00.0020100 36.7856 09 21315 Treatment of nose fracture A 1.51 3.43 1.27 0.12 5.06 2.90 0010.10.80.1020100 36.7856 09 21320 Treatment of nose fracture A 1.85 4.83 2.03 0.15 6.83 4.03 0010.10.80.1020100 36.7856 09 21325 Treatment of nose fracture A 3.77 3.67 NA 3.67 0.31 7.75 7.75 0090.10.69.2120000 36.7856 09 21330 Treatment of nose fracture A 5.38 5.51 NA 5.51 0.48 11.37 11.37 0090.10.69.2120000 36.7856 09 21335 Treatment of nose fracture A 8.61 7.16 NA 7.16 0.64 16.41 16.41 0090.10.69.2120100 36.7856 09 21336 Treat nasal septal fracture A 5.72 5.55 NA 5.55 0.45 11.72 11.72 0090.10.69.2120000 36.7856 09 21337 Treat nasal septal fracture A 2.70 5.23 3.25 0.22 8.15 6.17 0090.10.69.2120000 36.7856 09 21338 Treat nasoethmoid fracture A 6.46 5.96 NA 5.96 0.53 12.95 12.95 0090.10.69.2120000 36.7856 09 21339 Treat nasoethmoid fracture A 8.09 6.70 NA 6.70 0.76 15.55 15.55 0090.10.69.2120210 36.7856 09 21340 Treatment of nose fracture A 10.77 9.09 NA 9.09 0.85 20.71 20.71 0090.10.69.2120000 36.7856 09 21343 Treatment of sinus fracture A 12.95 9.77 NA 9.77 1.06 23.78 23.78 0090.10.69.2120210 36.7856 09 21344 Treatment of sinus fracture A 19.72 13.44 NA 13.44 1.72 34.88 34.88 0090.10.69.2120220 36.7856 09 21345 Treat nose/jaw fracture A 8.16 9.73 7.91 0.60 18.49 16.67 0090.10.69.2120000 36.7856 09 21346 Treat nose/jaw fracture A 10.61 10.05 NA 10.05 0.85 21.51 21.51 0090.10.69.2120110 36.7856 09 21347 Treat nose/jaw fracture A 12.69 9.50 NA 9.50 1.14 23.33 23.33 0090.10.69.2120210 36.7856 09 21348 Treat nose/jaw fracture A 16.69 10.93 NA 10.93 1.50 29.12 29.12 0090.10.69.2120220 36.7856 09 21355 Treat cheek bone fracture A 3.77 4.40 2.28 0.29 8.46 6.34 0010.10.80.1020000 36.7856 09 21356 Treat cheek bone fracture A 4.15 3.23 NA 3.23 0.36 7.74 7.74 0010.10.80.1020000 36.7856 09 21360 Treat cheek bone fracture A 6.46 5.63 NA 5.63 0.52 12.61 12.61 0090.10.69.2120200 36.7856 09 21365 Treat cheek bone fracture A 14.95 11.31 NA 11.31 1.30 27.56 27.56 0090.10.69.2120210 36.7856 09 21366 Treat cheek bone fracture A 17.77 11.90 NA 11.90 1.41 31.08 31.08 0090.10.69.2120220 36.7856 09 21385 Treat eye socket fracture A 9.16 7.53 NA 7.53 0.64 17.33 17.33 0090.10.69.2120210 36.7856 09 21386 Treat eye socket fracture A 9.16 7.97 NA 7.97 0.76 17.89 17.89 0090.10.69.2120200 36.7856 09 21387 Treat eye socket fracture A 9.70 8.22 NA 8.22 0.78 18.70 18.70 0090.10.69.2120200 36.7856 09 21390 Treat eye socket fracture A 10.13 8.47 NA 8.47 0.70 19.30 19.30 0090.10.69.2120210 36.7856 09 21395 Treat eye socket fracture A 12.68 9.79 NA 9.79 1.09 23.56 23.56 0090.10.69.2120210 36.7856 09 21400 Treat eye socket fracture A 1.40 3.12 1.05 0.12 4.64 2.57 0090.10.69.2120000 36.7856 09 21401 Treat eye socket fracture A 3.26 4.83 3.11 0.34 8.43 6.71 0090.10.69.2120200 36.7856 09 21406 Treat eye socket fracture A 7.01 6.75 NA 6.75 0.59 14.35 14.35 0090.10.69.2120210 36.7856 09 21407 Treat eye socket fracture A 8.61 7.75 NA 7.75 0.67 17.03 17.03 0090.10.69.2120210 36.7856 09 21408 Treat eye socket fracture A 12.38 10.01 NA 10.01 1.24 23.63 23.63 0090.10.69.2120220 36.7856 09 21421 Treat mouth roof fracture A 5.14 7.44 6.09 0.42 13.00 11.65 0090.10.69.2120000 36.7856 09 21422 Treat mouth roof fracture A 8.32 7.49 NA 7.49 0.69 16.50 16.50 0090.10.69.2120210 36.7856 09 21423 Treat mouth roof fracture A 10.40 8.02 NA 8.02 0.95 19.37 19.37 0090.10.69.2120220 36.7856 09 21431 Treat craniofacial fracture A 7.05 6.68 NA 6.68 0.58 14.31 14.31 0090.10.69.2120200 36.7856 09 21432 Treat craniofacial fracture A 8.61 7.74 NA 7.74 0.55 16.90 16.90 0090.10.69.2120200 36.7856 09 21433 Treat craniofacial fracture A 25.35 17.10 NA 17.10 2.46 44.91 44.91 0090.10.69.2120210 36.7856 09 21435 Treat craniofacial fracture A 17.25 12.56 NA 12.56 1.66 31.47 31.47 0090.10.69.2120200 36.7856 09 21436 Treat craniofacial fracture A 28.04 17.16 NA 17.16 2.32 47.52 47.52 0090.10.69.2120220 36.7856 09 21440 Treat dental ridge fracture A 2.70 5.68 3.64 0.22 8.60 6.56 0090.10.69.2120000 36.7856 09 21445 Treat dental ridge fracture A 5.38 7.04 5.17 0.55 12.97 11.10 0090.10.69.2120200 36.7856 09 21450 Treat lower jaw fracture A 2.97 6.87 2.74 0.23 10.07 5.94 0090.10.69.2120000 36.7856 09 21451 Treat lower jaw fracture A 4.87 6.63 5.65 0.39 11.89 10.91 0090.10.69.2120000 36.7856 09 21452 Treat lower jaw fracture A 1.98 9.39 4.20 0.14 11.51 6.32 0090.10.69.2120000 36.7856 09 21453 Treat lower jaw fracture A 5.54 7.52 6.40 0.49 13.55 12.43 0090.10.69.2120000 36.7856 09 21454 Treat lower jaw fracture A 6.46 5.78 NA 5.78 0.55 12.79 12.79 0090.10.69.2120010 36.7856 09 21461 Treat lower jaw fracture A 8.09 9.26 7.94 0.73 18.08 16.76 0090.10.69.2120210 36.7856 09 21462 Treat lower jaw fracture A 9.79 10.56 8.08 0.80 21.15 18.67 0090.10.69.2120210 36.7856 09 21465 Treat lower jaw fracture A 11.91 7.87 NA 7.87 0.84 20.62 20.62 0090.10.69.2120210 36.7856 09 21470 Treat lower jaw fracture A 15.34 9.93 NA 9.93 1.36 26.63 26.63 0090.10.69.2120210 36.7856 09 21480 Reset dislocated jaw A 0.61 1.58 0.18 0.05 2.24 0.84 0000.00.00.0021100 36.7856 09 21485 Reset dislocated jaw A 3.99 3.85 3.39 0.31 8.15 7.69 0090.10.69.2121000 36.7856 09 21490 Repair dislocated jaw A 11.86 7.57 NA 7.57 1.31 20.74 20.74 0090.10.69.2121210 36.7856 09 21493 Treat hyoid bone fracture A 1.27 3.38 NA 3.38 0.10 4.75 4.75 0090.10.69.2120110 36.7856 09 21494 Treat hyoid bone fracture A 6.28 5.06 NA 5.06 0.44 11.78 11.78 0090.10.69.2120210 36.7856 09 21495 Treat hyoid bone fracture A 5.69 5.00 NA 5.00 0.41 11.10 11.10 0090.10.69.2120200 36.7856 09 21497 Interdental wiring A 3.86 4.75 3.97 0.31 8.92 8.14 0090.10.69.2120000 36.7856 09 21499 Head surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 21501 Drain neck/chest lesion A 3.81 4.39 3.59 0.36 8.56 7.76 0090.10.69.2120100 36.7856 09 21502 Drain chest lesion A 7.12 7.44 NA 7.44 0.79 15.35 15.35 0090.10.69.2120200 36.7856 09 21510 Drainage of bone lesion A 5.74 7.16 NA 7.16 0.67 13.57 13.57 0090.10.69.2120000 36.7856 09 21550 Biopsy of neck/chest A 2.06 2.33 1.22 0.13 4.52 3.41 0010.10.80.1020100 36.7856 09 21555 Remove lesion, neck/chest A 4.35 4.26 2.44 0.41 9.02 7.20 0090.10.69.2120100 36.7856 09 21556 Remove lesion, neck/chest A 5.57 3.21 NA 3.21 0.51 9.29 9.29 0090.10.69.2120100 36.7856 09 21557 Remove tumor, neck/chest A 8.88 7.68 NA 7.68 0.85 17.41 17.41 0090.10.69.2120210 36.7856 09 21600 Partial removal of rib A 6.89 7.57 NA 7.57 0.81 15.27 15.27 0090.10.69.2120210 36.7856 09 21610 Partial removal of rib A 14.61 11.24 NA 11.24 1.85 27.70 27.70 0090.10.69.2120200 36.7856 09 21615 Removal of rib A 9.87 8.07 NA 8.07 1.20 19.14 19.14 0090.10.69.2121210 36.7856 09 21616 Removal of rib and nerves A 12.04 9.27 NA 9.27 1.31 22.62 22.62 0090.10.69.2121200 36.7856 09 21620 Partial removal of sternum A 6.79 8.04 NA 8.04 0.77 15.60 15.60 0090.10.69.2120210 36.7856 09 21627 Sternal debridement A 6.81 12.58 NA 12.58 0.82 20.21 20.21 0090.10.69.2120200 36.7856 09 21630 Extensive sternum surgery A 17.38 13.52 NA 13.52 1.95 32.85 32.85 0090.10.69.2120210 36.7856 09 21632 Extensive sternum surgery A 18.14 12.17 NA 12.17 2.16 32.47 32.47 0090.10.69.2120210 36.7856 09 21700 Revision of neck muscle A 6.19 9.22 7.25 0.31 15.72 13.75 0090.10.69.2120200 36.7856 09 21705 Revision of neck muscle/rib A 9.60 7.62 NA 7.62 0.92 18.14 18.14 0090.10.69.2120200 36.7856 09 21720 Revision of neck muscle A 5.68 7.95 7.01 0.80 14.43 13.49 0090.10.69.2120200 36.7856 09 21725 Revision of neck muscle A 6.99 7.45 NA 7.45 0.90 15.34 15.34 0090.10.69.2120210 36.7856 09 21740 Reconstruction of sternum A 16.50 12.48 NA 12.48 2.03 31.01 31.01 0090.10.69.2120210 36.7856 09 21742 Repair stern/nuss w/o scope C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2120210 36.7856 09 21743 Repair sternum/nuss w/scope C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2120210 36.7856 09 21750 Repair of sternum separation A 10.77 9.85 NA 9.85 1.35 21.97 21.97 0090.10.69.2120210 36.7856 09 21800 Treatment of rib fracture A 0.96 2.38 1.08 0.09 3.43 2.13 0090.10.69.2120100 36.7856 09 21805 Treatment of rib fracture A 2.75 4.71 NA 4.71 0.29 7.75 7.75 0090.10.69.2120000 36.7856 09 21810 Treatment of rib fracture(s) A 6.86 7.06 NA 7.06 0.60 14.52 14.52 0090.10.69.2120200 36.7856 09 21820 Treat sternum fracture A 1.28 2.92 1.56 0.15 4.35 2.99 0090.10.69.2120100 36.7856 09 21825 Treat sternum fracture A 7.41 10.26 NA 10.26 0.84 18.51 18.51 0090.10.69.2120210 36.7856 09 21899 Neck/chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 21920 Biopsy soft tissue of back A 2.06 2.45 0.75 0.12 4.63 2.93 0010.10.80.1020100 36.7856 09 21925 Biopsy soft tissue of back A 4.49 11.93 4.68 0.44 16.86 9.61 0090.10.69.2120100 36.7856 09 21930 Remove lesion, back or flank A 5.00 4.60 2.62 0.49 10.09 8.11 0090.10.69.2120100 36.7856 09 21935 Remove tumor, back A 17.96 13.01 NA 13.01 1.87 32.84 32.84 0090.10.69.2120110 36.7856 09 22100 Remove part of neck vertebra A 9.73 8.38 NA 8.38 1.55 19.66 19.66 0090.10.69.2120210 36.7856 09 22101 Remove part, thorax vertebra A 9.81 8.57 NA 8.57 1.51 19.89 19.89 0090.10.69.2120210 36.7856 09 22102 Remove part, lumbar vertebra A 9.81 8.77 NA 8.77 1.46 20.04 20.04 0090.10.69.2120210 36.7856 09 22103 Remove extra spine segment A 2.34 1.24 NA 1.24 0.37 3.95 3.95 0ZZZ.00.00.0000210 36.7856 09 22110 Remove part of neck vertebra A 12.74 10.66 NA 10.66 2.20 25.60 25.60 0090.10.69.2120210 36.7856 09 22112 Remove part, thorax vertebra A 12.81 10.54 NA 10.54 1.96 25.31 25.31 0090.10.69.2120210 36.7856 09 22114 Remove part, lumbar vertebra A 12.81 10.45 NA 10.45 1.98 25.24 25.24 0090.10.69.2120210 36.7856 09 22116 Remove extra spine segment A 2.32 1.19 NA 1.19 0.40 3.91 3.91 0ZZZ.00.00.0000210 36.7856 09 22210 Revision of neck spine A 23.82 17.10 NA 17.10 4.23 45.15 45.15 0090.10.69.2120210 36.7856 09 22212 Revision of thorax spine A 19.42 14.61 NA 14.61 2.78 36.81 36.81 0090.10.69.2120200 36.7856 09 22214 Revision of lumbar spine A 19.45 15.09 NA 15.09 2.78 37.32 37.32 0090.10.69.2120210 36.7856 09 22216 Revise, extra spine segment A 6.04 3.21 NA 3.21 0.98 10.23 10.23 0ZZZ.00.00.0001210 36.7856 09 22220 Revision of neck spine A 21.37 15.50 NA 15.50 3.65 40.52 40.52 0090.10.69.2120210 36.7856 09 22222 Revision of thorax spine A 21.52 13.08 NA 13.08 3.08 37.68 37.68 0090.10.69.2120200 36.7856 09 22224 Revision of lumbar spine A 21.52 15.72 NA 15.72 3.20 40.44 40.44 0090.10.69.2120210 36.7856 09 22226 Revise, extra spine segment A 6.04 3.17 NA 3.17 1.01 10.22 10.22 0ZZZ.00.00.0001210 36.7856 09 22305 Treat spine process fracture A 2.05 3.40 2.82 0.29 5.74 5.16 0090.10.69.2120100 36.7856 09 22310 Treat spine fracture A 2.61 5.04 4.44 0.37 8.02 7.42 0090.10.69.2120100 36.7856 09 22315 Treat spine fracture A 8.84 8.64 NA 8.64 1.37 18.85 18.85 0090.10.69.2120100 36.7856 09 22318 Treat odontoid fx w/o graft A 21.50 14.63 NA 14.63 4.26 40.39 40.39 0090.10.69.2120220 36.7856 09 22319 Treat odontoid fx w/graft A 24.00 17.14 NA 17.14 4.76 45.90 45.90 0090.10.69.2120220 36.7856 09 22325 Treat spine fracture A 18.30 13.88 NA 13.88 2.61 34.79 34.79 0090.10.69.2120210 36.7856 09 22326 Treat neck spine fracture A 19.59 15.00 NA 15.00 3.54 38.13 38.13 0090.10.69.2120210 36.7856 09 22327 Treat thorax spine fracture A 19.20 14.24 NA 14.24 2.75 36.19 36.19 0090.10.69.2120210 36.7856 09 22328 Treat each add spine fx A 4.61 2.33 NA 2.33 0.66 7.60 7.60 0ZZZ.00.00.0000210 36.7856 09 22505 Manipulation of spine A 1.87 4.80 3.19 0.27 6.94 5.33 0010.10.80.1020100 36.7856 09 22520 Percut vertebroplasty thor A 8.91 3.98 NA 3.98 0.99 13.88 13.88 0010.10.80.1020100 36.7856 09 22521 Percut vertebroplasty lumb A 8.34 3.81 NA 3.81 0.93 13.08 13.08 0010.10.80.1020100 36.7856 09 22522 Percut vertebroplasty addl A 4.31 1.73 NA 1.73 0.33 6.37 6.37 0ZZZ.00.00.0000100 36.7856 09 22548 Neck spine fusion A 25.82 16.22 NA 16.22 4.98 47.02 47.02 0090.10.69.2120220 36.7856 09 22554 Neck spine fusion A 18.62 12.63 NA 12.63 3.51 34.76 34.76 0090.10.69.2120220 36.7856 09 22556 Thorax spine fusion A 23.46 14.89 NA 14.89 3.78 42.13 42.13 0090.10.69.2120220 36.7856 09 22558 Lumbar spine fusion A 22.28 13.40 NA 13.40 3.18 38.86 38.86 0090.10.69.2120220 36.7856 09 22585 Additional spinal fusion A 5.53 2.87 NA 2.87 0.98 9.38 9.38 0ZZZ.00.00.0000220 36.7856 09 22590 Spine & skull spinal fusion A 20.51 13.62 NA 13.62 3.81 37.94 37.94 0090.10.69.2120220 36.7856 09 22595 Neck spinal fusion A 19.39 13.12 NA 13.12 3.62 36.13 36.13 0090.10.69.2120220 36.7856 09 22600 Neck spine fusion A 16.14 11.40 NA 11.40 2.89 30.43 30.43 0090.10.69.2120220 36.7856 09 22610 Thorax spine fusion A 16.02 11.56 NA 11.56 2.66 30.24 30.24 0090.10.69.2120220 36.7856 09 22612 Lumbar spine fusion A 21.00 14.36 NA 14.36 3.28 38.64 38.64 0090.10.69.2120220 36.7856 09 22614 Spine fusion, extra segment A 6.44 3.44 NA 3.44 1.04 10.92 10.92 0ZZZ.00.00.0000220 36.7856 09 22630 Lumbar spine fusion A 20.84 14.01 NA 14.01 3.79 38.64 38.64 0090.10.69.2120220 36.7856 09 22632 Spine fusion, extra segment A 5.23 2.74 NA 2.74 0.90 8.87 8.87 0ZZZ.00.00.0000220 36.7856 09 22800 Fusion of spine A 18.25 13.02 NA 13.02 2.71 33.98 33.98 0090.10.69.2120210 36.7856 09 22802 Fusion of spine A 30.88 19.99 NA 19.99 4.42 55.29 55.29 0090.10.69.2120210 36.7856 09 22804 Fusion of spine A 36.27 23.15 NA 23.15 5.23 64.65 64.65 0090.10.69.2120210 36.7856 09 22808 Fusion of spine A 26.27 16.72 NA 16.72 4.36 47.35 47.35 0090.10.69.2120210 36.7856 09 22810 Fusion of spine A 30.27 18.75 NA 18.75 4.49 53.51 53.51 0090.10.69.2120210 36.7856 09 22812 Fusion of spine A 32.70 20.27 NA 20.27 4.67 57.64 57.64 0090.10.69.2120210 36.7856 09 22818 Kyphectomy, 1-2 segments A 31.83 19.49 NA 19.49 5.01 56.33 56.33 0090.11.76.1320222 36.7856 09 22819 Kyphectomy, 3 or more A 36.44 20.58 NA 20.58 5.20 62.22 62.22 0090.11.76.1320222 36.7856 09 22830 Exploration of spinal fusion A 10.85 8.32 NA 8.32 1.73 20.90 20.90 0090.10.69.2120210 36.7856 09 22840 Insert spine fixation device A 12.54 6.67 NA 6.67 2.03 21.24 21.24 0ZZZ.00.00.0000210 36.7856 09 22841 Insert spine fixation device B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 22842 Insert spine fixation device A 12.58 6.69 NA 6.69 2.04 21.31 21.31 0ZZZ.00.00.0000220 36.7856 09 22843 Insert spine fixation device A 13.46 6.78 NA 6.78 2.10 22.34 22.34 0ZZZ.00.00.0000220 36.7856 09 22844 Insert spine fixation device A 16.44 8.99 NA 8.99 2.42 27.85 27.85 0ZZZ.00.00.0000220 36.7856 09 22845 Insert spine fixation device A 11.96 6.24 NA 6.24 2.22 20.42 20.42 0ZZZ.00.00.0000220 36.7856 09 22846 Insert spine fixation device A 12.42 6.51 NA 6.51 2.26 21.19 21.19 0ZZZ.00.00.0000220 36.7856 09 22847 Insert spine fixation device A 13.80 7.21 NA 7.21 2.36 23.37 23.37 0ZZZ.00.00.0000220 36.7856 09 22848 Insert pelv fixation device A 6.00 3.27 NA 3.27 0.88 10.15 10.15 0ZZZ.00.00.0000220 36.7856 09 22849 Reinsert spinal fixation A 18.51 13.75 NA 13.75 2.87 35.13 35.13 0090.10.69.2120210 36.7856 09 22850 Remove spine fixation device A 9.52 8.50 NA 8.50 1.51 19.53 19.53 0090.10.69.2120210 36.7856 09 22851 Apply spine prosth device A 6.71 3.45 NA 3.45 1.11 11.27 11.27 0ZZZ.00.00.0000220 36.7856 09 22852 Remove spine fixation device A 9.01 8.26 NA 8.26 1.40 18.67 18.67 0090.10.69.2120210 36.7856 09 22855 Remove spine fixation device A 15.13 11.24 NA 11.24 2.74 29.11 29.11 0090.10.69.2120210 36.7856 09 22899 Spine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 22900 Remove abdominal wall lesion A 5.80 4.29 NA 4.29 0.58 10.67 10.67 0090.10.69.2120210 36.7856 09 22999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 23000 Removal of calcium deposits A 4.36 8.97 7.38 0.50 13.83 12.24 0090.10.69.2120210 36.7856 09 23020 Release shoulder joint A 8.93 10.95 NA 10.95 1.23 21.11 21.11 0090.10.69.2121200 36.7856 09 23030 Drain shoulder lesion A 3.43 6.24 4.54 0.42 10.09 8.39 0010.10.80.1020100 36.7856 09 23031 Drain shoulder bursa A 2.74 6.00 4.34 0.33 9.07 7.41 0010.10.80.1021100 36.7856 09 23035 Drain shoulder bone lesion A 8.61 15.81 NA 15.81 1.19 25.61 25.61 0090.10.69.2121200 36.7856 09 23040 Exploratory shoulder surgery A 9.20 12.15 NA 12.15 1.28 22.63 22.63 0090.10.69.2121210 36.7856 09 23044 Exploratory shoulder surgery A 7.12 11.01 NA 11.01 0.97 19.10 19.10 0090.10.69.2121110 36.7856 09 23065 Biopsy shoulder tissues A 2.27 2.71 1.33 0.14 5.12 3.74 0010.10.80.1021100 36.7856 09 23066 Biopsy shoulder tissues A 4.16 7.96 6.49 0.50 12.62 11.15 0090.10.69.2121100 36.7856 09 23075 Removal of shoulder lesion A 2.39 5.36 3.21 0.25 8.00 5.85 0010.10.80.1021100 36.7856 09 23076 Removal of shoulder lesion A 7.63 8.42 NA 8.42 0.87 16.92 16.92 0090.10.69.2121100 36.7856 09 23077 Remove tumor of shoulder A 16.09 14.26 NA 14.26 1.81 32.16 32.16 0090.10.69.2121210 36.7856 09 23100 Biopsy of shoulder joint A 6.03 9.13 NA 9.13 0.81 15.97 15.97 0090.10.69.2121210 36.7856 09 23101 Shoulder joint surgery A 5.58 9.14 NA 9.14 0.77 15.49 15.49 0090.10.69.2121110 36.7856 09 23105 Remove shoulder joint lining A 8.23 10.55 NA 10.55 1.13 19.91 19.91 0090.10.69.2121210 36.7856 09 23106 Incision of collarbone joint A 5.96 9.25 NA 9.25 0.82 16.03 16.03 0090.10.69.2121110 36.7856 09 23107 Explore treat shoulder joint A 8.62 10.74 NA 10.74 1.19 20.55 20.55 0090.10.69.2121210 36.7856 09 23120 Partial removal, collar bone A 7.11 9.97 NA 9.97 0.99 18.07 18.07 0090.10.69.2120210 36.7856 09 23125 Removal of collar bone A 9.39 11.08 NA 11.08 1.27 21.74 21.74 0090.10.69.2121210 36.7856 09 23130 Remove shoulder bone, part A 7.55 10.20 NA 10.20 1.06 18.81 18.81 0090.10.69.2121110 36.7856 09 23140 Removal of bone lesion A 6.89 8.64 NA 8.64 0.82 16.35 16.35 0090.10.69.2121100 36.7856 09 23145 Removal of bone lesion A 9.09 12.05 NA 12.05 1.24 22.38 22.38 0090.10.69.2121210 36.7856 09 23146 Removal of bone lesion A 7.83 11.37 NA 11.37 1.11 20.31 20.31 0090.10.69.2121000 36.7856 09 23150 Removal of humerus lesion A 8.48 10.37 NA 10.37 1.14 19.99 19.99 0090.10.69.2121210 36.7856 09 23155 Removal of humerus lesion A 10.35 12.62 NA 12.62 1.20 24.17 24.17 0090.10.69.2121210 36.7856 09 23156 Removal of humerus lesion A 8.68 10.74 NA 10.74 1.18 20.60 20.60 0090.10.69.2121200 36.7856 09 23170 Remove collar bone lesion A 6.86 11.17 NA 11.17 0.84 18.87 18.87 0090.10.69.2121100 36.7856 09 23172 Remove shoulder blade lesion A 6.90 10.70 NA 10.70 0.95 18.55 18.55 0090.10.69.2121200 36.7856 09 23174 Remove humerus lesion A 9.51 12.19 NA 12.19 1.30 23.00 23.00 0090.10.69.2121210 36.7856 09 23180 Remove collar bone lesion A 8.53 16.82 NA 16.82 1.18 26.53 26.53 0090.10.69.2121110 36.7856 09 23182 Remove shoulder blade lesion A 8.15 16.90 NA 16.90 1.08 26.13 26.13 0090.10.69.2121200 36.7856 09 23184 Remove humerus lesion A 9.38 17.08 NA 17.08 1.24 27.70 27.70 0090.10.69.2121210 36.7856 09 23190 Partial removal of scapula A 7.24 8.72 NA 8.72 0.97 16.93 16.93 0090.10.69.2121210 36.7856 09 23195 Removal of head of humerus A 9.81 11.11 NA 11.11 1.38 22.30 22.30 0090.10.69.2121210 36.7856 09 23200 Removal of collar bone A 12.08 14.52 NA 14.52 1.48 28.08 28.08 0090.10.69.2121210 36.7856 09 23210 Removal of shoulder blade A 12.49 14.47 NA 14.47 1.61 28.57 28.57 0090.10.69.2121210 36.7856 09 23220 Partial removal of humerus A 14.56 15.73 NA 15.73 2.03 32.32 32.32 0090.10.69.2121210 36.7856 09 23221 Partial removal of humerus A 17.74 17.13 NA 17.13 2.51 37.38 37.38 0090.10.69.2121200 36.7856 09 23222 Partial removal of humerus A 23.92 21.02 NA 21.02 3.37 48.31 48.31 0090.10.69.2121210 36.7856 09 23330 Remove shoulder foreign body A 1.85 5.75 3.77 0.18 7.78 5.80 0010.10.80.1021000 36.7856 09 23331 Remove shoulder foreign body A 7.38 10.06 NA 10.06 1.02 18.46 18.46 0090.10.69.2121000 36.7856 09 23332 Remove shoulder foreign body A 11.62 12.40 NA 12.40 1.62 25.64 25.64 0090.10.69.2121210 36.7856 09 23350 Injection for shoulder x-ray A 1.00 7.30 0.34 0.05 8.35 1.39 0000.00.00.0021100 36.7856 09 23395 Muscle transfer,shoulder/arm A 16.85 14.27 NA 14.27 2.29 33.41 33.41 0090.10.69.2120210 36.7856 09 23397 Muscle transfers A 16.13 14.61 NA 14.61 2.24 32.98 32.98 0090.10.69.2120210 36.7856 09 23400 Fixation of shoulder blade A 13.54 14.58 NA 14.58 1.91 30.03 30.03 0090.10.69.2121210 36.7856 09 23405 Incision of tendon & muscle A 8.37 9.69 NA 9.69 1.12 19.18 19.18 0090.10.69.2120210 36.7856 09 23406 Incise tendon(s) & muscle(s) A 10.79 11.89 NA 11.89 1.48 24.16 24.16 0090.10.69.2120200 36.7856 09 23410 Repair rotator cuff, acute A 12.45 12.81 NA 12.81 1.72 26.98 26.98 0090.10.69.2120210 36.7856 09 23412 Repair rotator cuff, chronic A 13.31 13.32 NA 13.32 1.86 28.49 28.49 0090.10.69.2121210 36.7856 09 23415 Release of shoulder ligament A 9.97 10.45 NA 10.45 1.39 21.81 21.81 0090.10.69.2121110 36.7856 09 23420 Repair of shoulder A 13.30 14.31 NA 14.31 1.86 29.47 29.47 0090.10.69.2121210 36.7856 09 23430 Repair biceps tendon A 9.98 11.50 NA 11.50 1.40 22.88 22.88 0090.10.69.2121210 36.7856 09 23440 Remove/transplant tendon A 10.48 11.82 NA 11.82 1.47 23.77 23.77 0090.10.69.2121210 36.7856 09 23450 Repair shoulder capsule A 13.40 13.30 NA 13.30 1.86 28.56 28.56 0090.10.69.2121210 36.7856 09 23455 Repair shoulder capsule A 14.37 13.88 NA 13.88 2.01 30.26 30.26 0090.10.69.2121210 36.7856 09 23460 Repair shoulder capsule A 15.37 14.46 NA 14.46 2.17 32.00 32.00 0090.10.69.2121210 36.7856 09 23462 Repair shoulder capsule A 15.30 14.13 NA 14.13 2.16 31.59 31.59 0090.10.69.2121210 36.7856 09 23465 Repair shoulder capsule A 15.85 14.31 NA 14.31 1.61 31.77 31.77 0090.10.69.2121210 36.7856 09 23466 Repair shoulder capsule A 14.22 13.84 NA 13.84 2.00 30.06 30.06 0090.10.69.2121210 36.7856 09 23470 Reconstruct shoulder joint A 17.15 12.42 NA 12.42 2.40 31.97 31.97 0090.10.69.2121210 36.7856 09 23472 Reconstruct shoulder joint A 21.10 14.64 NA 14.64 2.37 38.11 38.11 0090.10.69.2121210 36.7856 09 23480 Revision of collar bone A 11.18 12.16 NA 12.16 1.56 24.90 24.90 0090.10.69.2121110 36.7856 09 23485 Revision of collar bone A 13.43 13.35 NA 13.35 1.84 28.62 28.62 0090.10.69.2121210 36.7856 09 23490 Reinforce clavicle A 11.86 12.24 NA 12.24 1.11 25.21 25.21 0090.10.69.2121200 36.7856 09 23491 Reinforce shoulder bones A 14.21 13.76 NA 13.76 2.00 29.97 29.97 0090.10.69.2121210 36.7856 09 23500 Treat clavicle fracture A 2.08 4.08 2.60 0.26 6.42 4.94 0090.10.69.2121100 36.7856 09 23505 Treat clavicle fracture A 3.69 6.20 4.12 0.50 10.39 8.31 0090.10.69.2121100 36.7856 09 23515 Treat clavicle fracture A 7.41 8.43 NA 8.43 1.03 16.87 16.87 0090.10.69.2121210 36.7856 09 23520 Treat clavicle dislocation A 2.16 4.12 2.68 0.26 6.54 5.10 0090.10.69.2121000 36.7856 09 23525 Treat clavicle dislocation A 3.60 6.00 3.98 0.44 10.04 8.02 0090.10.69.2121000 36.7856 09 23530 Treat clavicle dislocation A 7.31 8.20 NA 8.20 0.85 16.36 16.36 0090.10.69.2121200 36.7856 09 23532 Treat clavicle dislocation A 8.01 8.60 NA 8.60 1.13 17.74 17.74 0090.10.69.2121200 36.7856 09 23540 Treat clavicle dislocation A 2.23 4.68 2.57 0.24 7.15 5.04 0090.10.69.2121100 36.7856 09 23545 Treat clavicle dislocation A 3.25 5.26 3.69 0.39 8.90 7.33 0090.10.69.2121000 36.7856 09 23550 Treat clavicle dislocation A 7.24 8.37 NA 8.37 0.94 16.55 16.55 0090.10.69.2121210 36.7856 09 23552 Treat clavicle dislocation A 8.45 9.03 NA 9.03 1.18 18.66 18.66 0090.10.69.2121210 36.7856 09 23570 Treat shoulder blade fx A 2.23 4.06 2.77 0.29 6.58 5.29 0090.10.69.2121100 36.7856 09 23575 Treat shoulder blade fx A 4.06 6.41 4.37 0.53 11.00 8.96 0090.10.69.2121000 36.7856 09 23585 Treat scapula fracture A 8.96 9.58 NA 9.58 1.25 19.79 19.79 0090.10.69.2121210 36.7856 09 23600 Treat humerus fracture A 2.93 5.91 3.74 0.39 9.23 7.06 0090.10.69.2121100 36.7856 09 23605 Treat humerus fracture A 4.87 8.79 6.83 0.67 14.33 12.37 0090.10.69.2121100 36.7856 09 23615 Treat humerus fracture A 9.35 10.47 NA 10.47 1.31 21.13 21.13 0090.10.69.2121210 36.7856 09 23616 Treat humerus fracture A 21.27 16.24 NA 16.24 2.98 40.49 40.49 0090.10.69.2121220 36.7856 09 23620 Treat humerus fracture A 2.40 5.62 3.47 0.32 8.34 6.19 0090.10.69.2121100 36.7856 09 23625 Treat humerus fracture A 3.93 7.75 5.75 0.53 12.21 10.21 0090.10.69.2121100 36.7856 09 23630 Treat humerus fracture A 7.35 8.44 NA 8.44 1.03 16.82 16.82 0090.10.69.2121210 36.7856 09 23650 Treat shoulder dislocation A 3.39 5.74 3.58 0.31 9.44 7.28 0090.10.69.2121100 36.7856 09 23655 Treat shoulder dislocation A 4.57 4.38 NA 4.38 0.52 9.47 9.47 0090.10.69.2121100 36.7856 09 23660 Treat shoulder dislocation A 7.49 8.24 NA 8.24 1.01 16.74 16.74 0090.10.69.2121210 36.7856 09 23665 Treat dislocation/fracture A 4.47 7.93 5.99 0.60 13.00 11.06 0090.10.69.2121100 36.7856 09 23670 Treat dislocation/fracture A 7.90 8.93 NA 8.93 1.10 17.93 17.93 0090.10.69.2121210 36.7856 09 23675 Treat dislocation/fracture A 6.05 8.66 6.87 0.83 15.54 13.75 0090.10.69.2121100 36.7856 09 23680 Treat dislocation/fracture A 10.06 10.06 NA 10.06 1.39 21.51 21.51 0090.10.69.2121210 36.7856 09 23700 Fixation of shoulder A 2.52 3.65 NA 3.65 0.35 6.52 6.52 0010.10.80.1020100 36.7856 09 23800 Fusion of shoulder joint A 14.16 14.66 NA 14.66 1.97 30.79 30.79 0090.10.69.2121210 36.7856 09 23802 Fusion of shoulder joint A 16.60 13.91 NA 13.91 2.34 32.85 32.85 0090.10.69.2120210 36.7856 09 23900 Amputation of arm & girdle A 19.72 15.69 NA 15.69 2.47 37.88 37.88 0090.10.69.2120200 36.7856 09 23920 Amputation at shoulder joint A 14.61 14.02 NA 14.02 1.92 30.55 30.55 0090.10.69.2120210 36.7856 09 23921 Amputation follow-up surgery A 5.49 6.90 NA 6.90 0.78 13.17 13.17 0090.10.69.2120100 36.7856 09 23929 Shoulder surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 23930 Drainage of arm lesion A 2.94 6.19 4.05 0.32 9.45 7.31 0010.10.80.1021100 36.7856 09 23931 Drainage of arm bursa A 1.79 5.97 3.88 0.21 7.97 5.88 0010.10.80.1021100 36.7856 09 23935 Drain arm/elbow bone lesion A 6.09 13.61 NA 13.61 0.84 20.54 20.54 0090.10.69.2121000 36.7856 09 24000 Exploratory elbow surgery A 5.82 6.17 NA 6.17 0.77 12.76 12.76 0090.10.69.2121010 36.7856 09 24006 Release elbow joint A 9.31 8.70 NA 8.70 1.27 19.28 19.28 0090.10.69.2121220 36.7856 09 24065 Biopsy arm/elbow soft tissue A 2.08 5.87 3.35 0.14 8.09 5.57 0010.10.80.1021100 36.7856 09 24066 Biopsy arm/elbow soft tissue A 5.21 8.94 6.82 0.61 14.76 12.64 0090.10.69.2121100 36.7856 09 24075 Remove arm/elbow lesion A 3.92 8.20 6.14 0.43 12.55 10.49 0090.10.69.2121100 36.7856 09 24076 Remove arm/elbow lesion A 6.30 7.34 NA 7.34 0.70 14.34 14.34 0090.10.69.2121100 36.7856 09 24077 Remove tumor of arm/elbow A 11.76 13.78 NA 13.78 1.32 26.86 26.86 0090.10.69.2121210 36.7856 09 24100 Biopsy elbow joint lining A 4.93 5.79 NA 5.79 0.62 11.34 11.34 0090.10.69.2121210 36.7856 09 24101 Explore/treat elbow joint A 6.13 6.96 NA 6.96 0.84 13.93 13.93 0090.10.69.2121200 36.7856 09 24102 Remove elbow joint lining A 8.03 7.95 NA 7.95 1.09 17.07 17.07 0090.10.69.2121210 36.7856 09 24105 Removal of elbow bursa A 3.61 5.38 NA 5.38 0.49 9.48 9.48 0090.10.69.2121100 36.7856 09 24110 Remove humerus lesion A 7.39 10.13 NA 10.13 0.99 18.51 18.51 0090.10.69.2121110 36.7856 09 24115 Remove/graft bone lesion A 9.63 10.52 NA 10.52 1.15 21.30 21.30 0090.10.69.2121210 36.7856 09 24116 Remove/graft bone lesion A 11.81 12.57 NA 12.57 1.66 26.04 26.04 0090.10.69.2121200 36.7856 09 24120 Remove elbow lesion A 6.65 6.95 NA 6.95 0.87 14.47 14.47 0090.10.69.2121000 36.7856 09 24125 Remove/graft bone lesion A 7.89 7.28 NA 7.28 0.88 16.05 16.05 0090.10.69.2121210 36.7856 09 24126 Remove/graft bone lesion A 8.31 8.03 NA 8.03 0.90 17.24 17.24 0090.10.69.2121200 36.7856 09 24130 Removal of head of radius A 6.25 7.05 NA 7.05 0.87 14.17 14.17 0090.10.69.2121110 36.7856 09 24134 Removal of arm bone lesion A 9.73 16.46 NA 16.46 1.31 27.50 27.50 0090.10.69.2121200 36.7856 09 24136 Remove radius bone lesion A 7.99 6.55 NA 6.55 0.85 15.39 15.39 0090.10.69.2121100 36.7856 09 24138 Remove elbow bone lesion A 8.05 8.03 NA 8.03 1.12 17.20 17.20 0090.10.69.2121200 36.7856 09 24140 Partial removal of arm bone A 9.18 17.56 NA 17.56 1.23 27.97 27.97 0090.10.69.2121200 36.7856 09 24145 Partial removal of radius A 7.58 11.64 NA 11.64 1.01 20.23 20.23 0090.10.69.2121110 36.7856 09 24147 Partial removal of elbow A 7.54 11.64 NA 11.64 1.04 20.22 20.22 0090.10.69.2121110 36.7856 09 24149 Radical resection of elbow A 14.20 11.19 NA 11.19 1.90 27.29 27.29 0090.10.69.2121210 36.7856 09 24150 Extensive humerus surgery A 13.27 15.23 NA 15.23 1.81 30.31 30.31 0090.10.69.2121210 36.7856 09 24151 Extensive humerus surgery A 15.58 16.96 NA 16.96 2.19 34.73 34.73 0090.10.69.2121210 36.7856 09 24152 Extensive radius surgery A 10.06 9.83 NA 9.83 1.19 21.08 21.08 0090.10.69.2121210 36.7856 09 24153 Extensive radius surgery A 11.54 7.06 NA 7.06 0.64 19.24 19.24 0090.10.69.2121000 36.7856 09 24155 Removal of elbow joint A 11.73 9.42 NA 9.42 1.42 22.57 22.57 0090.10.69.2121210 36.7856 09 24160 Remove elbow joint implant A 7.83 6.95 NA 6.95 1.07 15.85 15.85 0090.10.69.2121110 36.7856 09 24164 Remove radius head implant A 6.23 5.95 NA 5.95 0.84 13.02 13.02 0090.10.69.2121110 36.7856 09 24200 Removal of arm foreign body A 1.76 5.73 3.35 0.15 7.64 5.26 0010.10.80.1021000 36.7856 09 24201 Removal of arm foreign body A 4.56 8.91 7.06 0.56 14.03 12.18 0090.10.69.2121100 36.7856 09 24220 Injection for elbow x-ray A 1.31 11.02 0.46 0.07 12.40 1.84 0000.00.00.0021000 36.7856 09 24300 Manipulate elbow w/anesth A 3.75 5.53 NA 5.53 0.49 9.77 9.77 0090.10.69.2121100 36.7856 09 24301 Muscle/tendon transfer A 10.20 9.22 NA 9.22 1.30 20.72 20.72 0090.10.69.2120210 36.7856 09 24305 Arm tendon lengthening A 7.45 7.79 NA 7.79 0.98 16.22 16.22 0090.10.69.2120000 36.7856 09 24310 Revision of arm tendon A 5.98 8.53 NA 8.53 0.74 15.25 15.25 0090.10.69.2120000 36.7856 09 24320 Repair of arm tendon A 10.56 11.05 NA 11.05 1.00 22.61 22.61 0090.10.69.2120210 36.7856 09 24330 Revision of arm muscles A 9.60 8.87 NA 8.87 1.21 19.68 19.68 0090.10.69.2121200 36.7856 09 24331 Revision of arm muscles A 10.65 9.48 NA 9.48 1.41 21.54 21.54 0090.10.69.2121200 36.7856 09 24332 Tenolysis, triceps A 7.45 5.21 NA 5.21 0.77 13.43 13.43 0090.10.69.2121100 36.7856 09 24340 Repair of biceps tendon A 7.89 7.86 NA 7.86 1.08 16.83 16.83 0090.10.69.2121210 36.7856 09 24341 Repair arm tendon/muscle A 7.90 7.86 NA 7.86 1.08 16.84 16.84 0090.10.69.2121210 36.7856 09 24342 Repair of ruptured tendon A 10.62 9.44 NA 9.44 1.48 21.54 21.54 0090.10.69.2121210 36.7856 09 24343 Repr elbow lat ligmnt w/tiss A 8.65 7.89 NA 7.89 1.13 17.67 17.67 0090.10.69.2121210 36.7856 09 24344 Reconstruct elbow lat ligmnt A 14.00 11.18 NA 11.18 1.83 27.01 27.01 0090.10.69.2121210 36.7856 09 24345 Repr elbw med ligmnt w/tissu A 8.65 7.89 NA 7.89 1.13 17.67 17.67 0090.10.69.2121210 36.7856 09 24346 Reconstruct elbow med ligmnt A 14.00 11.18 NA 11.18 1.83 27.01 27.01 0090.10.69.2121210 36.7856 09 24350 Repair of tennis elbow A 5.25 6.44 NA 6.44 0.72 12.41 12.41 0090.10.69.2121000 36.7856 09 24351 Repair of tennis elbow A 5.91 6.93 NA 6.93 0.82 13.66 13.66 0090.10.69.2121000 36.7856 09 24352 Repair of tennis elbow A 6.43 7.19 NA 7.19 0.90 14.52 14.52 0090.10.69.2121210 36.7856 09 24354 Repair of tennis elbow A 6.48 7.15 NA 7.15 0.88 14.51 14.51 0090.10.69.2121100 36.7856 09 24356 Revision of tennis elbow A 6.68 7.33 NA 7.33 0.90 14.91 14.91 0090.10.69.2121000 36.7856 09 24360 Reconstruct elbow joint A 12.34 9.65 NA 9.65 1.69 23.68 23.68 0090.10.69.2121210 36.7856 09 24361 Reconstruct elbow joint A 14.08 10.64 NA 10.64 1.95 26.67 26.67 0090.10.69.2121210 36.7856 09 24362 Reconstruct elbow joint A 14.99 12.41 NA 12.41 1.92 29.32 29.32 0090.10.69.2121200 36.7856 09 24363 Replace elbow joint A 18.49 11.53 NA 11.53 2.52 32.54 32.54 0090.10.69.2121200 36.7856 09 24365 Reconstruct head of radius A 8.39 7.31 NA 7.31 1.11 16.81 16.81 0090.10.69.2121210 36.7856 09 24366 Reconstruct head of radius A 9.13 7.69 NA 7.69 1.28 18.10 18.10 0090.10.69.2121210 36.7856 09 24400 Revision of humerus A 11.06 12.99 NA 12.99 1.53 25.58 25.58 0090.10.69.2121210 36.7856 09 24410 Revision of humerus A 14.82 14.11 NA 14.11 1.89 30.82 30.82 0090.10.69.2121210 36.7856 09 24420 Revision of humerus A 13.44 17.27 NA 17.27 1.82 32.53 32.53 0090.10.69.2121210 36.7856 09 24430 Repair of humerus A 12.81 13.18 NA 13.18 1.80 27.79 27.79 0090.10.69.2121210 36.7856 09 24435 Repair humerus with graft A 13.17 14.37 NA 14.37 1.84 29.38 29.38 0090.10.69.2121210 36.7856 09 24470 Revision of elbow joint A 8.74 8.50 NA 8.50 1.23 18.47 18.47 0090.10.69.2121200 36.7856 09 24495 Decompression of forearm A 8.12 10.28 NA 10.28 0.92 19.32 19.32 0090.10.69.2121000 36.7856 09 24498 Reinforce humerus A 11.92 12.68 NA 12.68 1.67 26.27 26.27 0090.10.69.2121210 36.7856 09 24500 Treat humerus fracture A 3.21 5.31 3.38 0.41 8.93 7.00 0090.10.69.2121100 36.7856 09 24505 Treat humerus fracture A 5.17 9.31 7.10 0.72 15.20 12.99 0090.10.69.2121100 36.7856 09 24515 Treat humerus fracture A 11.65 11.58 NA 11.58 1.63 24.86 24.86 0090.10.69.2121210 36.7856 09 24516 Treat humerus fracture A 11.65 12.14 NA 12.14 1.63 25.42 25.42 0090.10.69.2121220 36.7856 09 24530 Treat humerus fracture A 3.50 6.52 4.97 0.47 10.49 8.94 0090.10.69.2121100 36.7856 09 24535 Treat humerus fracture A 6.87 9.14 6.89 0.96 16.97 14.72 0090.10.69.2121100 36.7856 09 24538 Treat humerus fracture A 9.43 10.85 NA 10.85 1.25 21.53 21.53 0090.10.69.2121100 36.7856 09 24545 Treat humerus fracture A 10.46 10.37 NA 10.37 1.47 22.30 22.30 0090.10.69.2121210 36.7856 09 24546 Treat humerus fracture A 15.69 13.83 NA 13.83 2.18 31.70 31.70 0090.10.69.2121220 36.7856 09 24560 Treat humerus fracture A 2.80 5.10 3.16 0.35 8.25 6.31 0090.10.69.2121100 36.7856 09 24565 Treat humerus fracture A 5.56 8.24 6.05 0.74 14.54 12.35 0090.10.69.2121100 36.7856 09 24566 Treat humerus fracture A 7.79 10.34 NA 10.34 1.10 19.23 19.23 0090.10.69.2121100 36.7856 09 24575 Treat humerus fracture A 10.66 8.43 NA 8.43 1.44 20.53 20.53 0090.10.69.2121210 36.7856 09 24576 Treat humerus fracture A 2.86 4.85 3.31 0.38 8.09 6.55 0090.10.69.2121100 36.7856 09 24577 Treat humerus fracture A 5.79 8.47 6.32 0.81 15.07 12.92 0090.10.69.2121100 36.7856 09 24579 Treat humerus fracture A 11.60 11.31 NA 11.31 1.62 24.53 24.53 0090.10.69.2121210 36.7856 09 24582 Treat humerus fracture A 8.55 10.77 NA 10.77 1.20 20.52 20.52 0090.10.69.2121100 36.7856 09 24586 Treat elbow fracture A 15.21 11.05 NA 11.05 2.12 28.38 28.38 0090.10.69.2121210 36.7856 09 24587 Treat elbow fracture A 15.16 10.88 NA 10.88 2.14 28.18 28.18 0090.10.69.2121210 36.7856 09 24600 Treat elbow dislocation A 4.23 7.12 5.11 0.49 11.84 9.83 0090.10.69.2121100 36.7856 09 24605 Treat elbow dislocation A 5.42 5.09 NA 5.09 0.72 11.23 11.23 0090.10.69.2121100 36.7856 09 24615 Treat elbow dislocation A 9.42 7.97 NA 7.97 1.31 18.70 18.70 0090.10.69.2121210 36.7856 09 24620 Treat elbow fracture A 6.98 6.71 NA 6.71 0.90 14.59 14.59 0090.10.69.2121000 36.7856 09 24635 Treat elbow fracture A 13.19 16.64 NA 16.64 1.84 31.67 31.67 0090.10.69.2121210 36.7856 09 24640 Treat elbow dislocation A 1.20 3.54 1.84 0.11 4.85 3.15 0010.10.80.1021000 36.7856 09 24650 Treat radius fracture A 2.16 4.81 2.92 0.28 7.25 5.36 0090.10.69.2121100 36.7856 09 24655 Treat radius fracture A 4.40 7.66 5.41 0.58 12.64 10.39 0090.10.69.2121100 36.7856 09 24665 Treat radius fracture A 8.14 9.72 NA 9.72 1.13 18.99 18.99 0090.10.69.2121210 36.7856 09 24666 Treat radius fracture A 9.49 10.48 NA 10.48 1.32 21.29 21.29 0090.10.69.2121210 36.7856 09 24670 Treat ulnar fracture A 2.54 4.71 3.13 0.33 7.58 6.00 0090.10.69.2121100 36.7856 09 24675 Treat ulnar fracture A 4.72 7.86 5.68 0.65 13.23 11.05 0090.10.69.2121100 36.7856 09 24685 Treat ulnar fracture A 8.80 10.08 NA 10.08 1.23 20.11 20.11 0090.10.69.2121210 36.7856 09 24800 Fusion of elbow joint A 11.20 9.94 NA 9.94 1.41 22.55 22.55 0090.10.69.2121210 36.7856 09 24802 Fusion/graft of elbow joint A 13.69 11.56 NA 11.56 1.89 27.14 27.14 0090.10.69.2121200 36.7856 09 24900 Amputation of upper arm A 9.60 11.21 NA 11.21 1.18 21.99 21.99 0090.10.69.2121210 36.7856 09 24920 Amputation of upper arm A 9.54 12.82 NA 12.82 1.22 23.58 23.58 0090.10.69.2121210 36.7856 09 24925 Amputation follow-up surgery A 7.07 9.68 NA 9.68 0.95 17.70 17.70 0090.10.69.2121200 36.7856 09 24930 Amputation follow-up surgery A 10.25 11.78 NA 11.78 1.23 23.26 23.26 0090.10.69.2121200 36.7856 09 24931 Amputate upper arm & implant A 12.72 9.23 NA 9.23 1.56 23.51 23.51 0090.10.69.2121200 36.7856 09 24935 Revision of amputation A 15.56 12.63 NA 12.63 1.58 29.77 29.77 0090.10.69.2121000 36.7856 09 24940 Revision of upper arm C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.69.2121200 36.7856 09 24999 Upper arm/elbow surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 25000 Incision of tendon sheath A 3.38 7.59 NA 7.59 0.45 11.42 11.42 0090.10.69.2121100 36.7856 09 25001 Incise flexor carpi radialis A 3.38 4.37 NA 4.37 0.45 8.20 8.20 0090.10.69.2121100 36.7856 09 25020 Decompress forearm 1 space A 5.92 11.38 NA 11.38 0.76 18.06 18.06 0090.10.69.2121100 36.7856 09 25023 Decompress forearm 1 space A 12.96 17.36 NA 17.36 1.52 31.84 31.84 0090.10.69.2121000 36.7856 09 25024 Decompress forearm 2 spaces A 9.50 8.08 NA 8.08 1.24 18.82 18.82 0090.10.69.2121100 36.7856 09 25025 Decompress forarm 2 spaces A 16.54 11.75 NA 11.75 2.18 30.47 30.47 0090.10.69.2121000 36.7856 09 25028 Drainage of forearm lesion A 5.25 10.17 NA 10.17 0.61 16.03 16.03 0090.10.69.2121100 36.7856 09 25031 Drainage of forearm bursa A 4.14 10.14 NA 10.14 0.50 14.78 14.78 0090.10.69.2121000 36.7856 09 25035 Treat forearm bone lesion A 7.36 16.87 NA 16.87 0.98 25.21 25.21 0090.10.69.2121000 36.7856 09 25040 Explore/treat wrist joint A 7.18 9.48 NA 9.48 0.96 17.62 17.62 0090.10.69.2121000 36.7856 09 25065 Biopsy forearm soft tissues A 1.99 2.58 2.58 0.12 4.69 4.69 0010.10.80.1021100 36.7856 09 25066 Biopsy forearm soft tissues A 4.13 8.42 NA 8.42 0.49 13.04 13.04 0090.10.69.2121100 36.7856 09 25075 Removel forearm lesion subcu A 3.74 7.39 NA 7.39 0.40 11.53 11.53 0090.10.69.2121100 36.7856 09 25076 Removel forearm lesion deep A 4.92 12.88 NA 12.88 0.59 18.39 18.39 0090.10.69.2121100 36.7856 09 25077 Remove tumor, forearm/wrist A 9.76 15.51 NA 15.51 1.10 26.37 26.37 0090.10.69.2121100 36.7856 09 25085 Incision of wrist capsule A 5.50 11.29 NA 11.29 0.71 17.50 17.50 0090.10.69.2121200 36.7856 09 25100 Biopsy of wrist joint A 3.90 7.66 NA 7.66 0.50 12.06 12.06 0090.10.69.2121000 36.7856 09 25101 Explore/treat wrist joint A 4.69 8.02 NA 8.02 0.60 13.31 13.31 0090.10.69.2121000 36.7856 09 25105 Remove wrist joint lining A 5.85 11.25 NA 11.25 0.77 17.87 17.87 0090.10.69.2121010 36.7856 09 25107 Remove wrist joint cartilage A 6.43 11.62 NA 11.62 0.82 18.87 18.87 0090.10.69.2121210 36.7856 09 25110 Remove wrist tendon lesion A 3.92 8.62 NA 8.62 0.48 13.02 13.02 0090.10.69.2121100 36.7856 09 25111 Remove wrist tendon lesion A 3.39 6.67 NA 6.67 0.42 10.48 10.48 0090.10.69.2121100 36.7856 09 25112 Reremove wrist tendon lesion A 4.53 7.49 NA 7.49 0.54 12.56 12.56 0090.10.69.2121100 36.7856 09 25115 Remove wrist/forearm lesion A 8.82 17.36 NA 17.36 1.11 27.29 27.29 0090.10.69.2121100 36.7856 09 25116 Remove wrist/forearm lesion A 7.11 16.36 NA 16.36 0.90 24.37 24.37 0090.10.69.2121010 36.7856 09 25118 Excise wrist tendon sheath A 4.37 8.09 NA 8.09 0.55 13.01 13.01 0090.10.69.2121100 36.7856 09 25119 Partial removal of ulna A 6.04 11.54 NA 11.54 0.80 18.38 18.38 0090.10.69.2121210 36.7856 09 25120 Removal of forearm lesion A 6.10 15.31 NA 15.31 0.81 22.22 22.22 0090.10.69.2121010 36.7856 09 25125 Remove/graft forearm lesion A 7.48 16.39 NA 16.39 1.02 24.89 24.89 0090.10.69.2121000 36.7856 09 25126 Remove/graft forearm lesion A 7.55 15.93 NA 15.93 1.00 24.48 24.48 0090.10.69.2121200 36.7856 09 25130 Removal of wrist lesion A 5.26 8.44 NA 8.44 0.66 14.36 14.36 0090.10.69.2121000 36.7856 09 25135 Remove & graft wrist lesion A 6.89 9.27 NA 9.27 0.89 17.05 17.05 0090.10.69.2121210 36.7856 09 25136 Remove & graft wrist lesion A 5.97 8.50 NA 8.50 0.58 15.05 15.05 0090.10.69.2121210 36.7856 09 25145 Remove forearm bone lesion A 6.37 15.73 NA 15.73 0.82 22.92 22.92 0090.10.69.2121200 36.7856 09 25150 Partial removal of ulna A 7.09 12.28 NA 12.28 0.96 20.33 20.33 0090.10.69.2121110 36.7856 09 25151 Partial removal of radius A 7.39 16.28 NA 16.28 0.93 24.60 24.60 0090.10.69.2121210 36.7856 09 25170 Extensive forearm surgery A 11.09 17.76 NA 17.76 1.52 30.37 30.37 0090.10.69.2121210 36.7856 09 25210 Removal of wrist bone A 5.95 8.84 NA 8.84 0.73 15.52 15.52 0090.10.69.2120010 36.7856 09 25215 Removal of wrist bones A 7.89 12.52 NA 12.52 1.02 21.43 21.43 0090.10.69.2120210 36.7856 09 25230 Partial removal of radius A 5.23 8.35 NA 8.35 0.66 14.24 14.24 0090.10.69.2121110 36.7856 09 25240 Partial removal of ulna A 5.17 11.07 NA 11.07 0.69 16.93 16.93 0090.10.69.2121010 36.7856 09 25246 Injection for wrist x-ray A 1.45 10.27 0.50 0.07 11.79 2.02 0000.00.00.0021100 36.7856 09 25248 Remove forearm foreign body A 5.14 10.23 NA 10.23 0.54 15.91 15.91 0090.10.69.2121100 36.7856 09 25250 Removal of wrist prosthesis A 6.60 6.19 NA 6.19 0.84 13.63 13.63 0090.10.69.2121200 36.7856 09 25251 Removal of wrist prosthesis A 9.57 8.08 NA 8.08 1.15 18.80 18.80 0090.10.69.2120200 36.7856 09 25259 Manipulate wrist w/anesthes A 3.75 5.46 NA 5.46 0.50 9.71 9.71 0090.10.69.2121100 36.7856 09 25260 Repair forearm tendon/muscle A 7.80 17.12 NA 17.12 0.97 25.89 25.89 0090.10.69.2120100 36.7856 09 25263 Repair forearm tendon/muscle A 7.82 16.99 NA 16.99 0.94 25.75 25.75 0090.10.69.2120200 36.7856 09 25265 Repair forearm tendon/muscle A 9.88 17.71 NA 17.71 1.19 28.78 28.78 0090.10.69.2120200 36.7856 09 25270 Repair forearm tendon/muscle A 6.00 16.17 NA 16.17 0.76 22.93 22.93 0090.10.69.2120000 36.7856 09 25272 Repair forearm tendon/muscle A 7.04 16.74 NA 16.74 0.89 24.67 24.67 0090.10.69.2120000 36.7856 09 25274 Repair forearm tendon/muscle A 8.75 17.17 NA 17.17 1.14 27.06 27.06 0090.10.69.2120010 36.7856 09 25275 Repair forearm tendon sheath A 8.50 7.44 NA 7.44 1.13 17.07 17.07 0090.10.69.2121010 36.7856 09 25280 Revise wrist/forearm tendon A 7.22 16.29 NA 16.29 0.91 24.42 24.42 0090.10.69.2120010 36.7856 09 25290 Incise wrist/forearm tendon A 5.29 18.62 NA 18.62 0.66 24.57 24.57 0090.10.69.2120100 36.7856 09 25295 Release wrist/forearm tendon A 6.55 15.93 NA 15.93 0.86 23.34 23.34 0090.10.69.2120100 36.7856 09 25300 Fusion of tendons at wrist A 8.80 10.06 NA 10.06 1.07 19.93 19.93 0090.10.69.2121200 36.7856 09 25301 Fusion of tendons at wrist A 8.40 9.98 NA 9.98 1.08 19.46 19.46 0090.10.69.2121200 36.7856 09 25310 Transplant forearm tendon A 8.14 16.74 NA 16.74 1.01 25.89 25.89 0090.10.69.2120210 36.7856 09 25312 Transplant forearm tendon A 9.57 17.49 NA 17.49 1.22 28.28 28.28 0090.10.69.2120210 36.7856 09 25315 Revise palsy hand tendon(s) A 10.20 18.31 NA 18.31 1.26 29.77 29.77 0090.10.69.2121200 36.7856 09 25316 Revise palsy hand tendon(s) A 12.33 19.71 NA 19.71 1.74 33.78 33.78 0090.10.69.2121200 36.7856 09 25320 Repair/revise wrist joint A 10.77 11.50 NA 11.50 1.32 23.59 23.59 0090.10.69.2121200 36.7856 09 25332 Revise wrist joint A 11.41 9.34 NA 9.34 1.46 22.21 22.21 0090.10.69.2121200 36.7856 09 25335 Realignment of hand A 12.88 14.95 NA 14.95 1.66 29.49 29.49 0090.10.69.2121200 36.7856 09 25337 Reconstruct ulna/radioulnar A 10.17 13.85 NA 13.85 1.31 25.33 25.33 0090.10.69.2121100 36.7856 09 25350 Revision of radius A 8.78 16.98 NA 16.98 1.17 26.93 26.93 0090.10.69.2121200 36.7856 09 25355 Revision of radius A 10.17 17.60 NA 17.60 1.44 29.21 29.21 0090.10.69.2121200 36.7856 09 25360 Revision of ulna A 8.43 16.89 NA 16.89 1.17 26.49 26.49 0090.10.69.2121210 36.7856 09 25365 Revise radius & ulna A 12.40 18.51 NA 18.51 1.67 32.58 32.58 0090.10.69.2121200 36.7856 09 25370 Revise radius or ulna A 13.36 18.42 NA 18.42 1.88 33.66 33.66 0090.10.69.2121200 36.7856 09 25375 Revise radius & ulna A 13.04 19.42 NA 19.42 1.84 34.30 34.30 0090.10.69.2121210 36.7856 09 25390 Shorten radius or ulna A 10.40 17.69 NA 17.69 1.38 29.47 29.47 0090.10.69.2121210 36.7856 09 25391 Lengthen radius or ulna A 13.65 19.37 NA 19.37 1.73 34.75 34.75 0090.10.69.2121210 36.7856 09 25392 Shorten radius & ulna A 13.95 18.37 NA 18.37 1.73 34.05 34.05 0090.10.69.2121200 36.7856 09 25393 Lengthen radius & ulna A 15.87 20.63 NA 20.63 1.87 38.37 38.37 0090.10.69.2121200 36.7856 09 25394 Repair carpal bone, shorten A 10.40 8.29 NA 8.29 1.40 20.09 20.09 0090.10.69.2121210 36.7856 09 25400 Repair radius or ulna A 10.92 18.22 NA 18.22 1.50 30.64 30.64 0090.10.69.2121210 36.7856 09 25405 Repair/graft radius or ulna A 14.38 20.48 NA 20.48 1.95 36.81 36.81 0090.10.69.2121210 36.7856 09 25415 Repair radius & ulna A 13.35 19.39 NA 19.39 1.87 34.61 34.61 0090.10.69.2121210 36.7856 09 25420 Repair/graft radius & ulna A 16.33 21.34 NA 21.34 2.20 39.87 39.87 0090.10.69.2121210 36.7856 09 25425 Repair/graft radius or ulna A 13.21 26.80 NA 26.80 1.61 41.62 41.62 0090.10.69.2121210 36.7856 09 25426 Repair/graft radius & ulna A 15.82 20.12 NA 20.12 2.23 38.17 38.17 0090.10.69.2121210 36.7856 09 25430 Vasc graft into carpal bone A 9.25 7.62 NA 7.62 1.07 17.94 17.94 0090.10.69.2121100 36.7856 09 25431 Repair nonunion carpal bone A 10.44 6.38 NA 6.38 0.56 17.38 17.38 0090.10.69.2121210 36.7856 09 25440 Repair/graft wrist bone A 10.44 11.25 NA 11.25 1.41 23.10 23.10 0090.10.69.2121210 36.7856 09 25441 Reconstruct wrist joint A 12.90 10.14 NA 10.14 1.83 24.87 24.87 0090.10.69.2121210 36.7856 09 25442 Reconstruct wrist joint A 10.85 9.00 NA 9.00 1.24 21.09 21.09 0090.10.69.2121210 36.7856 09 25443 Reconstruct wrist joint A 10.39 8.89 NA 8.89 1.30 20.58 20.58 0090.10.69.2121210 36.7856 09 25444 Reconstruct wrist joint A 11.15 9.17 NA 9.17 1.43 21.75 21.75 0090.10.69.2121200 36.7856 09 25445 Reconstruct wrist joint A 9.69 8.18 NA 8.18 1.26 19.13 19.13 0090.10.69.2121110 36.7856 09 25446 Wrist replacement A 16.55 12.17 NA 12.17 2.20 30.92 30.92 0090.10.69.2121210 36.7856 09 25447 Repair wrist joint(s) A 10.37 8.76 NA 8.76 1.34 20.47 20.47 0090.10.69.2121210 36.7856 09 25449 Remove wrist joint implant A 14.49 10.89 NA 10.89 1.77 27.15 27.15 0090.10.69.2121210 36.7856 09 25450 Revision of wrist joint A 7.87 13.09 NA 13.09 0.88 21.84 21.84 0090.10.69.2121100 36.7856 09 25455 Revision of wrist joint A 9.49 14.28 NA 14.28 1.07 24.84 24.84 0090.10.69.2121100 36.7856 09 25490 Reinforce radius A 9.54 16.71 NA 16.71 1.19 27.44 27.44 0090.10.69.2121200 36.7856 09 25491 Reinforce ulna A 9.96 17.58 NA 17.58 1.41 28.95 28.95 0090.10.69.2121200 36.7856 09 25492 Reinforce radius and ulna A 12.33 18.06 NA 18.06 1.62 32.01 32.01 0090.10.69.2121200 36.7856 09 25500 Treat fracture of radius A 2.45 4.37 2.93 0.28 7.10 5.66 0090.10.69.2121100 36.7856 09 25505 Treat fracture of radius A 5.21 8.04 5.81 0.69 13.94 11.71 0090.10.69.2121100 36.7856 09 25515 Treat fracture of radius A 9.18 10.00 NA 10.00 1.22 20.40 20.40 0090.10.69.2121210 36.7856 09 25520 Treat fracture of radius A 6.26 8.23 6.43 0.85 15.34 13.54 0090.10.69.2121100 36.7856 09 25525 Treat fracture of radius A 12.24 11.92 NA 11.92 1.68 25.84 25.84 0090.10.69.2121220 36.7856 09 25526 Treat fracture of radius A 12.98 15.40 NA 15.40 1.80 30.18 30.18 0090.10.69.2121220 36.7856 09 25530 Treat fracture of ulna A 2.09 4.42 2.92 0.27 6.78 5.28 0090.10.69.2121100 36.7856 09 25535 Treat fracture of ulna A 5.14 7.81 5.86 0.68 13.63 11.68 0090.10.69.2121100 36.7856 09 25545 Treat fracture of ulna A 8.90 10.14 NA 10.14 1.23 20.27 20.27 0090.10.69.2121210 36.7856 09 25560 Treat fracture radius & ulna A 2.44 4.41 2.90 0.27 7.12 5.61 0090.10.69.2121100 36.7856 09 25565 Treat fracture radius & ulna A 5.63 8.28 6.02 0.76 14.67 12.41 0090.10.69.2121100 36.7856 09 25574 Treat fracture radius & ulna A 7.01 9.05 NA 9.05 0.96 17.02 17.02 0090.10.69.2121220 36.7856 09 25575 Treat fracture radius/ulna A 10.45 10.98 NA 10.98 1.46 22.89 22.89 0090.10.69.2121210 36.7856 09 25600 Treat fracture radius/ulna A 2.63 4.75 3.11 0.34 7.72 6.08 0090.10.69.2121100 36.7856 09 25605 Treat fracture radius/ulna A 5.81 8.51 6.27 0.81 15.13 12.89 0090.10.69.2121100 36.7856 09 25611 Treat fracture radius/ulna A 7.77 10.37 NA 10.37 1.08 19.22 19.22 0090.10.69.2121100 36.7856 09 25620 Treat fracture radius/ulna A 8.55 9.91 NA 9.91 1.17 19.63 19.63 0090.10.69.2121200 36.7856 09 25622 Treat wrist bone fracture A 2.61 4.70 3.08 0.33 7.64 6.02 0090.10.69.2121100 36.7856 09 25624 Treat wrist bone fracture A 4.53 7.73 5.49 0.61 12.87 10.63 0090.10.69.2121000 36.7856 09 25628 Treat wrist bone fracture A 8.43 9.95 NA 9.95 1.14 19.52 19.52 0090.10.69.2121200 36.7856 09 25630 Treat wrist bone fracture A 2.88 4.86 3.14 0.37 8.11 6.39 0090.10.69.2121100 36.7856 09 25635 Treat wrist bone fracture A 4.39 7.68 4.75 0.39 12.46 9.53 0090.10.69.2121000 36.7856 09 25645 Treat wrist bone fracture A 7.25 9.47 NA 9.47 0.93 17.65 17.65 0090.10.69.2121200 36.7856 09 25650 Treat wrist bone fracture A 3.05 4.91 3.21 0.37 8.33 6.63 0090.10.69.2121100 36.7856 09 25651 Pin ulnar styloid fracture A 5.36 5.69 NA 5.69 0.72 11.77 11.77 0090.10.69.2121000 36.7856 09 25652 Treat fracture ulnar styloid A 7.60 6.85 NA 6.85 1.02 15.47 15.47 0090.10.69.2121110 36.7856 09 25660 Treat wrist dislocation A 4.76 5.49 NA 5.49 0.59 10.84 10.84 0090.10.69.2121000 36.7856 09 25670 Treat wrist dislocation A 7.92 9.73 NA 9.73 1.07 18.72 18.72 0090.10.69.2121210 36.7856 09 25671 Pin radioulnar dislocation A 6.00 6.02 NA 6.02 0.81 12.83 12.83 0090.10.69.2121100 36.7856 09 25675 Treat wrist dislocation A 4.67 7.52 5.43 0.57 12.76 10.67 0090.10.69.2121000 36.7856 09 25676 Treat wrist dislocation A 8.04 9.78 NA 9.78 1.10 18.92 18.92 0090.10.69.2121200 36.7856 09 25680 Treat wrist fracture A 5.99 6.48 NA 6.48 0.61 13.08 13.08 0090.10.69.2121000 36.7856 09 25685 Treat wrist fracture A 9.78 10.44 NA 10.44 1.25 21.47 21.47 0090.10.69.2121200 36.7856 09 25690 Treat wrist dislocation A 5.50 7.21 NA 7.21 0.78 13.49 13.49 0090.10.69.2121000 36.7856 09 25695 Treat wrist dislocation A 8.34 9.86 NA 9.86 1.07 19.27 19.27 0090.10.69.2121210 36.7856 09 25800 Fusion of wrist joint A 9.76 10.92 NA 10.92 1.30 21.98 21.98 0090.10.69.2121210 36.7856 09 25805 Fusion/graft of wrist joint A 11.28 11.81 NA 11.81 1.51 24.60 24.60 0090.10.69.2121210 36.7856 09 25810 Fusion/graft of wrist joint A 10.57 11.34 NA 11.34 1.37 23.28 23.28 0090.10.69.2121210 36.7856 09 25820 Fusion of hand bones A 7.45 9.68 NA 9.68 0.96 18.09 18.09 0090.10.69.2121210 36.7856 09 25825 Fuse hand bones with graft A 9.27 10.66 NA 10.66 1.20 21.13 21.13 0090.10.69.2121210 36.7856 09 25830 Fusion, radioulnar jnt/ulna A 10.06 17.12 NA 17.12 1.27 28.45 28.45 0090.10.69.2121210 36.7856 09 25900 Amputation of forearm A 9.01 14.48 NA 14.48 1.08 24.57 24.57 0090.10.69.2121000 36.7856 09 25905 Amputation of forearm A 9.12 15.75 NA 15.75 1.06 25.93 25.93 0090.10.69.2121200 36.7856 09 25907 Amputation follow-up surgery A 7.80 15.19 NA 15.19 1.01 24.00 24.00 0090.10.69.2121200 36.7856 09 25909 Amputation follow-up surgery A 8.96 15.62 NA 15.62 1.07 25.65 25.65 0090.10.69.2121200 36.7856 09 25915 Amputation of forearm A 17.08 23.14 NA 23.14 2.41 42.63 42.63 0090.10.69.2121200 36.7856 09 25920 Amputate hand at wrist A 8.68 9.91 NA 9.91 1.06 19.65 19.65 0090.10.69.2121000 36.7856 09 25922 Amputate hand at wrist A 7.42 9.06 NA 9.06 0.93 17.41 17.41 0090.10.69.2121200 36.7856 09 25924 Amputation follow-up surgery A 8.46 10.25 NA 10.25 1.07 19.78 19.78 0090.10.69.2121200 36.7856 09 25927 Amputation of hand A 8.80 14.18 NA 14.18 1.02 24.00 24.00 0090.10.69.2121000 36.7856 09 25929 Amputation follow-up surgery A 7.59 7.83 NA 7.83 0.89 16.31 16.31 0090.10.69.2121200 36.7856 09 25931 Amputation follow-up surgery A 7.81 15.09 NA 15.09 0.88 23.78 23.78 0090.10.69.2121100 36.7856 09 25999 Forearm or wrist surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 26010 Drainage of finger abscess A 1.54 5.97 1.78 0.14 7.65 3.46 0010.10.80.1020100 36.7856 09 26011 Drainage of finger abscess A 2.19 12.48 2.48 0.25 14.92 4.92 0010.10.80.1020100 36.7856 09 26020 Drain hand tendon sheath A 4.67 5.31 NA 5.31 0.59 10.57 10.57 0090.10.69.2120100 36.7856 09 26025 Drainage of palm bursa A 4.82 5.18 NA 5.18 0.60 10.60 10.60 0090.10.69.2120000 36.7856 09 26030 Drainage of palm bursa(s) A 5.93 5.85 NA 5.85 0.72 12.50 12.50 0090.10.69.2120000 36.7856 09 26034 Treat hand bone lesion A 6.23 6.04 NA 6.04 0.79 13.06 13.06 0090.10.69.2120100 36.7856 09 26035 Decompress fingers/hand A 9.51 7.99 NA 7.99 1.12 18.62 18.62 0090.10.69.2120000 36.7856 09 26037 Decompress fingers/hand A 7.25 6.48 NA 6.48 0.87 14.60 14.60 0090.10.69.2120000 36.7856 09 26040 Release palm contracture A 3.33 3.75 NA 3.75 0.45 7.53 7.53 0090.10.69.2121100 36.7856 09 26045 Release palm contracture A 5.56 5.30 NA 5.30 0.74 11.60 11.60 0090.10.69.2121100 36.7856 09 26055 Incise finger tendon sheath A 2.69 15.46 3.59 0.36 18.51 6.64 0090.10.69.2120100 36.7856 09 26060 Incision of finger tendon A 2.81 3.28 NA 3.28 0.35 6.44 6.44 0090.10.69.2120000 36.7856 09 26070 Explore/treat hand joint A 3.69 3.32 NA 3.32 0.35 7.36 7.36 0090.10.69.2121100 36.7856 09 26075 Explore/treat finger joint A 3.79 3.67 NA 3.67 0.40 7.86 7.86 0090.10.69.2121100 36.7856 09 26080 Explore/treat finger joint A 4.24 4.58 NA 4.58 0.52 9.34 9.34 0090.10.69.2120100 36.7856 09 26100 Biopsy hand joint lining A 3.67 3.90 NA 3.90 0.45 8.02 8.02 0090.10.69.2121000 36.7856 09 26105 Biopsy finger joint lining A 3.71 3.93 NA 3.93 0.45 8.09 8.09 0090.10.69.2121000 36.7856 09 26110 Biopsy finger joint lining A 3.53 3.80 NA 3.80 0.44 7.77 7.77 0090.10.69.2120100 36.7856 09 26115 Removel hand lesion subcut A 3.86 14.42 4.43 0.48 18.76 8.77 0090.10.69.2120100 36.7856 09 26116 Removel hand lesion, deep A 5.53 5.66 NA 5.66 0.69 11.88 11.88 0090.10.69.2120100 36.7856 09 26117 Remove tumor, hand/finger A 8.55 6.94 NA 6.94 1.01 16.50 16.50 0090.10.69.2120100 36.7856 09 26121 Release palm contracture A 7.54 6.72 NA 6.72 0.94 15.20 15.20 0090.10.69.2121100 36.7856 09 26123 Release palm contracture A 9.29 8.65 NA 8.65 1.17 19.11 19.11 0090.10.69.2121100 36.7856 09 26125 Release palm contracture A 4.61 2.51 NA 2.51 0.57 7.69 7.69 0ZZZ.00.00.0000100 36.7856 09 26130 Remove wrist joint lining A 5.42 5.12 NA 5.12 0.65 11.19 11.19 0090.10.69.2121100 36.7856 09 26135 Revise finger joint, each A 6.96 6.20 NA 6.20 0.87 14.03 14.03 0090.10.69.2120000 36.7856 09 26140 Revise finger joint, each A 6.17 5.75 NA 5.75 0.76 12.68 12.68 0090.10.69.2120100 36.7856 09 26145 Tendon excision, palm/finger A 6.32 5.78 NA 5.78 0.77 12.87 12.87 0090.10.69.2120100 36.7856 09 26160 Remove tendon sheath lesion A 3.15 18.94 3.86 0.39 22.48 7.40 0090.10.69.2120100 36.7856 09 26170 Removal of palm tendon, each A 4.77 4.72 NA 4.72 0.60 10.09 10.09 0090.10.69.2120000 36.7856 09 26180 Removal of finger tendon A 5.18 5.10 NA 5.10 0.64 10.92 10.92 0090.10.69.2120000 36.7856 09 26185 Remove finger bone A 5.25 5.62 NA 5.62 0.67 11.54 11.54 0090.10.69.2121210 36.7856 09 26200 Remove hand bone lesion A 5.51 5.14 NA 5.14 0.71 11.36 11.36 0090.10.69.2120000 36.7856 09 26205 Remove/graft bone lesion A 7.70 6.69 NA 6.69 0.95 15.34 15.34 0090.10.69.2120100 36.7856 09 26210 Removal of finger lesion A 5.15 5.12 NA 5.12 0.64 10.91 10.91 0090.10.69.2120100 36.7856 09 26215 Remove/graft finger lesion A 7.10 6.07 NA 6.07 0.77 13.94 13.94 0090.10.69.2120100 36.7856 09 26230 Partial removal of hand bone A 6.33 5.68 NA 5.68 0.84 12.85 12.85 0090.10.69.2120000 36.7856 09 26235 Partial removal, finger bone A 6.19 5.62 NA 5.62 0.78 12.59 12.59 0090.10.69.2120000 36.7856 09 26236 Partial removal, finger bone A 5.32 5.17 NA 5.17 0.66 11.15 11.15 0090.10.69.2120100 36.7856 09 26250 Extensive hand surgery A 7.55 6.23 NA 6.23 0.92 14.70 14.70 0090.10.69.2120000 36.7856 09 26255 Extensive hand surgery A 12.43 9.26 NA 9.26 1.05 22.74 22.74 0090.10.69.2120210 36.7856 09 26260 Extensive finger surgery A 7.03 5.98 NA 5.98 0.83 13.84 13.84 0090.10.69.2120200 36.7856 09 26261 Extensive finger surgery A 9.09 6.22 NA 6.22 0.84 16.15 16.15 0090.10.69.2120200 36.7856 09 26262 Partial removal of finger A 5.67 5.18 NA 5.18 0.70 11.55 11.55 0090.10.69.2120200 36.7856 09 26320 Removal of implant from hand A 3.98 4.50 NA 4.50 0.49 8.97 8.97 0090.10.69.2120100 36.7856 09 26340 Manipulate finger w/anesth A 2.50 4.64 NA 4.64 0.30 7.44 7.44 0090.10.69.2121100 36.7856 09 26350 Repair finger/hand tendon A 5.99 20.03 NA 20.03 0.73 26.75 26.75 0090.10.69.2120100 36.7856 09 26352 Repair/graft hand tendon A 7.68 20.50 NA 20.50 0.93 29.11 29.11 0090.10.69.2120210 36.7856 09 26356 Repair finger/hand tendon A 8.07 21.49 NA 21.49 0.99 30.55 30.55 0090.10.69.2120100 36.7856 09 26357 Repair finger/hand tendon A 8.58 21.19 NA 21.19 1.02 30.79 30.79 0090.10.69.2120200 36.7856 09 26358 Repair/graft hand tendon A 9.14 21.74 NA 21.74 1.07 31.95 31.95 0090.10.69.2120200 36.7856 09 26370 Repair finger/hand tendon A 7.11 20.67 NA 20.67 0.90 28.68 28.68 0090.10.69.2120000 36.7856 09 26372 Repair/graft hand tendon A 8.76 22.00 NA 22.00 1.06 31.82 31.82 0090.10.69.2120200 36.7856 09 26373 Repair finger/hand tendon A 8.16 21.56 NA 21.56 0.98 30.70 30.70 0090.10.69.2120200 36.7856 09 26390 Revise hand/finger tendon A 9.19 16.75 NA 16.75 1.09 27.03 27.03 0090.10.69.2120210 36.7856 09 26392 Repair/graft hand tendon A 10.26 22.55 NA 22.55 1.26 34.07 34.07 0090.10.69.2120210 36.7856 09 26410 Repair hand tendon A 4.63 16.30 NA 16.30 0.57 21.50 21.50 0090.10.69.2120100 36.7856 09 26412 Repair/graft hand tendon A 6.31 17.39 NA 17.39 0.80 24.50 24.50 0090.10.69.2120000 36.7856 09 26415 Excision, hand/finger tendon A 8.34 15.90 NA 15.90 0.77 25.01 25.01 0090.10.69.2120000 36.7856 09 26416 Graft hand or finger tendon A 9.37 18.56 NA 18.56 1.20 29.13 29.13 0090.10.69.2120100 36.7856 09 26418 Repair finger tendon A 4.25 16.13 NA 16.13 0.50 20.88 20.88 0090.10.69.2120100 36.7856 09 26420 Repair/graft finger tendon A 6.77 17.69 NA 17.69 0.83 25.29 25.29 0090.10.69.2120200 36.7856 09 26426 Repair finger/hand tendon A 6.15 17.16 NA 17.16 0.77 24.08 24.08 0090.10.69.2120100 36.7856 09 26428 Repair/graft finger tendon A 7.21 18.24 NA 18.24 0.84 26.29 26.29 0090.10.69.2120000 36.7856 09 26432 Repair finger tendon A 4.02 13.36 NA 13.36 0.48 17.86 17.86 0090.10.69.2120100 36.7856 09 26433 Repair finger tendon A 4.56 14.27 NA 14.27 0.56 19.39 19.39 0090.10.69.2120100 36.7856 09 26434 Repair/graft finger tendon A 6.09 14.67 NA 14.67 0.71 21.47 21.47 0090.10.69.2120200 36.7856 09 26437 Realignment of tendons A 5.82 14.40 NA 14.40 0.74 20.96 20.96 0090.10.69.2120100 36.7856 09 26440 Release palm/finger tendon A 5.02 18.87 NA 18.87 0.62 24.51 24.51 0090.10.69.2120100 36.7856 09 26442 Release palm & finger tendon A 8.16 20.31 NA 20.31 0.94 29.41 29.41 0090.10.69.2120100 36.7856 09 26445 Release hand/finger tendon A 4.31 18.71 NA 18.71 0.54 23.56 23.56 0090.10.69.2120100 36.7856 09 26449 Release forearm/hand tendon A 7.00 20.02 NA 20.02 0.84 27.86 27.86 0090.10.69.2120000 36.7856 09 26450 Incision of palm tendon A 3.67 8.57 NA 8.57 0.46 12.70 12.70 0090.10.69.2120000 36.7856 09 26455 Incision of finger tendon A 3.64 8.45 NA 8.45 0.47 12.56 12.56 0090.10.69.2120000 36.7856 09 26460 Incise hand/finger tendon A 3.46 8.20 NA 8.20 0.44 12.10 12.10 0090.10.69.2120100 36.7856 09 26471 Fusion of finger tendons A 5.73 14.06 NA 14.06 0.73 20.52 20.52 0090.10.69.2120000 36.7856 09 26474 Fusion of finger tendons A 5.32 14.31 NA 14.31 0.69 20.32 20.32 0090.10.69.2120200 36.7856 09 26476 Tendon lengthening A 5.18 13.80 NA 13.80 0.62 19.60 19.60 0090.10.69.2120100 36.7856 09 26477 Tendon shortening A 5.15 14.01 NA 14.01 0.60 19.76 19.76 0090.10.69.2120110 36.7856 09 26478 Lengthening of hand tendon A 5.80 14.65 NA 14.65 0.77 21.22 21.22 0090.10.69.2120000 36.7856 09 26479 Shortening of hand tendon A 5.74 14.65 NA 14.65 0.76 21.15 21.15 0090.10.69.2120200 36.7856 09 26480 Transplant hand tendon A 6.69 19.94 NA 19.94 0.84 27.47 27.47 0090.10.69.2120000 36.7856 09 26483 Transplant/graft hand tendon A 8.29 20.43 NA 20.43 1.03 29.75 29.75 0090.10.69.2120210 36.7856 09 26485 Transplant palm tendon A 7.70 20.34 NA 20.34 0.94 28.98 28.98 0090.10.69.2120210 36.7856 09 26489 Transplant/graft palm tendon A 9.55 17.04 NA 17.04 0.98 27.57 27.57 0090.10.69.2120000 36.7856 09 26490 Revise thumb tendon A 8.41 15.54 NA 15.54 1.05 25.00 25.00 0090.10.69.2120000 36.7856 09 26492 Tendon transfer with graft A 9.62 16.15 NA 16.15 1.19 26.96 26.96 0090.10.69.2120210 36.7856 09 26494 Hand tendon/muscle transfer A 8.47 16.14 NA 16.14 1.13 25.74 25.74 0090.10.69.2120210 36.7856 09 26496 Revise thumb tendon A 9.59 15.87 NA 15.87 1.17 26.63 26.63 0090.10.69.2120000 36.7856 09 26497 Finger tendon transfer A 9.57 16.32 NA 16.32 1.17 27.06 27.06 0090.10.69.2120200 36.7856 09 26498 Finger tendon transfer A 14.00 18.71 NA 18.71 1.74 34.45 34.45 0090.10.69.2120210 36.7856 09 26499 Revision of finger A 8.98 17.02 NA 17.02 0.94 26.94 26.94 0090.10.69.2120210 36.7856 09 26500 Hand tendon reconstruction A 5.96 14.98 NA 14.98 0.66 21.60 21.60 0090.10.69.2120000 36.7856 09 26502 Hand tendon reconstruction A 7.14 15.27 NA 15.27 0.87 23.28 23.28 0090.10.69.2120200 36.7856 09 26504 Hand tendon reconstruction A 7.47 15.08 NA 15.08 0.84 23.39 23.39 0090.10.69.2120200 36.7856 09 26508 Release thumb contracture A 6.01 14.59 NA 14.59 0.76 21.36 21.36 0090.10.69.2120000 36.7856 09 26510 Thumb tendon transfer A 5.43 14.30 NA 14.30 0.71 20.44 20.44 0090.10.69.2120000 36.7856 09 26516 Fusion of knuckle joint A 7.15 15.07 NA 15.07 0.90 23.12 23.12 0090.10.69.2120000 36.7856 09 26517 Fusion of knuckle joints A 8.83 16.41 NA 16.41 0.96 26.20 26.20 0090.10.69.2120200 36.7856 09 26518 Fusion of knuckle joints A 9.02 16.12 NA 16.12 1.13 26.27 26.27 0090.10.69.2120210 36.7856 09 26520 Release knuckle contracture A 5.30 18.85 NA 18.85 0.65 24.80 24.80 0090.10.69.2120100 36.7856 09 26525 Release finger contracture A 5.33 19.02 NA 19.02 0.66 25.01 25.01 0090.10.69.2120110 36.7856 09 26530 Revise knuckle joint A 6.69 6.04 NA 6.04 0.86 13.59 13.59 0090.10.69.2120200 36.7856 09 26531 Revise knuckle with implant A 7.91 6.95 NA 6.95 1.01 15.87 15.87 0090.10.69.2120210 36.7856 09 26535 Revise finger joint A 5.24 3.69 NA 3.69 0.66 9.59 9.59 0090.10.69.2120100 36.7856 09 26536 Revise/implant finger joint A 6.37 10.32 NA 10.32 0.80 17.49 17.49 0090.10.69.2120000 36.7856 09 26540 Repair hand joint A 6.43 14.89 NA 14.89 0.81 22.13 22.13 0090.10.69.2120010 36.7856 09 26541 Repair hand joint with graft A 8.62 16.25 NA 16.25 1.12 25.99 25.99 0090.10.69.2120210 36.7856 09 26542 Repair hand joint with graft A 6.78 14.78 NA 14.78 0.87 22.43 22.43 0090.10.69.2120000 36.7856 09 26545 Reconstruct finger joint A 6.92 15.52 NA 15.52 0.79 23.23 23.23 0090.10.69.2120000 36.7856 09 26546 Repair nonunion hand A 8.92 16.15 NA 16.15 1.14 26.21 26.21 0090.10.69.2121200 36.7856 09 26548 Reconstruct finger joint A 8.03 16.02 NA 16.02 0.98 25.03 25.03 0090.10.69.2120000 36.7856 09 26550 Construct thumb replacement A 21.24 23.47 NA 23.47 1.80 46.51 46.51 0090.10.69.2120200 36.7856 09 26551 Great toe-hand transfer A 46.58 36.90 NA 36.90 6.57 90.05 90.05 0090.10.69.2120200 36.7856 09 26553 Single transfer, toe-hand A 46.27 28.16 NA 28.16 1.99 76.42 76.42 0090.10.69.2120210 36.7856 09 26554 Double transfer, toe-hand A 54.95 38.79 NA 38.79 7.76 101.50 101.50 0090.10.69.2120210 36.7856 09 26555 Positional change of finger A 16.63 22.51 NA 22.51 2.13 41.27 41.27 0090.10.69.2120200 36.7856 09 26556 Toe joint transfer A 47.26 34.27 NA 34.27 6.67 88.20 88.20 0090.10.69.2120210 36.7856 09 26560 Repair of web finger A 5.38 12.99 NA 12.99 0.60 18.97 18.97 0090.10.69.2120200 36.7856 09 26561 Repair of web finger A 10.92 16.12 NA 16.12 0.69 27.73 27.73 0090.10.69.2120210 36.7856 09 26562 Repair of web finger A 15.00 19.37 NA 19.37 0.98 35.35 35.35 0090.10.69.2120200 36.7856 09 26565 Correct metacarpal flaw A 6.74 14.95 NA 14.95 0.84 22.53 22.53 0090.10.69.2120200 36.7856 09 26567 Correct finger deformity A 6.82 14.88 NA 14.88 0.84 22.54 22.54 0090.10.69.2120000 36.7856 09 26568 Lengthen metacarpal/finger A 9.08 20.41 NA 20.41 1.10 30.59 30.59 0090.10.69.2120200 36.7856 09 26580 Repair hand deformity A 18.18 15.87 NA 15.87 1.46 35.51 35.51 0090.10.69.2120200 36.7856 09 26587 Reconstruct extra finger A 14.05 6.36 4.76 1.12 21.53 19.93 0090.10.69.2120200 36.7856 09 26590 Repair finger deformity A 17.96 17.46 NA 17.46 1.32 36.74 36.74 0090.10.69.2120200 36.7856 09 26591 Repair muscles of hand A 3.25 13.80 NA 13.80 0.37 17.42 17.42 0090.10.69.2120000 36.7856 09 26593 Release muscles of hand A 5.31 13.78 NA 13.78 0.64 19.73 19.73 0090.10.69.2120100 36.7856 09 26596 Excision constricting tissue A 8.95 9.86 NA 9.86 0.87 19.68 19.68 0090.10.69.2120200 36.7856 09 26600 Treat metacarpal fracture A 1.96 4.36 2.83 0.25 6.57 5.04 0090.10.69.2120100 36.7856 09 26605 Treat metacarpal fracture A 2.85 6.33 4.45 0.38 9.56 7.68 0090.10.69.2120100 36.7856 09 26607 Treat metacarpal fracture A 5.36 8.46 NA 8.46 0.70 14.52 14.52 0090.10.69.2120000 36.7856 09 26608 Treat metacarpal fracture A 5.36 9.07 NA 9.07 0.73 15.16 15.16 0090.10.69.2120000 36.7856 09 26615 Treat metacarpal fracture A 5.33 8.49 NA 8.49 0.70 14.52 14.52 0090.10.69.2120100 36.7856 09 26641 Treat thumb dislocation A 3.94 6.70 4.86 0.42 11.06 9.22 0090.10.69.2120000 36.7856 09 26645 Treat thumb fracture A 4.41 7.51 5.35 0.54 12.46 10.30 0090.10.69.2120000 36.7856 09 26650 Treat thumb fracture A 5.72 9.24 NA 9.24 0.77 15.73 15.73 0090.10.69.2120100 36.7856 09 26665 Treat thumb fracture A 7.60 9.52 NA 9.52 0.97 18.09 18.09 0090.10.69.2120110 36.7856 09 26670 Treat hand dislocation A 3.69 6.53 4.75 0.36 10.58 8.80 0090.10.69.2120000 36.7856 09 26675 Treat hand dislocation A 4.64 6.66 4.57 0.56 11.86 9.77 0090.10.69.2120000 36.7856 09 26676 Pin hand dislocation A 5.52 9.30 NA 9.30 0.76 15.58 15.58 0090.10.69.2120100 36.7856 09 26685 Treat hand dislocation A 6.98 9.14 NA 9.14 0.95 17.07 17.07 0090.10.69.2120110 36.7856 09 26686 Treat hand dislocation A 7.94 9.73 NA 9.73 1.05 18.72 18.72 0090.10.69.2120200 36.7856 09 26700 Treat knuckle dislocation A 3.69 5.13 2.96 0.35 9.17 7.00 0090.10.69.2120100 36.7856 09 26705 Treat knuckle dislocation A 4.19 6.47 4.41 0.50 11.16 9.10 0090.10.69.2120000 36.7856 09 26706 Pin knuckle dislocation A 5.12 5.98 NA 5.98 0.64 11.74 11.74 0090.10.69.2120100 36.7856 09 26715 Treat knuckle dislocation A 5.74 8.65 NA 8.65 0.75 15.14 15.14 0090.10.69.2120000 36.7856 09 26720 Treat finger fracture, each A 1.66 3.22 1.69 0.20 5.08 3.55 0090.10.69.2120100 36.7856 09 26725 Treat finger fracture, each A 3.33 5.47 3.28 0.43 9.23 7.04 0090.10.69.2120100 36.7856 09 26727 Treat finger fracture, each A 5.23 9.18 NA 9.18 0.69 15.10 15.10 0090.10.69.2120100 36.7856 09 26735 Treat finger fracture, each A 5.98 8.91 NA 8.91 0.77 15.66 15.66 0090.10.69.2120100 36.7856 09 26740 Treat finger fracture, each A 1.94 4.01 2.67 0.24 6.19 4.85 0090.10.69.2120100 36.7856 09 26742 Treat finger fracture, each A 3.85 7.41 5.28 0.49 11.75 9.62 0090.10.69.2120100 36.7856 09 26746 Treat finger fracture, each A 5.81 8.98 NA 8.98 0.74 15.53 15.53 0090.10.69.2120100 36.7856 09 26750 Treat finger fracture, each A 1.70 3.82 2.41 0.19 5.71 4.30 0090.10.69.2120100 36.7856 09 26755 Treat finger fracture, each A 3.10 5.25 3.10 0.37 8.72 6.57 0090.10.69.2120100 36.7856 09 26756 Pin finger fracture, each A 4.39 8.89 NA 8.89 0.56 13.84 13.84 0090.10.69.2120000 36.7856 09 26765 Treat finger fracture, each A 4.17 7.97 NA 7.97 0.51 12.65 12.65 0090.10.69.2120100 36.7856 09 26770 Treat finger dislocation A 3.02 4.98 2.71 0.27 8.27 6.00 0090.10.69.2120100 36.7856 09 26775 Treat finger dislocation A 3.71 6.25 4.06 0.43 10.39 8.20 0090.10.69.2120100 36.7856 09 26776 Pin finger dislocation A 4.80 9.01 NA 9.01 0.63 14.44 14.44 0090.10.69.2120100 36.7856 09 26785 Treat finger dislocation A 4.21 7.94 NA 7.94 0.54 12.69 12.69 0090.10.69.2120100 36.7856 09 26820 Thumb fusion with graft A 8.26 16.22 NA 16.22 1.11 25.59 25.59 0090.10.69.2120210 36.7856 09 26841 Fusion of thumb A 7.13 15.46 NA 15.46 0.97 23.56 23.56 0090.10.69.2120010 36.7856 09 26842 Thumb fusion with graft A 8.24 16.24 NA 16.24 1.10 25.58 25.58 0090.10.69.2120210 36.7856 09 26843 Fusion of hand joint A 7.61 14.93 NA 14.93 0.99 23.53 23.53 0090.10.69.2120210 36.7856 09 26844 Fusion/graft of hand joint A 8.73 16.20 NA 16.20 1.12 26.05 26.05 0090.10.69.2120210 36.7856 09 26850 Fusion of knuckle A 6.97 14.89 NA 14.89 0.89 22.75 22.75 0090.10.69.2120000 36.7856 09 26852 Fusion of knuckle with graft A 8.46 15.84 NA 15.84 1.05 25.35 25.35 0090.10.69.2120210 36.7856 09 26860 Fusion of finger joint A 4.69 13.75 NA 13.75 0.60 19.04 19.04 0090.10.69.2120100 36.7856 09 26861 Fusion of finger jnt, add-on A 1.74 0.96 NA 0.96 0.22 2.92 2.92 0ZZZ.00.00.0000100 36.7856 09 26862 Fusion/graft of finger joint A 7.37 15.38 NA 15.38 0.92 23.67 23.67 0090.10.69.2120210 36.7856 09 26863 Fuse/graft added joint A 3.90 2.17 NA 2.17 0.51 6.58 6.58 0ZZZ.00.00.0000200 36.7856 09 26910 Amputate metacarpal bone A 7.60 14.07 NA 14.07 0.90 22.57 22.57 0090.10.69.2120100 36.7856 09 26951 Amputation of finger/thumb A 4.59 13.06 NA 13.06 0.56 18.21 18.21 0090.10.69.2120100 36.7856 09 26952 Amputation of finger/thumb A 6.31 14.25 NA 14.25 0.74 21.30 21.30 0090.10.69.2120100 36.7856 09 26989 Hand/finger surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020101 36.7856 09 26990 Drainage of pelvis lesion A 7.48 16.35 NA 16.35 0.92 24.75 24.75 0090.10.69.2120100 36.7856 09 26991 Drainage of pelvis bursa A 6.68 11.94 9.87 0.85 19.47 17.40 0090.10.69.2120000 36.7856 09 26992 Drainage of bone lesion A 13.02 20.25 NA 20.25 1.75 35.02 35.02 0090.10.69.2120000 36.7856 09 27000 Incision of hip tendon A 5.62 7.78 NA 7.78 0.76 14.16 14.16 0090.10.69.2121110 36.7856 09 27001 Incision of hip tendon A 6.94 8.52 NA 8.52 0.95 16.41 16.41 0090.10.69.2121210 36.7856 09 27003 Incision of hip tendon A 7.34 9.52 NA 9.52 0.93 17.79 17.79 0090.10.69.2121210 36.7856 09 27005 Incision of hip tendon A 9.66 10.84 NA 10.84 1.36 21.86 21.86 0090.10.69.2121210 36.7856 09 27006 Incision of hip tendons A 9.68 10.84 NA 10.84 1.33 21.85 21.85 0090.10.69.2121210 36.7856 09 27025 Incision of hip/thigh fascia A 11.16 10.70 NA 10.70 1.38 23.24 23.24 0090.10.69.2121010 36.7856 09 27030 Drainage of hip joint A 13.01 12.69 NA 12.69 1.81 27.51 27.51 0090.10.69.2121210 36.7856 09 27033 Exploration of hip joint A 13.39 12.81 NA 12.81 1.87 28.07 28.07 0090.10.69.2121210 36.7856 09 27035 Denervation of hip joint A 16.69 17.51 NA 17.51 1.70 35.90 35.90 0090.10.69.2121210 36.7856 09 27036 Excision of hip joint/muscle A 12.88 14.25 NA 14.25 1.80 28.93 28.93 0090.10.69.2121210 36.7856 09 27040 Biopsy of soft tissues A 2.87 6.16 3.97 0.21 9.24 7.05 0010.10.80.1021100 36.7856 09 27041 Biopsy of soft tissues A 9.89 8.60 NA 8.60 1.01 19.50 19.50 0090.10.69.2121100 36.7856 09 27047 Remove hip/pelvis lesion A 7.45 9.54 7.15 0.79 17.78 15.39 0090.10.69.2121100 36.7856 09 27048 Remove hip/pelvis lesion A 6.25 8.06 NA 8.06 0.73 15.04 15.04 0090.10.69.2121210 36.7856 09 27049 Remove tumor, hip/pelvis A 13.66 13.54 NA 13.54 1.60 28.80 28.80 0090.10.69.2121210 36.7856 09 27050 Biopsy of sacroiliac joint A 4.36 7.42 NA 7.42 0.53 12.31 12.31 0090.10.69.2121010 36.7856 09 27052 Biopsy of hip joint A 6.23 8.71 NA 8.71 0.85 15.79 15.79 0090.10.69.2121210 36.7856 09 27054 Removal of hip joint lining A 8.54 11.05 NA 11.05 1.17 20.76 20.76 0090.10.69.2121210 36.7856 09 27060 Removal of ischial bursa A 5.43 7.63 NA 7.63 0.60 13.66 13.66 0090.10.69.2121100 36.7856 09 27062 Remove femur lesion/bursa A 5.37 7.59 NA 7.59 0.74 13.70 13.70 0090.10.69.2121110 36.7856 09 27065 Removal of hip bone lesion A 5.90 9.09 NA 9.09 0.76 15.75 15.75 0090.10.69.2121210 36.7856 09 27066 Removal of hip bone lesion A 10.33 12.88 NA 12.88 1.42 24.63 24.63 0090.10.69.2121210 36.7856 09 27067 Remove/graft hip bone lesion A 13.83 14.91 NA 14.91 1.95 30.69 30.69 0090.10.69.2121200 36.7856 09 27070 Partial removal of hip bone A 10.72 18.36 NA 18.36 1.36 30.44 30.44 0090.10.69.2121210 36.7856 09 27071 Partial removal of hip bone A 11.46 19.32 NA 19.32 1.51 32.29 32.29 0090.10.69.2121210 36.7856 09 27075 Extensive hip surgery A 35.00 25.82 NA 25.82 2.22 63.04 63.04 0090.10.69.2120210 36.7856 09 27076 Extensive hip surgery A 22.12 20.29 NA 20.29 2.86 45.27 45.27 0090.10.69.2120210 36.7856 09 27077 Extensive hip surgery A 40.00 29.14 NA 29.14 3.18 72.32 72.32 0090.10.69.2120210 36.7856 09 27078 Extensive hip surgery A 13.44 15.81 NA 15.81 1.67 30.92 30.92 0090.10.69.2120210 36.7856 09 27079 Extensive hip surgery A 13.75 15.34 NA 15.34 1.86 30.95 30.95 0090.10.69.2120210 36.7856 09 27080 Removal of tail bone A 6.39 7.66 NA 7.66 0.80 14.85 14.85 0090.10.69.2120210 36.7856 09 27086 Remove hip foreign body A 1.87 5.13 3.97 0.17 7.17 6.01 0010.10.80.1021000 36.7856 09 27087 Remove hip foreign body A 8.54 9.19 NA 9.19 1.09 18.82 18.82 0090.10.69.2121210 36.7856 09 27090 Removal of hip prosthesis A 11.15 8.95 NA 8.95 1.55 21.65 21.65 0090.10.69.2121210 36.7856 09 27091 Removal of hip prosthesis A 22.14 14.22 NA 14.22 3.11 39.47 39.47 0090.10.69.2121210 36.7856 09 27093 Injection for hip x-ray A 1.30 12.50 0.50 0.09 13.89 1.89 0000.00.00.0021100 36.7856 09 27095 Injection for hip x-ray A 1.50 11.47 0.54 0.10 13.07 2.14 0000.00.00.0021100 36.7856 09 27096 Inject sacroiliac joint A 1.40 10.28 0.34 0.08 11.76 1.82 0000.00.00.0021100 36.7856 09 27097 Revision of hip tendon A 8.80 9.44 NA 9.44 1.22 19.46 19.46 0090.10.69.2121200 36.7856 09 27098 Transfer tendon to pelvis A 8.83 9.88 NA 9.88 1.24 19.95 19.95 0090.10.69.2121200 36.7856 09 27100 Transfer of abdominal muscle A 11.08 13.03 NA 13.03 1.57 25.68 25.68 0090.10.69.2121210 36.7856 09 27105 Transfer of spinal muscle A 11.77 12.72 NA 12.72 1.66 26.15 26.15 0090.10.69.2121200 36.7856 09 27110 Transfer of iliopsoas muscle A 13.26 13.59 NA 13.59 1.38 28.23 28.23 0090.10.69.2121210 36.7856 09 27111 Transfer of iliopsoas muscle A 12.15 12.43 NA 12.43 1.48 26.06 26.06 0090.10.69.2121210 36.7856 09 27120 Reconstruction of hip socket A 18.01 12.05 NA 12.05 2.45 32.51 32.51 0090.10.69.2121210 36.7856 09 27122 Reconstruction of hip socket A 14.98 11.19 NA 11.19 2.08 28.25 28.25 0090.10.69.2121210 36.7856 09 27125 Partial hip replacement A 14.69 10.75 NA 10.75 2.05 27.49 27.49 0090.10.69.2121210 36.7856 09 27130 Total hip arthroplasty A 20.12 13.58 NA 13.58 2.82 36.52 36.52 0090.10.69.2121210 36.7856 09 27132 Total hip arthroplasty A 23.30 15.87 NA 15.87 3.26 42.43 42.43 0090.10.69.2121210 36.7856 09 27134 Revise hip joint replacement A 28.52 18.20 NA 18.20 3.97 50.69 50.69 0090.10.69.2121210 36.7856 09 27137 Revise hip joint replacement A 21.17 14.24 NA 14.24 2.97 38.38 38.38 0090.10.69.2121210 36.7856 09 27138 Revise hip joint replacement A 22.17 14.72 NA 14.72 3.11 40.00 40.00 0090.10.69.2121210 36.7856 09 27140 Transplant femur ridge A 12.24 12.27 NA 12.27 1.67 26.18 26.18 0090.10.69.2121210 36.7856 09 27146 Incision of hip bone A 17.43 16.51 NA 16.51 2.27 36.21 36.21 0090.10.69.2121210 36.7856 09 27147 Revision of hip bone A 20.58 17.71 NA 17.71 2.61 40.90 40.90 0090.10.69.2121210 36.7856 09 27151 Incision of hip bones A 22.51 12.83 NA 12.83 3.12 38.46 38.46 0090.10.69.2121210 36.7856 09 27156 Revision of hip bones A 24.63 20.37 NA 20.37 3.48 48.48 48.48 0090.10.69.2121210 36.7856 09 27158 Revision of pelvis A 19.74 16.00 NA 16.00 2.60 38.34 38.34 0090.10.69.2122200 36.7856 09 27161 Incision of neck of femur A 16.71 14.57 NA 14.57 2.32 33.60 33.60 0090.10.69.2121210 36.7856 09 27165 Incision/fixation of femur A 17.91 15.11 NA 15.11 2.51 35.53 35.53 0090.10.69.2120210 36.7856 09 27170 Repair/graft femur head/neck A 16.07 14.30 NA 14.30 2.20 32.57 32.57 0090.10.69.2121210 36.7856 09 27175 Treat slipped epiphysis A 8.46 7.39 NA 7.39 1.19 17.04 17.04 0090.10.69.2121000 36.7856 09 27176 Treat slipped epiphysis A 12.05 10.20 NA 10.20 1.68 23.93 23.93 0090.10.69.2121210 36.7856 09 27177 Treat slipped epiphysis A 15.08 11.88 NA 11.88 2.11 29.07 29.07 0090.10.69.2121210 36.7856 09 27178 Treat slipped epiphysis A 11.99 9.63 NA 9.63 1.68 23.30 23.30 0090.10.69.2121210 36.7856 09 27179 Revise head/neck of femur A 12.98 11.01 NA 11.01 1.84 25.83 25.83 0090.10.69.2121200 36.7856 09 27181 Treat slipped epiphysis A 14.68 11.17 NA 11.17 1.74 27.59 27.59 0090.10.69.2121200 36.7856 09 27185 Revision of femur epiphysis A 9.18 10.51 NA 10.51 1.29 20.98 20.98 0090.10.69.2121110 36.7856 09 27187 Reinforce hip bones A 13.54 13.81 NA 13.81 1.89 29.24 29.24 0090.10.69.2121210 36.7856 09 27193 Treat pelvic ring fracture A 5.56 7.39 5.47 0.77 13.72 11.80 0090.10.69.2121100 36.7856 09 27194 Treat pelvic ring fracture A 9.65 9.40 7.71 1.32 20.37 18.68 0090.10.69.2120020 36.7856 09 27200 Treat tail bone fracture A 1.84 3.25 1.83 0.22 5.31 3.89 0090.10.69.2120100 36.7856 09 27202 Treat tail bone fracture A 7.04 22.21 NA 22.21 0.69 29.94 29.94 0090.10.69.2120200 36.7856 09 27215 Treat pelvic fracture(s) A 10.05 10.59 NA 10.59 1.37 22.01 22.01 0090.10.69.2120220 36.7856 09 27216 Treat pelvic ring fracture A 15.19 14.82 NA 14.82 2.15 32.16 32.16 0090.10.69.2120220 36.7856 09 27217 Treat pelvic ring fracture A 14.11 13.07 NA 13.07 1.95 29.13 29.13 0090.10.69.2120220 36.7856 09 27218 Treat pelvic ring fracture A 20.15 14.41 NA 14.41 2.85 37.41 37.41 0090.10.69.2120220 36.7856 09 27220 Treat hip socket fracture A 6.18 7.73 5.82 0.85 14.76 12.85 0090.10.69.2121100 36.7856 09 27222 Treat hip socket fracture A 12.70 10.44 NA 10.44 1.77 24.91 24.91 0090.10.69.2121100 36.7856 09 27226 Treat hip wall fracture A 14.91 10.98 NA 10.98 2.07 27.96 27.96 0090.10.69.2121220 36.7856 09 27227 Treat hip fracture(s) A 23.45 17.40 NA 17.40 3.24 44.09 44.09 0090.10.69.2121220 36.7856 09 27228 Treat hip fracture(s) A 27.16 19.68 NA 19.68 3.77 50.61 50.61 0090.10.69.2121220 36.7856 09 27230 Treat thigh fracture A 5.50 8.01 6.44 0.73 14.24 12.67 0090.10.69.2121100 36.7856 09 27232 Treat thigh fracture A 10.68 9.48 NA 9.48 1.45 21.61 21.61 0090.10.69.2121100 36.7856 09 27235 Treat thigh fracture A 12.16 11.34 NA 11.34 1.71 25.21 25.21 0090.10.69.2121110 36.7856 09 27236 Treat thigh fracture A 15.60 11.28 NA 11.28 2.18 29.06 29.06 0090.10.69.2121210 36.7856 09 27238 Treat thigh fracture A 5.52 6.55 NA 6.55 0.76 12.83 12.83 0090.10.69.2121100 36.7856 09 27240 Treat thigh fracture A 12.50 10.52 NA 10.52 1.69 24.71 24.71 0090.10.69.2121100 36.7856 09 27244 Treat thigh fracture A 15.94 13.24 NA 13.24 2.23 31.41 31.41 0090.10.69.2121210 36.7856 09 27245 Treat thigh fracture A 20.31 15.64 NA 15.64 2.85 38.80 38.80 0090.10.69.2121220 36.7856 09 27246 Treat thigh fracture A 4.71 7.73 6.19 0.66 13.10 11.56 0090.10.69.2121100 36.7856 09 27248 Treat thigh fracture A 10.45 10.25 NA 10.25 1.45 22.15 22.15 0090.10.69.2121210 36.7856 09 27250 Treat hip dislocation A 6.95 6.49 NA 6.49 0.68 14.12 14.12 0090.10.69.2121100 36.7856 09 27252 Treat hip dislocation A 10.39 8.43 NA 8.43 1.37 20.19 20.19 0090.10.69.2121100 36.7856 09 27253 Treat hip dislocation A 12.92 11.14 NA 11.14 1.81 25.87 25.87 0090.10.69.2121210 36.7856 09 27254 Treat hip dislocation A 18.26 14.04 NA 14.04 2.52 34.82 34.82 0090.10.69.2121210 36.7856 09 27256 Treat hip dislocation A 4.12 4.45 NA 4.45 0.49 9.06 9.06 0010.10.80.1021000 36.7856 09 27257 Treat hip dislocation A 5.22 4.77 NA 4.77 0.56 10.55 10.55 0010.10.80.1021000 36.7856 09 27258 Treat hip dislocation A 15.43 14.26 NA 14.26 2.06 31.75 31.75 0090.10.69.2121210 36.7856 09 27259 Treat hip dislocation A 21.55 17.51 NA 17.51 2.99 42.05 42.05 0090.10.69.2121200 36.7856 09 27265 Treat hip dislocation A 5.05 6.25 NA 6.25 0.65 11.95 11.95 0090.10.69.2121100 36.7856 09 27266 Treat hip dislocation A 7.49 7.69 NA 7.69 1.04 16.22 16.22 0090.10.69.2121100 36.7856 09 27275 Manipulation of hip joint A 2.27 3.75 NA 3.75 0.31 6.33 6.33 0010.10.80.1020100 36.7856 09 27280 Fusion of sacroiliac joint A 13.39 14.60 NA 14.60 1.98 29.97 29.97 0090.10.69.2121210 36.7856 09 27282 Fusion of pubic bones A 11.34 12.54 NA 12.54 1.14 25.02 25.02 0090.10.69.2120210 36.7856 09 27284 Fusion of hip joint A 23.45 18.80 NA 18.80 2.36 44.61 44.61 0090.10.69.2121210 36.7856 09 27286 Fusion of hip joint A 23.45 19.33 NA 19.33 2.37 45.15 45.15 0090.10.69.2121210 36.7856 09 27290 Amputation of leg at hip A 23.28 17.03 NA 17.03 2.94 43.25 43.25 0090.10.69.2120210 36.7856 09 27295 Amputation of leg at hip A 18.65 14.46 NA 14.46 2.35 35.46 35.46 0090.10.69.2120210 36.7856 09 27299 Pelvis/hip joint surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 36.7856 09 27301 Drain thigh/knee lesion A 6.49 16.43 14.49 0.80 23.72 21.78 0090.10.69.2121100 36.7856 09 27303 Drainage of bone lesion A 8.28 15.57 NA 15.57 1.14 24.99 24.99 0090.10.69.2121210 36.7856 09 27305 Incise thigh tendon & fascia A 5.92 9.50 NA 9.50 0.77 16.19 16.19 0090.10.69.2121210 36.7856 09 27306 Incision of thigh tendon A 4.62 7.93 NA 7.93 0.62 13.17 13.17 0090.10.69.2121200 36.7856 09 27307 Incision of thigh tendons A 5.80 8.53 NA 8.53 0.78 15.11 15.11 0090.10.69.2121010 36.7856 09 27310 Exploration of knee joint A 9.27 10.40 NA 10.40 1.29 20.96 20.96 0090.10.69.2121210 36.7856 09 27315 Partial removal, thigh nerve A 6.97 4.45 NA 4.45 0.79 12.21 12.21 0090.10.69.2121200 36.7856 09 27320 Partial removal, thigh nerve A 6.30 4.68 NA 4.68 0.78 11.76 11.76 0090.10.69.2121210 36.7856 09 27323 Biopsy, thigh soft tissues A 2.28 6.01 3.57 0.17 8.46 6.02 0010.10.80.1021100 36.7856 09 27324 Biopsy, thigh soft tissues A 4.90 7.14 NA 7.14 0.59 12.63 12.63 0090.10.69.2121100 36.7856 09 27327 Removal of thigh lesion A 4.47 8.59 6.51 0.50 13.56 11.48 0090.10.69.2121100 36.7856 09 27328 Removal of thigh lesion A 5.57 7.28 NA 7.28 0.66 13.51 13.51 0090.10.69.2121100 36.7856 09 27329 Remove tumor, thigh/knee A 14.14 14.74 NA 14.74 1.68 30.56 30.56 0090.10.69.2121210 36.7856 09 27330 Biopsy, knee joint lining A 4.97 6.61 NA 6.61 0.66 12.24 12.24 0090.10.69.2121110 36.7856 09 27331 Explore/treat knee joint A 5.88 7.83 NA 7.83 0.81 14.52 14.52 0090.10.69.2121210 36.7856 09 27332 Removal of knee cartilage A 8.27 9.06 NA 9.06 1.15 18.48 18.48 0090.10.69.2121210 36.7856 09 27333 Removal of knee cartilage A 7.30 8.59 NA 8.59 1.03 16.92 16.92 0090.10.69.2121210 36.7856 09 27334 Remove knee joint lining A 8.70 9.97 NA 9.97 1.21 19.88 19.88 0090.10.69.2121210 36.7856 09 27335 Remove knee joint lining A 10.00 10.83 NA 10.83 1.41 22.24 22.24 0090.10.69.2121210 36.7856 09 27340 Removal of kneecap bursa A 4.18 6.26 NA 6.26 0.58 11.02 11.02 0090.10.69.2121100 36.7856 09 27345 Removal of knee cyst A 5.92 7.70 NA 7.70 0.81 14.43 14.43 0090.10.69.2121210 36.7856 09 27347 Remove knee cyst A 5.78 7.45 NA 7.45 0.76 13.99 13.99 0090.10.69.2121210 36.7856 09 27350 Removal of kneecap A 8.17 9.17 NA 9.17 1.15 18.49 18.49 0090.10.69.2121210 36.7856 09 27355 Remove femur lesion A 7.65 10.74 NA 10.74 1.07 19.46 19.46 0090.10.69.2121210 36.7856 09 27356 Remove femur lesion/graft A 9.48 11.74 NA 11.74 1.29 22.51 22.51 0090.10.69.2121210 36.7856 09 27357 Remove femur lesion/graft A 10.53 12.24 NA 12.24 1.48 24.25 24.25 0090.10.69.2121210 36.7856 09 27358 Remove femur lesion/fixation A 4.74 2.59 NA 2.59 0.67 8.00 8.00 0ZZZ.00.00.0001200 36.7856 09 27360 Partial removal, leg bone(s) A 10.50 18.97 NA 18.97 1.42 30.89 30.89 0090.10.69.2121210 36.7856 09 27365 Extensive leg surgery A 16.27 14.68 NA 14.68 2.26 33.21 33.21 0090.10.69.2121210 36.7856 09 27370 Injection for knee x-ray A 0.96 11.98 0.33 0.06 13.00 1.35 0000.00.00.0021100 36.7856 09 27372 Removal of foreign body A 5.07 8.64 6.69 0.62 14.33 12.38 0090.10.69.2121000 36.7856 09 27380 Repair of kneecap tendon A 7.16 8.67 NA 8.67 1.00 16.83 16.83 0090.10.69.2121210 36.7856 09 27381 Repair/graft kneecap tendon A 10.34 10.37 NA 10.37 1.44 22.15 22.15 0090.10.69.2121210 36.7856 09 27385 Repair of thigh muscle A 7.76 9.02 NA 9.02 1.09 17.87 17.87 0090.10.69.2121210 36.7856 09 27386 Repair/graft of thigh muscle A 10.56 11.17 NA 11.17 1.49 23.22 23.22 0090.10.69.2121210 36.7856 09 27390 Incision of thigh tendon A 5.33 8.20 NA 8.20 0.69 14.22 14.22 0090.10.69.2120200 36.7856 09 27391 Incision of thigh tendons A 7.20 9.33 NA 9.33 0.99 17.52 17.52 0090.10.69.2120010 36.7856 09 27392 Incision of thigh tendons A 9.20 11.43 NA 11.43 1.23 21.86 21.86 0090.10.69.2122210 36.7856 09 27393 Lengthening of thigh tendon A 6.39 8.74 NA 8.74 0.90 16.03 16.03 0090.10.69.2120210 36.7856 09 27394 Lengthening of thigh tendons A 8.50 11.13 NA 11.13 1.17 20.80 20.80 0090.10.69.2120200 36.7856 09 27395 Lengthening of thigh tendons A 11.73 14.02 NA 14.02 1.63 27.38 27.38 0090.10.69.2122210 36.7856 09 27396 Transplant of thigh tendon A 7.86 11.02 NA 11.02 1.11 19.99 19.99 0090.10.69.2120210 36.7856 09 27397 Transplants of thigh tendons A 11.28 12.48 NA 12.48 1.58 25.34 25.34 0090.10.69.2120200 36.7856 09 27400 Revise thigh muscles/tendons A 9.02 11.20 NA 11.20 1.18 21.40 21.40 0090.10.69.2121210 36.7856 09 27403 Repair of knee cartilage A 8.33 9.19 NA 9.19 1.16 18.68 18.68 0090.10.69.2121210 36.7856 09 27405 Repair of knee ligament A 8.65 10.04 NA 10.04 1.21 19.90 19.90 0090.10.69.2121210 36.7856 09 27407 Repair of knee ligament A 10.28 10.74 NA 10.74 1.38 22.40 22.40 0090.10.69.2121210 36.7856 09 27409 Repair of knee ligaments A 12.90 12.29 NA 12.29 1.75 26.94 26.94 0090.10.69.2121210 36.7856 09 27418 Repair degenerated kneecap A 10.85 11.28 NA 11.28 1.51 23.64 23.64 0090.10.69.2121210 36.7856 09 27420 Revision of unstable kneecap A 9.83 10.02 NA 10.02 1.38 21.23 21.23 0090.10.69.2121210 36.7856 09 27422 Revision of unstable kneecap A 9.78 10.04 NA 10.04 1.37 21.19 21.19 0090.10.69.2121210 36.7856 09 27424 Revision/removal of kneecap A 9.81 10.00 NA 10.00 1.38 21.19 21.19 0090.10.69.2121210 36.7856 09 27425 Lat retinacular release open A 5.22 7.58 NA 7.58 0.73 13.53 13.53 0090.10.69.2121110 36.7856 09 27427 Reconstruction, knee A 9.36 9.64 NA 9.64 1.29 20.29 20.29 0090.10.69.2121210 36.7856 09 27428 Reconstruction, knee A 14.00 12.86 NA 12.86 1.95 28.81 28.81 0090.10.69.2121210 36.7856 09 27429 Reconstruction, knee A 15.52 13.68 NA 13.68 2.18 31.38 31.38 0090.10.69.2121210 36.7856 09 27430 Revision of thigh muscles A 9.67 10.08 NA 10.08 1.35 21.10 21.10 0090.10.69.2121210 36.7856 09 27435 Incision of knee joint A 9.49 9.91 NA 9.91 1.33 20.73 20.73 0090.10.69.2121210 36.7856 09 27437 Revise kneecap A 8.46 7.31 NA 7.31 1.18 16.95 16.95 0090.10.69.2121110 36.7856 09 27438 Revise kneecap with implant A 11.23 8.71 NA 8.71 1.56 21.50 21.50 0090.10.69.2121210 36.7856 09 27440 Revision of knee joint A 10.43 6.23 NA 6.23 1.42 18.08 18.08 0090.10.69.2121210 36.7856 09 27441 Revision of knee joint A 10.82 6.90 NA 6.90 1.49 19.21 19.21 0090.10.69.2121210 36.7856 09 27442 Revision of knee joint A 11.89 9.09 NA 9.09 1.68 22.66 22.66 0090.10.69.2121210 36.7856 09 27443 Revision of knee joint A 10.93 8.85 NA 8.85 1.52 21.30 21.30 0090.10.69.2121210 36.7856 09 27445 Revision of knee joint A 17.68 12.52 NA 12.52 2.49 32.69 32.69 0090.10.69.2121210 36.7856 09 27446 Revision of knee joint A 15.84 11.50 NA 11.50 2.22 29.56 29.56 0090.10.69.2121210 36.7856 09 27447 Total knee arthroplasty A 21.48 14.82 NA 14.82 3.00 39.30 39.30 0090.10.69.2121210 36.7856 09 27448 Incision of thigh A 11.06 12.41 NA 12.41 1.51 24.98 24.98 0090.10.69.2121210 36.7856 09 27450 Incision of thigh A 13.98 14.20 NA 14.20 1.96 30.14 30.14 0090.10.69.2121210 36.7856 09 27454 Realignment of thigh bone A 17.56 16.02 NA 16.02 2.46 36.04 36.04 0090.10.69.2121210 36.7856 09 27455 Realignment of knee A 12.82 12.70 NA 12.70 1.78 27.30 27.30 0090.10.69.2121210 36.7856 09 27457 Realignment of knee A 13.45 11.87 NA 11.87 1.88 27.20 27.20 0090.10.69.2121210 36.7856 09 27465 Shortening of thigh bone A 13.87 14.06 NA 14.06 1.86 29.79 29.79 0090.10.69.2121210 36.7856 09 27466 Lengthening of thigh bone A 16.33 16.39 NA 16.39 1.92 34.64 34.64 0090.10.69.2121210 36.7856 09 27468 Shorten/lengthen thighs A 18.97 16.56 NA 16.56 2.68 38.21 38.21 0090.10.69.2121210 36.7856 09 27470 Repair of thigh A 16.07 16.45 NA 16.45 2.24 34.76 34.76 0090.10.69.2121210 36.7856 09 27472 Repair/graft of thigh A 17.72 17.33 NA 17.33 2.49 37.54 37.54 0090.10.69.2121210 36.7856 09 27475 Surgery to stop leg growth A 8.64 9.62 NA 9.62 1.13 19.39 19.39 0090.10.69.2121110 36.7856 09 27477 Surgery to stop leg growth A 9.85 10.08 NA 10.08 1.31 21.24 21.24 0090.10.69.2121110 36.7856 09 27479 Surgery to stop leg growth A 12.80 12.35 NA 12.35 1.81 26.96 26.96 0090.10.69.2121200 36.7856 09 27485 Surgery to stop leg growth A 8.84 9.79 NA 9.79 1.24 19.87 19.87 0090.10.69.2121100 36.7856 09 27486 Revise/replace knee joint A 19.27 13.67 NA 13.67 2.70 35.64 35.64 0090.10.69.2121210 36.7856 09 27487 Revise/replace knee joint A 25.27 16.83 NA 16.83 3.54 45.64 45.64 0090.10.69.2121210 36.7856 09 27488 Removal of knee prosthesis A 15.74 11.83 NA 11.83 2.21 29.78 29.78 0090.10.69.2121210 36.7856 09 27495 Reinforce thigh A 15.55 16.19 NA 16.19 2.18 33.92 33.92 0090.10.69.2121210 36.7856 09 27496 Decompression of thigh/knee A 6.11 8.25 NA 8.25 0.77 15.13 15.13 0090.10.69.2121100 36.7856 09 27497 Decompression of thigh/knee A 7.17 8.28 NA 8.28 0.84 16.29 16.29 0090.10.69.2121020 36.7856 09 27498 Decompression of thigh/knee A 7.99 8.67 NA 8.67 0.97 17.63 17.63 0090.10.69.2121220 36.7856 09 27499 Decompression of thigh/knee A 9.00 9.28 NA 9.28 1.18 19.46 19.46 0090.10.69.2121220 36.7856 09 27500 Treatment of thigh fracture A 5.92 10.40 7.84 0.80 17.12 14.56 0090.10.69.2121100 36.7856 09 27501 Treatment of thigh fracture A 5.92 11.65 9.09 0.83 18.40 15.84 0090.10.69.2121000 36.7856 09 27502 Treatment of thigh fracture A 10.58 11.60 NA 11.60 1.49 23.67 23.67 0090.10.69.2121100 36.7856 09 27503 Treatment of thigh fracture A 10.58 11.64 NA 11.64 1.49 23.71 23.71 0090.10.69.2121000 36.7856 09 27506 Treatment of thigh fracture A 17.45 14.57 NA 14.57 2.33 34.35 34.35 0090.10.69.2121210 36.7856 09 27507 Treatment of thigh fracture A 13.99 12.74 NA 12.74 1.95 28.68 28.68 0090.10.69.2121220 36.7856 09 27508 Treatment of thigh fracture A 5.83 7.42 5.52 0.80 14.05 12.15 0090.10.69.2121100 36.7856 09 27509 Treatment of thigh fracture A 7.71 9.50 NA 9.50 1.08 18.29 18.29 0090.10.69.2121000 36.7856 09 27510 Treatment of thigh fracture A 9.13 7.39 NA 7.39 1.26 17.78 17.78 0090.10.69.2121100 36.7856 09 27511 Treatment of thigh fracture A 13.64 13.34 NA 13.34 1.91 28.89 28.89 0090.10.69.2121220 36.7856 09 27513 Treatment of thigh fracture A 17.92 15.66 NA 15.66 2.51 36.09 36.09 0090.10.69.2121220 36.7856 09 27514 Treatment of thigh fracture A 17.30 14.78 NA 14.78 2.41 34.49 34.49 0090.10.69.2121210 36.7856 09 27516 Treat thigh fx growth plate A 5.37 8.20 6.00 0.74 14.31 12.11 0090.10.69.2121100 36.7856 09 27517 Treat thigh fx growth plate A 8.78 9.86 7.97 1.22 19.86 17.97 0090.10.69.2121000 36.7856 09 27519 Treat thigh fx growth plate A 15.02 13.83 NA 13.83 2.09 30.94 30.94 0090.10.69.2121210 36.7856 09 27520 Treat kneecap fracture A 2.86 5.79 3.90 0.38 9.03 7.14 0090.10.69.2121100 36.7856 09 27524 Treat kneecap fracture A 10.00 9.05 NA 9.05 1.40 20.45 20.45 0090.10.69.2121210 36.7856 09 27530 Treat knee fracture A 3.78 6.31 4.45 0.51 10.60 8.74 0090.10.69.2121100 36.7856 09 27532 Treat knee fracture A 7.30 7.79 5.87 1.02 16.11 14.19 0090.10.69.2121100 36.7856 09 27535 Treat knee fracture A 11.50 12.23 NA 12.23 1.61 25.34 25.34 0090.10.69.2121220 36.7856 09 27536 Treat knee fracture A 15.65 12.09 NA 12.09 2.19 29.93 29.93 0090.10.69.2121210 36.7856 09 27538 Treat knee fracture(s) A 4.87 7.97 5.73 0.67 13.51 11.27 0090.10.69.2121000 36.7856 09 27540 Treat knee fracture A 13.10 10.55 NA 10.55 1.80 25.45 25.45 0090.10.69.2121210 36.7856 09 27550 Treat knee dislocation A 5.76 7.57 5.83 0.68 14.01 12.27 0090.10.69.2121000 36.7856 09 27552 Treat knee dislocation A 7.90 8.23 NA 8.23 1.10 17.23 17.23 0090.10.69.2121000 36.7856 09 27556 Treat knee dislocation A 14.41 14.69 NA 14.69 2.01 31.11 31.11 0090.10.69.2121210 36.7856 09 27557 Treat knee dislocation A 16.77 15.93 NA 15.93 2.37 35.07 35.07 0090.10.69.2121210 36.7856 09 27558 Treat knee dislocation A 17.72 16.13 NA 16.13 2.51 36.36 36.36 0090.10.69.2121220 36.7856 09 27560 Treat kneecap dislocation A 3.82 6.20 3.99 0.40 10.42 8.21 0090.10.69.2121100 36.7856 09 27562 Treat kneecap dislocation A 5.79 5.85 NA 5.85 0.69 12.33 12.33 0090.10.69.2121000 36.7856 09 27566 Treat kneecap dislocation A 12.23 10.20 NA 10.20 1.73 24.16 24.16 0090.10.69.2121210 36.7856 09 27570 Fixation of knee joint A 1.74 3.45 NA 3.45 0.24 5.43 5.43 0010.10.80.1020100 36.7856 09 27580 Fusion of knee A 19.37 16.57 NA 16.57 2.70 38.64 38.64 0090.10.69.2121210 36.7856 09 27590 Amputate leg at thigh A 12.03 12.59 NA 12.59 1.35 25.97 25.97 0090.10.69.2121210 36.7856 09 27591 Amputate leg at thigh A 12.68 14.63 NA 14.63 1.63 28.94 28.94 0090.10.69.2121210 36.7856 09 27592 Amputate leg at thigh A 10.02 12.18 NA 12.18 1.17 23.37 23.37 0090.10.69.2121210 36.7856 09 27594 Amputation follow-up surgery A 6.92 9.10 NA 9.10 0.82 16.84 16.84 0090.10.69.2121100 36.7856 09 27596 Amputation follow-up surgery A 10.60 12.65 NA 12.65 1.24 24.49 24.49 0090.10.69.2121110 36.7856 09 27598 Amputate lower leg at knee A 10.53 11.61 NA 11.61 1.24 23.38 23.38 0090.10.69.2121210 36.7856 09 27599 Leg surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 36.7856 09 27600 Decompression of lower leg A 5.65 7.85 NA 7.85 0.68 14.18 14.18 0090.10.69.2121110 36.7856 09 27601 Decompression of lower leg A 5.64 7.79 NA 7.79 0.69 14.12 14.12 0090.10.69.2121100 36.7856 09 27602 Decompression of lower leg A 7.35 8.13 NA 8.13 0.85 16.33 16.33 0090.10.69.2121210 36.7856 09 27603 Drain lower leg lesion A 4.94 16.03 10.71 0.56 21.53 16.21 0090.10.69.2121100 36.7856 09 27604 Drain lower leg bursa A 4.47 11.74 8.69 0.54 16.75 13.70 0090.10.69.2121000 36.7856 09 27605 Incision of achilles tendon A 2.87 10.88 4.01 0.38 14.13 7.26 0010.10.80.1021000 36.7856 09 27606 Incision of achilles tendon A 4.14 13.17 5.24 0.57 17.88 9.95 0010.10.80.1021110 36.7856 09 27607 Treat lower leg bone lesion A 7.97 14.85 NA 14.85 1.08 23.90 23.90 0090.10.69.2121100 36.7856 09 27610 Explore/treat ankle joint A 8.34 10.90 NA 10.90 1.15 20.39 20.39 0090.10.69.2121100 36.7856 09 27612 Exploration of ankle joint A 7.33 8.61 NA 8.61 1.01 16.95 16.95 0090.10.69.2121210 36.7856 09 27613 Biopsy lower leg soft tissue A 2.17 5.93 3.16 0.16 8.26 5.49 0010.10.80.1021100 36.7856 09 27614 Biopsy lower leg soft tissue A 5.66 11.55 7.39 0.62 17.83 13.67 0090.10.69.2121100 36.7856 09 27615 Remove tumor, lower leg A 12.56 16.85 NA 16.85 1.39 30.80 30.80 0090.10.69.2121010 36.7856 09 27618 Remove lower leg lesion A 5.09 11.86 6.86 0.54 17.49 12.49 0090.10.69.2121100 36.7856 09 27619 Remove lower leg lesion A 8.40 13.36 9.46 1.01 22.77 18.87 0090.10.69.2121100 36.7856 09 27620 Explore/treat ankle joint A 5.98 8.48 NA 8.48 0.83 15.29 15.29 0090.10.69.2121210 36.7856 09 27625 Remove ankle joint lining A 8.30 10.10 NA 10.10 1.16 19.56 19.56 0090.10.69.2121210 36.7856 09 27626 Remove ankle joint lining A 8.91 10.79 NA 10.79 1.23 20.93 20.93 0090.10.69.2121200 36.7856 09 27630 Removal of tendon lesion A 4.80 11.52 7.24 0.60 16.92 12.64 0090.10.69.2121100 36.7856 09 27635 Remove lower leg bone lesion A 7.78 11.58 NA 11.58 1.06 20.42 20.42 0090.10.69.2121110 36.7856 09 27637 Remove/graft leg bone lesion A 9.85 12.91 NA 12.91 1.38 24.14 24.14 0090.10.69.2121210 36.7856 09 27638 Remove/graft leg bone lesion A 10.57 13.24 NA 13.24 1.47 25.28 25.28 0090.10.69.2121210 36.7856 09 27640 Partial removal of tibia A 11.37 18.94 NA 18.94 1.54 31.85 31.85 0090.10.69.2121110 36.7856 09 27641 Partial removal of fibula A 9.24 16.89 NA 16.89 1.22 27.35 27.35 0090.10.69.2121110 36.7856 09 27645 Extensive lower leg surgery A 14.17 18.70 NA 18.70 1.98 34.85 34.85 0090.10.69.2121210 36.7856 09 27646 Extensive lower leg surgery A 12.66 17.64 NA 17.64 1.55 31.85 31.85 0090.10.69.2121210 36.7856 09 27647 Extensive ankle/heel surgery A 12.24 11.52 NA 11.52 1.64 25.40 25.40 0090.10.69.2121200 36.7856 09 27648 Injection for ankle x-ray A 0.96 9.75 0.34 0.05 10.76 1.35 0000.00.00.0021000 36.7856 09 27650 Repair achilles tendon A 9.69 9.79 NA 9.79 1.35 20.83 20.83 0090.10.69.2121210 36.7856 09 27652 Repair/graft achilles tendon A 10.33 10.02 NA 10.02 1.45 21.80 21.80 0090.10.69.2121110 36.7856 09 27654 Repair of achilles tendon A 10.02 10.51 NA 10.51 1.41 21.94 21.94 0090.10.69.2121210 36.7856 09 27656 Repair leg fascia defect A 4.57 12.84 6.76 0.48 17.89 11.81 0090.10.69.2121200 36.7856 09 27658 Repair of leg tendon, each A 4.98 13.20 9.52 0.68 18.86 15.18 0090.10.69.2120210 36.7856 09 27659 Repair of leg tendon, each A 6.81 14.89 10.27 0.96 22.66 18.04 0090.10.69.2120210 36.7856 09 27664 Repair of leg tendon, each A 4.59 15.00 9.66 0.63 20.22 14.88 0090.10.69.2120000 36.7856 09 27665 Repair of leg tendon, each A 5.40 14.63 9.79 0.75 20.78 15.94 0090.10.69.2120210 36.7856 09 27675 Repair lower leg tendons A 7.18 8.63 NA 8.63 1.01 16.82 16.82 0090.10.69.2121210 36.7856 09 27676 Repair lower leg tendons A 8.42 9.68 NA 9.68 1.15 19.25 19.25 0090.10.69.2121200 36.7856 09 27680 Release of lower leg tendon A 5.74 8.48 NA 8.48 0.80 15.02 15.02 0090.10.69.2120110 36.7856 09 27681 Release of lower leg tendons A 6.82 8.98 NA 8.98 0.92 16.72 16.72 0090.10.69.2120110 36.7856 09 27685 Revision of lower leg tendon A 6.50 10.50 8.74 0.91 17.91 16.15 0090.10.69.2120210 36.7856 09 27686 Revise lower leg tendons A 7.46 15.11 10.39 1.05 23.62 18.90 0090.10.69.2120110 36.7856 09 27687 Revision of calf tendon A 6.24 8.90 NA 8.90 0.88 16.02 16.02 0090.10.69.2121210 36.7856 09 27690 Revise lower leg tendon A 8.71 9.75 NA 9.75 1.22 19.68 19.68 0090.10.69.2121210 36.7856 09 27691 Revise lower leg tendon A 9.96 11.37 NA 11.37 1.40 22.73 22.73 0090.10.69.2121210 36.7856 09 27692 Revise additional leg tendon A 1.87 0.95 NA 0.95 0.26 3.08 3.08 0ZZZ.00.00.0001210 36.7856 09 27695 Repair of ankle ligament A 6.51 9.63 NA 9.63 0.90 17.04 17.04 0090.10.69.2121110 36.7856 09 27696 Repair of ankle ligaments A 8.27 9.97 NA 9.97 1.16 19.40 19.40 0090.10.69.2121110 36.7856 09 27698 Repair of ankle ligament A 9.36 9.72 NA 9.72 1.31 20.39 20.39 0090.10.69.2121210 36.7856 09 27700 Revision of ankle joint A 9.29 5.81 NA 5.81 1.24 16.34 16.34 0090.10.69.2121210 36.7856 09 27702 Reconstruct ankle joint A 13.67 10.57 NA 10.57 1.92 26.16 26.16 0090.10.69.2121210 36.7856 09 27703 Reconstruction, ankle joint A 15.87 11.36 NA 11.36 2.24 29.47 29.47 0090.10.69.2121200 36.7856 09 27704 Removal of ankle implant A 7.62 5.75 NA 5.75 0.61 13.98 13.98 0090.10.69.2121110 36.7856 09 27705 Incision of tibia A 10.38 11.94 NA 11.94 1.44 23.76 23.76 0090.10.69.2121210 36.7856 09 27707 Incision of fibula A 4.37 8.83 NA 8.83 0.60 13.80 13.80 0090.10.69.2121110 36.7856 09 27709 Incision of tibia & fibula A 9.95 11.93 NA 11.93 1.39 23.27 23.27 0090.10.69.2121210 36.7856 09 27712 Realignment of lower leg A 14.25 14.10 NA 14.10 2.00 30.35 30.35 0090.10.69.2121210 36.7856 09 27715 Revision of lower leg A 14.39 15.50 NA 15.50 2.00 31.89 31.89 0090.10.69.2121210 36.7856 09 27720 Repair of tibia A 11.79 14.12 NA 14.12 1.66 27.57 27.57 0090.10.69.2121210 36.7856 09 27722 Repair/graft of tibia A 11.82 13.88 NA 13.88 1.65 27.35 27.35 0090.10.69.2121210 36.7856 09 27724 Repair/graft of tibia A 18.20 17.61 NA 17.61 2.10 37.91 37.91 0090.10.69.2121210 36.7856 09 27725 Repair of lower leg A 15.59 16.06 NA 16.06 2.20 33.85 33.85 0090.10.69.2121210 36.7856 09 27727 Repair of lower leg A 14.01 14.96 NA 14.96 1.84 30.81 30.81 0090.10.69.2121210 36.7856 09 27730 Repair of tibia epiphysis A 7.41 21.22 10.17 0.75 29.38 18.33 0090.10.69.2121110 36.7856 09 27732 Repair of fibula epiphysis A 5.32 14.21 8.71 0.63 20.16 14.66 0090.10.69.2121100 36.7856 09 27734 Repair lower leg epiphyses A 8.48 9.91 NA 9.91 0.85 19.24 19.24 0090.10.69.2121100 36.7856 09 27740 Repair of leg epiphyses A 9.30 23.90 11.76 1.31 34.51 22.37 0090.10.69.2121200 36.7856 09 27742 Repair of leg epiphyses A 10.30 16.69 10.97 1.55 28.54 22.82 0090.10.69.2121210 36.7856 09 27745 Reinforce tibia A 10.07 12.05 NA 12.05 1.38 23.50 23.50 0090.10.69.2121210 36.7856 09 27750 Treatment of tibia fracture A 3.19 5.93 4.10 0.43 9.55 7.72 0090.10.69.2121100 36.7856 09 27752 Treatment of tibia fracture A 5.84 8.53 6.34 0.82 15.19 13.00 0090.10.69.2121100 36.7856 09 27756 Treatment of tibia fracture A 6.78 11.38 NA 11.38 0.94 19.10 19.10 0090.10.69.2121210 36.7856 09 27758 Treatment of tibia fracture A 11.67 12.42 NA 12.42 1.52 25.61 25.61 0090.10.69.2121210 36.7856 09 27759 Treatment of tibia fracture A 13.76 13.74 NA 13.74 1.93 29.43 29.43 0090.10.69.2121220 36.7856 09 27760 Treatment of ankle fracture A 3.01 5.69 3.91 0.39 9.09 7.31 0090.10.69.2121100 36.7856 09 27762 Treatment of ankle fracture A 5.25 7.99 5.87 0.71 13.95 11.83 0090.10.69.2121100 36.7856 09 27766 Treatment of ankle fracture A 8.36 8.68 NA 8.68 1.17 18.21 18.21 0090.10.69.2121110 36.7856 09 27780 Treatment of fibula fracture A 2.65 5.61 3.71 0.33 8.59 6.69 0090.10.69.2121100 36.7856 09 27781 Treatment of fibula fracture A 4.40 6.84 4.69 0.57 11.81 9.66 0090.10.69.2121100 36.7856 09 27784 Treatment of fibula fracture A 7.11 8.92 NA 8.92 0.98 17.01 17.01 0090.10.69.2121110 36.7856 09 27786 Treatment of ankle fracture A 2.84 5.66 3.83 0.37 8.87 7.04 0090.10.69.2121100 36.7856 09 27788 Treatment of ankle fracture A 4.45 6.92 4.75 0.61 11.98 9.81 0090.10.69.2121100 36.7856 09 27792 Treatment of ankle fracture A 7.66 8.40 NA 8.40 1.07 17.13 17.13 0090.10.69.2121110 36.7856 09 27808 Treatment of ankle fracture A 2.83 6.81 4.62 0.38 10.02 7.83 0090.10.69.2121100 36.7856 09 27810 Treatment of ankle fracture A 5.13 8.08 5.88 0.71 13.92 11.72 0090.10.69.2121100 36.7856 09 27814 Treatment of ankle fracture A 10.68 11.19 NA 11.19 1.50 23.37 23.37 0090.10.69.2121210 36.7856 09 27816 Treatment of ankle fracture A 2.89 6.27 4.63 0.37 9.53 7.89 0090.10.69.2121100 36.7856 09 27818 Treatment of ankle fracture A 5.50 8.22 6.02 0.74 14.46 12.26 0090.10.69.2121100 36.7856 09 27822 Treatment of ankle fracture A 11.00 13.50 NA 13.50 1.29 25.79 25.79 0090.10.69.2121210 36.7856 09 27823 Treatment of ankle fracture A 13.00 14.56 NA 14.56 1.65 29.21 29.21 0090.10.69.2121210 36.7856 09 27824 Treat lower leg fracture A 2.89 6.73 4.63 0.39 10.01 7.91 0090.10.69.2121100 36.7856 09 27825 Treat lower leg fracture A 6.19 8.70 6.50 0.85 15.74 13.54 0090.10.69.2121000 36.7856 09 27826 Treat lower leg fracture A 8.54 12.17 NA 12.17 1.19 21.90 21.90 0090.10.69.2121220 36.7856 09 27827 Treat lower leg fracture A 14.06 15.23 NA 15.23 1.96 31.25 31.25 0090.10.69.2121220 36.7856 09 27828 Treat lower leg fracture A 16.23 15.93 NA 15.93 2.27 34.43 34.43 0090.10.69.2121220 36.7856 09 27829 Treat lower leg joint A 5.49 8.94 NA 8.94 0.77 15.20 15.20 0090.10.69.2121220 36.7856 09 27830 Treat lower leg dislocation A 3.79 5.77 4.31 0.44 10.00 8.54 0090.10.69.2121000 36.7856 09 27831 Treat lower leg dislocation A 4.56 5.53 NA 5.53 0.61 10.70 10.70 0090.10.69.2121000 36.7856 09 27832 Treat lower leg dislocation A 6.49 8.61 NA 8.61 0.91 16.01 16.01 0090.10.69.2121210 36.7856 09 27840 Treat ankle dislocation A 4.58 6.11 NA 6.11 0.47 11.16 11.16 0090.10.69.2121100 36.7856 09 27842 Treat ankle dislocation A 6.21 5.25 NA 5.25 0.76 12.22 12.22 0090.10.69.2121100 36.7856 09 27846 Treat ankle dislocation A 9.79 10.58 NA 10.58 1.36 21.73 21.73 0090.10.69.2121210 36.7856 09 27848 Treat ankle dislocation A 11.20 11.92 NA 11.92 1.55 24.67 24.67 0090.10.69.2121210 36.7856 09 27860 Fixation of ankle joint A 2.34 3.76 NA 3.76 0.31 6.41 6.41 0010.10.80.1020000 36.7856 09 27870 Fusion of ankle joint, open A 13.91 14.08 NA 14.08 1.95 29.94 29.94 0090.10.69.2121210 36.7856 09 27871 Fusion of tibiofibular joint A 9.17 11.36 NA 11.36 1.29 21.82 21.82 0090.10.69.2121210 36.7856 09 27880 Amputation of lower leg A 11.85 11.88 NA 11.88 1.38 25.11 25.11 0090.10.69.2121210 36.7856 09 27881 Amputation of lower leg A 12.34 13.55 NA 13.55 1.59 27.48 27.48 0090.10.69.2121210 36.7856 09 27882 Amputation of lower leg A 8.94 12.97 NA 12.97 1.03 22.94 22.94 0090.10.69.2121010 36.7856 09 27884 Amputation follow-up surgery A 8.21 10.83 NA 10.83 0.95 19.99 19.99 0090.10.69.2121100 36.7856 09 27886 Amputation follow-up surgery A 9.32 11.37 NA 11.37 1.13 21.82 21.82 0090.10.69.2121110 36.7856 09 27888 Amputation of foot at ankle A 9.67 11.23 NA 11.23 1.26 22.16 22.16 0090.10.69.2121210 36.7856 09 27889 Amputation of foot at ankle A 9.98 10.58 NA 10.58 1.19 21.75 21.75 0090.10.69.2121110 36.7856 09 27892 Decompression of leg A 7.39 8.26 NA 8.26 0.86 16.51 16.51 0090.10.69.2121000 36.7856 09 27893 Decompression of leg A 7.35 8.11 NA 8.11 0.90 16.36 16.36 0090.10.69.2121000 36.7856 09 27894 Decompression of leg A 10.49 9.56 NA 9.56 1.25 21.30 21.30 0090.10.69.2121200 36.7856 09 27899 Leg/ankle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 28001 Drainage of bursa of foot A 2.73 5.63 3.23 0.31 8.67 6.27 0010.10.80.1020100 36.7856 09 28002 Treatment of foot infection A 4.62 6.93 4.33 0.56 12.11 9.51 0010.10.80.1020100 36.7856 09 28003 Treatment of foot infection A 8.41 11.29 10.81 1.03 20.73 20.25 0090.10.69.2120100 36.7856 09 28005 Treat foot bone lesion A 8.68 10.68 NA 10.68 1.14 20.50 20.50 0090.10.69.2120100 36.7856 09 28008 Incision of foot fascia A 4.45 8.11 6.33 0.56 13.12 11.34 0090.10.69.2121100 36.7856 09 28010 Incision of toe tendon A 2.84 7.56 5.29 0.39 10.79 8.52 0090.10.69.2120100 36.7856 09 28011 Incision of toe tendons A 4.14 9.37 7.07 0.58 14.09 11.79 0090.10.69.2120100 36.7856 09 28020 Exploration of foot joint A 5.01 9.32 6.74 0.64 14.97 12.39 0090.10.69.2120110 36.7856 09 28022 Exploration of foot joint A 4.67 8.13 6.33 0.62 13.42 11.62 0090.10.69.2120100 36.7856 09 28024 Exploration of toe joint A 4.38 8.30 6.56 0.50 13.18 11.44 0090.10.69.2120100 36.7856 09 28030 Removal of foot nerve A 6.15 3.46 NA 3.46 0.85 10.46 10.46 0090.10.69.2120000 36.7856 09 28035 Decompression of tibia nerve A 5.09 9.32 5.50 0.71 15.12 11.30 0090.10.69.2120110 36.7856 09 28043 Excision of foot lesion A 3.54 7.53 5.21 0.45 11.52 9.20 0090.10.69.2121100 36.7856 09 28045 Excision of foot lesion A 4.72 8.14 5.91 0.62 13.48 11.25 0090.10.69.2121000 36.7856 09 28046 Resection of tumor, foot A 10.18 12.35 10.95 1.13 23.66 22.26 0090.10.69.2121110 36.7856 09 28050 Biopsy of foot joint lining A 4.25 7.78 6.03 0.55 12.58 10.83 0090.10.69.2121110 36.7856 09 28052 Biopsy of foot joint lining A 3.94 8.10 6.14 0.51 12.55 10.59 0090.10.69.2121110 36.7856 09 28054 Biopsy of toe joint lining A 3.45 8.01 5.96 0.45 11.91 9.86 0090.10.69.2121000 36.7856 09 28060 Partial removal, foot fascia A 5.23 8.76 6.63 0.69 14.68 12.55 0090.10.69.2121100 36.7856 09 28062 Removal of foot fascia A 6.52 9.62 6.52 0.85 16.99 13.89 0090.10.69.2120110 36.7856 09 28070 Removal of foot joint lining A 5.10 7.95 6.12 0.68 13.73 11.90 0090.10.69.2120100 36.7856 09 28072 Removal of foot joint lining A 4.58 8.50 7.07 0.64 13.72 12.29 0090.10.69.2120100 36.7856 09 28080 Removal of foot lesion A 3.58 7.89 5.68 0.50 11.97 9.76 0090.10.69.2120000 36.7856 09 28086 Excise foot tendon sheath A 4.78 11.42 7.64 0.66 16.86 13.08 0090.10.69.2121210 36.7856 09 28088 Excise foot tendon sheath A 3.86 9.48 6.95 0.52 13.86 11.33 0090.10.69.2121000 36.7856 09 28090 Removal of foot lesion A 4.41 8.05 5.73 0.57 13.03 10.71 0090.10.69.2121100 36.7856 09 28092 Removal of toe lesions A 3.64 8.48 6.17 0.46 12.58 10.27 0090.10.69.2120100 36.7856 09 28100 Removal of ankle/heel lesion A 5.66 11.90 7.91 0.76 18.32 14.33 0090.10.69.2121210 36.7856 09 28102 Remove/graft foot lesion A 7.73 9.27 NA 9.27 0.97 17.97 17.97 0090.10.69.2121200 36.7856 09 28103 Remove/graft foot lesion A 6.50 10.07 7.46 0.89 17.46 14.85 0090.10.69.2121200 36.7856 09 28104 Removal of foot lesion A 5.12 8.79 6.99 0.69 14.60 12.80 0090.10.69.2120210 36.7856 09 28106 Remove/graft foot lesion A 7.16 6.84 NA 6.84 1.01 15.01 15.01 0090.10.69.2120210 36.7856 09 28107 Remove/graft foot lesion A 5.56 10.01 7.09 0.74 16.31 13.39 0090.10.69.2120200 36.7856 09 28108 Removal of toe lesions A 4.16 7.42 5.44 0.52 12.10 10.12 0090.10.69.2120100 36.7856 09 28110 Part removal of metatarsal A 4.08 8.95 7.08 0.49 13.52 11.65 0090.10.69.2121110 36.7856 09 28111 Part removal of metatarsal A 5.01 10.65 7.86 0.63 16.29 13.50 0090.10.69.2121110 36.7856 09 28112 Part removal of metatarsal A 4.49 9.66 7.66 0.60 14.75 12.75 0090.10.69.2121110 36.7856 09 28113 Part removal of metatarsal A 4.79 9.24 7.32 0.63 14.66 12.74 0090.10.69.2121000 36.7856 09 28114 Removal of metatarsal heads A 9.79 14.07 11.12 1.36 25.22 22.27 0090.10.69.2121210 36.7856 09 28116 Revision of foot A 7.75 8.88 6.83 1.03 17.66 15.61 0090.10.69.2121100 36.7856 09 28118 Removal of heel bone A 5.96 9.52 7.26 0.79 16.27 14.01 0090.10.69.2121210 36.7856 09 28119 Removal of heel spur A 5.39 8.54 6.23 0.74 14.67 12.36 0090.10.69.2121110 36.7856 09 28120 Part removal of ankle/heel A 5.40 12.72 10.02 0.69 18.81 16.11 0090.10.69.2121110 36.7856 09 28122 Partial removal of foot bone A 7.29 11.28 9.68 0.96 19.53 17.93 0090.10.69.2121210 36.7856 09 28124 Partial removal of toe A 4.81 9.52 7.87 0.65 14.98 13.33 0090.10.69.2121100 36.7856 09 28126 Partial removal of toe A 3.52 8.27 7.11 0.49 12.28 11.12 0090.10.69.2120100 36.7856 09 28130 Removal of ankle bone A 8.11 9.03 NA 9.03 1.11 18.25 18.25 0090.10.69.2121210 36.7856 09 28140 Removal of metatarsal A 6.91 10.80 7.99 0.84 18.55 15.74 0090.10.69.2120110 36.7856 09 28150 Removal of toe A 4.09 8.94 7.33 0.52 13.55 11.94 0090.10.69.2120100 36.7856 09 28153 Partial removal of toe A 3.66 8.27 5.96 0.49 12.42 10.11 0090.10.69.2120100 36.7856 09 28160 Partial removal of toe A 3.74 8.58 7.50 0.51 12.83 11.75 0090.10.69.2120100 36.7856 09 28171 Extensive foot surgery A 9.60 8.48 NA 8.48 1.13 19.21 19.21 0090.10.69.2120200 36.7856 09 28173 Extensive foot surgery A 8.80 11.13 8.87 1.04 20.97 18.71 0090.10.69.2120110 36.7856 09 28175 Extensive foot surgery A 6.05 9.58 6.90 0.75 16.38 13.70 0090.10.69.2120110 36.7856 09 28190 Removal of foot foreign body A 1.96 6.41 3.42 0.16 8.53 5.54 0010.10.80.1021100 36.7856 09 28192 Removal of foot foreign body A 4.64 8.20 5.59 0.52 13.36 10.75 0090.10.69.2121100 36.7856 09 28193 Removal of foot foreign body A 5.73 8.77 6.70 0.63 15.13 13.06 0090.10.69.2121100 36.7856 09 28200 Repair of foot tendon A 4.60 8.41 6.53 0.59 13.60 11.72 0090.10.69.2120110 36.7856 09 28202 Repair/graft of foot tendon A 6.84 11.55 7.11 0.86 19.25 14.81 0090.10.69.2120210 36.7856 09 28208 Repair of foot tendon A 4.37 8.15 6.10 0.59 13.11 11.06 0090.10.69.2120110 36.7856 09 28210 Repair/graft of foot tendon A 6.35 9.60 6.56 0.77 16.72 13.68 0090.10.69.2120200 36.7856 09 28220 Release of foot tendon A 4.53 7.94 6.29 0.63 13.10 11.45 0090.10.69.2120100 36.7856 09 28222 Release of foot tendons A 5.62 8.34 7.12 0.77 14.73 13.51 0090.10.69.2120100 36.7856 09 28225 Release of foot tendon A 3.66 7.72 5.83 0.50 11.88 9.99 0090.10.69.2120110 36.7856 09 28226 Release of foot tendons A 4.53 7.99 6.80 0.62 13.14 11.95 0090.10.69.2120100 36.7856 09 28230 Incision of foot tendon(s) A 4.24 8.10 7.09 0.59 12.93 11.92 0090.10.69.2120100 36.7856 09 28232 Incision of toe tendon A 3.39 8.14 6.78 0.48 12.01 10.65 0090.10.69.2120100 36.7856 09 28234 Incision of foot tendon A 3.37 8.22 6.25 0.46 12.05 10.08 0090.10.69.2120100 36.7856 09 28238 Revision of foot tendon A 7.73 10.31 7.61 1.08 19.12 16.42 0090.10.69.2121210 36.7856 09 28240 Release of big toe A 4.36 8.05 6.67 0.61 13.02 11.64 0090.10.69.2121100 36.7856 09 28250 Revision of foot fascia A 5.92 9.00 7.08 0.81 15.73 13.81 0090.10.69.2121210 36.7856 09 28260 Release of midfoot joint A 7.96 9.47 7.73 1.08 18.51 16.77 0090.10.69.2121210 36.7856 09 28261 Revision of foot tendon A 11.73 11.02 9.66 1.66 24.41 23.05 0090.10.69.2121000 36.7856 09 28262 Revision of foot and ankle A 15.83 17.31 15.44 2.22 35.36 33.49 0090.10.69.2121210 36.7856 09 28264 Release of midfoot joint A 10.35 11.28 11.28 1.46 23.09 23.09 0090.10.69.2121200 36.7856 09 28270 Release of foot contracture A 4.76 8.70 7.46 0.67 14.13 12.89 0090.10.69.2121100 36.7856 09 28272 Release of toe joint, each A 3.80 7.59 5.63 0.52 11.91 9.95 0090.10.69.2121100 36.7856 09 28280 Fusion of toes A 5.19 9.25 7.16 0.72 15.16 13.07 0090.10.69.2121000 36.7856 09 28285 Repair of hammertoe A 4.59 8.76 6.85 0.64 13.99 12.08 0090.10.69.2120110 36.7856 09 28286 Repair of hammertoe A 4.56 8.62 6.80 0.64 13.82 12.00 0090.10.69.2120100 36.7856 09 28288 Partial removal of foot bone A 4.74 9.14 8.50 0.65 14.53 13.89 0090.10.69.2120100 36.7856 09 28289 Repair hallux rigidus A 7.04 11.61 9.63 0.96 19.61 17.63 0090.10.69.2121210 36.7856 09 28290 Correction of bunion A 5.66 9.89 9.25 0.79 16.34 15.70 0090.10.69.2121100 36.7856 09 28292 Correction of bunion A 7.04 9.86 7.77 0.98 17.88 15.79 0090.10.69.2121210 36.7856 09 28293 Correction of bunion A 9.15 8.28 5.99 1.28 18.71 16.42 0090.10.69.2121210 36.7856 09 28294 Correction of bunion A 8.56 10.47 7.96 1.16 20.19 17.68 0090.10.69.2121210 36.7856 09 28296 Correction of bunion A 9.18 10.94 8.74 1.28 21.40 19.20 0090.10.69.2121210 36.7856 09 28297 Correction of bunion A 9.18 11.96 10.51 1.31 22.45 21.00 0090.10.69.2121210 36.7856 09 28298 Correction of bunion A 7.94 10.07 8.40 1.12 19.13 17.46 0090.10.69.2121210 36.7856 09 28299 Correction of bunion A 10.58 11.36 9.11 1.24 23.18 20.93 0090.10.69.2121210 36.7856 09 28300 Incision of heel bone A 9.54 15.04 9.59 1.31 25.89 20.44 0090.10.69.2121210 36.7856 09 28302 Incision of ankle bone A 9.55 14.76 9.53 1.15 25.46 20.23 0090.10.69.2121210 36.7856 09 28304 Incision of midfoot bones A 9.16 10.31 7.89 1.00 20.47 18.05 0090.10.69.2120210 36.7856 09 28305 Incise/graft midfoot bones A 10.50 14.76 9.73 0.55 25.81 20.78 0090.10.69.2120210 36.7856 09 28306 Incision of metatarsal A 5.86 9.21 6.48 0.81 15.88 13.15 0090.10.69.2120210 36.7856 09 28307 Incision of metatarsal A 6.33 13.36 8.20 0.71 20.40 15.24 0090.10.69.2120000 36.7856 09 28308 Incision of metatarsal A 5.29 7.88 5.45 0.74 13.91 11.48 0090.10.69.2120210 36.7856 09 28309 Incision of metatarsals A 12.78 10.66 NA 10.66 1.64 25.08 25.08 0090.10.69.2121000 36.7856 09 28310 Revision of big toe A 5.43 9.14 6.99 0.76 15.33 13.18 0090.10.69.2120110 36.7856 09 28312 Revision of toe A 4.55 8.87 7.70 0.62 14.04 12.87 0090.10.69.2120110 36.7856 09 28313 Repair deformity of toe A 5.01 9.36 9.36 0.68 15.05 15.05 0090.10.69.2120100 36.7856 09 28315 Removal of sesamoid bone A 4.86 7.91 5.75 0.66 13.43 11.27 0090.10.69.2121110 36.7856 09 28320 Repair of foot bones A 9.18 9.14 NA 9.14 1.27 19.59 19.59 0090.10.69.2120210 36.7856 09 28322 Repair of metatarsals A 8.34 11.91 8.67 1.17 21.42 18.18 0090.10.69.2120210 36.7856 09 28340 Resect enlarged toe tissue A 6.98 9.40 6.86 0.98 17.36 14.82 0090.10.69.2120100 36.7856 09 28341 Resect enlarged toe A 8.41 9.50 7.14 1.18 19.09 16.73 0090.10.69.2120100 36.7856 09 28344 Repair extra toe(s) A 4.26 8.82 5.99 0.60 13.68 10.85 0090.10.69.2120110 36.7856 09 28345 Repair webbed toe(s) A 5.92 9.33 7.70 0.84 16.09 14.46 0090.10.69.2120000 36.7856 09 28360 Reconstruct cleft foot A 13.34 13.96 NA 13.96 1.88 29.18 29.18 0090.10.69.2120200 36.7856 09 28400 Treatment of heel fracture A 2.16 6.16 4.90 0.29 8.61 7.35 0090.10.69.2121100 36.7856 09 28405 Treatment of heel fracture A 4.57 7.06 6.09 0.63 12.26 11.29 0090.10.69.2121000 36.7856 09 28406 Treatment of heel fracture A 6.31 9.13 NA 9.13 0.87 16.31 16.31 0090.10.69.2121000 36.7856 09 28415 Treat heel fracture A 15.97 15.68 NA 15.68 2.24 33.89 33.89 0090.10.69.2121210 36.7856 09 28420 Treat/graft heel fracture A 16.64 16.03 NA 16.03 2.29 34.96 34.96 0090.10.69.2121210 36.7856 09 28430 Treatment of ankle fracture A 2.09 5.58 4.27 0.27 7.94 6.63 0090.10.69.2121100 36.7856 09 28435 Treatment of ankle fracture A 3.40 5.82 4.89 0.47 9.69 8.76 0090.10.69.2121000 36.7856 09 28436 Treatment of ankle fracture A 4.71 8.17 NA 8.17 0.66 13.54 13.54 0090.10.69.2121100 36.7856 09 28445 Treat ankle fracture A 15.62 14.08 NA 14.08 1.29 30.99 30.99 0090.10.69.2121210 36.7856 09 28450 Treat midfoot fracture, each A 1.90 5.53 4.16 0.25 7.68 6.31 0090.10.69.2120100 36.7856 09 28455 Treat midfoot fracture, each A 3.09 5.46 5.08 0.43 8.98 8.60 0090.10.69.2120000 36.7856 09 28456 Treat midfoot fracture A 2.68 6.50 NA 6.50 0.36 9.54 9.54 0090.10.69.2120100 36.7856 09 28465 Treat midfoot fracture, each A 7.01 8.48 NA 8.48 0.87 16.36 16.36 0090.10.69.2120100 36.7856 09 28470 Treat metatarsal fracture A 1.99 4.77 3.44 0.26 7.02 5.69 0090.10.69.2120100 36.7856 09 28475 Treat metatarsal fracture A 2.97 5.37 4.59 0.41 8.75 7.97 0090.10.69.2120100 36.7856 09 28476 Treat metatarsal fracture A 3.38 7.01 NA 7.01 0.46 10.85 10.85 0090.10.69.2120000 36.7856 09 28485 Treat metatarsal fracture A 5.71 8.18 NA 8.18 0.80 14.69 14.69 0090.10.69.2120110 36.7856 09 28490 Treat big toe fracture A 1.09 2.86 2.18 0.13 4.08 3.40 0090.10.69.2120100 36.7856 09 28495 Treat big toe fracture A 1.58 2.96 2.31 0.19 4.73 4.08 0090.10.69.2120100 36.7856 09 28496 Treat big toe fracture A 2.33 10.94 5.26 0.32 13.59 7.91 0090.10.69.2120100 36.7856 09 28505 Treat big toe fracture A 3.81 11.49 6.99 0.50 15.80 11.30 0090.10.69.2120100 36.7856 09 28510 Treatment of toe fracture A 1.09 2.55 2.17 0.13 3.77 3.39 0090.10.69.2120100 36.7856 09 28515 Treatment of toe fracture A 1.46 2.80 2.26 0.17 4.43 3.89 0090.10.69.2120100 36.7856 09 28525 Treat toe fracture A 3.32 11.14 6.62 0.44 14.90 10.38 0090.10.69.2120000 36.7856 09 28530 Treat sesamoid bone fracture A 1.06 3.07 2.81 0.13 4.26 4.00 0090.10.69.2120000 36.7856 09 28531 Treat sesamoid bone fracture A 2.35 11.17 4.20 0.33 13.85 6.88 0090.10.69.2120120 36.7856 09 28540 Treat foot dislocation A 2.04 3.82 3.82 0.24 6.10 6.10 0090.10.69.2120000 36.7856 09 28545 Treat foot dislocation A 2.45 4.11 4.11 0.33 6.89 6.89 0090.10.69.2120000 36.7856 09 28546 Treat foot dislocation A 3.20 9.17 6.25 0.46 12.83 9.91 0090.10.69.2120000 36.7856 09 28555 Repair foot dislocation A 6.30 13.38 8.67 0.88 20.56 15.85 0090.10.69.2120210 36.7856 09 28570 Treat foot dislocation A 1.66 4.23 4.00 0.22 6.11 5.88 0090.10.69.2120000 36.7856 09 28575 Treat foot dislocation A 3.31 6.02 5.69 0.45 9.78 9.45 0090.10.69.2120000 36.7856 09 28576 Treat foot dislocation A 4.17 11.89 6.88 0.56 16.62 11.61 0090.10.69.2120000 36.7856 09 28585 Repair foot dislocation A 7.99 9.70 8.46 1.13 18.82 17.58 0090.10.69.2120210 36.7856 09 28600 Treat foot dislocation A 1.89 4.58 4.15 0.24 6.71 6.28 0090.10.69.2120000 36.7856 09 28605 Treat foot dislocation A 2.71 5.24 5.20 0.35 8.30 8.26 0090.10.69.2120000 36.7856 09 28606 Treat foot dislocation A 4.90 16.53 7.41 0.68 22.11 12.99 0090.10.69.2120100 36.7856 09 28615 Repair foot dislocation A 7.77 9.71 NA 9.71 1.09 18.57 18.57 0090.10.69.2120210 36.7856 09 28630 Treat toe dislocation A 1.70 2.39 2.39 0.17 4.26 4.26 0010.10.80.1020000 36.7856 09 28635 Treat toe dislocation A 1.91 2.60 2.60 0.24 4.75 4.75 0010.10.80.1020000 36.7856 09 28636 Treat toe dislocation A 2.77 7.15 3.21 0.39 10.31 6.37 0010.10.80.1020120 36.7856 09 28645 Repair toe dislocation A 4.22 6.72 4.42 0.58 11.52 9.22 0090.10.69.2120110 36.7856 09 28660 Treat toe dislocation A 1.23 3.15 2.47 0.11 4.49 3.81 0010.10.80.1020100 36.7856 09 28665 Treat toe dislocation A 1.92 2.63 2.63 0.24 4.79 4.79 0010.10.80.1020000 36.7856 09 28666 Treat toe dislocation A 2.66 7.78 2.94 0.38 10.82 5.98 0010.10.80.1020120 36.7856 09 28675 Repair of toe dislocation A 2.92 9.64 5.13 0.41 12.97 8.46 0090.10.69.2120100 36.7856 09 28705 Fusion of foot bones A 18.80 15.42 NA 15.42 2.13 36.35 36.35 0090.10.69.2120210 36.7856 09 28715 Fusion of foot bones A 13.10 12.85 NA 12.85 1.84 27.79 27.79 0090.10.69.2120210 36.7856 09 28725 Fusion of foot bones A 11.61 11.67 NA 11.67 1.63 24.91 24.91 0090.10.69.2120210 36.7856 09 28730 Fusion of foot bones A 10.76 11.03 NA 11.03 1.51 23.30 23.30 0090.10.69.2120210 36.7856 09 28735 Fusion of foot bones A 10.85 10.81 NA 10.81 1.51 23.17 23.17 0090.10.69.2120210 36.7856 09 28737 Revision of foot bones A 9.64 9.45 NA 9.45 1.36 20.45 20.45 0090.10.69.2120210 36.7856 09 28740 Fusion of foot bones A 8.02 13.73 9.19 1.13 22.88 18.34 0090.10.69.2120210 36.7856 09 28750 Fusion of big toe joint A 7.30 14.99 9.59 1.03 23.32 17.92 0090.10.69.2121000 36.7856 09 28755 Fusion of big toe joint A 4.74 9.24 6.76 0.66 14.64 12.16 0090.10.69.2121110 36.7856 09 28760 Fusion of big toe joint A 7.75 10.17 7.89 1.07 18.99 16.71 0090.10.69.2121210 36.7856 09 28800 Amputation of midfoot A 8.21 9.11 NA 9.11 0.98 18.30 18.30 0090.10.69.2121210 36.7856 09 28805 Amputation thru metatarsal A 8.39 9.05 NA 9.05 0.97 18.41 18.41 0090.10.69.2121000 36.7856 09 28810 Amputation toe & metatarsal A 6.21 7.96 NA 7.96 0.70 14.87 14.87 0090.10.69.2120000 36.7856 09 28820 Amputation of toe A 4.41 11.19 7.26 0.51 16.11 12.18 0090.10.69.2120100 36.7856 09 28825 Partial amputation of toe A 3.59 10.58 7.11 0.43 14.60 11.13 0090.10.69.2120100 36.7856 09 28899 Foot/toes surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 29000 Application of body cast A 2.25 3.08 1.74 0.30 5.63 4.29 0000.00.00.0020000 36.7856 09 29010 Application of body cast A 2.06 3.07 1.72 0.27 5.40 4.05 0000.00.00.0020000 36.7856 09 29015 Application of body cast A 2.41 2.97 1.60 0.21 5.59 4.22 0000.00.00.0020000 36.7856 09 29020 Application of body cast A 2.11 3.27 1.44 0.16 5.54 3.71 0000.00.00.0020000 36.7856 09 29025 Application of body cast A 2.40 3.16 1.86 0.26 5.82 4.52 0000.00.00.0020000 36.7856 09 29035 Application of body cast A 1.77 3.10 1.53 0.24 5.11 3.54 0000.00.00.0020000 36.7856 09 29040 Application of body cast A 2.22 2.48 1.54 0.35 5.05 4.11 0000.00.00.0020000 36.7856 09 29044 Application of body cast A 2.12 3.42 1.83 0.29 5.83 4.24 0000.00.00.0020000 36.7856 09 29046 Application of body cast A 2.41 3.12 2.01 0.34 5.87 4.76 0000.00.00.0020000 36.7856 09 29049 Application of figure eight A 0.89 1.10 0.57 0.12 2.11 1.58 0000.00.00.0020000 36.7856 09 29055 Application of shoulder cast A 1.78 2.54 1.44 0.24 4.56 3.46 0000.00.00.0020000 36.7856 09 29058 Application of shoulder cast A 1.31 1.36 0.76 0.14 2.81 2.21 0000.00.00.0020000 36.7856 09 29065 Application of long arm cast A 0.87 1.15 0.70 0.12 2.14 1.69 0000.00.00.0021100 36.7856 09 29075 Application of forearm cast A 0.77 1.09 0.64 0.11 1.97 1.52 0000.00.00.0021100 36.7856 09 29085 Apply hand/wrist cast A 0.87 1.13 0.62 0.11 2.11 1.60 0000.00.00.0021100 36.7856 09 29086 Apply finger cast A 0.62 0.72 0.55 0.06 1.40 1.23 0000.00.00.0021100 36.7856 09 29105 Apply long arm splint A 0.87 1.08 0.51 0.11 2.06 1.49 0000.00.00.0021100 36.7856 09 29125 Apply forearm splint A 0.59 0.91 0.40 0.06 1.56 1.05 0000.00.00.0021100 36.7856 09 29126 Apply forearm splint A 0.77 1.13 0.47 0.06 1.96 1.30 0000.00.00.0021100 36.7856 09 29130 Application of finger splint A 0.50 0.44 0.17 0.05 0.99 0.72 0000.00.00.0021100 36.7856 09 29131 Application of finger splint A 0.55 0.71 0.24 0.03 1.29 0.82 0000.00.00.0021100 36.7856 09 29200 Strapping of chest A 0.65 0.80 0.36 0.04 1.49 1.05 0000.00.00.0020100 36.7856 09 29220 Strapping of low back A 0.64 0.75 0.40 0.07 1.46 1.11 0000.00.00.0020100 36.7856 09 29240 Strapping of shoulder A 0.71 0.88 0.39 0.05 1.64 1.15 0000.00.00.0020100 36.7856 09 29260 Strapping of elbow or wrist A 0.55 0.77 0.34 0.04 1.36 0.93 0000.00.00.0021100 36.7856 09 29280 Strapping of hand or finger A 0.51 0.81 0.34 0.04 1.36 0.89 0000.00.00.0021100 36.7856 09 29305 Application of hip cast A 2.03 2.91 1.65 0.29 5.23 3.97 0000.00.00.0020000 36.7856 09 29325 Application of hip casts A 2.32 3.09 1.83 0.31 5.72 4.46 0000.00.00.0020000 36.7856 09 29345 Application of long leg cast A 1.40 1.55 1.02 0.19 3.14 2.61 0000.00.00.0021100 36.7856 09 29355 Application of long leg cast A 1.53 1.53 1.07 0.20 3.26 2.80 0000.00.00.0021100 36.7856 09 29358 Apply long leg cast brace A 1.43 1.80 1.04 0.19 3.42 2.66 0000.00.00.0021100 36.7856 09 29365 Application of long leg cast A 1.18 1.44 0.90 0.17 2.79 2.25 0000.00.00.0021100 36.7856 09 29405 Apply short leg cast A 0.86 1.07 0.67 0.12 2.05 1.65 0000.00.00.0021100 36.7856 09 29425 Apply short leg cast A 1.01 1.08 0.70 0.14 2.23 1.85 0000.00.00.0021100 36.7856 09 29435 Apply short leg cast A 1.18 1.37 0.89 0.17 2.72 2.24 0000.00.00.0021100 36.7856 09 29440 Addition of walker to cast A 0.57 0.63 0.27 0.07 1.27 0.91 0000.00.00.0021100 36.7856 09 29445 Apply rigid leg cast A 1.78 1.64 0.95 0.24 3.66 2.97 0000.00.00.0021100 36.7856 09 29450 Application of leg cast A 2.08 1.39 1.08 0.13 3.60 3.29 0000.00.00.0021100 36.7856 09 29505 Application, long leg splint A 0.69 1.06 0.47 0.06 1.81 1.22 0000.00.00.0021100 36.7856 09 29515 Application lower leg splint A 0.73 0.80 0.47 0.07 1.60 1.27 0000.00.00.0021100 36.7856 09 29520 Strapping of hip A 0.54 0.88 0.44 0.02 1.44 1.00 0000.00.00.0020000 36.7856 09 29530 Strapping of knee A 0.57 0.82 0.35 0.04 1.43 0.96 0000.00.00.0020100 36.7856 09 29540 Strapping of ankle and/or ft A 0.51 0.39 0.32 0.04 0.94 0.87 0000.00.00.0020100 36.7856 09 29550 Strapping of toes A 0.47 0.40 0.27 0.05 0.92 0.79 0000.00.00.0020100 36.7856 09 29580 Application of paste boot A 0.57 0.60 0.35 0.05 1.22 0.97 0000.00.00.0021100 36.7856 09 29590 Application of foot splint A 0.76 0.49 0.30 0.06 1.31 1.12 0000.00.00.0020100 36.7856 09 29700 Removal/revision of cast A 0.57 0.81 0.29 0.07 1.45 0.93 0000.00.00.0020100 36.7856 09 29705 Removal/revision of cast A 0.76 0.74 0.39 0.10 1.60 1.25 0000.00.00.0021100 36.7856 09 29710 Removal/revision of cast A 1.34 1.41 0.71 0.17 2.92 2.22 0000.00.00.0021000 36.7856 09 29715 Removal/revision of cast A 0.94 1.08 0.41 0.08 2.10 1.43 0000.00.00.0020000 36.7856 09 29720 Repair of body cast A 0.68 1.00 0.39 0.10 1.78 1.17 0000.00.00.0020100 36.7856 09 29730 Windowing of cast A 0.75 0.73 0.35 0.10 1.58 1.20 0000.00.00.0020100 36.7856 09 29740 Wedging of cast A 1.12 1.04 0.50 0.15 2.31 1.77 0000.00.00.0020100 36.7856 09 29750 Wedging of clubfoot cast A 1.26 1.00 0.59 0.16 2.42 2.01 0000.00.00.0021000 36.7856 09 29799 Casting/strapping procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 29800 Jaw arthroscopy/surgery A 6.43 9.06 NA 9.06 0.84 16.33 16.33 0090.10.69.2121000 36.7856 09 29804 Jaw arthroscopy/surgery A 8.14 8.53 NA 8.53 0.66 17.33 17.33 0090.10.69.2121210 36.7856 09 29805 Shoulder arthroscopy, dx A 5.89 7.85 NA 7.85 0.84 14.58 14.58 0090.10.69.2121110 36.7856 09 29806 Shoulder arthroscopy/surgery A 14.37 11.17 NA 11.17 2.00 27.54 27.54 0090.10.69.2131110 29805 36.7856 09 29807 Shoulder arthroscopy/surgery A 13.90 10.93 NA 10.93 1.94 26.77 26.77 0090.10.69.2131110 29805 36.7856 09 29819 Shoulder arthroscopy/surgery A 7.62 6.87 NA 6.87 1.07 15.56 15.56 0090.10.69.2131110 29805 36.7856 09 29820 Shoulder arthroscopy/surgery A 7.07 6.39 NA 6.39 0.99 14.45 14.45 0090.10.69.2131210 29805 36.7856 09 29821 Shoulder arthroscopy/surgery A 7.72 6.89 NA 6.89 1.08 15.69 15.69 0090.10.69.2131210 29805 36.7856 09 29822 Shoulder arthroscopy/surgery A 7.43 6.77 NA 6.77 1.04 15.24 15.24 0090.10.69.2131200 29805 36.7856 09 29823 Shoulder arthroscopy/surgery A 8.17 7.32 NA 7.32 1.15 16.64 16.64 0090.10.69.2131210 29805 36.7856 09 29824 Shoulder arthroscopy/surgery A 8.25 7.46 NA 7.46 1.15 16.86 16.86 0090.10.69.2131210 29805 36.7856 09 29825 Shoulder arthroscopy/surgery A 7.62 6.86 NA 6.86 1.06 15.54 15.54 0090.10.69.2131210 29805 36.7856 09 29826 Shoulder arthroscopy/surgery A 8.99 7.63 NA 7.63 1.26 17.88 17.88 0090.10.69.2131210 29805 36.7856 09 29827 Arthroscop rotator cuff repr A 15.36 11.55 NA 11.55 1.86 28.77 28.77 0090.10.69.2121210 36.7856 09 29830 Elbow arthroscopy A 5.76 5.47 NA 5.47 0.79 12.02 12.02 0090.10.69.2121100 36.7856 09 29834 Elbow arthroscopy/surgery A 6.28 5.96 NA 5.96 0.86 13.10 13.10 0090.10.69.2131210 29830 36.7856 09 29835 Elbow arthroscopy/surgery A 6.48 6.02 NA 6.02 0.88 13.38 13.38 0090.10.69.2131210 29830 36.7856 09 29836 Elbow arthroscopy/surgery A 7.55 6.83 NA 6.83 1.06 15.44 15.44 0090.10.69.2131210 29830 36.7856 09 29837 Elbow arthroscopy/surgery A 6.87 6.27 NA 6.27 0.96 14.10 14.10 0090.10.69.2131210 29830 36.7856 09 29838 Elbow arthroscopy/surgery A 7.71 6.98 NA 6.98 1.07 15.76 15.76 0090.10.69.2131000 29830 36.7856 09 29840 Wrist arthroscopy A 5.54 5.49 NA 5.49 0.69 11.72 11.72 0090.10.69.2121000 36.7856 09 29843 Wrist arthroscopy/surgery A 6.01 5.74 NA 5.74 0.82 12.57 12.57 0090.10.69.2131210 29840 36.7856 09 29844 Wrist arthroscopy/surgery A 6.37 5.96 NA 5.96 0.86 13.19 13.19 0090.10.69.2131200 29840 36.7856 09 29845 Wrist arthroscopy/surgery A 7.52 6.61 NA 6.61 0.84 14.97 14.97 0090.10.69.2131210 29840 36.7856 09 29846 Wrist arthroscopy/surgery A 6.75 6.19 NA 6.19 0.89 13.83 13.83 0090.10.69.2131000 29840 36.7856 09 29847 Wrist arthroscopy/surgery A 7.08 6.33 NA 6.33 0.91 14.32 14.32 0090.10.69.2131200 29840 36.7856 09 29848 Wrist endoscopy/surgery A 5.44 5.69 NA 5.69 0.72 11.85 11.85 0090.10.69.2121100 36.7856 09 29850 Knee arthroscopy/surgery A 8.19 5.27 NA 5.27 0.74 14.20 14.20 0090.10.69.2121020 36.7856 09 29851 Knee arthroscopy/surgery A 13.10 9.94 NA 9.94 1.81 24.85 24.85 0090.10.69.2121220 36.7856 09 29855 Tibial arthroscopy/surgery A 10.62 8.79 NA 8.79 1.50 20.91 20.91 0090.10.69.2121220 36.7856 09 29856 Tibial arthroscopy/surgery A 14.14 10.74 NA 10.74 2.00 26.88 26.88 0090.10.69.2121220 36.7856 09 29860 Hip arthroscopy, dx A 8.05 7.06 NA 7.06 1.14 16.25 16.25 0090.10.69.2121210 36.7856 09 29861 Hip arthroscopy/surgery A 9.15 7.48 NA 7.48 1.29 17.92 17.92 0090.10.69.2131210 29860 36.7856 09 29862 Hip arthroscopy/surgery A 9.90 8.58 NA 8.58 1.39 19.87 19.87 0090.10.69.2131210 29860 36.7856 09 29863 Hip arthroscopy/surgery A 9.90 8.53 NA 8.53 1.40 19.83 19.83 0090.10.69.2131210 29860 36.7856 09 29870 Knee arthroscopy, dx A 5.07 5.00 NA 5.00 0.67 10.74 10.74 0090.10.69.2121110 36.7856 09 29871 Knee arthroscopy/drainage A 6.55 5.98 NA 5.98 0.88 13.41 13.41 0090.10.69.2131100 29870 36.7856 09 29873 Knee arthroscopy/surgery A 6.00 6.56 NA 6.56 0.73 13.29 13.29 0090.10.69.2121110 36.7856 09 29874 Knee arthroscopy/surgery A 7.05 6.27 NA 6.27 0.87 14.19 14.19 0090.10.69.2131000 29870 36.7856 09 29875 Knee arthroscopy/surgery A 6.31 5.98 NA 5.98 0.88 13.17 13.17 0090.10.69.2131000 29870 36.7856 09 29876 Knee arthroscopy/surgery A 7.92 7.12 NA 7.12 1.11 16.15 16.15 0090.10.69.2131100 29870 36.7856 09 29877 Knee arthroscopy/surgery A 7.35 6.81 NA 6.81 1.03 15.19 15.19 0090.10.69.2131000 29870 36.7856 09 29879 Knee arthroscopy/surgery A 8.04 7.21 NA 7.21 1.13 16.38 16.38 0090.10.69.2131000 29870 36.7856 09 29880 Knee arthroscopy/surgery A 8.50 7.46 NA 7.46 1.19 17.15 17.15 0090.10.69.2131010 29870 36.7856 09 29881 Knee arthroscopy/surgery A 7.76 7.04 NA 7.04 1.09 15.89 15.89 0090.10.69.2131000 29870 36.7856 09 29882 Knee arthroscopy/surgery A 8.65 7.34 NA 7.34 1.09 17.08 17.08 0090.10.69.2131100 29870 36.7856 09 29883 Knee arthroscopy/surgery A 11.05 9.16 NA 9.16 1.33 21.54 21.54 0090.10.69.2131000 29870 36.7856 09 29884 Knee arthroscopy/surgery A 7.33 6.76 NA 6.76 1.03 15.12 15.12 0090.10.69.2131210 29870 36.7856 09 29885 Knee arthroscopy/surgery A 9.09 7.98 NA 7.98 1.27 18.34 18.34 0090.10.69.2131210 29870 36.7856 09 29886 Knee arthroscopy/surgery A 7.54 6.94 NA 6.94 1.06 15.54 15.54 0090.10.69.2131100 29870 36.7856 09 29887 Knee arthroscopy/surgery A 9.04 7.95 NA 7.95 1.27 18.26 18.26 0090.10.69.2131210 29870 36.7856 09 29888 Knee arthroscopy/surgery A 13.90 10.42 NA 10.42 1.95 26.27 26.27 0090.10.69.2121210 36.7856 09 29889 Knee arthroscopy/surgery A 16.00 12.48 NA 12.48 2.11 30.59 30.59 0090.10.69.2121210 36.7856 09 29891 Ankle arthroscopy/surgery A 8.40 7.50 NA 7.50 1.17 17.07 17.07 0090.10.69.2121200 36.7856 09 29892 Ankle arthroscopy/surgery A 9.00 7.77 NA 7.77 1.26 18.03 18.03 0090.10.69.2121200 36.7856 09 29893 Scope, plantar fasciotomy A 5.22 3.88 NA 3.88 0.74 9.84 9.84 0090.10.69.2121210 36.7856 09 29894 Ankle arthroscopy/surgery A 7.21 5.61 NA 5.61 1.01 13.83 13.83 0090.10.69.2121210 36.7856 09 29895 Ankle arthroscopy/surgery A 6.99 5.60 NA 5.60 0.97 13.56 13.56 0090.10.69.2121210 36.7856 09 29897 Ankle arthroscopy/surgery A 7.18 6.04 NA 6.04 1.01 14.23 14.23 0090.10.69.2121200 36.7856 09 29898 Ankle arthroscopy/surgery A 8.32 6.28 NA 6.28 1.14 15.74 15.74 0090.10.69.2121210 36.7856 09 29899 Ankle arthroscopy/surgery A 13.91 10.58 NA 10.58 1.95 26.44 26.44 0090.10.69.2121210 36.7856 09 29900 Mcp joint arthroscopy, dx A 5.42 5.92 NA 5.92 0.75 12.09 12.09 0090.10.69.2121000 36.7856 09 29901 Mcp joint arthroscopy, surg A 6.13 6.30 NA 6.30 0.85 13.28 13.28 0090.10.69.2121000 36.7856 09 29902 Mcp joint arthroscopy, surg A 6.70 6.61 NA 6.61 0.93 14.24 14.24 0090.10.69.2121000 36.7856 09 29999 Arthroscopy of joint C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021010 36.7856 09 30000 Drainage of nose lesion A 1.43 2.52 1.47 0.10 4.05 3.00 0010.10.80.1020000 36.7856 09 30020 Drainage of nose lesion A 1.43 2.71 1.56 0.08 4.22 3.07 0010.10.80.1020100 36.7856 09 30100 Intranasal biopsy A 0.94 1.33 0.52 0.06 2.33 1.52 0000.00.00.0020100 36.7856 09 30110 Removal of nose polyp(s) A 1.63 2.80 0.87 0.12 4.55 2.62 0010.10.80.1021100 36.7856 09 30115 Removal of nose polyp(s) A 4.35 4.49 NA 4.49 0.31 9.15 9.15 0090.10.76.1421100 36.7856 09 30117 Removal of intranasal lesion A 3.16 4.97 3.15 0.22 8.35 6.53 0090.10.76.1420100 36.7856 09 30118 Removal of intranasal lesion A 9.69 8.17 NA 8.17 0.66 18.52 18.52 0090.10.76.1420210 36.7856 09 30120 Revision of nose A 5.27 5.97 5.97 0.41 11.65 11.65 0090.10.76.1420100 36.7856 09 30124 Removal of nose lesion A 3.10 3.31 NA 3.31 0.20 6.61 6.61 0090.10.76.1420100 36.7856 09 30125 Removal of nose lesion A 7.16 6.42 NA 6.42 0.54 14.12 14.12 0090.10.76.1420200 36.7856 09 30130 Removal of turbinate bones A 3.38 3.94 NA 3.94 0.22 7.54 7.54 0090.10.76.1421100 36.7856 09 30140 Removal of turbinate bones A 3.43 4.58 NA 4.58 0.24 8.25 8.25 0090.10.76.1421100 36.7856 09 30150 Partial removal of nose A 9.14 8.56 NA 8.56 0.76 18.46 18.46 0090.10.76.1420110 36.7856 09 30160 Removal of nose A 9.58 8.47 NA 8.47 0.78 18.83 18.83 0090.10.76.1420210 36.7856 09 30200 Injection treatment of nose A 0.78 1.21 0.44 0.06 2.05 1.28 0000.00.00.0020100 36.7856 09 30210 Nasal sinus therapy A 1.08 2.15 0.59 0.08 3.31 1.75 0010.10.80.1020100 36.7856 09 30220 Insert nasal septal button A 1.54 2.51 0.84 0.11 4.16 2.49 0010.10.80.1020100 36.7856 09 30300 Remove nasal foreign body A 1.04 2.60 0.38 0.07 3.71 1.49 0010.10.80.1020100 36.7856 09 30310 Remove nasal foreign body A 1.96 1.88 NA 1.88 0.14 3.98 3.98 0010.10.80.1020000 36.7856 09 30320 Remove nasal foreign body A 4.52 5.24 NA 5.24 0.36 10.12 10.12 0090.10.76.1420000 36.7856 09 30400 Reconstruction of nose R 9.83 8.81 NA 8.81 0.80 19.44 19.44 0090.10.76.1420000 36.7856 09 30410 Reconstruction of nose R 12.98 10.50 NA 10.50 1.08 24.56 24.56 0090.10.76.1420200 36.7856 09 30420 Reconstruction of nose R 15.88 12.20 NA 12.20 1.24 29.32 29.32 0090.10.76.1420100 36.7856 09 30430 Revision of nose R 7.21 7.14 NA 7.14 0.62 14.97 14.97 0090.10.76.1420200 36.7856 09 30435 Revision of nose R 11.71 10.22 NA 10.22 1.10 23.03 23.03 0090.10.76.1420200 36.7856 09 30450 Revision of nose R 18.65 13.82 NA 13.82 1.53 34.00 34.00 0090.10.76.1420200 36.7856 09 30460 Revision of nose A 9.96 9.12 NA 9.12 0.85 19.93 19.93 0090.10.76.1420220 36.7856 09 30462 Revision of nose A 19.57 14.40 NA 14.40 1.92 35.89 35.89 0090.10.76.1420220 36.7856 09 30465 Repair nasal stenosis A 11.64 8.64 NA 8.64 0.97 21.25 21.25 0090.10.76.1420000 36.7856 09 30520 Repair of nasal septum A 5.70 5.85 NA 5.85 0.41 11.96 11.96 0090.10.76.1420100 36.7856 09 30540 Repair nasal defect A 7.75 6.43 NA 6.43 0.53 14.71 14.71 0090.10.76.1420200 36.7856 09 30545 Repair nasal defect A 11.38 9.58 NA 9.58 0.80 21.76 21.76 0090.10.76.1420200 36.7856 09 30560 Release of nasal adhesions A 1.26 2.33 1.50 0.09 3.68 2.85 0010.10.80.1020100 36.7856 09 30580 Repair upper jaw fistula A 6.69 4.97 4.97 0.50 12.16 12.16 0090.10.76.1420100 36.7856 09 30600 Repair mouth/nose fistula A 6.02 4.93 4.93 0.70 11.65 11.65 0090.10.76.1420000 36.7856 09 30620 Intranasal reconstruction A 5.97 6.54 NA 6.54 0.45 12.96 12.96 0090.10.76.1420100 36.7856 09 30630 Repair nasal septum defect A 7.12 7.08 NA 7.08 0.51 14.71 14.71 0090.10.76.1420000 36.7856 09 30801 Cauterization, inner nose A 1.09 2.55 2.30 0.08 3.72 3.47 0010.10.80.1022100 36.7856 09 30802 Cauterization, inner nose A 2.03 3.10 2.84 0.15 5.28 5.02 0010.10.80.1022100 36.7856 09 30901 Control of nosebleed A 1.21 1.40 0.33 0.09 2.70 1.63 0000.00.00.0021100 36.7856 09 30903 Control of nosebleed A 1.54 3.14 0.51 0.12 4.80 2.17 0000.00.00.0021100 36.7856 09 30905 Control of nosebleed A 1.97 3.79 0.78 0.15 5.91 2.90 0000.00.00.0022100 36.7856 09 30906 Repeat control of nosebleed A 2.45 4.19 1.23 0.17 6.81 3.85 0000.00.00.0022100 36.7856 09 30915 Ligation, nasal sinus artery A 7.20 7.03 NA 7.03 0.50 14.73 14.73 0090.10.76.1420100 36.7856 09 30920 Ligation, upper jaw artery A 9.83 8.48 NA 8.48 0.69 19.00 19.00 0090.10.76.1420100 36.7856 09 30930 Therapy, fracture of nose A 1.26 2.16 NA 2.16 0.09 3.51 3.51 0010.10.80.1021100 36.7856 09 30999 Nasal surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 31000 Irrigation, maxillary sinus A 1.15 2.43 0.64 0.08 3.66 1.87 0010.10.80.1021100 36.7856 09 31002 Irrigation, sphenoid sinus A 1.91 2.03 NA 2.03 0.14 4.08 4.08 0010.10.80.1021000 36.7856 09 31020 Exploration, maxillary sinus A 2.94 4.30 3.64 0.20 7.44 6.78 0090.10.76.1421100 36.7856 09 31030 Exploration, maxillary sinus A 5.92 4.77 4.60 0.42 11.11 10.94 0090.10.76.1421100 36.7856 09 31032 Explore sinus, remove polyps A 6.57 6.06 NA 6.06 0.47 13.10 13.10 0090.10.76.1421100 36.7856 09 31040 Exploration behind upper jaw A 9.42 6.97 NA 6.97 0.71 17.10 17.10 0090.10.76.1420110 36.7856 09 31050 Exploration, sphenoid sinus A 5.28 5.04 NA 5.04 0.39 10.71 10.71 0090.10.76.1421100 36.7856 09 31051 Sphenoid sinus surgery A 7.11 6.51 NA 6.51 0.55 14.17 14.17 0090.10.76.1421100 36.7856 09 31070 Exploration of frontal sinus A 4.28 5.00 NA 5.00 0.30 9.58 9.58 0090.10.76.1421100 36.7856 09 31075 Exploration of frontal sinus A 9.16 8.16 NA 8.16 0.64 17.96 17.96 0090.10.76.1421210 36.7856 09 31080 Removal of frontal sinus A 11.42 8.78 NA 8.78 0.78 20.98 20.98 0090.10.76.1421200 36.7856 09 31081 Removal of frontal sinus A 12.75 9.73 NA 9.73 1.84 24.32 24.32 0090.10.76.1421210 36.7856 09 31084 Removal of frontal sinus A 13.51 10.49 NA 10.49 0.96 24.96 24.96 0090.10.76.1421210 36.7856 09 31085 Removal of frontal sinus A 14.20 10.73 NA 10.73 1.18 26.11 26.11 0090.10.76.1421210 36.7856 09 31086 Removal of frontal sinus A 12.86 10.42 NA 10.42 0.90 24.18 24.18 0090.10.76.1421200 36.7856 09 31087 Removal of frontal sinus A 13.10 10.43 NA 10.43 1.15 24.68 24.68 0090.10.76.1421210 36.7856 09 31090 Exploration of sinuses A 9.53 8.89 NA 8.89 0.66 19.08 19.08 0090.10.76.1421100 36.7856 09 31200 Removal of ethmoid sinus A 4.97 5.70 NA 5.70 0.25 10.92 10.92 0090.10.76.1421100 36.7856 09 31201 Removal of ethmoid sinus A 8.37 7.76 NA 7.76 0.58 16.71 16.71 0090.10.76.1421100 36.7856 09 31205 Removal of ethmoid sinus A 10.24 8.39 NA 8.39 0.58 19.21 19.21 0090.10.76.1421210 36.7856 09 31225 Removal of upper jaw A 19.23 15.01 NA 15.01 1.38 35.62 35.62 0090.10.76.1421210 36.7856 09 31230 Removal of upper jaw A 21.94 16.66 NA 16.66 1.57 40.17 40.17 0090.10.76.1421210 36.7856 09 31231 Nasal endoscopy, dx A 1.10 1.99 0.59 0.08 3.17 1.77 0000.00.00.0022100 36.7856 09 31233 Nasal/sinus endoscopy, dx A 2.18 2.63 1.19 0.16 4.97 3.53 0000.00.00.0021100 36.7856 09 31235 Nasal/sinus endoscopy, dx A 2.64 2.90 1.45 0.18 5.72 4.27 0000.00.00.0021100 36.7856 09 31237 Nasal/sinus endoscopy, surg A 2.98 3.17 1.61 0.21 6.36 4.80 0000.00.00.0021100 36.7856 09 31238 Nasal/sinus endoscopy, surg A 3.26 3.71 1.82 0.23 7.20 5.31 0000.00.00.0021000 36.7856 09 31239 Nasal/sinus endoscopy, surg A 8.70 6.51 NA 6.51 0.46 15.67 15.67 0010.10.80.1021000 36.7856 09 31240 Nasal/sinus endoscopy, surg A 2.61 1.55 NA 1.55 0.18 4.34 4.34 0000.00.00.0021000 36.7856 09 31254 Revision of ethmoid sinus A 4.65 2.71 NA 2.71 0.32 7.68 7.68 0000.00.00.0021100 36.7856 09 31255 Removal of ethmoid sinus A 6.96 4.01 NA 4.01 0.49 11.46 11.46 0000.00.00.0021100 36.7856 09 31256 Exploration maxillary sinus A 3.29 1.95 NA 1.95 0.23 5.47 5.47 0000.00.00.0021100 36.7856 09 31267 Endoscopy, maxillary sinus A 5.46 3.16 NA 3.16 0.38 9.00 9.00 0000.00.00.0021100 36.7856 09 31276 Sinus endoscopy, surgical A 8.85 5.05 NA 5.05 0.62 14.52 14.52 0000.00.00.0021100 36.7856 09 31287 Nasal/sinus endoscopy, surg A 3.92 2.30 NA 2.30 0.27 6.49 6.49 0000.00.00.0021000 36.7856 09 31288 Nasal/sinus endoscopy, surg A 4.58 2.67 NA 2.67 0.32 7.57 7.57 0000.00.00.0021000 36.7856 09 31290 Nasal/sinus endoscopy, surg A 17.24 11.56 NA 11.56 1.20 30.00 30.00 0010.10.80.1021000 36.7856 09 31291 Nasal/sinus endoscopy, surg A 18.19 11.87 NA 11.87 1.73 31.79 31.79 0010.10.80.1021000 36.7856 09 31292 Nasal/sinus endoscopy, surg A 14.76 10.05 NA 10.05 0.99 25.80 25.80 0010.10.80.1021000 36.7856 09 31293 Nasal/sinus endoscopy, surg A 16.21 10.76 NA 10.76 0.97 27.94 27.94 0010.10.80.1021000 36.7856 09 31294 Nasal/sinus endoscopy, surg A 19.06 12.32 NA 12.32 1.04 32.42 32.42 0010.10.80.1021000 36.7856 09 31299 Sinus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 31300 Removal of larynx lesion A 14.29 17.26 NA 17.26 0.99 32.54 32.54 0090.10.76.1420210 36.7856 09 31320 Diagnostic incision, larynx A 5.26 12.98 NA 12.98 0.40 18.64 18.64 0090.10.76.1420000 36.7856 09 31360 Removal of larynx A 17.08 19.03 NA 19.03 1.20 37.31 37.31 0090.10.76.1420210 36.7856 09 31365 Removal of larynx A 24.16 22.76 NA 22.76 1.72 48.64 48.64 0090.10.76.1420210 36.7856 09 31367 Partial removal of larynx A 21.86 23.63 NA 23.63 1.57 47.06 47.06 0090.10.76.1420210 36.7856 09 31368 Partial removal of larynx A 27.09 28.25 NA 28.25 1.90 57.24 57.24 0090.10.76.1420210 36.7856 09 31370 Partial removal of larynx A 21.38 23.28 NA 23.28 1.51 46.17 46.17 0090.10.76.1420210 36.7856 09 31375 Partial removal of larynx A 20.21 20.86 NA 20.86 1.43 42.50 42.50 0090.10.76.1420210 36.7856 09 31380 Partial removal of larynx A 20.21 20.88 NA 20.88 1.40 42.49 42.49 0090.10.76.1420210 36.7856 09 31382 Partial removal of larynx A 20.52 22.86 NA 22.86 1.44 44.82 44.82 0090.10.76.1420210 36.7856 09 31390 Removal of larynx & pharynx A 27.53 28.42 NA 28.42 1.95 57.90 57.90 0090.10.76.1420210 36.7856 09 31395 Reconstruct larynx & pharynx A 31.09 34.27 NA 34.27 2.27 67.63 67.63 0090.10.76.1420210 36.7856 09 31400 Revision of larynx A 10.31 15.66 NA 15.66 0.72 26.69 26.69 0090.10.76.1420200 36.7856 09 31420 Removal of epiglottis A 10.22 15.35 NA 15.35 0.71 26.28 26.28 0090.10.76.1420210 36.7856 09 31500 Insert emergency airway A 2.33 0.67 NA 0.67 0.15 3.15 3.15 0000.00.00.0000100 36.7856 09 31502 Change of windpipe airway A 0.65 1.98 0.26 0.04 2.67 0.95 0000.00.00.0020100 36.7856 09 31505 Diagnostic laryngoscopy A 0.61 0.67 0.23 0.04 1.32 0.88 0000.00.00.0020100 36.7856 09 31510 Laryngoscopy with biopsy A 1.92 2.83 0.98 0.15 4.90 3.05 0000.00.00.0030000 31505 36.7856 09 31511 Remove foreign body, larynx A 2.16 3.12 0.75 0.16 5.44 3.07 0000.00.00.0030100 31505 36.7856 09 31512 Removal of larynx lesion A 2.07 3.07 1.07 0.16 5.30 3.30 0000.00.00.0030000 31505 36.7856 09 31513 Injection into vocal cord A 2.10 1.28 NA 1.28 0.15 3.53 3.53 0000.00.00.0030000 31505 36.7856 09 31515 Laryngoscopy for aspiration A 1.80 2.39 0.85 0.12 4.31 2.77 0000.00.00.0020100 36.7856 09 31520 Diagnostic laryngoscopy A 2.56 1.38 NA 1.38 0.17 4.11 4.11 0000.00.00.0020000 36.7856 09 31525 Diagnostic laryngoscopy A 2.63 2.91 1.48 0.18 5.72 4.29 0000.00.00.0020100 36.7856 09 31526 Diagnostic laryngoscopy A 2.57 1.54 NA 1.54 0.18 4.29 4.29 0000.00.00.0020100 36.7856 09 31527 Laryngoscopy for treatment A 3.27 1.71 NA 1.71 0.21 5.19 5.19 0000.00.00.0030000 31525 36.7856 09 31528 Laryngoscopy and dilation A 2.37 1.26 NA 1.26 0.16 3.79 3.79 0000.00.00.0030000 31525 36.7856 09 31529 Laryngoscopy and dilation A 2.68 1.55 NA 1.55 0.18 4.41 4.41 0000.00.00.0030000 31525 36.7856 09 31530 Operative laryngoscopy A 3.39 1.75 NA 1.75 0.24 5.38 5.38 0000.00.00.0030100 31525 36.7856 09 31531 Operative laryngoscopy A 3.59 2.12 NA 2.12 0.25 5.96 5.96 0000.00.00.0030000 31526 36.7856 09 31535 Operative laryngoscopy A 3.16 1.82 NA 1.82 0.22 5.20 5.20 0000.00.00.0030100 31525 36.7856 09 31536 Operative laryngoscopy A 3.56 2.09 NA 2.09 0.25 5.90 5.90 0000.00.00.0030100 31526 36.7856 09 31540 Operative laryngoscopy A 4.13 2.40 NA 2.40 0.29 6.82 6.82 0000.00.00.0030100 31525 36.7856 09 31541 Operative laryngoscopy A 4.53 2.64 NA 2.64 0.32 7.49 7.49 0000.00.00.0030100 31526 36.7856 09 31560 Operative laryngoscopy A 5.46 3.05 NA 3.05 0.38 8.89 8.89 0000.00.00.0030000 31525 36.7856 09 31561 Operative laryngoscopy A 6.00 3.26 NA 3.26 0.42 9.68 9.68 0000.00.00.0030000 31526 36.7856 09 31570 Laryngoscopy with injection A 3.87 4.16 2.23 0.24 8.27 6.34 0000.00.00.0030100 31525 36.7856 09 31571 Laryngoscopy with injection A 4.27 2.45 NA 2.45 0.30 7.02 7.02 0000.00.00.0030100 31526 36.7856 09 31575 Diagnostic laryngoscopy A 1.10 2.07 0.57 0.08 3.25 1.75 0000.00.00.0020100 36.7856 09 31576 Laryngoscopy with biopsy A 1.97 2.45 1.02 0.13 4.55 3.12 0000.00.00.0030100 31575 36.7856 09 31577 Remove foreign body, larynx A 2.47 2.93 1.25 0.17 5.57 3.89 0000.00.00.0030000 31575 36.7856 09 31578 Removal of larynx lesion A 2.84 3.19 1.24 0.20 6.23 4.28 0000.00.00.0030000 31575 36.7856 09 31579 Diagnostic laryngoscopy A 2.26 2.94 1.20 0.16 5.36 3.62 0000.00.00.0030100 31575 36.7856 09 31580 Revision of larynx A 12.38 16.18 NA 16.18 0.87 29.43 29.43 0090.10.76.1420210 36.7856 09 31582 Revision of larynx A 21.62 21.69 NA 21.69 1.52 44.83 44.83 0090.10.76.1420110 36.7856 09 31584 Treat larynx fracture A 19.64 18.64 NA 18.64 1.42 39.70 39.70 0090.10.76.1420210 36.7856 09 31585 Treat larynx fracture A 4.64 8.94 NA 8.94 0.30 13.88 13.88 0090.10.76.1420000 36.7856 09 31586 Treat larynx fracture A 8.03 12.77 NA 12.77 0.56 21.36 21.36 0090.10.76.1420000 36.7856 09 31587 Revision of larynx A 11.99 14.23 NA 14.23 0.88 27.10 27.10 0090.10.76.1420210 36.7856 09 31588 Revision of larynx A 13.11 17.11 NA 17.11 0.92 31.14 31.14 0090.10.76.1420200 36.7856 09 31590 Reinnervate larynx A 6.97 12.52 NA 12.52 0.50 19.99 19.99 0090.10.76.1420210 36.7856 09 31595 Larynx nerve surgery A 8.34 11.32 NA 11.32 0.62 20.28 20.28 0090.10.76.1420210 36.7856 09 31599 Larynx surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 31600 Incision of windpipe A 7.18 3.05 NA 3.05 0.34 10.57 10.57 0000.00.00.0020100 36.7856 09 31601 Incision of windpipe A 4.45 2.15 NA 2.15 0.39 6.99 6.99 0000.00.00.0020210 36.7856 09 31603 Incision of windpipe A 4.15 1.75 NA 1.75 0.35 6.25 6.25 0000.00.00.0020100 36.7856 09 31605 Incision of windpipe A 3.58 1.21 NA 1.21 0.33 5.12 5.12 0000.00.00.0020100 36.7856 09 31610 Incision of windpipe A 8.76 10.79 NA 10.79 0.69 20.24 20.24 0090.10.76.1420100 36.7856 09 31611 Surgery/speech prosthesis A 5.64 10.19 NA 10.19 0.40 16.23 16.23 0090.10.76.1420210 36.7856 09 31612 Puncture/clear windpipe A 0.91 1.49 0.42 0.06 2.46 1.39 0000.00.00.0020000 36.7856 09 31613 Repair windpipe opening A 4.59 8.88 NA 8.88 0.37 13.84 13.84 0090.10.76.1420100 36.7856 09 31614 Repair windpipe opening A 7.12 12.24 NA 12.24 0.51 19.87 19.87 0090.10.76.1420100 36.7856 09 31615 Visualization of windpipe A 2.09 3.74 1.17 0.14 5.97 3.40 0000.00.00.0020100 36.7856 09 31622 Dx bronchoscope/wash A 2.78 3.44 1.15 0.14 6.36 4.07 0000.00.00.0020100 36.7856 09 31623 Dx bronchoscope/brush A 2.88 3.18 1.14 0.14 6.20 4.16 0000.00.00.0030100 31622 36.7856 09 31624 Dx bronchoscope/lavage A 2.88 2.89 1.14 0.13 5.90 4.15 0000.00.00.0030100 31622 36.7856 09 31625 Bronchoscopy w/biopsy(s) A 3.37 1.30 NA 1.30 0.16 4.83 4.83 0000.00.00.0030100 31622 36.7856 09 31628 Bronchoscopy/lung bx, each A 3.81 3.36 1.40 0.14 7.31 5.35 0000.00.00.0030100 31622 36.7856 09 31629 Bronchoscopy/needle bx, each A 3.37 1.27 NA 1.27 0.13 4.77 4.77 0000.00.00.0030100 31622 36.7856 09 31630 Bronchoscopy dilate/fx repr A 3.82 1.97 NA 1.97 0.30 6.09 6.09 0000.00.00.0030100 31622 36.7856 09 31631 Bronchoscopy, dilate w/stent A 4.37 2.01 NA 2.01 0.31 6.69 6.69 0000.00.00.0030100 31622 36.7856 09 31635 Bronchoscopy w/fb removal A 3.68 1.67 NA 1.67 0.21 5.56 5.56 0000.00.00.0030100 31622 36.7856 09 31640 Bronchoscopy w/tumor excise A 4.94 2.34 NA 2.34 0.37 7.65 7.65 0000.00.00.0030100 31622 36.7856 09 31641 Bronchoscopy, treat blockage A 5.03 2.13 NA 2.13 0.30 7.46 7.46 0000.00.00.0030100 31622 36.7856 09 31643 Diag bronchoscope/catheter A 3.50 1.32 NA 1.32 0.15 4.97 4.97 0000.00.00.0020100 36.7856 09 31645 Bronchoscopy, clear airways A 3.16 1.22 NA 1.22 0.13 4.51 4.51 0000.00.00.0030100 31622 36.7856 09 31646 Bronchoscopy, reclear airway A 2.72 1.09 NA 1.09 0.12 3.93 3.93 0000.00.00.0020100 36.7856 09 31656 Bronchoscopy, inj for x-ray A 2.17 0.93 NA 0.93 0.10 3.20 3.20 0000.00.00.0020000 36.7856 09 31700 Insertion of airway catheter A 1.34 2.34 0.69 0.07 3.75 2.10 0000.00.00.0020000 36.7856 09 31708 Instill airway contrast dye A 1.41 0.60 NA 0.60 0.06 2.07 2.07 0000.00.00.0021000 36.7856 09 31710 Insertion of airway catheter A 1.30 0.71 NA 0.71 0.06 2.07 2.07 0000.00.00.0021000 36.7856 09 31715 Injection for bronchus x-ray A 1.11 0.61 NA 0.61 0.06 1.78 1.78 0000.00.00.0021000 36.7856 09 31717 Bronchial brush biopsy A 2.12 3.40 0.88 0.09 5.61 3.09 0000.00.00.0020100 36.7856 09 31720 Clearance of airways A 1.06 1.86 0.33 0.06 2.98 1.45 0000.00.00.0020100 36.7856 09 31725 Clearance of airways A 1.96 0.60 NA 0.60 0.10 2.66 2.66 0000.00.00.0020100 36.7856 09 31730 Intro, windpipe wire/tube A 2.85 2.42 1.10 0.15 5.42 4.10 0000.00.00.0020100 36.7856 09 31750 Repair of windpipe A 13.02 16.00 NA 16.00 1.02 30.04 30.04 0090.10.76.1420210 36.7856 09 31755 Repair of windpipe A 15.93 19.11 NA 19.11 1.15 36.19 36.19 0090.10.76.1420210 36.7856 09 31760 Repair of windpipe A 22.35 12.34 NA 12.34 1.48 36.17 36.17 0090.10.76.1420210 36.7856 09 31766 Reconstruction of windpipe A 30.43 16.11 NA 16.11 3.16 49.70 49.70 0090.10.76.1420210 36.7856 09 31770 Repair/graft of bronchus A 22.51 14.25 NA 14.25 2.27 39.03 39.03 0090.10.76.1420210 36.7856 09 31775 Reconstruct bronchus A 23.54 15.35 NA 15.35 2.91 41.80 41.80 0090.10.76.1420200 36.7856 09 31780 Reconstruct windpipe A 17.72 12.85 NA 12.85 1.55 32.12 32.12 0090.10.76.1420210 36.7856 09 31781 Reconstruct windpipe A 23.53 14.74 NA 14.74 2.04 40.31 40.31 0090.10.76.1420210 36.7856 09 31785 Remove windpipe lesion A 17.23 12.68 NA 12.68 1.36 31.27 31.27 0090.10.76.1420210 36.7856 09 31786 Remove windpipe lesion A 23.98 15.62 NA 15.62 2.20 41.80 41.80 0090.10.76.1420210 36.7856 09 31800 Repair of windpipe injury A 7.43 6.79 NA 6.79 0.67 14.89 14.89 0090.10.76.1420000 36.7856 09 31805 Repair of windpipe injury A 13.13 10.71 NA 10.71 1.45 25.29 25.29 0090.10.76.1420210 36.7856 09 31820 Closure of windpipe lesion A 4.49 8.08 7.96 0.35 12.92 12.80 0090.10.76.1420000 36.7856 09 31825 Repair of windpipe defect A 6.81 11.16 11.16 0.50 18.47 18.47 0090.10.76.1420000 36.7856 09 31830 Revise windpipe scar A 4.50 7.97 7.97 0.36 12.83 12.83 0090.10.76.1420000 36.7856 09 31899 Airways surgical procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 32000 Drainage of chest A 1.54 3.11 0.50 0.07 4.72 2.11 0000.00.00.0000100 36.7856 09 32002 Treatment of collapsed lung A 2.19 0.85 NA 0.85 0.11 3.15 3.15 0000.00.00.0000110 36.7856 09 32005 Treat lung lining chemically A 2.19 0.87 NA 0.87 0.17 3.23 3.23 0000.00.00.0020100 36.7856 09 32020 Insertion of chest tube A 3.98 1.44 NA 1.44 0.36 5.78 5.78 0000.00.00.0000100 36.7856 09 32035 Exploration of chest A 8.67 7.97 NA 7.97 1.02 17.66 17.66 0090.10.76.1420210 36.7856 09 32036 Exploration of chest A 9.68 8.69 NA 8.69 1.20 19.57 19.57 0090.10.76.1420210 36.7856 09 32095 Biopsy through chest wall A 8.36 8.13 NA 8.13 0.99 17.48 17.48 0090.10.76.1420210 36.7856 09 32100 Exploration/biopsy of chest A 15.24 10.39 NA 10.39 1.45 27.08 27.08 0090.10.76.1420210 36.7856 09 32110 Explore/repair chest A 23.00 12.89 NA 12.89 1.63 37.52 37.52 0090.10.76.1420210 36.7856 09 32120 Re-exploration of chest A 11.54 9.49 NA 9.49 1.42 22.45 22.45 0090.10.76.1420210 36.7856 09 32124 Explore chest free adhesions A 12.72 9.42 NA 9.42 1.51 23.65 23.65 0090.10.76.1420210 36.7856 09 32140 Removal of lung lesion(s) A 13.93 9.97 NA 9.97 1.68 25.58 25.58 0090.10.76.1420210 36.7856 09 32141 Remove/treat lung lesions A 14.00 9.87 NA 9.87 1.72 25.59 25.59 0090.10.76.1420210 36.7856 09 32150 Removal of lung lesion(s) A 14.15 9.84 NA 9.84 1.60 25.59 25.59 0090.10.76.1420210 36.7856 09 32151 Remove lung foreign body A 14.21 10.50 NA 10.50 1.49 26.20 26.20 0090.10.76.1420210 36.7856 09 32160 Open chest heart massage A 9.30 6.31 NA 6.31 1.01 16.62 16.62 0090.10.76.1420210 36.7856 09 32200 Drain, open, lung lesion A 15.29 10.04 NA 10.04 1.46 26.79 26.79 0090.10.76.1420210 36.7856 09 32201 Drain, percut, lung lesion A 4.00 5.54 NA 5.54 0.18 9.72 9.72 0000.00.00.0020200 36.7856 09 32215 Treat chest lining A 11.33 9.44 NA 9.44 1.34 22.11 22.11 0090.10.76.1420210 36.7856 09 32220 Release of lung A 24.00 13.45 NA 13.45 2.39 39.84 39.84 0090.10.76.1420210 36.7856 09 32225 Partial release of lung A 13.96 10.11 NA 10.11 1.70 25.77 25.77 0090.10.76.1420210 36.7856 09 32310 Removal of chest lining A 13.44 9.75 NA 9.75 1.65 24.84 24.84 0090.10.76.1420210 36.7856 09 32320 Free/remove chest lining A 24.00 13.18 NA 13.18 2.50 39.68 39.68 0090.10.76.1420210 36.7856 09 32400 Needle biopsy chest lining A 1.76 1.86 0.57 0.07 3.69 2.40 0000.00.00.0020100 36.7856 09 32402 Open biopsy chest lining A 7.56 8.06 NA 8.06 0.91 16.53 16.53 0090.10.76.1420210 36.7856 09 32405 Biopsy, lung or mediastinum A 1.93 2.38 0.65 0.09 4.40 2.67 0000.00.00.0020100 36.7856 09 32420 Puncture/clear lung A 2.18 0.85 NA 0.85 0.11 3.14 3.14 0000.00.00.0020100 36.7856 09 32440 Removal of lung A 25.00 12.43 NA 12.43 2.56 39.99 39.99 0090.10.76.1420210 36.7856 09 32442 Sleeve pneumonectomy A 26.24 14.04 NA 14.04 3.12 43.40 43.40 0090.10.76.1420210 36.7856 09 32445 Removal of lung A 25.09 13.48 NA 13.48 3.11 41.68 41.68 0090.10.76.1420210 36.7856 09 32480 Partial removal of lung A 23.75 12.47 NA 12.47 2.24 38.46 38.46 0090.10.76.1420210 36.7856 09 32482 Bilobectomy A 25.00 12.50 NA 12.50 2.35 39.85 39.85 0090.10.76.1420210 36.7856 09 32484 Segmentectomy A 20.69 10.93 NA 10.93 2.54 34.16 34.16 0090.10.76.1420210 36.7856 09 32486 Sleeve lobectomy A 23.92 12.63 NA 12.63 3.00 39.55 39.55 0090.10.76.1420210 36.7856 09 32488 Completion pneumonectomy A 25.71 13.20 NA 13.20 3.18 42.09 42.09 0090.10.76.1420210 36.7856 09 32491 Lung volume reduction R 21.25 11.97 NA 11.97 2.66 35.88 35.88 0090.10.76.1421210 36.7856 09 32500 Partial removal of lung A 22.00 11.79 NA 11.79 1.77 35.56 35.56 0090.10.76.1420210 36.7856 09 32501 Repair bronchus add-on A 4.69 1.54 NA 1.54 0.56 6.79 6.79 0ZZZ.00.00.0001210 36.7856 09 32520 Remove lung & revise chest A 21.68 10.87 NA 10.87 2.71 35.26 35.26 0090.10.76.1420210 36.7856 09 32522 Remove lung & revise chest A 24.20 11.71 NA 11.71 2.84 38.75 38.75 0090.10.76.1420210 36.7856 09 32525 Remove lung & revise chest A 26.50 12.42 NA 12.42 3.25 42.17 42.17 0090.10.76.1420210 36.7856 09 32540 Removal of lung lesion A 14.64 9.12 NA 9.12 1.84 25.60 25.60 0090.10.76.1420210 36.7856 09 32601 Thoracoscopy, diagnostic A 5.46 3.61 NA 3.61 0.63 9.70 9.70 0000.00.00.0020000 36.7856 09 32602 Thoracoscopy, diagnostic A 5.96 3.76 NA 3.76 0.70 10.42 10.42 0000.00.00.0020000 36.7856 09 32603 Thoracoscopy, diagnostic A 7.81 4.19 NA 4.19 0.76 12.76 12.76 0000.00.00.0020000 36.7856 09 32604 Thoracoscopy, diagnostic A 8.78 4.74 NA 4.74 0.97 14.49 14.49 0000.00.00.0020000 36.7856 09 32605 Thoracoscopy, diagnostic A 6.93 4.26 NA 4.26 0.86 12.05 12.05 0000.00.00.0020000 36.7856 09 32606 Thoracoscopy, diagnostic A 8.40 4.57 NA 4.57 0.99 13.96 13.96 0000.00.00.0020000 36.7856 09 32650 Thoracoscopy, surgical A 10.75 6.50 NA 6.50 1.25 18.50 18.50 0090.10.76.1420210 36.7856 09 32651 Thoracoscopy, surgical A 12.91 7.05 NA 7.05 1.50 21.46 21.46 0090.10.76.1420210 36.7856 09 32652 Thoracoscopy, surgical A 18.66 9.74 NA 9.74 2.30 30.70 30.70 0090.10.76.1420210 36.7856 09 32653 Thoracoscopy, surgical A 12.87 6.78 NA 6.78 1.55 21.20 21.20 0090.10.76.1420210 36.7856 09 32654 Thoracoscopy, surgical A 12.44 7.20 NA 7.20 1.51 21.15 21.15 0090.10.76.1420210 36.7856 09 32655 Thoracoscopy, surgical A 13.10 7.07 NA 7.07 1.53 21.70 21.70 0090.10.76.1420210 36.7856 09 32656 Thoracoscopy, surgical A 12.91 7.53 NA 7.53 1.61 22.05 22.05 0090.10.76.1420210 36.7856 09 32657 Thoracoscopy, surgical A 13.65 7.42 NA 7.42 1.64 22.71 22.71 0090.10.76.1420210 36.7856 09 32658 Thoracoscopy, surgical A 11.63 7.01 NA 7.01 1.47 20.11 20.11 0090.09.84.0720210 36.7856 09 32659 Thoracoscopy, surgical A 11.59 7.12 NA 7.12 1.39 20.10 20.10 0090.09.84.0720210 36.7856 09 32660 Thoracoscopy, surgical A 17.43 9.05 NA 9.05 2.09 28.57 28.57 0090.09.84.0720210 36.7856 09 32661 Thoracoscopy, surgical A 13.25 7.47 NA 7.47 1.66 22.38 22.38 0090.09.84.0720210 36.7856 09 32662 Thoracoscopy, surgical A 16.44 8.51 NA 8.51 2.01 26.96 26.96 0090.09.84.0720210 36.7856 09 32663 Thoracoscopy, surgical A 18.47 10.22 NA 10.22 2.28 30.97 30.97 0090.09.84.0720210 36.7856 09 32664 Thoracoscopy, surgical A 14.20 7.48 NA 7.48 1.70 23.38 23.38 0090.09.84.0721210 36.7856 09 32665 Thoracoscopy, surgical A 15.54 8.02 NA 8.02 1.79 25.35 25.35 0090.09.81.1020210 36.7856 09 32800 Repair lung hernia A 13.69 9.82 NA 9.82 1.51 25.02 25.02 0090.10.76.1420210 36.7856 09 32810 Close chest after drainage A 13.05 10.08 NA 10.08 1.55 24.68 24.68 0090.10.76.1420200 36.7856 09 32815 Close bronchial fistula A 23.15 13.56 NA 13.56 2.84 39.55 39.55 0090.10.76.1420210 36.7856 09 32820 Reconstruct injured chest A 21.48 13.98 NA 13.98 2.31 37.77 37.77 0090.10.76.1420210 36.7856 09 32850 Donor pneumonectomy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 32851 Lung transplant, single A 38.63 20.19 NA 20.19 4.90 63.72 63.72 0090.10.76.1420212 36.7856 09 32852 Lung transplant with bypass A 41.80 21.70 NA 21.70 5.17 68.67 68.67 0090.10.76.1420212 36.7856 09 32853 Lung transplant, double A 47.81 23.60 NA 23.60 6.13 77.54 77.54 0090.10.76.1422212 36.7856 09 32854 Lung transplant with bypass A 50.98 24.25 NA 24.25 6.41 81.64 81.64 0090.10.76.1422212 36.7856 09 32900 Removal of rib(s) A 20.27 12.20 NA 12.20 2.42 34.89 34.89 0090.10.76.1420210 36.7856 09 32905 Revise & repair chest wall A 20.75 12.57 NA 12.57 2.54 35.86 35.86 0090.10.76.1420210 36.7856 09 32906 Revise & repair chest wall A 26.77 14.61 NA 14.61 3.30 44.68 44.68 0090.10.76.1420210 36.7856 09 32940 Revision of lung A 19.43 11.85 NA 11.85 2.47 33.75 33.75 0090.10.76.1420210 36.7856 09 32960 Therapeutic pneumothorax A 1.84 2.15 0.57 0.12 4.11 2.53 0000.00.00.0020100 36.7856 09 32997 Total lung lavage A 6.00 1.93 NA 1.93 0.55 8.48 8.48 0000.00.00.0020100 36.7856 09 32999 Chest surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 33010 Drainage of heart sac A 2.24 0.98 NA 0.98 0.13 3.35 3.35 0000.00.00.0020100 36.7856 09 33011 Repeat drainage of heart sac A 2.24 1.02 NA 1.02 0.13 3.39 3.39 0000.00.00.0020000 36.7856 09 33015 Incision of heart sac A 6.80 4.52 NA 4.52 0.64 11.96 11.96 0090.09.84.0720100 36.7856 09 33020 Incision of heart sac A 12.61 8.01 NA 8.01 1.50 22.12 22.12 0090.09.84.0720210 36.7856 09 33025 Incision of heart sac A 12.09 7.88 NA 7.88 1.50 21.47 21.47 0090.09.84.0720210 36.7856 09 33030 Partial removal of heart sac A 18.71 12.30 NA 12.30 2.40 33.41 33.41 0090.09.84.0720210 36.7856 09 33031 Partial removal of heart sac A 21.79 13.57 NA 13.57 2.78 38.14 38.14 0090.09.84.0720210 36.7856 09 33050 Removal of heart sac lesion A 14.36 10.31 NA 10.31 1.73 26.40 26.40 0090.09.84.0720210 36.7856 09 33120 Removal of heart lesion A 24.56 16.05 NA 16.05 3.06 43.67 43.67 0090.09.84.0720210 36.7856 09 33130 Removal of heart lesion A 21.39 12.74 NA 12.74 2.51 36.64 36.64 0090.09.84.0720210 36.7856 09 33140 Heart revascularize (tmr) A 20.00 10.67 NA 10.67 2.27 32.94 32.94 0090.09.84.0720200 36.7856 09 33141 Heart tmr w/other procedure A 4.84 1.57 NA 1.57 0.55 6.96 6.96 0ZZZ.00.00.0001210 36.7856 09 33200 Insertion of heart pacemaker A 12.48 9.72 NA 9.72 1.17 23.37 23.37 0090.09.84.0720100 36.7856 09 33201 Insertion of heart pacemaker A 10.18 9.71 NA 9.71 1.21 21.10 21.10 0090.09.84.0720100 36.7856 09 33206 Insertion of heart pacemaker A 6.67 5.69 NA 5.69 0.50 12.86 12.86 0090.09.84.0720120 36.7856 09 33207 Insertion of heart pacemaker A 8.04 6.23 NA 6.23 0.57 14.84 14.84 0090.09.84.0720120 36.7856 09 33208 Insertion of heart pacemaker A 8.13 6.43 NA 6.43 0.54 15.10 15.10 0090.09.84.0720120 36.7856 09 33210 Insertion of heart electrode A 3.30 1.28 NA 1.28 0.17 4.75 4.75 0000.00.00.0020100 36.7856 09 33211 Insertion of heart electrode A 3.40 1.34 NA 1.34 0.17 4.91 4.91 0000.00.00.0020100 36.7856 09 33212 Insertion of pulse generator A 5.52 4.62 NA 4.62 0.44 10.58 10.58 0090.09.84.0720100 36.7856 09 33213 Insertion of pulse generator A 6.37 5.06 NA 5.06 0.46 11.89 11.89 0090.09.84.0720100 36.7856 09 33214 Upgrade of pacemaker system A 7.75 6.19 NA 6.19 0.52 14.46 14.46 0090.09.84.0720020 36.7856 09 33215 Reposition pacing-defib lead A 4.76 3.15 NA 3.15 0.36 8.27 8.27 0090.09.84.0720100 36.7856 09 33216 Insert lead pace-defib, one A 5.78 5.32 NA 5.32 0.36 11.46 11.46 0090.09.84.0720100 36.7856 09 33217 Insert lead pace-defib, dual A 5.75 5.58 NA 5.58 0.36 11.69 11.69 0090.09.84.0720100 36.7856 09 33218 Repair lead pace-defib, one A 5.44 4.68 NA 4.68 0.40 10.52 10.52 0090.09.84.0720100 36.7856 09 33220 Repair lead pace-defib, dual A 5.52 4.69 NA 4.69 0.39 10.60 10.60 0090.09.84.0720100 36.7856 09 33222 Revise pocket, pacemaker A 4.96 4.08 NA 4.08 0.39 9.43 9.43 0090.09.84.0720100 36.7856 09 33223 Revise pocket, pacing-defib A 6.46 5.41 NA 5.41 0.44 12.31 12.31 0090.09.84.0720000 36.7856 09 33224 Insert pacing lead & connect A 9.05 3.92 NA 3.92 0.36 13.33 13.33 0000.00.00.0020100 36.7856 09 33225 L ventric pacing lead add-on A 8.34 3.11 NA 3.11 0.36 11.81 11.81 0ZZZ.00.00.0000100 36.7856 09 33226 Reposition l ventric lead A 8.69 3.79 NA 3.79 0.36 12.84 12.84 0000.00.00.0020100 36.7856 09 33233 Removal of pacemaker system A 3.29 4.12 NA 4.12 0.22 7.63 7.63 0090.09.84.0720100 36.7856 09 33234 Removal of pacemaker system A 7.82 5.66 NA 5.66 0.56 14.04 14.04 0090.09.84.0720100 36.7856 09 33235 Removal pacemaker electrode A 9.40 6.50 NA 6.50 0.68 16.58 16.58 0090.09.84.0720100 36.7856 09 33236 Remove electrode/thoracotomy A 12.60 9.38 NA 9.38 1.49 23.47 23.47 0090.09.84.0720020 36.7856 09 33237 Remove electrode/thoracotomy A 13.71 9.78 NA 9.78 1.57 25.06 25.06 0090.09.84.0720020 36.7856 09 33238 Remove electrode/thoracotomy A 15.22 9.27 NA 9.27 1.56 26.05 26.05 0090.09.84.0720020 36.7856 09 33240 Insert pulse generator A 7.60 5.77 NA 5.77 0.53 13.90 13.90 0090.09.84.0720100 36.7856 09 33241 Remove pulse generator A 3.24 3.71 NA 3.71 0.21 7.16 7.16 0090.09.84.0720010 36.7856 09 33243 Remove eltrd/thoracotomy A 22.64 10.90 NA 10.90 2.53 36.07 36.07 0090.09.84.0720210 36.7856 09 33244 Remove eltrd, transven A 13.76 8.43 NA 8.43 1.05 23.24 23.24 0090.09.84.0720110 36.7856 09 33245 Insert epic eltrd pace-defib A 14.30 11.02 NA 11.02 1.28 26.60 26.60 0090.09.84.0720210 36.7856 09 33246 Insert epic eltrd/generator A 20.71 14.36 NA 14.36 2.22 37.29 37.29 0090.09.84.0720210 36.7856 09 33249 Eltrd/insert pace-defib A 14.23 9.27 NA 9.27 0.80 24.30 24.30 0090.09.84.0720110 36.7856 09 33250 Ablate heart dysrhythm focus A 21.85 14.42 NA 14.42 1.01 37.28 37.28 0090.09.84.0720210 36.7856 09 33251 Ablate heart dysrhythm focus A 24.88 14.53 NA 14.53 2.41 41.82 41.82 0090.09.84.0720210 36.7856 09 33253 Reconstruct atria A 31.06 16.79 NA 16.79 3.68 51.53 51.53 0090.09.84.0720210 36.7856 09 33261 Ablate heart dysrhythm focus A 24.88 14.79 NA 14.79 2.82 42.49 42.49 0090.09.84.0720210 36.7856 09 33282 Implant pat-active ht record A 4.17 4.91 NA 4.91 0.39 9.47 9.47 0090.09.84.0720100 36.7856 09 33284 Remove pat-active ht record A 2.50 4.39 NA 4.39 0.23 7.12 7.12 0090.09.84.0720100 36.7856 09 33300 Repair of heart wound A 17.92 12.08 NA 12.08 1.91 31.91 31.91 0090.09.84.0720210 36.7856 09 33305 Repair of heart wound A 21.44 13.53 NA 13.53 2.68 37.65 37.65 0090.09.84.0720210 36.7856 09 33310 Exploratory heart surgery A 18.51 12.43 NA 12.43 2.26 33.20 33.20 0090.09.84.0720210 36.7856 09 33315 Exploratory heart surgery A 22.37 13.74 NA 13.74 2.90 39.01 39.01 0090.09.84.0720210 36.7856 09 33320 Repair major blood vessel(s) A 16.79 11.44 NA 11.44 1.66 29.89 29.89 0090.09.84.0720210 36.7856 09 33321 Repair major vessel A 20.20 12.72 NA 12.72 2.70 35.62 35.62 0090.09.84.0720210 36.7856 09 33322 Repair major blood vessel(s) A 20.62 13.32 NA 13.32 2.51 36.45 36.45 0090.09.84.0720210 36.7856 09 33330 Insert major vessel graft A 21.43 12.93 NA 12.93 2.49 36.85 36.85 0090.09.84.0720210 36.7856 09 33332 Insert major vessel graft A 23.96 13.18 NA 13.18 2.45 39.59 39.59 0090.09.84.0720210 36.7856 09 33335 Insert major vessel graft A 30.01 16.23 NA 16.23 3.79 50.03 50.03 0090.09.84.0720210 36.7856 09 33400 Repair of aortic valve A 28.50 15.00 NA 15.00 3.09 46.59 46.59 0090.09.84.0720210 36.7856 09 33401 Valvuloplasty, open A 23.91 13.33 NA 13.33 2.71 39.95 39.95 0090.09.84.0720210 36.7856 09 33403 Valvuloplasty, w/cp bypass A 24.89 13.71 NA 13.71 2.48 41.08 41.08 0090.09.84.0720210 36.7856 09 33404 Prepare heart-aorta conduit A 28.54 13.94 NA 13.94 3.31 45.79 45.79 0090.09.84.0720210 36.7856 09 33405 Replacement of aortic valve A 35.00 17.52 NA 17.52 3.86 56.38 56.38 0090.09.84.0720210 36.7856 09 33406 Replacement of aortic valve A 37.50 18.31 NA 18.31 4.07 59.88 59.88 0090.09.84.0720210 36.7856 09 33410 Replacement of aortic valve A 32.46 16.00 NA 16.00 4.11 52.57 52.57 0090.09.84.0720210 36.7856 09 33411 Replacement of aortic valve A 36.25 17.97 NA 17.97 4.16 58.38 58.38 0090.09.84.0720200 36.7856 09 33412 Replacement of aortic valve A 42.00 19.77 NA 19.77 4.66 66.43 66.43 0090.09.84.0720210 36.7856 09 33413 Replacement of aortic valve A 43.50 20.10 NA 20.10 4.26 67.86 67.86 0090.09.84.0720210 36.7856 09 33414 Repair of aortic valve A 30.35 17.98 NA 17.98 3.79 52.12 52.12 0090.09.84.0720210 36.7856 09 33415 Revision, subvalvular tissue A 27.15 16.05 NA 16.05 3.25 46.45 46.45 0090.09.84.0720210 36.7856 09 33416 Revise ventricle muscle A 30.35 16.41 NA 16.41 3.85 50.61 50.61 0090.09.84.0720210 36.7856 09 33417 Repair of aortic valve A 28.53 17.51 NA 17.51 3.58 49.62 49.62 0090.09.84.0720210 36.7856 09 33420 Revision of mitral valve A 22.70 10.12 NA 10.12 1.48 34.30 34.30 0090.09.84.0720110 36.7856 09 33422 Revision of mitral valve A 25.94 13.03 NA 13.03 3.30 42.27 42.27 0090.09.84.0720210 36.7856 09 33425 Repair of mitral valve A 27.00 12.58 NA 12.58 3.00 42.58 42.58 0090.09.84.0720210 36.7856 09 33426 Repair of mitral valve A 33.00 16.42 NA 16.42 3.87 53.29 53.29 0090.09.84.0720210 36.7856 09 33427 Repair of mitral valve A 40.00 18.59 NA 18.59 4.30 62.89 62.89 0090.09.84.0720210 36.7856 09 33430 Replacement of mitral valve A 33.50 16.54 NA 16.54 3.95 53.99 53.99 0090.09.84.0720210 36.7856 09 33460 Revision of tricuspid valve A 23.60 14.13 NA 14.13 3.02 40.75 40.75 0090.09.84.0720210 36.7856 09 33463 Valvuloplasty, tricuspid A 25.62 14.87 NA 14.87 3.17 43.66 43.66 0090.09.84.0720210 36.7856 09 33464 Valvuloplasty, tricuspid A 27.33 15.47 NA 15.47 3.47 46.27 46.27 0090.09.84.0720210 36.7856 09 33465 Replace tricuspid valve A 28.79 15.80 NA 15.80 3.61 48.20 48.20 0090.09.84.0720210 36.7856 09 33468 Revision of tricuspid valve A 30.12 20.10 NA 20.10 4.00 54.22 54.22 0090.09.84.0720210 36.7856 09 33470 Revision of pulmonary valve A 20.81 13.67 NA 13.67 2.81 37.29 37.29 0090.09.84.0720200 36.7856 09 33471 Valvotomy, pulmonary valve A 22.25 12.72 NA 12.72 3.00 37.97 37.97 0090.09.84.0720210 36.7856 09 33472 Revision of pulmonary valve A 22.25 15.25 NA 15.25 2.92 40.42 40.42 0090.09.84.0720200 36.7856 09 33474 Revision of pulmonary valve A 23.04 13.42 NA 13.42 2.84 39.30 39.30 0090.09.84.0720210 36.7856 09 33475 Replacement, pulmonary valve A 33.00 18.87 NA 18.87 2.64 54.51 54.51 0090.09.84.0720210 36.7856 09 33476 Revision of heart chamber A 25.77 14.07 NA 14.07 2.40 42.24 42.24 0090.09.84.0720210 36.7856 09 33478 Revision of heart chamber A 26.74 15.15 NA 15.15 3.56 45.45 45.45 0090.09.84.0720210 36.7856 09 33496 Repair, prosth valve clot A 27.25 17.18 NA 17.18 3.44 47.87 47.87 0090.09.84.0720210 36.7856 09 33500 Repair heart vessel fistula A 25.55 13.86 NA 13.86 2.80 42.21 42.21 0090.09.84.0720210 36.7856 09 33501 Repair heart vessel fistula A 17.78 10.55 NA 10.55 2.05 30.38 30.38 0090.09.84.0720220 36.7856 09 33502 Coronary artery correction A 21.04 17.04 NA 17.04 2.51 40.59 40.59 0090.09.84.0720210 36.7856 09 33503 Coronary artery graft A 21.78 14.05 NA 14.05 1.42 37.25 37.25 0090.09.84.0720010 36.7856 09 33504 Coronary artery graft A 24.66 16.92 NA 16.92 3.04 44.62 44.62 0090.09.84.0720210 36.7856 09 33505 Repair artery w/tunnel A 26.84 18.36 NA 18.36 1.52 46.72 46.72 0090.09.84.0720210 36.7856 09 33506 Repair artery, translocation A 35.50 19.69 NA 19.69 3.19 58.38 58.38 0090.09.84.0720210 36.7856 09 33508 Endoscopic vein harvest A 0.31 0.11 NA 0.11 0.03 0.45 0.45 0ZZZ.00.00.0001210 36.7856 09 33510 CABG, vein, single A 29.00 15.52 NA 15.52 3.13 47.65 47.65 0090.09.84.0720200 36.7856 09 33511 CABG, vein, two A 30.00 16.21 NA 16.21 3.34 49.55 49.55 0090.09.84.0720200 36.7856 09 33512 CABG, vein, three A 31.80 16.75 NA 16.75 3.70 52.25 52.25 0090.09.84.0720200 36.7856 09 33513 CABG, vein, four A 32.00 16.91 NA 16.91 3.99 52.90 52.90 0090.09.84.0720200 36.7856 09 33514 CABG, vein, five A 32.75 17.16 NA 17.16 4.37 54.28 54.28 0090.09.84.0720200 36.7856 09 33516 Cabg, vein, six or more A 35.00 17.91 NA 17.91 4.62 57.53 57.53 0090.09.84.0720200 36.7856 09 33517 CABG, artery-vein, single A 2.57 0.84 NA 0.84 0.32 3.73 3.73 0ZZZ.00.00.0000200 36.7856 09 33518 CABG, artery-vein, two A 4.85 1.58 NA 1.58 0.61 7.04 7.04 0ZZZ.00.00.0000200 36.7856 09 33519 CABG, artery-vein, three A 7.12 2.31 NA 2.31 0.89 10.32 10.32 0ZZZ.00.00.0000200 36.7856 09 33521 CABG, artery-vein, four A 9.40 3.05 NA 3.05 1.18 13.63 13.63 0ZZZ.00.00.0000200 36.7856 09 33522 CABG, artery-vein, five A 11.67 3.79 NA 3.79 1.48 16.94 16.94 0ZZZ.00.00.0000200 36.7856 09 33523 Cabg, art-vein, six or more A 13.95 4.50 NA 4.50 1.78 20.23 20.23 0ZZZ.00.00.0000200 36.7856 09 33530 Coronary artery, bypass/reop A 5.86 1.90 NA 1.90 0.73 8.49 8.49 0ZZZ.00.00.0000200 36.7856 09 33533 CABG, arterial, single A 30.00 15.67 NA 15.67 3.24 48.91 48.91 0090.09.82.0920200 36.7856 09 33534 CABG, arterial, two A 32.20 16.81 NA 16.81 3.63 52.64 52.64 0090.09.82.0920200 36.7856 09 33535 CABG, arterial, three A 34.50 17.30 NA 17.30 3.97 55.77 55.77 0090.09.82.0920200 36.7856 09 33536 Cabg, arterial, four or more A 37.50 17.63 NA 17.63 3.29 58.42 58.42 0090.09.82.0920200 36.7856 09 33542 Removal of heart lesion A 28.85 17.43 NA 17.43 3.61 49.89 49.89 0090.09.84.0720210 36.7856 09 33545 Repair of heart damage A 36.78 20.01 NA 20.01 4.40 61.19 61.19 0090.09.84.0720210 36.7856 09 33572 Open coronary endarterectomy A 4.45 1.44 NA 1.44 0.55 6.44 6.44 0ZZZ.00.00.0000200 36.7856 09 33600 Closure of valve A 29.51 16.89 NA 16.89 2.30 48.70 48.70 0090.09.84.0720210 36.7856 09 33602 Closure of valve A 28.54 16.43 NA 16.43 2.90 47.87 47.87 0090.09.84.0720210 36.7856 09 33606 Anastomosis/artery-aorta A 30.74 18.23 NA 18.23 3.59 52.56 52.56 0090.09.84.0720210 36.7856 09 33608 Repair anomaly w/conduit A 31.09 17.62 NA 17.62 4.17 52.88 52.88 0090.09.84.0720210 36.7856 09 33610 Repair by enlargement A 30.61 18.66 NA 18.66 4.02 53.29 53.29 0090.09.84.0720210 36.7856 09 33611 Repair double ventricle A 34.00 19.21 NA 19.21 3.28 56.49 56.49 0090.09.84.0720210 36.7856 09 33612 Repair double ventricle A 35.00 19.97 NA 19.97 4.44 59.41 59.41 0090.09.84.0720210 36.7856 09 33615 Repair, modified fontan A 34.00 18.80 NA 18.80 3.15 55.95 55.95 0090.09.84.0720210 36.7856 09 33617 Repair single ventricle A 37.00 21.91 NA 21.91 4.09 63.00 63.00 0090.09.84.0720210 36.7856 09 33619 Repair single ventricle A 45.00 27.24 NA 27.24 4.71 76.95 76.95 0090.09.84.0720210 36.7856 09 33641 Repair heart septum defect A 21.39 11.95 NA 11.95 2.67 36.01 36.01 0090.09.84.0720210 36.7856 09 33645 Revision of heart veins A 24.82 14.27 NA 14.27 3.27 42.36 42.36 0090.09.84.0720210 36.7856 09 33647 Repair heart septum defects A 28.73 17.65 NA 17.65 3.37 49.75 49.75 0090.09.84.0720210 36.7856 09 33660 Repair of heart defects A 30.00 17.37 NA 17.37 2.82 50.19 50.19 0090.09.84.0720210 36.7856 09 33665 Repair of heart defects A 28.60 17.67 NA 17.67 3.81 50.08 50.08 0090.09.84.0720210 36.7856 09 33670 Repair of heart chambers A 35.00 16.19 NA 16.19 2.18 53.37 53.37 0090.09.84.0720210 36.7856 09 33681 Repair heart septum defect A 30.61 18.07 NA 18.07 3.53 52.21 52.21 0090.09.84.0720210 36.7856 09 33684 Repair heart septum defect A 29.65 16.93 NA 16.93 3.77 50.35 50.35 0090.09.84.0720210 36.7856 09 33688 Repair heart septum defect A 30.62 14.40 NA 14.40 3.89 48.91 48.91 0090.09.84.0720210 36.7856 09 33690 Reinforce pulmonary artery A 19.55 13.65 NA 13.65 2.56 35.76 35.76 0090.09.84.0720210 36.7856 09 33692 Repair of heart defects A 30.75 17.47 NA 17.47 3.77 51.99 51.99 0090.09.84.0720210 36.7856 09 33694 Repair of heart defects A 34.00 18.41 NA 18.41 4.27 56.68 56.68 0090.09.84.0720210 36.7856 09 33697 Repair of heart defects A 36.00 19.61 NA 19.61 4.54 60.15 60.15 0090.09.84.0720210 36.7856 09 33702 Repair of heart defects A 26.54 16.85 NA 16.85 3.45 46.84 46.84 0090.09.84.0720210 36.7856 09 33710 Repair of heart defects A 29.71 18.23 NA 18.23 3.85 51.79 51.79 0090.09.84.0720200 36.7856 09 33720 Repair of heart defect A 26.56 16.34 NA 16.34 3.21 46.11 46.11 0090.09.84.0720210 36.7856 09 33722 Repair of heart defect A 28.41 17.91 NA 17.91 3.80 50.12 50.12 0090.09.84.0720210 36.7856 09 33730 Repair heart-vein defect(s) A 34.25 18.02 NA 18.02 2.85 55.12 55.12 0090.09.84.0720210 36.7856 09 33732 Repair heart-vein defect A 28.16 17.20 NA 17.20 2.78 48.14 48.14 0090.09.84.0720210 36.7856 09 33735 Revision of heart chamber A 21.39 12.25 NA 12.25 1.12 34.76 34.76 0090.09.84.0720200 36.7856 09 33736 Revision of heart chamber A 23.52 15.56 NA 15.56 2.70 41.78 41.78 0090.09.84.0720210 36.7856 09 33737 Revision of heart chamber A 21.76 14.86 NA 14.86 2.93 39.55 39.55 0090.09.84.0720210 36.7856 09 33750 Major vessel shunt A 21.41 13.38 NA 13.38 1.74 36.53 36.53 0090.09.84.0720210 36.7856 09 33755 Major vessel shunt A 21.79 12.25 NA 12.25 2.93 36.97 36.97 0090.09.84.0720210 36.7856 09 33762 Major vessel shunt A 21.79 13.40 NA 13.40 1.59 36.78 36.78 0090.09.84.0720210 36.7856 09 33764 Major vessel shunt & graft A 21.79 13.15 NA 13.15 1.93 36.87 36.87 0090.09.84.0720210 36.7856 09 33766 Major vessel shunt A 22.76 15.33 NA 15.33 3.04 41.13 41.13 0090.09.84.0720210 36.7856 09 33767 Major vessel shunt A 24.50 15.19 NA 15.19 3.14 42.83 42.83 0090.09.84.0720210 36.7856 09 33770 Repair great vessels defect A 37.00 17.97 NA 17.97 4.49 59.46 59.46 0090.09.84.0720210 36.7856 09 33771 Repair great vessels defect A 34.65 14.95 NA 14.95 4.67 54.27 54.27 0090.09.84.0720210 36.7856 09 33774 Repair great vessels defect A 30.98 16.58 NA 16.58 4.18 51.74 51.74 0090.09.84.0720210 36.7856 09 33775 Repair great vessels defect A 32.20 16.92 NA 16.92 4.34 53.46 53.46 0090.09.84.0720200 36.7856 09 33776 Repair great vessels defect A 34.04 18.41 NA 18.41 4.58 57.03 57.03 0090.09.84.0720210 36.7856 09 33777 Repair great vessels defect A 33.46 17.41 NA 17.41 4.51 55.38 55.38 0090.09.84.0720200 36.7856 09 33778 Repair great vessels defect A 40.00 20.72 NA 20.72 4.83 65.55 65.55 0090.09.84.0720210 36.7856 09 33779 Repair great vessels defect A 36.21 18.16 NA 18.16 2.40 56.77 56.77 0090.09.84.0720210 36.7856 09 33780 Repair great vessels defect A 41.75 22.40 NA 22.40 5.21 69.36 69.36 0090.09.84.0720210 36.7856 09 33781 Repair great vessels defect A 36.45 15.41 NA 15.41 4.91 56.77 56.77 0090.09.84.0720200 36.7856 09 33786 Repair arterial trunk A 39.00 20.17 NA 20.17 4.69 63.86 63.86 0090.09.84.0720210 36.7856 09 33788 Revision of pulmonary artery A 26.62 15.38 NA 15.38 3.32 45.32 45.32 0090.09.84.0720210 36.7856 09 33800 Aortic suspension A 16.24 12.45 NA 12.45 1.11 29.80 29.80 0090.09.84.0720220 36.7856 09 33802 Repair vessel defect A 17.66 13.02 NA 13.02 1.56 32.24 32.24 0090.09.84.0720210 36.7856 09 33803 Repair vessel defect A 19.60 13.51 NA 13.51 2.63 35.74 35.74 0090.09.84.0720210 36.7856 09 33813 Repair septal defect A 20.65 14.94 NA 14.94 2.78 38.37 38.37 0090.09.84.0720210 36.7856 09 33814 Repair septal defect A 25.77 16.47 NA 16.47 2.52 44.76 44.76 0090.09.84.0720210 36.7856 09 33820 Revise major vessel A 16.29 11.45 NA 11.45 2.10 29.84 29.84 0090.09.84.0720200 36.7856 09 33822 Revise major vessel A 17.32 13.84 NA 13.84 2.33 33.49 33.49 0090.09.84.0720210 36.7856 09 33824 Revise major vessel A 19.52 12.63 NA 12.63 2.61 34.76 34.76 0090.09.84.0720210 36.7856 09 33840 Remove aorta constriction A 20.63 13.95 NA 13.95 2.36 36.94 36.94 0090.09.84.0720210 36.7856 09 33845 Remove aorta constriction A 22.12 15.13 NA 15.13 2.90 40.15 40.15 0090.09.84.0720210 36.7856 09 33851 Remove aorta constriction A 21.27 14.80 NA 14.80 2.86 38.93 38.93 0090.09.84.0720210 36.7856 09 33852 Repair septal defect A 23.71 15.34 NA 15.34 3.19 42.24 42.24 0090.09.84.0720200 36.7856 09 33853 Repair septal defect A 31.72 18.90 NA 18.90 4.23 54.85 54.85 0090.09.84.0720210 36.7856 09 33860 Ascending aortic graft A 38.00 18.90 NA 18.90 4.30 61.20 61.20 0090.09.84.0720210 36.7856 09 33861 Ascending aortic graft A 42.00 20.18 NA 20.18 4.24 66.42 66.42 0090.09.84.0720210 36.7856 09 33863 Ascending aortic graft A 45.00 21.14 NA 21.14 4.60 70.74 70.74 0090.09.84.0720210 36.7856 09 33870 Transverse aortic arch graft A 44.00 20.83 NA 20.83 5.09 69.92 69.92 0090.09.84.0720210 36.7856 09 33875 Thoracic aortic graft A 33.06 17.10 NA 17.10 4.08 54.24 54.24 0090.09.84.0720210 36.7856 09 33877 Thoracoabdominal graft A 42.60 21.75 NA 21.75 5.07 69.42 69.42 0090.09.84.0720210 36.7856 09 33910 Remove lung artery emboli A 24.59 14.28 NA 14.28 3.06 41.93 41.93 0090.09.84.0720210 36.7856 09 33915 Remove lung artery emboli A 21.02 12.37 NA 12.37 1.20 34.59 34.59 0090.09.84.0720210 36.7856 09 33916 Surgery of great vessel A 25.83 14.94 NA 14.94 3.04 43.81 43.81 0090.09.84.0720210 36.7856 09 33917 Repair pulmonary artery A 24.50 15.94 NA 15.94 3.17 43.61 43.61 0090.09.84.0720210 36.7856 09 33918 Repair pulmonary atresia A 26.45 15.59 NA 15.59 3.42 45.46 45.46 0090.09.84.0720210 36.7856 09 33919 Repair pulmonary atresia A 40.00 21.68 NA 21.68 3.48 65.16 65.16 0090.09.84.0720210 36.7856 09 33920 Repair pulmonary atresia A 31.95 16.90 NA 16.90 3.61 52.46 52.46 0090.09.84.0720210 36.7856 09 33922 Transect pulmonary artery A 23.52 14.38 NA 14.38 2.30 40.20 40.20 0090.09.84.0720210 36.7856 09 33924 Remove pulmonary shunt A 5.50 1.82 NA 1.82 0.74 8.06 8.06 0ZZZ.00.00.0000210 36.7856 09 33930 Removal of donor heart/lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 33935 Transplantation, heart/lung R 60.96 27.89 NA 27.89 8.15 97.00 97.00 0090.09.84.0720212 36.7856 09 33940 Removal of donor heart X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 33945 Transplantation of heart R 42.10 21.79 NA 21.79 5.42 69.31 69.31 0090.09.84.0720212 36.7856 09 33960 External circulation assist A 19.36 4.96 NA 4.96 2.14 26.46 26.46 0000.00.00.0000210 36.7856 09 33961 External circulation assist A 10.93 3.65 NA 3.65 1.47 16.05 16.05 0ZZZ.00.00.0000210 36.7856 09 33967 Insert ia percut device A 4.85 1.90 1.87 0.28 7.03 7.00 0000.00.00.0020000 36.7856 09 33968 Remove aortic assist device A 0.64 0.23 NA 0.23 0.07 0.94 0.94 0000.00.00.0000100 36.7856 09 33970 Aortic circulation assist A 6.75 2.29 NA 2.29 0.70 9.74 9.74 0000.00.00.0020210 36.7856 09 33971 Aortic circulation assist A 9.69 8.18 NA 8.18 0.97 18.84 18.84 0090.09.84.0720100 36.7856 09 33973 Insert balloon device A 9.76 3.31 NA 3.31 1.01 14.08 14.08 0000.00.00.0020210 36.7856 09 33974 Remove intra-aortic balloon A 14.41 10.98 NA 10.98 1.48 26.87 26.87 0090.09.84.0720100 36.7856 09 33975 Implant ventricular device A 21.00 6.28 NA 6.28 1.72 29.00 29.00 0XXX.00.00.0020200 36.7856 09 33976 Implant ventricular device A 23.00 7.52 NA 7.52 2.82 33.34 33.34 0XXX.00.00.0022200 36.7856 09 33977 Remove ventricular device A 19.29 10.50 NA 10.50 2.44 32.23 32.23 0090.09.84.0720200 36.7856 09 33978 Remove ventricular device A 21.73 11.37 NA 11.37 2.66 35.76 35.76 0090.09.84.0722200 36.7856 09 33979 Insert intracorporeal device A 46.00 17.88 17.88 3.98 67.86 67.86 0XXX.00.00.0022200 36.7856 09 33980 Remove intracorporeal device A 56.25 26.47 NA 26.47 4.60 87.32 87.32 0090.09.84.0722200 36.7856 09 33999 Cardiac surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 34001 Removal of artery clot A 12.91 5.85 NA 5.85 1.46 20.22 20.22 0090.09.84.0721210 36.7856 09 34051 Removal of artery clot A 15.21 6.91 NA 6.91 1.90 24.02 24.02 0090.09.84.0721210 36.7856 09 34101 Removal of artery clot A 10.00 4.71 NA 4.71 1.11 15.82 15.82 0090.09.84.0721210 36.7856 09 34111 Removal of arm artery clot A 10.00 4.77 NA 4.77 0.85 15.62 15.62 0090.09.84.0721210 36.7856 09 34151 Removal of artery clot A 25.00 10.24 NA 10.24 1.84 37.08 37.08 0090.09.84.0721210 36.7856 09 34201 Removal of artery clot A 10.03 5.03 NA 5.03 1.02 16.08 16.08 0090.09.84.0721210 36.7856 09 34203 Removal of leg artery clot A 16.50 7.46 NA 7.46 1.37 25.33 25.33 0090.09.84.0721210 36.7856 09 34401 Removal of vein clot A 25.00 10.05 NA 10.05 1.20 36.25 36.25 0090.09.84.0721210 36.7856 09 34421 Removal of vein clot A 12.00 5.88 NA 5.88 0.95 18.83 18.83 0090.09.84.0721210 36.7856 09 34451 Removal of vein clot A 27.00 10.76 NA 10.76 1.59 39.35 39.35 0090.09.84.0721210 36.7856 09 34471 Removal of vein clot A 10.18 4.93 NA 4.93 0.90 16.01 16.01 0090.09.84.0721110 36.7856 09 34490 Removal of vein clot A 9.86 6.12 NA 6.12 0.73 16.71 16.71 0090.09.84.0721100 36.7856 09 34501 Repair valve, femoral vein A 16.00 9.25 NA 9.25 1.37 26.62 26.62 0090.09.84.0721210 36.7856 09 34502 Reconstruct vena cava A 26.95 10.98 NA 10.98 2.99 40.92 40.92 0090.09.84.0720200 36.7856 09 34510 Transposition of vein valve A 18.95 10.27 NA 10.27 1.60 30.82 30.82 0090.09.84.0721210 36.7856 09 34520 Cross-over vein graft A 17.95 9.30 NA 9.30 1.41 28.66 28.66 0090.09.84.0721210 36.7856 09 34530 Leg vein fusion A 16.64 8.74 NA 8.74 2.06 27.44 27.44 0090.09.84.0721210 36.7856 09 34800 Endovasc abdo repair w/tube A 20.75 8.94 NA 8.94 1.49 31.18 31.18 0090.09.84.0720220 36.7856 09 34802 Endovasc abdo repr w/device A 23.00 9.69 NA 9.69 1.65 34.34 34.34 0090.09.84.0720220 36.7856 09 34804 Endovasc abdo repr w/device A 23.00 9.69 NA 9.69 1.65 34.34 34.34 0090.09.84.0720220 36.7856 09 34808 Endovasc abdo occlud device A 4.13 1.40 NA 1.40 0.29 5.82 5.82 0ZZZ.00.00.0000220 36.7856 09 34812 Xpose for endoprosth, femorl A 6.75 2.29 NA 2.29 0.49 9.53 9.53 0000.00.00.0021220 36.7856 09 34813 Femoral endovas graft add-on A 4.80 1.60 NA 1.60 0.34 6.74 6.74 0ZZZ.00.00.0000220 36.7856 09 34820 Xpose for endoprosth, iliac A 9.75 3.30 NA 3.30 0.70 13.75 13.75 0000.00.00.0021220 36.7856 09 34825 Endovasc extend prosth, init A 12.00 5.95 NA 5.95 0.86 18.81 18.81 0090.09.84.0720220 36.7856 09 34826 Endovasc exten prosth, addl A 4.13 1.41 NA 1.41 0.29 5.83 5.83 0ZZZ.00.00.0000220 36.7856 09 34830 Open aortic tube prosth repr A 32.59 13.31 NA 13.31 2.34 48.24 48.24 0090.09.84.0720020 36.7856 09 34831 Open aortoiliac prosth repr A 35.34 11.68 NA 11.68 2.53 49.55 49.55 0090.09.84.0720020 36.7856 09 34832 Open aortofemor prosth repr A 35.34 14.38 NA 14.38 2.53 52.25 52.25 0090.09.84.0720020 36.7856 09 34833 Xpose for endoprosth, iliac A 12.00 4.98 NA 4.98 0.70 17.68 17.68 0000.00.00.0021220 36.7856 09 34834 Xpose, endoprosth, brachial A 5.35 2.48 NA 2.48 0.49 8.32 8.32 0000.00.00.0021220 36.7856 09 34900 Endovasc iliac repr w/graft A 16.38 8.24 NA 8.24 1.49 26.11 26.11 0090.09.84.0720220 36.7856 09 35001 Repair defect of artery A 19.64 8.39 NA 8.39 2.44 30.47 30.47 0090.09.84.0721210 36.7856 09 35002 Repair artery rupture, neck A 21.00 9.07 NA 9.07 1.82 31.89 31.89 0090.09.84.0721210 36.7856 09 35005 Repair defect of artery A 18.12 7.79 NA 7.79 1.35 27.26 27.26 0090.09.84.0721210 36.7856 09 35011 Repair defect of artery A 18.00 7.40 NA 7.40 1.30 26.70 26.70 0090.09.84.0721210 36.7856 09 35013 Repair artery rupture, arm A 22.00 8.74 NA 8.74 1.91 32.65 32.65 0090.09.84.0721210 36.7856 09 35021 Repair defect of artery A 19.65 8.61 NA 8.61 1.93 30.19 30.19 0090.09.84.0721210 36.7856 09 35022 Repair artery rupture, chest A 23.18 9.43 NA 9.43 1.99 34.60 34.60 0090.09.84.0721210 36.7856 09 35045 Repair defect of arm artery A 17.57 8.61 NA 8.61 1.25 27.43 27.43 0090.09.84.0721210 36.7856 09 35081 Repair defect of artery A 28.01 11.65 NA 11.65 3.20 42.86 42.86 0090.09.84.0720210 36.7856 09 35082 Repair artery rupture, aorta A 38.50 14.60 NA 14.60 4.07 57.17 57.17 0090.09.84.0720210 36.7856 09 35091 Repair defect of artery A 35.40 13.91 NA 13.91 4.09 53.40 53.40 0090.09.84.0721210 36.7856 09 35092 Repair artery rupture, aorta A 45.00 16.93 NA 16.93 4.31 66.24 66.24 0090.09.84.0721210 36.7856 09 35102 Repair defect of artery A 30.76 12.33 NA 12.33 3.44 46.53 46.53 0090.09.84.0721210 36.7856 09 35103 Repair artery rupture, groin A 40.50 15.39 NA 15.39 3.79 59.68 59.68 0090.09.84.0721210 36.7856 09 35111 Repair defect of artery A 25.00 10.18 NA 10.18 1.81 36.99 36.99 0090.09.84.0721210 36.7856 09 35112 Repair artery rupture,spleen A 30.00 11.65 NA 11.65 1.95 43.60 43.60 0090.09.84.0721210 36.7856 09 35121 Repair defect of artery A 30.00 12.07 NA 12.07 2.93 45.00 45.00 0090.09.84.0721200 36.7856 09 35122 Repair artery rupture, belly A 35.00 13.46 NA 13.46 3.54 52.00 52.00 0090.09.84.0721210 36.7856 09 35131 Repair defect of artery A 25.00 10.38 NA 10.38 2.11 37.49 37.49 0090.09.84.0721210 36.7856 09 35132 Repair artery rupture, groin A 30.00 11.82 NA 11.82 2.48 44.30 44.30 0090.09.84.0721210 36.7856 09 35141 Repair defect of artery A 20.00 8.50 NA 8.50 1.65 30.15 30.15 0090.09.84.0721210 36.7856 09 35142 Repair artery rupture, thigh A 23.30 9.56 NA 9.56 1.75 34.61 34.61 0090.09.84.0721210 36.7856 09 35151 Repair defect of artery A 22.64 9.54 NA 9.54 1.93 34.11 34.11 0090.09.84.0721210 36.7856 09 35152 Repair artery rupture, knee A 25.62 10.42 NA 10.42 1.93 37.97 37.97 0090.09.84.0721210 36.7856 09 35161 Repair defect of artery A 18.76 8.70 NA 8.70 2.21 29.67 29.67 0090.09.84.0721210 36.7856 09 35162 Repair artery rupture A 19.78 8.86 NA 8.86 2.21 30.85 30.85 0090.09.84.0721210 36.7856 09 35180 Repair blood vessel lesion A 13.62 6.35 NA 6.35 1.44 21.41 21.41 0090.09.84.0720210 36.7856 09 35182 Repair blood vessel lesion A 30.00 12.30 NA 12.30 1.88 44.18 44.18 0090.09.84.0720210 36.7856 09 35184 Repair blood vessel lesion A 18.00 7.79 NA 7.79 1.34 27.13 27.13 0090.09.84.0720210 36.7856 09 35188 Repair blood vessel lesion A 14.28 6.58 NA 6.58 1.53 22.39 22.39 0090.09.84.0720210 36.7856 09 35189 Repair blood vessel lesion A 28.00 11.46 NA 11.46 2.12 41.58 41.58 0090.09.84.0720210 36.7856 09 35190 Repair blood vessel lesion A 12.75 5.88 NA 5.88 1.33 19.96 19.96 0090.09.84.0720210 36.7856 09 35201 Repair blood vessel lesion A 16.14 7.02 NA 7.02 1.17 24.33 24.33 0090.09.84.0721210 36.7856 09 35206 Repair blood vessel lesion A 13.25 7.51 NA 7.51 1.04 21.80 21.80 0090.09.84.0721210 36.7856 09 35207 Repair blood vessel lesion A 10.15 9.76 NA 9.76 1.15 21.06 21.06 0090.09.84.0721110 36.7856 09 35211 Repair blood vessel lesion A 22.12 13.77 NA 13.77 2.83 38.72 38.72 0090.09.84.0721210 36.7856 09 35216 Repair blood vessel lesion A 18.75 11.67 NA 11.67 2.17 32.59 32.59 0090.09.84.0721210 36.7856 09 35221 Repair blood vessel lesion A 24.39 10.09 NA 10.09 1.79 36.27 36.27 0090.09.84.0721210 36.7856 09 35226 Repair blood vessel lesion A 14.50 8.95 NA 8.95 0.84 24.29 24.29 0090.09.84.0721210 36.7856 09 35231 Repair blood vessel lesion A 20.00 9.24 NA 9.24 1.32 30.56 30.56 0090.09.84.0721210 36.7856 09 35236 Repair blood vessel lesion A 17.11 8.89 NA 8.89 1.19 27.19 27.19 0090.09.84.0721210 36.7856 09 35241 Repair blood vessel lesion A 23.12 14.42 NA 14.42 2.90 40.44 40.44 0090.09.84.0721210 36.7856 09 35246 Repair blood vessel lesion A 26.45 14.23 NA 14.23 2.22 42.90 42.90 0090.09.84.0721210 36.7856 09 35251 Repair blood vessel lesion A 30.20 12.03 NA 12.03 1.87 44.10 44.10 0090.09.84.0721210 36.7856 09 35256 Repair blood vessel lesion A 18.36 9.43 NA 9.43 1.32 29.11 29.11 0090.09.84.0721210 36.7856 09 35261 Repair blood vessel lesion A 17.80 7.43 NA 7.43 1.34 26.57 26.57 0090.09.84.0721210 36.7856 09 35266 Repair blood vessel lesion A 14.91 7.98 NA 7.98 1.16 24.05 24.05 0090.09.84.0721210 36.7856 09 35271 Repair blood vessel lesion A 22.12 13.57 NA 13.57 2.77 38.46 38.46 0090.09.84.0721210 36.7856 09 35276 Repair blood vessel lesion A 24.25 13.84 NA 13.84 2.37 40.46 40.46 0090.09.84.0721210 36.7856 09 35281 Repair blood vessel lesion A 28.00 11.41 NA 11.41 1.82 41.23 41.23 0090.09.84.0721210 36.7856 09 35286 Repair blood vessel lesion A 16.16 8.73 NA 8.73 1.36 26.25 26.25 0090.09.84.0721210 36.7856 09 35301 Rechanneling of artery A 18.70 8.26 NA 8.26 2.23 29.19 29.19 0090.09.84.0721210 36.7856 09 35311 Rechanneling of artery A 27.00 10.92 NA 10.92 2.75 40.67 40.67 0090.09.84.0721210 36.7856 09 35321 Rechanneling of artery A 16.00 6.72 NA 6.72 1.36 24.08 24.08 0090.09.84.0721210 36.7856 09 35331 Rechanneling of artery A 26.20 10.82 NA 10.82 2.71 39.73 39.73 0090.09.84.0721210 36.7856 09 35341 Rechanneling of artery A 25.11 10.41 NA 10.41 2.87 38.39 38.39 0090.09.84.0721210 36.7856 09 35351 Rechanneling of artery A 23.00 9.63 NA 9.63 2.29 34.92 34.92 0090.09.84.0721210 36.7856 09 35355 Rechanneling of artery A 18.50 8.12 NA 8.12 1.80 28.42 28.42 0090.09.84.0721210 36.7856 09 35361 Rechanneling of artery A 28.20 11.37 NA 11.37 2.66 42.23 42.23 0090.09.84.0721210 36.7856 09 35363 Rechanneling of artery A 30.20 12.12 NA 12.12 2.77 45.09 45.09 0090.09.84.0721210 36.7856 09 35371 Rechanneling of artery A 14.72 6.58 NA 6.58 1.32 22.62 22.62 0090.09.84.0721210 36.7856 09 35372 Rechanneling of artery A 18.00 7.73 NA 7.73 1.53 27.26 27.26 0090.09.84.0721210 36.7856 09 35381 Rechanneling of artery A 15.81 7.21 NA 7.21 1.80 24.82 24.82 0090.09.84.0721210 36.7856 09 35390 Reoperation, carotid add-on A 3.19 1.07 NA 1.07 0.38 4.64 4.64 0ZZZ.00.00.0001210 36.7856 09 35400 Angioscopy A 3.00 1.05 NA 1.05 0.34 4.39 4.39 0ZZZ.00.00.0000010 36.7856 09 35450 Repair arterial blockage A 10.07 4.02 NA 4.02 0.84 14.93 14.93 0000.00.00.0021210 36.7856 09 35452 Repair arterial blockage A 6.91 3.09 NA 3.09 0.76 10.76 10.76 0000.00.00.0021210 36.7856 09 35454 Repair arterial blockage A 6.04 2.77 NA 2.77 0.67 9.48 9.48 0000.00.00.0021210 36.7856 09 35456 Repair arterial blockage A 7.35 3.21 NA 3.21 0.82 11.38 11.38 0000.00.00.0021210 36.7856 09 35458 Repair arterial blockage A 9.49 3.92 NA 3.92 1.09 14.50 14.50 0000.00.00.0021210 36.7856 09 35459 Repair arterial blockage A 8.63 3.59 NA 3.59 0.96 13.18 13.18 0000.00.00.0021210 36.7856 09 35460 Repair venous blockage A 6.04 2.63 NA 2.63 0.66 9.33 9.33 0000.00.00.0021110 36.7856 09 35470 Repair arterial blockage A 8.63 3.89 NA 3.89 0.50 13.02 13.02 0000.00.00.0021100 36.7856 09 35471 Repair arterial blockage A 10.07 4.53 NA 4.53 0.50 15.10 15.10 0000.00.00.0021100 36.7856 09 35472 Repair arterial blockage A 6.91 3.26 NA 3.26 0.39 10.56 10.56 0000.00.00.0021010 36.7856 09 35473 Repair arterial blockage A 6.04 2.95 NA 2.95 0.34 9.33 9.33 0000.00.00.0021100 36.7856 09 35474 Repair arterial blockage A 7.36 2.94 NA 2.94 0.40 10.70 10.70 0000.00.00.0021100 36.7856 09 35475 Repair arterial blockage R 9.49 4.12 NA 4.12 0.47 14.08 14.08 0000.00.00.0021100 36.7856 09 35476 Repair venous blockage A 6.04 2.88 NA 2.88 0.27 9.19 9.19 0000.00.00.0021100 36.7856 09 35480 Atherectomy, open A 11.08 4.50 NA 4.50 1.13 16.71 16.71 0000.00.00.0020220 36.7856 09 35481 Atherectomy, open A 7.61 3.38 NA 3.38 0.84 11.83 11.83 0000.00.00.0020220 36.7856 09 35482 Atherectomy, open A 6.65 3.04 NA 3.04 0.75 10.44 10.44 0000.00.00.0020220 36.7856 09 35483 Atherectomy, open A 8.10 3.47 NA 3.47 0.81 12.38 12.38 0000.00.00.0020220 36.7856 09 35484 Atherectomy, open A 10.44 4.19 NA 4.19 1.13 15.76 15.76 0000.00.00.0020220 36.7856 09 35485 Atherectomy, open A 9.49 4.02 NA 4.02 1.06 14.57 14.57 0000.00.00.0020220 36.7856 09 35490 Atherectomy, percutaneous A 11.08 4.80 NA 4.80 0.55 16.43 16.43 0000.00.00.0020200 36.7856 09 35491 Atherectomy, percutaneous A 7.61 3.32 NA 3.32 0.49 11.42 11.42 0000.00.00.0020200 36.7856 09 35492 Atherectomy, percutaneous A 6.65 3.20 NA 3.20 0.43 10.28 10.28 0000.00.00.0020200 36.7856 09 35493 Atherectomy, percutaneous A 8.10 3.86 NA 3.86 0.47 12.43 12.43 0000.00.00.0020100 36.7856 09 35494 Atherectomy, percutaneous A 10.44 4.46 NA 4.46 0.48 15.38 15.38 0000.00.00.0020100 36.7856 09 35495 Atherectomy, percutaneous A 9.49 4.46 NA 4.46 0.51 14.46 14.46 0000.00.00.0020000 36.7856 09 35500 Harvest vein for bypass A 6.45 2.07 NA 2.07 0.63 9.15 9.15 0ZZZ.00.00.0001210 36.7856 09 35501 Artery bypass graft A 19.19 7.43 NA 7.43 2.33 28.95 28.95 0090.09.84.0721210 36.7856 09 35506 Artery bypass graft A 19.67 8.13 NA 8.13 2.33 30.13 30.13 0090.09.84.0721210 36.7856 09 35507 Artery bypass graft A 19.67 8.09 NA 8.09 2.27 30.03 30.03 0090.09.84.0721210 36.7856 09 35508 Artery bypass graft A 18.65 7.85 NA 7.85 2.34 28.84 28.84 0090.09.84.0721210 36.7856 09 35509 Artery bypass graft A 18.07 7.54 NA 7.54 2.12 27.73 27.73 0090.09.84.0721210 36.7856 09 35511 Artery bypass graft A 21.20 8.69 NA 8.69 1.74 31.63 31.63 0090.09.84.0721210 36.7856 09 35515 Artery bypass graft A 18.65 7.93 NA 7.93 2.26 28.84 28.84 0090.09.84.0721210 36.7856 09 35516 Artery bypass graft A 16.32 5.80 NA 5.80 1.88 24.00 24.00 0090.09.84.0721210 36.7856 09 35518 Artery bypass graft A 21.20 8.49 NA 8.49 1.78 31.47 31.47 0090.09.84.0721210 36.7856 09 35521 Artery bypass graft A 22.20 9.33 NA 9.33 1.82 33.35 33.35 0090.09.84.0721210 36.7856 09 35526 Artery bypass graft A 29.95 12.00 NA 12.00 2.18 44.13 44.13 0090.09.84.0721210 36.7856 09 35531 Artery bypass graft A 36.20 14.13 NA 14.13 2.91 53.24 53.24 0090.09.84.0721210 36.7856 09 35533 Artery bypass graft A 28.00 11.36 NA 11.36 2.35 41.71 41.71 0090.09.84.0721210 36.7856 09 35536 Artery bypass graft A 31.70 12.58 NA 12.58 2.62 46.90 46.90 0090.09.84.0721210 36.7856 09 35541 Artery bypass graft A 25.80 10.72 NA 10.72 2.74 39.26 39.26 0090.09.84.0720210 36.7856 09 35546 Artery bypass graft A 25.54 10.48 NA 10.48 2.84 38.86 38.86 0090.09.84.0721210 36.7856 09 35548 Artery bypass graft A 21.57 9.06 NA 9.06 2.45 33.08 33.08 0090.09.84.0720210 36.7856 09 35549 Artery bypass graft A 23.35 9.81 NA 9.81 2.77 35.93 35.93 0090.09.84.0722210 36.7856 09 35551 Artery bypass graft A 26.67 10.89 NA 10.89 3.19 40.75 40.75 0090.09.84.0721210 36.7856 09 35556 Artery bypass graft A 21.76 9.24 NA 9.24 2.48 33.48 33.48 0090.09.84.0721210 36.7856 09 35558 Artery bypass graft A 21.20 8.99 NA 8.99 1.58 31.77 31.77 0090.09.84.0721210 36.7856 09 35560 Artery bypass graft A 32.00 12.78 NA 12.78 2.73 47.51 47.51 0090.09.84.0721210 36.7856 09 35563 Artery bypass graft A 24.20 10.09 NA 10.09 1.68 35.97 35.97 0090.09.84.0721210 36.7856 09 35565 Artery bypass graft A 23.20 9.71 NA 9.71 1.71 34.62 34.62 0090.09.84.0721210 36.7856 09 35566 Artery bypass graft A 26.92 11.67 NA 11.67 3.02 41.61 41.61 0090.09.84.0721210 36.7856 09 35571 Artery bypass graft A 24.06 11.90 NA 11.90 2.14 38.10 38.10 0090.09.84.0721210 36.7856 09 35572 Harvest femoropopliteal vein A 6.82 2.57 NA 2.57 0.63 10.02 10.02 0ZZZ.00.00.0000200 36.7856 09 35582 Vein bypass graft A 27.13 11.09 NA 11.09 3.11 41.33 41.33 0090.09.84.0721210 36.7856 09 35583 Vein bypass graft A 22.37 10.39 NA 10.39 2.53 35.29 35.29 0090.09.84.0721210 36.7856 09 35585 Vein bypass graft A 28.39 14.29 NA 14.29 3.21 45.89 45.89 0090.09.84.0721210 36.7856 09 35587 Vein bypass graft A 24.75 12.58 NA 12.58 2.17 39.50 39.50 0090.09.84.0721210 36.7856 09 35600 Harvest artery for cabg A 4.95 1.62 NA 1.62 0.60 7.17 7.17 0ZZZ.00.00.0001210 36.7856 09 35601 Artery bypass graft A 17.50 7.33 NA 7.33 2.08 26.91 26.91 0090.09.84.0721210 36.7856 09 35606 Artery bypass graft A 18.71 7.75 NA 7.75 2.17 28.63 28.63 0090.09.84.0721210 36.7856 09 35612 Artery bypass graft A 15.76 6.72 NA 6.72 1.72 24.20 24.20 0090.09.84.0721210 36.7856 09 35616 Artery bypass graft A 15.70 6.78 NA 6.78 1.84 24.32 24.32 0090.09.84.0721210 36.7856 09 35621 Artery bypass graft A 20.00 8.67 NA 8.67 1.68 30.35 30.35 0090.09.84.0721210 36.7856 09 35623 Bypass graft, not vein A 24.00 9.98 NA 9.98 1.91 35.89 35.89 0090.09.84.0721210 36.7856 09 35626 Artery bypass graft A 27.75 10.93 NA 10.93 2.89 41.57 41.57 0090.09.84.0721210 36.7856 09 35631 Artery bypass graft A 34.00 13.41 NA 13.41 2.83 50.24 50.24 0090.09.84.0721210 36.7856 09 35636 Artery bypass graft A 29.50 12.11 NA 12.11 2.37 43.98 43.98 0090.09.84.0721210 36.7856 09 35641 Artery bypass graft A 24.57 10.27 NA 10.27 2.83 37.67 37.67 0090.09.84.0720210 36.7856 09 35642 Artery bypass graft A 17.98 7.86 NA 7.86 1.84 27.68 27.68 0090.09.84.0721210 36.7856 09 35645 Artery bypass graft A 17.47 7.69 NA 7.69 1.91 27.07 27.07 0090.09.84.0721210 36.7856 09 35646 Artery bypass graft A 31.00 13.00 NA 13.00 3.63 47.63 47.63 0090.09.84.0720210 36.7856 09 35647 Artery bypass graft A 28.00 11.76 NA 11.76 3.28 43.04 43.04 0090.09.84.0721210 36.7856 09 35650 Artery bypass graft A 19.00 7.77 NA 7.77 1.64 28.41 28.41 0090.09.84.0721210 36.7856 09 35651 Artery bypass graft A 25.04 10.50 NA 10.50 2.53 38.07 38.07 0090.09.84.0721210 36.7856 09 35654 Artery bypass graft A 25.00 10.34 NA 10.34 2.10 37.44 37.44 0090.09.84.0720210 36.7856 09 35656 Artery bypass graft A 19.53 8.22 NA 8.22 2.21 29.96 29.96 0090.09.84.0721210 36.7856 09 35661 Artery bypass graft A 19.00 8.09 NA 8.09 1.50 28.59 28.59 0090.09.84.0721210 36.7856 09 35663 Artery bypass graft A 22.00 9.44 NA 9.44 1.55 32.99 32.99 0090.09.84.0721210 36.7856 09 35665 Artery bypass graft A 21.00 8.98 NA 8.98 1.76 31.74 31.74 0090.09.84.0721210 36.7856 09 35666 Artery bypass graft A 22.19 11.72 NA 11.72 2.19 36.10 36.10 0090.09.84.0721210 36.7856 09 35671 Artery bypass graft A 19.33 10.39 NA 10.39 1.68 31.40 31.40 0090.09.84.0721210 36.7856 09 35681 Composite bypass graft A 1.60 0.55 NA 0.55 0.18 2.33 2.33 0ZZZ.00.00.0001210 36.7856 09 35682 Composite bypass graft A 7.20 2.44 NA 2.44 0.83 10.47 10.47 0ZZZ.00.00.0000010 36.7856 09 35683 Composite bypass graft A 8.50 2.88 NA 2.88 0.98 12.36 12.36 0ZZZ.00.00.0000010 36.7856 09 35685 Bypass graft patency/patch A 4.05 1.52 NA 1.52 0.25 5.82 5.82 0ZZZ.00.00.0001210 36.7856 09 35686 Bypass graft/av fist patency A 3.35 1.26 NA 1.26 0.21 4.82 4.82 0ZZZ.00.00.0001210 36.7856 09 35691 Arterial transposition A 18.05 7.54 NA 7.54 2.06 27.65 27.65 0090.09.84.0721210 36.7856 09 35693 Arterial transposition A 15.36 6.59 NA 6.59 1.80 23.75 23.75 0090.09.84.0721210 36.7856 09 35694 Arterial transposition A 19.16 7.83 NA 7.83 2.13 29.12 29.12 0090.09.84.0721210 36.7856 09 35695 Arterial transposition A 19.16 7.78 NA 7.78 2.19 29.13 29.13 0090.09.84.0721210 36.7856 09 35700 Reoperation, bypass graft A 3.08 1.03 NA 1.03 0.36 4.47 4.47 0ZZZ.00.00.0001210 36.7856 09 35701 Exploration, carotid artery A 8.50 4.59 NA 4.59 0.64 13.73 13.73 0090.09.84.0721210 36.7856 09 35721 Exploration, femoral artery A 7.18 5.13 NA 5.13 0.59 12.90 12.90 0090.09.84.0721210 36.7856 09 35741 Exploration popliteal artery A 8.00 5.34 NA 5.34 0.60 13.94 13.94 0090.09.84.0721210 36.7856 09 35761 Exploration of artery/vein A 5.37 4.42 NA 4.42 0.60 10.39 10.39 0090.09.84.0721210 36.7856 09 35800 Explore neck vessels A 7.02 3.90 NA 3.90 0.79 11.71 11.71 0090.09.84.0720210 36.7856 09 35820 Explore chest vessels A 12.88 4.19 NA 4.19 1.61 18.68 18.68 0090.09.84.0720210 36.7856 09 35840 Explore abdominal vessels A 9.77 5.10 NA 5.10 1.06 15.93 15.93 0090.09.84.0720210 36.7856 09 35860 Explore limb vessels A 5.55 3.54 NA 3.54 0.63 9.72 9.72 0090.09.84.0720210 36.7856 09 35870 Repair vessel graft defect A 22.17 9.95 NA 9.95 2.47 34.59 34.59 0090.09.84.0720210 36.7856 09 35875 Removal of clot in graft A 10.13 6.30 NA 6.30 0.97 17.40 17.40 0090.09.84.0720110 36.7856 09 35876 Removal of clot in graft A 17.00 8.80 NA 8.80 1.88 27.68 27.68 0090.09.84.0720210 36.7856 09 35879 Revise graft w/vein A 16.00 7.61 NA 7.61 1.35 24.96 24.96 0090.09.84.0721210 36.7856 09 35881 Revise graft w/vein A 18.00 8.46 NA 8.46 1.44 27.90 27.90 0090.09.84.0721210 36.7856 09 35901 Excision, graft, neck A 8.19 5.82 NA 5.82 0.90 14.91 14.91 0090.09.84.0720210 36.7856 09 35903 Excision, graft, extremity A 9.39 8.08 NA 8.08 1.03 18.50 18.50 0090.09.84.0720210 36.7856 09 35905 Excision, graft, thorax A 31.25 15.12 NA 15.12 2.15 48.52 48.52 0090.09.84.0720210 36.7856 09 35907 Excision, graft, abdomen A 35.00 14.57 NA 14.57 2.17 51.74 51.74 0090.09.84.0720210 36.7856 09 36000 Place needle in vein A 0.18 0.66 0.05 0.01 0.85 0.24 0XXX.00.00.0021100 36.7856 09 36002 Pseudoaneurysm injection trt A 1.96 2.45 1.00 0.10 4.51 3.06 0000.00.00.0021100 36.7856 09 36005 Injection ext venography A 0.95 8.51 0.32 0.04 9.50 1.31 0000.00.00.0020000 36.7856 09 36010 Place catheter in vein A 2.43 0.81 NA 0.81 0.16 3.40 3.40 0XXX.00.00.0021100 36.7856 09 36011 Place catheter in vein A 3.14 1.05 NA 1.05 0.17 4.36 4.36 0XXX.00.00.0021100 36.7856 09 36012 Place catheter in vein A 3.52 1.18 NA 1.18 0.17 4.87 4.87 0XXX.00.00.0021100 36.7856 09 36013 Place catheter in artery A 2.52 0.67 NA 0.67 0.17 3.36 3.36 0XXX.00.00.0020100 36.7856 09 36014 Place catheter in artery A 3.02 1.02 NA 1.02 0.14 4.18 4.18 0XXX.00.00.0021100 36.7856 09 36015 Place catheter in artery A 3.52 1.18 NA 1.18 0.16 4.86 4.86 0XXX.00.00.0021100 36.7856 09 36100 Establish access to artery A 3.02 1.12 NA 1.12 0.18 4.32 4.32 0XXX.00.00.0021100 36.7856 09 36120 Establish access to artery A 2.01 0.67 NA 0.67 0.11 2.79 2.79 0XXX.00.00.0020100 36.7856 09 36140 Establish access to artery A 2.01 0.66 NA 0.66 0.12 2.79 2.79 0XXX.00.00.0020100 36.7856 09 36145 Artery to vein shunt A 2.01 0.68 NA 0.68 0.10 2.79 2.79 0XXX.00.00.0020100 36.7856 09 36160 Establish access to aorta A 2.52 0.86 NA 0.86 0.20 3.58 3.58 0XXX.00.00.0020100 36.7856 09 36200 Place catheter in aorta A 3.02 1.04 NA 1.04 0.15 4.21 4.21 0XXX.00.00.0021100 36.7856 09 36215 Place catheter in artery A 4.68 1.62 NA 1.62 0.22 6.52 6.52 0XXX.00.00.0021100 36.7856 09 36216 Place catheter in artery A 5.28 1.81 NA 1.81 0.24 7.33 7.33 0XXX.00.00.0021100 36.7856 09 36217 Place catheter in artery A 6.30 2.21 NA 2.21 0.32 8.83 8.83 0XXX.00.00.0021100 36.7856 09 36218 Place catheter in artery A 1.01 0.35 NA 0.35 0.05 1.41 1.41 0ZZZ.00.00.0000100 36.7856 09 36245 Place catheter in artery A 4.68 1.69 NA 1.69 0.23 6.60 6.60 0XXX.00.00.0021100 36.7856 09 36246 Place catheter in artery A 5.28 1.83 NA 1.83 0.26 7.37 7.37 0XXX.00.00.0021100 36.7856 09 36247 Place catheter in artery A 6.30 2.17 NA 2.17 0.32 8.79 8.79 0XXX.00.00.0021100 36.7856 09 36248 Place catheter in artery A 1.01 0.36 NA 0.36 0.06 1.43 1.43 0ZZZ.00.00.0000100 36.7856 09 36260 Insertion of infusion pump A 9.71 5.50 NA 5.50 1.00 16.21 16.21 0090.09.84.0720100 36.7856 09 36261 Revision of infusion pump A 5.45 3.33 NA 3.33 0.50 9.28 9.28 0090.09.84.0720200 36.7856 09 36262 Removal of infusion pump A 4.02 2.48 NA 2.48 0.43 6.93 6.93 0090.09.84.0720100 36.7856 09 36299 Vessel injection procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 36400 Bl draw < 3 yrs fem/jugular A 0.38 0.89 0.10 0.01 1.28 0.49 0XXX.00.00.0020100 36.7856 09 36405 Bl draw < 3 yrs scalp vein A 0.31 0.33 0.08 0.01 0.65 0.40 0XXX.00.00.0020100 36.7856 09 36406 Bl draw < 3 yrs other vein A 0.18 0.37 0.05 0.01 0.56 0.24 0XXX.00.00.0020100 36.7856 09 36410 Non-routine bl draw > 3 yrs A 0.18 0.39 0.05 0.01 0.58 0.24 0XXX.00.00.0020100 36.7856 09 36415 Routine venipuncture I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 36416 Capillary blood draw I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 36420 Vein access cutdown < 1 yr A 1.01 0.31 NA 0.31 0.09 1.41 1.41 0XXX.00.00.0020000 36.7856 09 36425 Vein access cutdown > 1 yr A 0.76 0.22 NA 0.22 0.05 1.03 1.03 0XXX.00.00.0020100 36.7856 09 36430 Blood transfusion service A 0.00 1.01 1.01 NA 0.05 1.06 1.06 5XXX.00.00.0000100 36.7856 09 36440 Bl push transfuse, 2 yr or < A 1.03 0.29 NA 0.29 0.08 1.40 1.40 0XXX.00.00.0020000 36.7856 09 36450 Bl exchange/transfuse, nb A 2.23 0.72 NA 0.72 0.16 3.11 3.11 0XXX.00.00.0020000 36.7856 09 36455 Bl exchange/transfuse non-nb A 2.43 0.85 NA 0.85 0.10 3.38 3.38 0XXX.00.00.0020100 36.7856 09 36460 Transfusion service, fetal A 6.59 2.27 NA 2.27 0.56 9.42 9.42 0XXX.00.00.0020200 36.7856 09 36468 Injection(s), spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 36469 Injection(s), spider veins R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 36470 Injection therapy of vein A 1.09 2.33 0.39 0.10 3.52 1.58 0010.10.80.1021100 36.7856 09 36471 Injection therapy of veins A 1.57 2.68 0.55 0.15 4.40 2.27 0010.10.80.1021100 36.7856 09 36481 Insertion of catheter, vein A 6.99 2.80 NA 2.80 0.40 10.19 10.19 0000.00.00.0020100 36.7856 09 36488 Insertion of catheter, vein A 1.35 0.74 NA 0.74 0.09 2.18 2.18 0000.00.00.0000100 36.7856 09 36489 Insertion of catheter, vein A 2.50 4.11 1.04 0.08 6.69 3.62 0000.00.00.0000100 36.7856 09 36490 Insertion of catheter, vein A 1.67 0.83 NA 0.83 0.17 2.67 2.67 0000.00.00.0000100 36.7856 09 36491 Insertion of catheter, vein A 1.43 0.76 NA 0.76 0.13 2.32 2.32 0000.00.00.0000100 36.7856 09 36493 Repositioning of cvc A 1.21 0.86 NA 0.86 0.06 2.13 2.13 0000.00.00.0020100 36.7856 09 36500 Insertion of catheter, vein A 3.52 1.26 NA 1.26 0.14 4.92 4.92 0000.00.00.0020100 36.7856 09 36510 Insertion of catheter, vein A 1.09 0.72 NA 0.72 0.06 1.87 1.87 0000.00.00.0020000 36.7856 09 36511 Apheresis wbc A 1.74 0.70 NA 0.70 0.06 2.50 2.50 0000.00.00.0020100 36.7856 09 36512 Apheresis rbc A 1.74 0.70 NA 0.70 0.06 2.50 2.50 0000.00.00.0020100 36.7856 09 36513 Apheresis platelets A 1.74 0.70 NA 0.70 0.06 2.50 2.50 0000.00.00.0020100 36.7856 09 36514 Apheresis plasma A 1.74 0.70 NA 0.70 0.06 2.50 2.50 0000.00.00.0020100 36.7856 09 36515 Apheresis, adsorp/reinfuse A 1.74 0.70 NA 0.70 0.06 2.50 2.50 0000.00.00.0020100 36.7856 09 36516 Apheresis, selective A 1.74 0.70 NA 0.70 0.06 2.50 2.50 0000.00.00.0020100 36.7856 09 36520 Plasma and/or cell exchange D 1.74 1.07 1.07 0.06 2.87 2.87 0000.00.00.0020100 36.7856 09 36521 Apheresis w/ adsorp/reinfuse D 1.74 1.07 1.07 0.06 2.87 2.87 0000.00.00.0020100 36.7856 09 36522 Photopheresis A 1.67 6.77 1.15 0.07 8.51 2.89 0000.00.00.0020100 36.7856 09 36530 Insertion of infusion pump R 6.20 3.70 NA 3.70 0.56 10.46 10.46 0010.10.80.1020000 36.7856 09 36531 Revision of infusion pump R 4.87 3.25 NA 3.25 0.44 8.56 8.56 0010.10.80.1020000 36.7856 09 36532 Removal of infusion pump R 3.30 1.52 NA 1.52 0.34 5.16 5.16 0010.10.80.1020000 36.7856 09 36533 Insertion of access device A 5.32 13.55 3.38 0.49 19.36 9.19 0010.10.80.1021000 36.7856 09 36534 Revision of access device A 2.80 1.46 NA 1.46 0.19 4.45 4.45 0010.10.80.1021000 36.7856 09 36535 Removal of access device A 2.27 2.81 1.82 0.21 5.29 4.30 0010.10.80.1021000 36.7856 09 36536 Remove cva device obstruct A 3.60 33.54 1.47 0.23 37.37 5.30 0000.00.00.0020100 36.7856 09 36537 Remove cva lumen obstruct A 0.75 7.69 0.49 0.04 8.48 1.28 0000.00.00.0020100 36.7856 09 36540 Collect blood venous device B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 36550 Declot vascular device A 0.00 0.38 0.38 NA 0.31 0.69 0.69 9XXX.00.00.0000000 36.7856 09 36600 Withdrawal of arterial blood A 0.32 0.41 0.09 0.02 0.75 0.43 0XXX.00.00.0020100 36.7856 09 36620 Insertion catheter, artery A 1.15 0.24 NA 0.24 0.06 1.45 1.45 0000.00.00.0000100 36.7856 09 36625 Insertion catheter, artery A 2.11 0.53 NA 0.53 0.16 2.80 2.80 0000.00.00.0000100 36.7856 09 36640 Insertion catheter, artery A 2.10 0.72 NA 0.72 0.18 3.00 3.00 0000.00.00.0020100 36.7856 09 36660 Insertion catheter, artery A 1.40 0.45 NA 0.45 0.08 1.93 1.93 0000.00.00.0000000 36.7856 09 36680 Insert needle, bone cavity A 1.20 0.62 NA 0.62 0.08 1.90 1.90 0000.00.00.0020000 36.7856 09 36800 Insertion of cannula A 2.43 1.76 NA 1.76 0.17 4.36 4.36 0000.00.00.0020100 36.7856 09 36810 Insertion of cannula A 3.97 2.24 NA 2.24 0.40 6.61 6.61 0000.00.00.0020100 36.7856 09 36815 Insertion of cannula A 2.62 1.26 NA 1.26 0.26 4.14 4.14 0000.00.00.0020100 36.7856 09 36819 Av fusion/uppr arm vein A 14.00 6.41 NA 6.41 1.56 21.97 21.97 0090.09.84.0720210 36.7856 09 36820 Av fusion/forearm vein A 14.00 6.43 NA 6.43 1.56 21.99 21.99 0090.09.84.0721210 36.7856 09 36821 Av fusion direct any site A 8.93 4.94 NA 4.94 0.97 14.84 14.84 0090.09.84.0720210 36.7856 09 36822 Insertion of cannula(s) A 5.42 7.14 NA 7.14 0.63 13.19 13.19 0090.09.84.0720100 36.7856 09 36823 Insertion of cannula(s) A 21.00 10.38 NA 10.38 2.18 33.56 33.56 0090.09.84.0720100 36.7856 09 36825 Artery-vein autograft A 9.84 5.48 NA 5.48 1.09 16.41 16.41 0090.09.84.0720210 36.7856 09 36830 Artery-vein nonautograft A 12.00 6.04 NA 6.04 1.32 19.36 19.36 0090.09.84.0720210 36.7856 09 36831 Open thrombect av fistula A 8.00 3.93 NA 3.93 0.79 12.72 12.72 0090.09.84.0720210 36.7856 09 36832 Av fistula revision, open A 10.50 5.53 NA 5.53 1.13 17.16 17.16 0090.09.84.0720210 36.7856 09 36833 Av fistula revision A 11.95 6.00 NA 6.00 1.29 19.24 19.24 0090.09.84.0720210 36.7856 09 36834 Repair A-V aneurysm A 9.93 3.79 NA 3.79 1.06 14.78 14.78 0090.09.84.0720210 36.7856 09 36835 Artery to vein shunt A 7.15 4.52 NA 4.52 0.80 12.47 12.47 0090.09.84.0720100 36.7856 09 36860 External cannula declotting A 2.01 2.62 1.34 0.10 4.73 3.45 0000.00.00.0020100 36.7856 09 36861 Cannula declotting A 2.52 1.46 NA 1.46 0.14 4.12 4.12 0000.00.00.0020100 36.7856 09 36870 Percut thrombect av fistula A 5.16 42.32 2.39 0.23 47.71 7.78 0090.09.84.0721120 36.7856 09 37140 Revision of circulation A 23.60 10.31 NA 10.31 1.21 35.12 35.12 0090.09.84.0720110 36.7856 09 37145 Revision of circulation A 24.61 10.93 NA 10.93 2.48 38.02 38.02 0090.09.84.0720200 36.7856 09 37160 Revision of circulation A 21.60 9.14 NA 9.14 2.16 32.90 32.90 0090.09.84.0720210 36.7856 09 37180 Revision of circulation A 24.61 10.27 NA 10.27 2.63 37.51 37.51 0090.09.84.0720210 36.7856 09 37181 Splice spleen/kidney veins A 26.68 10.86 NA 10.86 2.67 40.21 40.21 0090.09.84.0720210 36.7856 09 37182 Insert hepatic shunt (tips) A 17.00 6.37 NA 6.37 1.49 24.86 24.86 0000.00.00.0020200 36.7856 09 37183 Remove hepatic shunt (tips) A 8.00 3.12 NA 3.12 0.43 11.55 11.55 0000.00.00.0020200 36.7856 09 37195 Thrombolytic therapy, stroke A 0.00 8.02 8.02 NA 0.38 8.40 8.40 5XXX.00.00.0000000 36.7856 09 37200 Transcatheter biopsy A 4.56 1.55 NA 1.55 0.19 6.30 6.30 0000.00.00.0020100 36.7856 09 37201 Transcatheter therapy infuse A 5.00 2.53 NA 2.53 0.24 7.77 7.77 0000.00.00.0020100 36.7856 09 37202 Transcatheter therapy infuse A 5.68 3.10 NA 3.10 0.38 9.16 9.16 0000.00.00.0020100 36.7856 09 37203 Transcatheter retrieval A 5.03 2.55 NA 2.55 0.23 7.81 7.81 0000.00.00.0020100 36.7856 09 37204 Transcatheter occlusion A 18.14 6.11 NA 6.11 0.91 25.16 25.16 0000.00.00.0020100 36.7856 09 37205 Transcatheter stent A 8.28 3.79 NA 3.79 0.43 12.50 12.50 0000.00.00.0020000 36.7856 09 37206 Transcatheter stent add-on A 4.13 1.48 NA 1.48 0.22 5.83 5.83 0ZZZ.00.00.0000000 36.7856 09 37207 Transcatheter stent A 8.28 3.53 NA 3.53 0.89 12.70 12.70 0000.00.00.0021220 36.7856 09 37208 Transcatheter stent add-on A 4.13 1.41 NA 1.41 0.44 5.98 5.98 0ZZZ.00.00.0001220 36.7856 09 37209 Exchange arterial catheter A 2.27 0.77 NA 0.77 0.11 3.15 3.15 0000.00.00.0020100 36.7856 09 37250 Iv us first vessel add-on A 2.10 0.77 NA 0.77 0.17 3.04 3.04 0ZZZ.00.00.0000010 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 0ZZZ.00.00.0000010 36.7856 09 37500 Endoscopy ligate perf veins A 11.00 8.70 NA 8.70 0.40 20.10 20.10 0090.09.84.0721110 36.7856 09 37501 Vascular endoscopy procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021110 36.7856 09 37565 Ligation of neck vein A 10.88 5.08 NA 5.08 0.45 16.41 16.41 0090.09.84.0720010 36.7856 09 37600 Ligation of neck artery A 11.25 6.30 NA 6.30 0.40 17.95 17.95 0090.09.84.0720210 36.7856 09 37605 Ligation of neck artery A 13.11 6.48 NA 6.48 0.77 20.36 20.36 0090.09.84.0720210 36.7856 09 37606 Ligation of neck artery A 6.28 3.98 NA 3.98 0.79 11.05 11.05 0090.09.84.0720200 36.7856 09 37607 Ligation of a-v fistula A 6.16 3.65 NA 3.65 0.67 10.48 10.48 0090.09.84.0720110 36.7856 09 37609 Temporal artery procedure A 3.00 7.02 2.52 0.21 10.23 5.73 0010.10.80.1021100 36.7856 09 37615 Ligation of neck artery A 5.73 3.64 NA 3.64 0.57 9.94 9.94 0090.09.84.0720210 36.7856 09 37616 Ligation of chest artery A 16.49 10.58 NA 10.58 1.93 29.00 29.00 0090.09.84.0720210 36.7856 09 37617 Ligation of abdomen artery A 22.06 9.42 NA 9.42 1.69 33.17 33.17 0090.09.84.0720210 36.7856 09 37618 Ligation of extremity artery A 4.84 3.49 NA 3.49 0.54 8.87 8.87 0090.09.84.0720210 36.7856 09 37620 Revision of major vein A 10.56 5.40 NA 5.40 0.75 16.71 16.71 0090.09.84.0720110 36.7856 09 37650 Revision of major vein A 7.80 4.65 NA 4.65 0.56 13.01 13.01 0090.09.84.0721110 36.7856 09 37660 Revision of major vein A 21.00 9.32 NA 9.32 1.17 31.49 31.49 0090.09.84.0720210 36.7856 09 37700 Revise leg vein A 3.73 3.14 NA 3.14 0.40 7.27 7.27 0090.09.84.0721100 36.7856 09 37720 Removal of leg vein A 5.66 3.63 NA 3.63 0.61 9.90 9.90 0090.09.84.0721110 36.7856 09 37730 Removal of leg veins A 7.33 4.51 NA 4.51 0.77 12.61 12.61 0090.09.84.0721110 36.7856 09 37735 Removal of leg veins/lesion A 10.53 5.77 NA 5.77 1.17 17.47 17.47 0090.09.84.0721210 36.7856 09 37760 Ligation, leg veins, open A 10.47 5.63 NA 5.63 1.11 17.21 17.21 0090.09.84.0720210 36.7856 09 37780 Revision of leg vein A 3.84 2.96 NA 2.96 0.41 7.21 7.21 0090.09.84.0721110 36.7856 09 37785 Revise secondary varicosity A 3.84 6.98 2.85 0.41 11.23 7.10 0090.09.84.0721100 36.7856 09 37788 Revascularization, penis A 22.01 11.50 NA 11.50 1.35 34.86 34.86 0090.09.84.0720210 36.7856 09 37790 Penile venous occlusion A 8.34 6.11 NA 6.11 0.63 15.08 15.08 0090.08.83.0920000 36.7856 09 37799 Vascular surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 38100 Removal of spleen, total A 14.50 6.56 NA 6.56 1.30 22.36 22.36 0090.11.73.1620210 36.7856 09 38101 Removal of spleen, partial A 15.31 6.94 NA 6.94 1.38 23.63 23.63 0090.11.73.1620210 36.7856 09 38102 Removal of spleen, total A 4.80 1.68 NA 1.68 0.49 6.97 6.97 0ZZZ.00.00.0000210 36.7856 09 38115 Repair of ruptured spleen A 15.82 7.04 NA 7.04 1.40 24.26 24.26 0090.11.73.1620210 36.7856 09 38120 Laparoscopy, splenectomy A 17.00 7.37 NA 7.37 1.73 26.10 26.10 0090.09.84.0720210 36.7856 09 38129 Laparoscope proc, spleen C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020200 36.7856 09 38200 Injection for spleen x-ray A 2.64 0.92 NA 0.92 0.12 3.68 3.68 0000.00.00.0020000 36.7856 09 38204 Bl donor search management B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38205 Harvest allogenic stem cells R 1.50 0.61 NA 0.61 0.05 2.16 2.16 0000.00.00.0020000 36.7856 09 38206 Harvest auto stem cells R 1.50 0.61 NA 0.61 0.05 2.16 2.16 0000.00.00.0020000 36.7856 09 38207 Cryopreserve stem cells I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38208 Thaw preserved stem cells I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38209 Wash harvest stem cells I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38210 T-cell depletion of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38211 Tumor cell deplete of harvst I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38212 Rbc depletion of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38213 Platelet deplete of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38214 Volume deplete of harvest I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38215 Harvest stem cell concentrte I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 38220 Bone marrow aspiration A 1.08 4.64 0.43 0.03 5.75 1.54 0XXX.00.00.0021000 36.7856 09 38221 Bone marrow biopsy A 1.37 4.79 0.54 0.04 6.20 1.95 0XXX.00.00.0021000 36.7856 09 38230 Bone marrow collection R 4.54 2.42 NA 2.42 0.25 7.21 7.21 0010.10.80.1020000 36.7856 09 38231 Stem cell collection D 1.50 0.61 0.61 0.05 2.16 2.16 0000.00.00.0020000 36.7856 09 38240 Bone marrow/stem transplant R 2.24 0.84 NA 0.84 0.08 3.16 3.16 0XXX.00.00.0020000 36.7856 09 38241 Bone marrow/stem transplant R 2.24 0.84 NA 0.84 0.08 3.16 3.16 0XXX.00.00.0020000 36.7856 09 38242 Lymphocyte infuse transplant A 1.71 0.70 NA 0.70 0.05 2.46 2.46 0000.00.00.0020000 36.7856 09 38300 Drainage, lymph node lesion A 1.99 4.51 2.59 0.15 6.65 4.73 0010.10.80.1020100 36.7856 09 38305 Drainage, lymph node lesion A 6.00 8.72 6.29 0.36 15.08 12.65 0090.11.73.1620100 36.7856 09 38308 Incision of lymph channels A 6.45 5.70 NA 5.70 0.51 12.66 12.66 0090.11.73.1620210 36.7856 09 38380 Thoracic duct procedure A 7.46 7.55 NA 7.55 0.68 15.69 15.69 0090.11.73.1620210 36.7856 09 38381 Thoracic duct procedure A 12.88 9.83 NA 9.83 1.58 24.29 24.29 0090.11.73.1620210 36.7856 09 38382 Thoracic duct procedure A 10.08 9.18 NA 9.18 1.08 20.34 20.34 0090.11.73.1620210 36.7856 09 38500 Biopsy/removal, lymph nodes A 3.75 3.04 2.56 0.28 7.07 6.59 0010.10.80.1021100 36.7856 09 38505 Needle biopsy, lymph nodes A 1.14 3.13 1.09 0.09 4.36 2.32 0000.00.00.0021100 36.7856 09 38510 Biopsy/removal, lymph nodes A 6.43 5.41 NA 5.41 0.38 12.22 12.22 0010.10.80.1021100 36.7856 09 38520 Biopsy/removal, lymph nodes A 6.67 5.55 NA 5.55 0.52 12.74 12.74 0090.11.73.1621100 36.7856 09 38525 Biopsy/removal, lymph nodes A 6.07 4.40 NA 4.40 0.48 10.95 10.95 0090.11.73.1621100 36.7856 09 38530 Biopsy/removal, lymph nodes A 7.98 5.84 NA 5.84 0.63 14.45 14.45 0090.11.73.1621210 36.7856 09 38542 Explore deep node(s), neck A 5.91 6.00 NA 6.00 0.50 12.41 12.41 0090.11.73.1621210 36.7856 09 38550 Removal, neck/armpit lesion A 6.92 4.90 NA 4.90 0.69 12.51 12.51 0090.11.73.1620000 36.7856 09 38555 Removal, neck/armpit lesion A 14.14 10.28 NA 10.28 1.46 25.88 25.88 0090.11.73.1620210 36.7856 09 38562 Removal, pelvic lymph nodes A 10.49 6.53 NA 6.53 0.97 17.99 17.99 0090.11.73.1622210 36.7856 09 38564 Removal, abdomen lymph nodes A 10.83 6.27 NA 6.27 1.06 18.16 18.16 0090.11.73.1620210 36.7856 09 38570 Laparoscopy, lymph node biop A 9.25 4.47 NA 4.47 0.89 14.61 14.61 0010.10.80.1030220 49320 36.7856 09 38571 Laparoscopy, lymphadenectomy A 14.68 6.10 NA 6.10 0.80 21.58 21.58 0010.10.80.1022220 36.7856 09 38572 Laparoscopy, lymphadenectomy A 16.59 7.40 NA 7.40 1.32 25.31 25.31 0010.10.80.1022220 36.7856 09 38589 Laparoscope proc, lymphatic C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 38700 Removal of lymph nodes, neck A 8.24 13.43 NA 13.43 0.60 22.27 22.27 0090.11.73.1621210 36.7856 09 38720 Removal of lymph nodes, neck A 13.61 15.95 NA 15.95 1.03 30.59 30.59 0090.11.73.1621210 36.7856 09 38724 Removal of lymph nodes, neck A 14.54 16.51 NA 16.51 1.10 32.15 32.15 0090.11.73.1621210 36.7856 09 38740 Remove armpit lymph nodes A 10.03 5.79 NA 5.79 0.69 16.51 16.51 0090.11.73.1620210 36.7856 09 38745 Remove armpit lymph nodes A 13.10 8.25 NA 8.25 0.90 22.25 22.25 0090.11.73.1620210 36.7856 09 38746 Remove thoracic lymph nodes A 4.89 1.60 NA 1.60 0.55 7.04 7.04 0ZZZ.00.00.0000210 36.7856 09 38747 Remove abdominal lymph nodes A 4.89 1.70 NA 1.70 0.50 7.09 7.09 0ZZZ.00.00.0000210 36.7856 09 38760 Remove groin lymph nodes A 12.95 7.14 NA 7.14 0.88 20.97 20.97 0090.11.73.1621210 36.7856 09 38765 Remove groin lymph nodes A 19.98 11.22 NA 11.22 1.50 32.70 32.70 0090.11.73.1621210 36.7856 09 38770 Remove pelvis lymph nodes A 13.23 6.79 NA 6.79 0.99 21.01 21.01 0090.11.73.1621210 36.7856 09 38780 Remove abdomen lymph nodes A 16.59 9.28 NA 9.28 1.60 27.47 27.47 0090.11.73.1620210 36.7856 09 38790 Inject for lymphatic x-ray A 1.29 31.59 0.45 0.09 32.97 1.83 0000.00.00.0021100 36.7856 09 38792 Identify sentinel node A 0.52 0.18 NA 0.18 0.04 0.74 0.74 0000.00.00.0021100 36.7856 09 38794 Access thoracic lymph duct A 4.45 1.54 NA 1.54 0.17 6.16 6.16 0090.11.73.1620000 36.7856 09 38999 Blood/lymph system procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 39000 Exploration of chest A 6.10 7.58 NA 7.58 0.73 14.41 14.41 0090.09.84.0720210 36.7856 09 39010 Exploration of chest A 11.79 7.19 NA 7.19 1.46 20.44 20.44 0090.09.84.0720210 36.7856 09 39200 Removal chest lesion A 13.62 7.30 NA 7.30 1.65 22.57 22.57 0090.09.84.0720210 36.7856 09 39220 Removal chest lesion A 17.42 9.05 NA 9.05 2.10 28.57 28.57 0090.09.84.0720210 36.7856 09 39400 Visualization of chest A 5.61 4.59 NA 4.59 0.69 10.89 10.89 0010.10.80.1020100 36.7856 09 39499 Chest procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 39501 Repair diaphragm laceration A 13.19 7.73 NA 7.73 1.38 22.30 22.30 0090.09.84.0720210 36.7856 09 39502 Repair paraesophageal hernia A 16.33 8.22 NA 8.22 1.68 26.23 26.23 0090.09.84.0720210 36.7856 09 39503 Repair of diaphragm hernia A 95.00 34.45 NA 34.45 3.52 132.97 132.97 0090.09.84.0720210 36.7856 09 39520 Repair of diaphragm hernia A 16.10 9.68 NA 9.68 1.83 27.61 27.61 0090.09.84.0720210 36.7856 09 39530 Repair of diaphragm hernia A 15.41 8.56 NA 8.56 1.66 25.63 25.63 0090.09.84.0720210 36.7856 09 39531 Repair of diaphragm hernia A 16.42 8.75 NA 8.75 1.83 27.00 27.00 0090.09.84.0720210 36.7856 09 39540 Repair of diaphragm hernia A 13.32 7.77 NA 7.77 1.38 22.47 22.47 0090.09.84.0720210 36.7856 09 39541 Repair of diaphragm hernia A 14.41 7.86 NA 7.86 1.52 23.79 23.79 0090.09.84.0720210 36.7856 09 39545 Revision of diaphragm A 13.37 9.29 NA 9.29 1.55 24.21 24.21 0090.09.84.0720210 36.7856 09 39560 Resect diaphragm, simple A 12.00 7.53 NA 7.53 1.35 20.88 20.88 0090.09.84.0720210 36.7856 09 39561 Resect diaphragm, complex A 17.50 9.76 NA 9.76 1.97 29.23 29.23 0090.09.84.0720210 36.7856 09 39599 Diaphragm surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 40490 Biopsy of lip A 1.22 1.73 0.62 0.06 3.01 1.90 0000.00.00.0020100 36.7856 09 40500 Partial excision of lip A 4.28 5.89 5.69 0.31 10.48 10.28 0090.09.81.1020100 36.7856 09 40510 Partial excision of lip A 4.70 6.76 6.51 0.38 11.84 11.59 0090.09.81.1020100 36.7856 09 40520 Partial excision of lip A 4.67 7.77 6.87 0.42 12.86 11.96 0090.09.81.1020100 36.7856 09 40525 Reconstruct lip with flap A 7.55 8.36 NA 8.36 0.68 16.59 16.59 0090.09.81.1020100 36.7856 09 40527 Reconstruct lip with flap A 9.13 9.24 NA 9.24 0.82 19.19 19.19 0090.09.81.1020000 36.7856 09 40530 Partial removal of lip A 5.40 6.60 6.24 0.47 12.47 12.11 0090.09.81.1020100 36.7856 09 40650 Repair lip A 3.64 5.44 4.81 0.31 9.39 8.76 0090.09.81.1020000 36.7856 09 40652 Repair lip A 4.26 6.83 6.80 0.39 11.48 11.45 0090.09.81.1020000 36.7856 09 40654 Repair lip A 5.31 7.71 7.50 0.48 13.50 13.29 0090.09.81.1020100 36.7856 09 40700 Repair cleft lip/nasal A 12.79 10.32 NA 10.32 0.93 24.04 24.04 0090.09.81.1020000 36.7856 09 40701 Repair cleft lip/nasal A 15.85 12.70 NA 12.70 1.36 29.91 29.91 0090.09.81.1022200 36.7856 09 40702 Repair cleft lip/nasal A 13.04 9.54 NA 9.54 1.01 23.59 23.59 0090.09.81.1022200 36.7856 09 40720 Repair cleft lip/nasal A 13.55 11.93 NA 11.93 1.31 26.79 26.79 0090.09.81.1021000 36.7856 09 40761 Repair cleft lip/nasal A 14.72 12.39 NA 12.39 1.41 28.52 28.52 0090.09.81.1020100 36.7856 09 40799 Lip surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 40800 Drainage of mouth lesion A 1.17 1.82 0.87 0.09 3.08 2.13 0010.10.80.1020100 36.7856 09 40801 Drainage of mouth lesion A 2.53 2.42 1.55 0.18 5.13 4.26 0010.10.80.1020100 36.7856 09 40804 Removal, foreign body, mouth A 1.24 2.31 1.03 0.09 3.64 2.36 0010.10.80.1020000 36.7856 09 40805 Removal, foreign body, mouth A 2.69 2.75 1.75 0.17 5.61 4.61 0010.10.80.1020000 36.7856 09 40806 Incision of lip fold A 0.31 0.96 0.86 0.02 1.29 1.19 0000.00.00.0020000 36.7856 09 40808 Biopsy of mouth lesion A 0.96 1.94 1.02 0.07 2.97 2.05 0010.10.80.1020100 36.7856 09 40810 Excision of mouth lesion A 1.31 2.07 1.16 0.09 3.47 2.56 0010.10.80.1020100 36.7856 09 40812 Excise/repair mouth lesion A 2.31 2.43 1.72 0.17 4.91 4.20 0010.10.80.1020100 36.7856 09 40814 Excise/repair mouth lesion A 3.42 3.34 2.98 0.26 7.02 6.66 0090.09.81.1020100 36.7856 09 40816 Excision of mouth lesion A 3.67 3.46 3.17 0.27 7.40 7.11 0090.09.81.1020100 36.7856 09 40818 Excise oral mucosa for graft A 2.41 4.11 4.11 0.14 6.66 6.66 0090.09.81.1020000 36.7856 09 40819 Excise lip or cheek fold A 2.41 3.57 3.55 0.17 6.15 6.13 0090.09.81.1020000 36.7856 09 40820 Treatment of mouth lesion A 1.28 2.47 2.30 0.08 3.83 3.66 0010.10.80.1020100 36.7856 09 40830 Repair mouth laceration A 1.76 2.53 2.50 0.14 4.43 4.40 0010.10.80.1020000 36.7856 09 40831 Repair mouth laceration A 2.46 2.78 2.78 0.21 5.45 5.45 0010.10.80.1020000 36.7856 09 40840 Reconstruction of mouth R 8.73 6.14 6.14 0.79 15.66 15.66 0090.09.81.1020200 36.7856 09 40842 Reconstruction of mouth R 8.73 6.00 6.00 0.65 15.38 15.38 0090.09.81.1020000 36.7856 09 40843 Reconstruction of mouth R 12.10 7.31 7.31 0.84 20.25 20.25 0090.09.81.1022200 36.7856 09 40844 Reconstruction of mouth R 16.01 8.98 8.95 1.63 26.62 26.59 0090.09.81.1020200 36.7856 09 40845 Reconstruction of mouth R 18.58 10.94 10.94 1.47 30.99 30.99 0090.09.81.1020000 36.7856 09 40899 Mouth surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 41000 Drainage of mouth lesion A 1.30 2.38 1.50 0.09 3.77 2.89 0010.10.80.1020100 36.7856 09 41005 Drainage of mouth lesion A 1.26 2.26 1.47 0.09 3.61 2.82 0010.10.80.1020000 36.7856 09 41006 Drainage of mouth lesion A 3.24 3.75 3.40 0.25 7.24 6.89 0090.09.81.1020000 36.7856 09 41007 Drainage of mouth lesion A 3.10 3.87 3.19 0.22 7.19 6.51 0090.09.81.1020000 36.7856 09 41008 Drainage of mouth lesion A 3.37 3.60 3.28 0.24 7.21 6.89 0090.09.81.1020000 36.7856 09 41009 Drainage of mouth lesion A 3.59 3.67 3.27 0.25 7.51 7.11 0090.09.81.1020000 36.7856 09 41010 Incision of tongue fold A 1.06 3.26 3.26 0.06 4.38 4.38 0010.10.80.1020000 36.7856 09 41015 Drainage of mouth lesion A 3.96 4.22 3.23 0.29 8.47 7.48 0090.09.81.1020000 36.7856 09 41016 Drainage of mouth lesion A 4.07 4.15 3.38 0.28 8.50 7.73 0090.09.81.1020000 36.7856 09 41017 Drainage of mouth lesion A 4.07 4.16 3.32 0.32 8.55 7.71 0090.09.81.1020000 36.7856 09 41018 Drainage of mouth lesion A 5.10 4.55 3.79 0.35 10.00 9.24 0090.09.81.1020000 36.7856 09 41100 Biopsy of tongue A 1.63 2.36 1.40 0.12 4.11 3.15 0010.10.80.1020100 36.7856 09 41105 Biopsy of tongue A 1.42 2.18 1.32 0.10 3.70 2.84 0010.10.80.1020100 36.7856 09 41108 Biopsy of floor of mouth A 1.05 2.04 1.10 0.08 3.17 2.23 0010.10.80.1020100 36.7856 09 41110 Excision of tongue lesion A 1.51 2.44 1.31 0.11 4.06 2.93 0010.10.80.1020100 36.7856 09 41112 Excision of tongue lesion A 2.73 3.38 2.71 0.20 6.31 5.64 0090.09.81.1020100 36.7856 09 41113 Excision of tongue lesion A 3.19 3.40 2.94 0.23 6.82 6.36 0090.09.81.1020100 36.7856 09 41114 Excision of tongue lesion A 8.47 5.44 NA 5.44 0.64 14.55 14.55 0090.09.81.1020000 36.7856 09 41115 Excision of tongue fold A 1.74 2.61 2.54 0.13 4.48 4.41 0010.10.80.1020000 36.7856 09 41116 Excision of mouth lesion A 2.44 3.40 3.40 0.17 6.01 6.01 0090.09.81.1020100 36.7856 09 41120 Partial removal of tongue A 9.77 8.88 NA 8.88 0.70 19.35 19.35 0090.09.81.1020210 36.7856 09 41130 Partial removal of tongue A 11.15 9.66 NA 9.66 0.81 21.62 21.62 0090.09.81.1020210 36.7856 09 41135 Tongue and neck surgery A 23.09 15.99 NA 15.99 1.66 40.74 40.74 0090.09.81.1020210 36.7856 09 41140 Removal of tongue A 25.50 17.32 NA 17.32 1.85 44.67 44.67 0090.09.81.1020210 36.7856 09 41145 Tongue removal, neck surgery A 30.06 21.30 NA 21.30 2.11 53.47 53.47 0090.09.81.1020210 36.7856 09 41150 Tongue, mouth, jaw surgery A 23.04 17.16 NA 17.16 1.67 41.87 41.87 0090.09.81.1020210 36.7856 09 41153 Tongue, mouth, neck surgery A 23.77 17.77 NA 17.77 1.71 43.25 43.25 0090.09.81.1020210 36.7856 09 41155 Tongue, jaw, & neck surgery A 27.72 19.97 NA 19.97 2.02 49.71 49.71 0090.09.81.1020210 36.7856 09 41250 Repair tongue laceration A 1.91 2.88 1.71 0.15 4.94 3.77 0010.10.80.1020000 36.7856 09 41251 Repair tongue laceration A 2.27 2.72 2.00 0.18 5.17 4.45 0010.10.80.1020000 36.7856 09 41252 Repair tongue laceration A 2.97 3.50 2.34 0.23 6.70 5.54 0010.10.80.1020000 36.7856 09 41500 Fixation of tongue A 3.71 4.33 NA 4.33 0.26 8.30 8.30 0090.09.81.1020000 36.7856 09 41510 Tongue to lip surgery A 3.42 4.80 NA 4.80 0.24 8.46 8.46 0090.09.81.1020000 36.7856 09 41520 Reconstruction, tongue fold A 2.73 3.03 3.03 0.19 5.95 5.95 0090.09.81.1020000 36.7856 09 41599 Tongue and mouth surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 41800 Drainage of gum lesion A 1.17 1.97 1.37 0.09 3.23 2.63 0010.10.80.1020100 36.7856 09 41805 Removal foreign body, gum A 1.24 1.95 1.95 0.09 3.28 3.28 0010.10.80.1020000 36.7856 09 41806 Removal foreign body,jawbone A 2.69 2.57 2.45 0.22 5.48 5.36 0010.10.80.1020000 36.7856 09 41820 Excision, gum, each quadrant R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 41821 Excision of gum flap R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 41822 Excision of gum lesion R 2.31 2.83 0.96 0.24 5.38 3.51 0010.10.80.1020000 36.7856 09 41823 Excision of gum lesion R 3.30 3.58 3.00 0.29 7.17 6.59 0090.09.81.1020000 36.7856 09 41825 Excision of gum lesion A 1.31 2.40 2.36 0.10 3.81 3.77 0010.10.80.1020100 36.7856 09 41826 Excision of gum lesion A 2.31 2.64 2.64 0.17 5.12 5.12 0010.10.80.1020100 36.7856 09 41827 Excision of gum lesion A 3.42 3.58 3.58 0.25 7.25 7.25 0090.09.81.1020100 36.7856 09 41828 Excision of gum lesion R 3.09 3.01 2.40 0.22 6.32 5.71 0010.10.80.1020000 36.7856 09 41830 Removal of gum tissue R 3.35 3.30 2.94 0.23 6.88 6.52 0010.10.80.1020000 36.7856 09 41850 Treatment of gum lesion R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 41870 Gum graft R 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020000 36.7856 09 41872 Repair gum R 2.59 2.88 2.88 0.18 5.65 5.65 0090.09.81.1020000 36.7856 09 41874 Repair tooth socket R 3.09 2.88 2.40 0.23 6.20 5.72 0090.09.81.1020000 36.7856 09 41899 Dental surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 42000 Drainage mouth roof lesion A 1.23 2.53 1.53 0.10 3.86 2.86 0010.10.80.1020000 36.7856 09 42100 Biopsy roof of mouth A 1.31 2.51 2.50 0.10 3.92 3.91 0010.10.80.1020100 36.7856 09 42104 Excision lesion, mouth roof A 1.64 2.57 2.57 0.12 4.33 4.33 0010.10.80.1020100 36.7856 09 42106 Excision lesion, mouth roof A 2.10 2.64 2.64 0.16 4.90 4.90 0010.10.80.1020100 36.7856 09 42107 Excision lesion, mouth roof A 4.44 4.11 4.11 0.32 8.87 8.87 0090.09.81.1020100 36.7856 09 42120 Remove palate/lesion A 6.17 6.11 NA 6.11 0.44 12.72 12.72 0090.09.81.1020210 36.7856 09 42140 Excision of uvula A 1.62 3.91 3.37 0.12 5.65 5.11 0090.09.81.1020100 36.7856 09 42145 Repair palate, pharynx/uvula A 8.05 7.50 NA 7.50 0.56 16.11 16.11 0090.09.81.1020100 36.7856 09 42160 Treatment mouth roof lesion A 1.80 3.28 2.70 0.13 5.21 4.63 0010.10.80.1020000 36.7856 09 42180 Repair palate A 2.50 2.99 2.11 0.19 5.68 4.80 0010.10.80.1020000 36.7856 09 42182 Repair palate A 3.83 3.47 3.06 0.27 7.57 7.16 0010.10.80.1020000 36.7856 09 42200 Reconstruct cleft palate A 12.00 10.14 NA 10.14 0.97 23.11 23.11 0090.09.81.1020200 36.7856 09 42205 Reconstruct cleft palate A 13.29 9.23 NA 9.23 0.82 23.34 23.34 0090.09.81.1020200 36.7856 09 42210 Reconstruct cleft palate A 14.50 9.51 NA 9.51 1.24 25.25 25.25 0090.09.81.1020200 36.7856 09 42215 Reconstruct cleft palate A 8.82 8.69 NA 8.69 0.96 18.47 18.47 0090.09.81.1020200 36.7856 09 42220 Reconstruct cleft palate A 7.02 6.73 NA 6.73 0.41 14.16 14.16 0090.09.81.1020200 36.7856 09 42225 Reconstruct cleft palate A 9.54 9.15 NA 9.15 0.75 19.44 19.44 0090.09.81.1020200 36.7856 09 42226 Lengthening of palate A 10.01 9.52 NA 9.52 0.73 20.26 20.26 0090.09.81.1020200 36.7856 09 42227 Lengthening of palate A 9.52 8.09 NA 8.09 0.70 18.31 18.31 0090.09.81.1020200 36.7856 09 42235 Repair palate A 7.87 6.18 NA 6.18 0.49 14.54 14.54 0090.09.81.1020200 36.7856 09 42260 Repair nose to lip fistula A 9.80 6.99 6.99 0.85 17.64 17.64 0090.09.81.1020200 36.7856 09 42280 Preparation, palate mold A 1.54 1.43 0.75 0.12 3.09 2.41 0010.10.80.1020000 36.7856 09 42281 Insertion, palate prosthesis A 1.93 1.81 0.97 0.14 3.88 3.04 0010.10.80.1020000 36.7856 09 42299 Palate/uvula surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 42300 Drainage of salivary gland A 1.93 2.65 1.89 0.15 4.73 3.97 0010.10.80.1020100 36.7856 09 42305 Drainage of salivary gland A 6.07 5.29 NA 5.29 0.46 11.82 11.82 0090.09.81.1020000 36.7856 09 42310 Drainage of salivary gland A 1.56 2.32 1.65 0.11 3.99 3.32 0010.10.80.1020000 36.7856 09 42320 Drainage of salivary gland A 2.35 2.77 2.13 0.17 5.29 4.65 0010.10.80.1020000 36.7856 09 42325 Create salivary cyst drain A 2.75 3.36 1.15 0.17 6.28 4.07 0090.09.81.1020200 36.7856 09 42326 Create salivary cyst drain A 3.78 3.34 1.76 0.34 7.46 5.88 0090.09.81.1020200 36.7856 09 42330 Removal of salivary stone A 2.21 2.78 1.05 0.16 5.15 3.42 0010.10.80.1020100 36.7856 09 42335 Removal of salivary stone A 3.31 3.66 3.66 0.23 7.20 7.20 0090.09.81.1020100 36.7856 09 42340 Removal of salivary stone A 4.60 4.80 4.80 0.34 9.74 9.74 0090.09.81.1020000 36.7856 09 42400 Biopsy of salivary gland A 0.78 2.49 0.39 0.06 3.33 1.23 0000.00.00.0020100 36.7856 09 42405 Biopsy of salivary gland A 3.29 3.40 3.34 0.24 6.93 6.87 0010.10.80.1020100 36.7856 09 42408 Excision of salivary cyst A 4.54 4.54 4.54 0.34 9.42 9.42 0090.09.81.1020000 36.7856 09 42409 Drainage of salivary cyst A 2.81 3.39 3.39 0.20 6.40 6.40 0090.09.81.1020200 36.7856 09 42410 Excise parotid gland/lesion A 9.34 7.87 NA 7.87 0.77 17.98 17.98 0090.09.81.1020210 36.7856 09 42415 Excise parotid gland/lesion A 16.89 12.47 NA 12.47 1.26 30.62 30.62 0090.09.81.1020210 36.7856 09 42420 Excise parotid gland/lesion A 19.59 14.03 NA 14.03 1.45 35.07 35.07 0090.09.81.1020210 36.7856 09 42425 Excise parotid gland/lesion A 13.02 10.46 NA 10.46 0.98 24.46 24.46 0090.09.81.1020210 36.7856 09 42426 Excise parotid gland/lesion A 21.26 14.83 NA 14.83 1.57 37.66 37.66 0090.09.81.1020210 36.7856 09 42440 Excise submaxillary gland A 6.97 5.98 NA 5.98 0.51 13.46 13.46 0090.09.81.1020210 36.7856 09 42450 Excise sublingual gland A 4.62 4.78 4.78 0.34 9.74 9.74 0090.09.81.1020000 36.7856 09 42500 Repair salivary duct A 4.30 4.84 4.84 0.30 9.44 9.44 0090.09.81.1020000 36.7856 09 42505 Repair salivary duct A 6.18 5.46 5.46 0.44 12.08 12.08 0090.09.81.1020100 36.7856 09 42507 Parotid duct diversion A 6.11 5.98 NA 5.98 0.66 12.75 12.75 0090.09.81.1022200 36.7856 09 42508 Parotid duct diversion A 9.10 8.12 NA 8.12 0.64 17.86 17.86 0090.09.81.1022200 36.7856 09 42509 Parotid duct diversion A 11.54 9.65 NA 9.65 1.24 22.43 22.43 0090.09.81.1022000 36.7856 09 42510 Parotid duct diversion A 8.15 7.09 NA 7.09 0.57 15.81 15.81 0090.09.81.1022210 36.7856 09 42550 Injection for salivary x-ray A 1.25 12.74 0.43 0.06 14.05 1.74 0000.00.00.0020100 36.7856 09 42600 Closure of salivary fistula A 4.82 6.30 5.67 0.34 11.46 10.83 0090.09.81.1020000 36.7856 09 42650 Dilation of salivary duct A 0.77 1.09 0.40 0.06 1.92 1.23 0000.00.00.0020100 36.7856 09 42660 Dilation of salivary duct A 1.13 1.18 1.18 0.07 2.38 2.38 0000.00.00.0020000 36.7856 09 42665 Ligation of salivary duct A 2.53 3.51 3.51 0.17 6.21 6.21 0090.09.81.1020000 36.7856 09 42699 Salivary surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 42700 Drainage of tonsil abscess A 1.62 3.27 1.88 0.12 5.01 3.62 0010.10.80.1020100 36.7856 09 42720 Drainage of throat abscess A 5.42 4.88 4.76 0.39 10.69 10.57 0010.10.80.1020000 36.7856 09 42725 Drainage of throat abscess A 10.72 8.52 NA 8.52 0.80 20.04 20.04 0090.09.81.1020210 36.7856 09 42800 Biopsy of throat A 1.39 3.09 2.62 0.10 4.58 4.11 0010.10.80.1020100 36.7856 09 42802 Biopsy of throat A 1.54 3.18 2.70 0.11 4.83 4.35 0010.10.80.1020100 36.7856 09 42804 Biopsy of upper nose/throat A 1.24 3.05 2.57 0.09 4.38 3.90 0010.10.80.1020100 36.7856 09 42806 Biopsy of upper nose/throat A 1.58 3.52 2.76 0.12 5.22 4.46 0010.10.80.1020100 36.7856 09 42808 Excise pharynx lesion A 2.30 5.06 3.15 0.17 7.53 5.62 0010.10.80.1020100 36.7856 09 42809 Remove pharynx foreign body A 1.81 3.50 1.74 0.13 5.44 3.68 0010.10.80.1020100 36.7856 09 42810 Excision of neck cyst A 3.25 5.52 4.50 0.25 9.02 8.00 0090.09.81.1020200 36.7856 09 42815 Excision of neck cyst A 7.07 6.58 NA 6.58 0.53 14.18 14.18 0090.09.81.1020210 36.7856 09 42820 Remove tonsils and adenoids A 3.91 4.25 NA 4.25 0.28 8.44 8.44 0090.09.81.1020000 36.7856 09 42821 Remove tonsils and adenoids A 4.29 4.23 NA 4.23 0.30 8.82 8.82 0090.09.81.1020000 36.7856 09 42825 Removal of tonsils A 3.42 3.69 NA 3.69 0.24 7.35 7.35 0090.09.81.1020000 36.7856 09 42826 Removal of tonsils A 3.38 3.75 NA 3.75 0.23 7.36 7.36 0090.09.81.1020100 36.7856 09 42830 Removal of adenoids A 2.57 2.42 NA 2.42 0.18 5.17 5.17 0090.09.81.1020000 36.7856 09 42831 Removal of adenoids A 2.71 2.55 NA 2.55 0.19 5.45 5.45 0090.09.81.1020000 36.7856 09 42835 Removal of adenoids A 2.30 3.15 NA 3.15 0.17 5.62 5.62 0090.09.81.1020000 36.7856 09 42836 Removal of adenoids A 3.18 3.68 NA 3.68 0.22 7.08 7.08 0090.09.81.1020000 36.7856 09 42842 Extensive surgery of throat A 8.76 7.82 NA 7.82 0.61 17.19 17.19 0090.09.81.1020000 36.7856 09 42844 Extensive surgery of throat A 14.31 11.36 NA 11.36 1.04 26.71 26.71 0090.09.81.1020210 36.7856 09 42845 Extensive surgery of throat A 24.29 17.44 NA 17.44 1.76 43.49 43.49 0090.09.81.1020210 36.7856 09 42860 Excision of tonsil tags A 2.22 3.08 NA 3.08 0.16 5.46 5.46 0090.09.81.1020000 36.7856 09 42870 Excision of lingual tonsil A 5.40 6.10 NA 6.10 0.38 11.88 11.88 0090.09.81.1020000 36.7856 09 42890 Partial removal of pharynx A 12.94 10.82 NA 10.82 0.91 24.67 24.67 0090.09.81.1020210 36.7856 09 42892 Revision of pharyngeal walls A 15.83 12.34 NA 12.34 1.14 29.31 29.31 0090.09.81.1020210 36.7856 09 42894 Revision of pharyngeal walls A 22.88 16.97 NA 16.97 1.64 41.49 41.49 0090.09.81.1020210 36.7856 09 42900 Repair throat wound A 5.25 3.76 NA 3.76 0.39 9.40 9.40 0010.10.80.1020000 36.7856 09 42950 Reconstruction of throat A 8.10 7.52 NA 7.52 0.58 16.20 16.20 0090.09.81.1020210 36.7856 09 42953 Repair throat, esophagus A 8.96 8.99 NA 8.99 0.73 18.68 18.68 0090.09.81.1020200 36.7856 09 42955 Surgical opening of throat A 7.39 6.53 NA 6.53 0.63 14.55 14.55 0090.09.81.1020200 36.7856 09 42960 Control throat bleeding A 2.33 2.11 NA 2.11 0.17 4.61 4.61 0010.10.80.1020000 36.7856 09 42961 Control throat bleeding A 5.59 5.27 NA 5.27 0.40 11.26 11.26 0090.09.81.1020200 36.7856 09 42962 Control throat bleeding A 7.14 6.18 NA 6.18 0.51 13.83 13.83 0090.09.81.1020200 36.7856 09 42970 Control nose/throat bleeding A 5.43 3.77 NA 3.77 0.37 9.57 9.57 0090.09.81.1020100 36.7856 09 42971 Control nose/throat bleeding A 6.21 5.81 NA 5.81 0.45 12.47 12.47 0090.09.81.1020200 36.7856 09 42972 Control nose/throat bleeding A 7.20 5.54 NA 5.54 0.54 13.28 13.28 0090.09.81.1020200 36.7856 09 42999 Throat surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 43020 Incision of esophagus A 8.09 6.46 NA 6.46 0.70 15.25 15.25 0090.09.81.1020210 36.7856 09 43030 Throat muscle surgery A 7.69 6.93 NA 6.93 0.60 15.22 15.22 0090.09.81.1020210 36.7856 09 43045 Incision of esophagus A 20.12 11.08 NA 11.08 2.15 33.35 33.35 0090.09.81.1020210 36.7856 09 43100 Excision of esophagus lesion A 9.19 7.20 NA 7.20 0.79 17.18 17.18 0090.09.81.1020210 36.7856 09 43101 Excision of esophagus lesion A 16.24 8.62 NA 8.62 1.81 26.67 26.67 0090.09.81.1020210 36.7856 09 43107 Removal of esophagus A 40.00 18.02 NA 18.02 3.29 61.31 61.31 0090.09.81.1020210 36.7856 09 43108 Removal of esophagus A 34.19 15.85 NA 15.85 3.78 53.82 53.82 0090.09.81.1020210 36.7856 09 43112 Removal of esophagus A 43.50 19.49 NA 19.49 3.67 66.66 66.66 0090.09.81.1020220 36.7856 09 43113 Removal of esophagus A 35.27 16.48 NA 16.48 4.33 56.08 56.08 0090.09.81.1020220 36.7856 09 43116 Partial removal of esophagus A 31.22 18.82 NA 18.82 2.62 52.66 52.66 0090.09.81.1020210 36.7856 09 43117 Partial removal of esophagus A 40.00 17.09 NA 17.09 3.51 60.60 60.60 0090.09.81.1020220 36.7856 09 43118 Partial removal of esophagus A 33.20 15.40 NA 15.40 3.56 52.16 52.16 0090.09.81.1020220 36.7856 09 43121 Partial removal of esophagus A 29.19 13.36 NA 13.36 3.44 45.99 45.99 0090.09.81.1020220 36.7856 09 43122 Partial removal of esophagus A 40.00 17.29 NA 17.29 3.27 60.56 60.56 0090.09.81.1020210 36.7856 09 43123 Partial removal of esophagus A 33.20 15.82 NA 15.82 3.96 52.98 52.98 0090.09.81.1020210 36.7856 09 43124 Removal of esophagus A 27.32 14.94 NA 14.94 2.95 45.21 45.21 0090.09.81.1020210 36.7856 09 43130 Removal of esophagus pouch A 11.75 8.86 NA 8.86 1.06 21.67 21.67 0090.09.81.1020210 36.7856 09 43135 Removal of esophagus pouch A 16.10 9.91 NA 9.91 1.85 27.86 27.86 0090.09.81.1020210 36.7856 09 43200 Esophagus endoscopy A 1.59 7.97 1.18 0.11 9.67 2.88 0000.00.00.0020100 36.7856 09 43201 Esoph scope w/submucous inj A 2.09 4.44 1.27 0.12 6.65 3.48 0000.00.00.0030100 43200 36.7856 09 43202 Esophagus endoscopy, biopsy A 1.89 6.25 1.13 0.12 8.26 3.14 0000.00.00.0030100 43200 36.7856 09 43204 Esoph scope w/sclerosis inj A 3.77 1.67 NA 1.67 0.18 5.62 5.62 0000.00.00.0030100 43200 36.7856 09 43205 Esophagus endoscopy/ligation A 3.79 1.68 NA 1.68 0.17 5.64 5.64 0000.00.00.0030000 43200 36.7856 09 43215 Esophagus endoscopy A 2.60 1.23 NA 1.23 0.17 4.00 4.00 0000.00.00.0030100 43200 36.7856 09 43216 Esophagus endoscopy/lesion A 2.40 1.18 NA 1.18 0.15 3.73 3.73 0000.00.00.0030000 43200 36.7856 09 43217 Esophagus endoscopy A 2.90 1.33 NA 1.33 0.17 4.40 4.40 0000.00.00.0030100 43200 36.7856 09 43219 Esophagus endoscopy A 2.80 1.40 NA 1.40 0.16 4.36 4.36 0000.00.00.0030100 43200 36.7856 09 43220 Esoph endoscopy, dilation A 2.10 1.10 NA 1.10 0.12 3.32 3.32 0000.00.00.0030100 43200 36.7856 09 43226 Esoph endoscopy, dilation A 2.34 1.17 NA 1.17 0.12 3.63 3.63 0000.00.00.0030100 43200 36.7856 09 43227 Esoph endoscopy, repair A 3.60 1.60 NA 1.60 0.18 5.38 5.38 0000.00.00.0030100 43200 36.7856 09 43228 Esoph endoscopy, ablation A 3.77 1.72 NA 1.72 0.25 5.74 5.74 0000.00.00.0030100 43200 36.7856 09 43231 Esoph endoscopy w/us exam A 3.19 1.57 NA 1.57 0.20 4.96 4.96 0000.00.00.0030020 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 0000.00.00.0030020 43235 36.7856 09 43234 Upper GI endoscopy, exam A 2.01 4.28 1.04 0.13 6.42 3.18 0000.00.00.0020100 36.7856 09 43235 Uppr gi endoscopy, diagnosis A 2.39 5.85 1.06 0.13 8.37 3.58 0000.00.00.0020100 36.7856 09 43236 Uppr gi scope w/submuc inj A 2.92 4.70 1.26 0.14 7.76 4.32 0000.00.00.0030100 43235 36.7856 09 43239 Upper GI endoscopy, biopsy A 2.87 6.17 1.23 0.14 9.18 4.24 0000.00.00.0030100 43235 36.7856 09 43240 Esoph endoscope w/drain cyst A 6.86 2.70 NA 2.70 0.36 9.92 9.92 0000.00.00.0030100 43260 36.7856 09 43241 Upper GI endoscopy with tube A 2.59 1.14 NA 1.14 0.14 3.87 3.87 0000.00.00.0030100 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 0000.00.00.0030000 43235 36.7856 09 43243 Upper gi endoscopy & inject A 4.57 1.86 NA 1.86 0.21 6.64 6.64 0000.00.00.0030100 43235 36.7856 09 43244 Upper GI endoscopy/ligation A 5.05 2.03 NA 2.03 0.21 7.29 7.29 0000.00.00.0030000 43235 36.7856 09 43245 Uppr gi scope dilate strictr A 3.18 13.87 1.34 0.18 17.23 4.70 0000.00.00.0030100 43235 36.7856 09 43246 Place gastrostomy tube A 4.33 1.75 NA 1.75 0.24 6.32 6.32 0000.00.00.0030020 43235 36.7856 09 43247 Operative upper GI endoscopy A 3.39 1.42 NA 1.42 0.17 4.98 4.98 0000.00.00.0030100 43235 36.7856 09 43248 Uppr gi endoscopy/guide wire A 3.15 1.35 NA 1.35 0.15 4.65 4.65 0000.00.00.0030100 43235 36.7856 09 43249 Esoph endoscopy, dilation A 2.90 1.26 NA 1.26 0.15 4.31 4.31 0000.00.00.0030100 43235 36.7856 09 43250 Upper GI endoscopy/tumor A 3.20 1.35 NA 1.35 0.17 4.72 4.72 0000.00.00.0030100 43235 36.7856 09 43251 Operative upper GI endoscopy A 3.70 1.53 NA 1.53 0.19 5.42 5.42 0000.00.00.0030100 43235 36.7856 09 43255 Operative upper GI endoscopy A 4.82 1.95 NA 1.95 0.20 6.97 6.97 0000.00.00.0030100 43235 36.7856 09 43256 Uppr gi endoscopy w stent A 4.35 1.77 NA 1.77 0.23 6.35 6.35 0000.00.00.0030100 43235 36.7856 09 43258 Operative upper GI endoscopy A 4.55 1.85 NA 1.85 0.22 6.62 6.62 0000.00.00.0030100 43235 36.7856 09 43259 Endoscopic ultrasound exam A 4.89 1.95 NA 1.95 0.22 7.06 7.06 0000.00.00.0030000 43235 36.7856 09 43260 Endo cholangiopancreatograph A 5.96 2.44 NA 2.44 0.27 8.67 8.67 0000.00.00.0020100 36.7856 09 43261 Endo cholangiopancreatograph A 6.27 2.55 NA 2.55 0.29 9.11 9.11 0000.00.00.0030100 43260 36.7856 09 43262 Endo cholangiopancreatograph A 7.39 2.96 NA 2.96 0.34 10.69 10.69 0000.00.00.0030100 43260 36.7856 09 43263 Endo cholangiopancreatograph A 7.29 2.93 NA 2.93 0.28 10.50 10.50 0000.00.00.0030100 43260 36.7856 09 43264 Endo cholangiopancreatograph A 8.90 3.49 NA 3.49 0.41 12.80 12.80 0000.00.00.0030100 43260 36.7856 09 43265 Endo cholangiopancreatograph A 10.02 3.89 NA 3.89 0.42 14.33 14.33 0000.00.00.0030100 43260 36.7856 09 43267 Endo cholangiopancreatograph A 7.39 2.96 NA 2.96 0.34 10.69 10.69 0000.00.00.0030100 43260 36.7856 09 43268 Endo cholangiopancreatograph A 7.39 2.96 NA 2.96 0.34 10.69 10.69 0000.00.00.0030100 43260 36.7856 09 43269 Endo cholangiopancreatograph A 8.21 3.24 NA 3.24 0.28 11.73 11.73 0000.00.00.0030100 43260 36.7856 09 43271 Endo cholangiopancreatograph A 7.39 2.95 NA 2.95 0.34 10.68 10.68 0000.00.00.0030100 43260 36.7856 09 43272 Endo cholangiopancreatograph A 7.39 2.96 NA 2.96 0.34 10.69 10.69 0000.00.00.0030000 43260 36.7856 09 43280 Laparoscopy, fundoplasty A 17.25 8.20 NA 8.20 1.76 27.21 27.21 0090.09.81.1020210 36.7856 09 43289 Laparoscope proc, esoph C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 43300 Repair of esophagus A 9.14 7.25 NA 7.25 0.85 17.24 17.24 0090.09.81.1020210 36.7856 09 43305 Repair esophagus and fistula A 17.39 12.70 NA 12.70 1.36 31.45 31.45 0090.09.81.1020210 36.7856 09 43310 Repair of esophagus A 25.39 14.66 NA 14.66 3.18 43.23 43.23 0090.09.81.1020210 36.7856 09 43312 Repair esophagus and fistula A 28.42 18.20 NA 18.20 3.38 50.00 50.00 0090.09.81.1020210 36.7856 09 43313 Esophagoplasty congenital A 45.28 21.66 NA 21.66 5.43 72.37 72.37 0090.09.81.1020210 36.7856 09 43314 Tracheo-esophagoplasty cong A 50.27 23.68 NA 23.68 5.53 79.48 79.48 0090.09.81.1020210 36.7856 09 43320 Fuse esophagus & stomach A 19.93 10.45 NA 10.45 1.59 31.97 31.97 0090.09.81.1020210 36.7856 09 43324 Revise esophagus & stomach A 20.57 9.48 NA 9.48 1.72 31.77 31.77 0090.09.81.1020210 36.7856 09 43325 Revise esophagus & stomach A 20.06 9.85 NA 9.85 1.65 31.56 31.56 0090.09.81.1020210 36.7856 09 43326 Revise esophagus & stomach A 19.74 10.49 NA 10.49 1.84 32.07 32.07 0090.09.81.1020210 36.7856 09 43330 Repair of esophagus A 19.77 9.56 NA 9.56 1.52 30.85 30.85 0090.09.81.1020210 36.7856 09 43331 Repair of esophagus A 20.13 11.13 NA 11.13 1.93 33.19 33.19 0090.09.81.1020210 36.7856 09 43340 Fuse esophagus & intestine A 19.61 10.61 NA 10.61 1.53 31.75 31.75 0090.09.81.1020210 36.7856 09 43341 Fuse esophagus & intestine A 20.85 12.08 NA 12.08 2.14 35.07 35.07 0090.09.81.1020210 36.7856 09 43350 Surgical opening, esophagus A 15.78 10.17 NA 10.17 1.15 27.10 27.10 0090.09.81.1020210 36.7856 09 43351 Surgical opening, esophagus A 18.35 10.61 NA 10.61 1.51 30.47 30.47 0090.09.81.1020210 36.7856 09 43352 Surgical opening, esophagus A 15.26 9.72 NA 9.72 1.28 26.26 26.26 0090.09.81.1020210 36.7856 09 43360 Gastrointestinal repair A 35.70 16.54 NA 16.54 3.00 55.24 55.24 0090.09.81.1020210 36.7856 09 43361 Gastrointestinal repair A 40.50 18.38 NA 18.38 3.52 62.40 62.40 0090.09.81.1020210 36.7856 09 43400 Ligate esophagus veins A 21.20 10.34 NA 10.34 0.99 32.53 32.53 0090.09.81.1020210 36.7856 09 43401 Esophagus surgery for veins A 22.09 10.35 NA 10.35 1.73 34.17 34.17 0090.09.81.1020210 36.7856 09 43405 Ligate/staple esophagus A 20.01 9.51 NA 9.51 1.63 31.15 31.15 0090.09.81.1020210 36.7856 09 43410 Repair esophagus wound A 13.47 8.93 NA 8.93 1.15 23.55 23.55 0090.09.81.1020210 36.7856 09 43415 Repair esophagus wound A 25.00 12.26 NA 12.26 1.92 39.18 39.18 0090.09.81.1020210 36.7856 09 43420 Repair esophagus opening A 14.35 8.92 NA 8.92 0.86 24.13 24.13 0090.09.81.1020010 36.7856 09 43425 Repair esophagus opening A 21.03 11.22 NA 11.22 2.03 34.28 34.28 0090.09.81.1020210 36.7856 09 43450 Dilate esophagus A 1.38 1.38 0.62 0.07 2.83 2.07 0000.00.00.0020100 36.7856 09 43453 Dilate esophagus A 1.51 0.67 NA 0.67 0.08 2.26 2.26 0000.00.00.0020100 36.7856 09 43456 Dilate esophagus A 2.57 1.04 NA 1.04 0.14 3.75 3.75 0000.00.00.0020100 36.7856 09 43458 Dilate esophagus A 3.06 1.23 NA 1.23 0.17 4.46 4.46 0000.00.00.0020100 36.7856 09 43460 Pressure treatment esophagus A 3.80 1.50 NA 1.50 0.21 5.51 5.51 0000.00.00.0020100 36.7856 09 43496 Free jejunum flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020210 36.7856 09 43499 Esophagus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 43500 Surgical opening of stomach A 11.05 5.08 NA 5.08 0.84 16.97 16.97 0090.09.81.1020210 36.7856 09 43501 Surgical repair of stomach A 20.04 8.60 NA 8.60 1.55 30.19 30.19 0090.09.81.1020210 36.7856 09 43502 Surgical repair of stomach A 23.13 9.77 NA 9.77 1.83 34.73 34.73 0090.09.81.1020210 36.7856 09 43510 Surgical opening of stomach A 13.08 7.53 NA 7.53 0.90 21.51 21.51 0090.09.81.1020210 36.7856 09 43520 Incision of pyloric muscle A 9.99 5.81 NA 5.81 0.84 16.64 16.64 0090.09.81.1020210 36.7856 09 43600 Biopsy of stomach A 1.91 1.02 NA 1.02 0.11 3.04 3.04 0000.00.00.0020100 36.7856 09 43605 Biopsy of stomach A 11.98 5.39 NA 5.39 0.93 18.30 18.30 0090.09.81.1020210 36.7856 09 43610 Excision of stomach lesion A 14.60 6.69 NA 6.69 1.14 22.43 22.43 0090.09.81.1020210 36.7856 09 43611 Excision of stomach lesion A 17.84 7.93 NA 7.93 1.38 27.15 27.15 0090.09.81.1020210 36.7856 09 43620 Removal of stomach A 30.04 12.69 NA 12.69 2.29 45.02 45.02 0090.09.81.1020210 36.7856 09 43621 Removal of stomach A 30.73 12.88 NA 12.88 2.36 45.97 45.97 0090.09.81.1020210 36.7856 09 43622 Removal of stomach A 32.53 13.48 NA 13.48 2.48 48.49 48.49 0090.09.81.1020210 36.7856 09 43631 Removal of stomach, partial A 22.59 9.45 NA 9.45 1.99 34.03 34.03 0090.09.81.1020210 36.7856 09 43632 Removal of stomach, partial A 22.59 9.46 NA 9.46 2.00 34.05 34.05 0090.09.81.1020210 36.7856 09 43633 Removal of stomach, partial A 23.10 9.64 NA 9.64 2.05 34.79 34.79 0090.09.81.1020210 36.7856 09 43634 Removal of stomach, partial A 25.12 10.41 NA 10.41 2.18 37.71 37.71 0090.09.81.1020210 36.7856 09 43635 Removal of stomach, partial A 2.06 0.72 NA 0.72 0.21 2.99 2.99 0ZZZ.00.00.0000210 36.7856 09 43638 Removal of stomach, partial A 29.00 11.77 NA 11.77 2.24 43.01 43.01 0090.09.81.1020210 36.7856 09 43639 Removal of stomach, partial A 29.65 12.01 NA 12.01 2.31 43.97 43.97 0090.09.81.1020210 36.7856 09 43640 Vagotomy & pylorus repair A 17.02 7.52 NA 7.52 1.51 26.05 26.05 0090.09.81.1020210 36.7856 09 43641 Vagotomy & pylorus repair A 17.27 7.63 NA 7.63 1.53 26.43 26.43 0090.09.81.1020210 36.7856 09 43651 Laparoscopy, vagus nerve A 10.15 4.59 NA 4.59 1.03 15.77 15.77 0090.11.76.1320210 36.7856 09 43652 Laparoscopy, vagus nerve A 12.15 5.37 NA 5.37 1.25 18.77 18.77 0090.11.76.1320210 36.7856 09 43653 Laparoscopy, gastrostomy A 7.73 4.23 NA 4.23 0.78 12.74 12.74 0090.09.81.1020210 36.7856 09 43659 Laparoscope proc, stom C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 43750 Place gastrostomy tube A 4.49 2.62 NA 2.62 0.33 7.44 7.44 0010.10.80.1020100 36.7856 09 43752 Nasal/orogastric w/stent B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 43760 Change gastrostomy tube A 1.10 1.42 0.46 0.07 2.59 1.63 0000.00.00.0020100 36.7856 09 43761 Reposition gastrostomy tube A 2.01 0.80 NA 0.80 0.10 2.91 2.91 0000.00.00.0020100 36.7856 09 43800 Reconstruction of pylorus A 13.69 6.44 NA 6.44 1.07 21.20 21.20 0090.09.81.1020210 36.7856 09 43810 Fusion of stomach and bowel A 14.65 6.74 NA 6.74 1.10 22.49 22.49 0090.09.81.1020210 36.7856 09 43820 Fusion of stomach and bowel A 15.37 6.96 NA 6.96 1.18 23.51 23.51 0090.09.81.1020210 36.7856 09 43825 Fusion of stomach and bowel A 19.22 8.30 NA 8.30 1.50 29.02 29.02 0090.09.81.1020210 36.7856 09 43830 Place gastrostomy tube A 9.53 4.91 NA 4.91 0.69 15.13 15.13 0090.09.81.1020210 36.7856 09 43831 Place gastrostomy tube A 7.84 4.28 NA 4.28 0.81 12.93 12.93 0090.09.81.1020210 36.7856 09 43832 Place gastrostomy tube A 15.60 7.46 NA 7.46 1.13 24.19 24.19 0090.09.81.1020210 36.7856 09 43840 Repair of stomach lesion A 15.56 7.02 NA 7.02 1.20 23.78 23.78 0090.09.81.1020210 36.7856 09 43842 Gastroplasty for obesity A 18.47 11.21 NA 11.21 1.51 31.19 31.19 0090.09.81.1020220 36.7856 09 43843 Gastroplasty for obesity A 18.65 10.81 NA 10.81 1.53 30.99 30.99 0090.09.81.1020220 36.7856 09 43846 Gastric bypass for obesity A 24.05 13.23 NA 13.23 1.96 39.24 39.24 0090.09.81.1020210 36.7856 09 43847 Gastric bypass for obesity A 26.92 14.86 NA 14.86 2.14 43.92 43.92 0090.09.81.1020210 36.7856 09 43848 Revision gastroplasty A 29.39 15.91 NA 15.91 2.39 47.69 47.69 0090.09.81.1020210 36.7856 09 43850 Revise stomach-bowel fusion A 24.72 10.14 NA 10.14 1.97 36.83 36.83 0090.09.81.1020210 36.7856 09 43855 Revise stomach-bowel fusion A 26.16 10.73 NA 10.73 2.01 38.90 38.90 0090.09.81.1020210 36.7856 09 43860 Revise stomach-bowel fusion A 25.00 10.30 NA 10.30 2.03 37.33 37.33 0090.09.81.1020210 36.7856 09 43865 Revise stomach-bowel fusion A 26.52 10.85 NA 10.85 2.15 39.52 39.52 0090.09.81.1020210 36.7856 09 43870 Repair stomach opening A 9.69 5.05 NA 5.05 0.71 15.45 15.45 0090.09.81.1020210 36.7856 09 43880 Repair stomach-bowel fistula A 24.65 10.67 NA 10.67 1.94 37.26 37.26 0090.09.81.1020210 36.7856 09 43999 Stomach surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 44005 Freeing of bowel adhesion A 16.23 7.20 NA 7.20 1.39 24.82 24.82 0090.09.81.1020210 36.7856 09 44010 Incision of small bowel A 12.52 6.32 NA 6.32 1.05 19.89 19.89 0090.09.81.1020210 36.7856 09 44015 Insert needle cath bowel A 2.62 0.91 NA 0.91 0.25 3.78 3.78 0ZZZ.00.00.0000210 36.7856 09 44020 Explore small intestine A 13.99 6.40 NA 6.40 1.20 21.59 21.59 0090.09.81.1020210 36.7856 09 44021 Decompress small bowel A 14.08 6.84 NA 6.84 1.18 22.10 22.10 0090.09.81.1020210 36.7856 09 44025 Incision of large bowel A 14.28 6.49 NA 6.49 1.21 21.98 21.98 0090.09.81.1020210 36.7856 09 44050 Reduce bowel obstruction A 14.03 6.42 NA 6.42 1.15 21.60 21.60 0090.09.81.1020210 36.7856 09 44055 Correct malrotation of bowel A 22.00 9.20 NA 9.20 1.32 32.52 32.52 0090.09.81.1020210 36.7856 09 44100 Biopsy of bowel A 2.01 1.06 NA 1.06 0.12 3.19 3.19 0000.00.00.0020100 36.7856 09 44110 Excise intestine lesion(s) A 11.81 5.69 NA 5.69 1.00 18.50 18.50 0090.09.81.1020210 36.7856 09 44111 Excision of bowel lesion(s) A 14.29 7.05 NA 7.05 1.22 22.56 22.56 0090.09.81.1020210 36.7856 09 44120 Removal of small intestine A 17.00 7.45 NA 7.45 1.46 25.91 25.91 0090.09.81.1020210 36.7856 09 44121 Removal of small intestine A 4.45 1.56 NA 1.56 0.46 6.47 6.47 0ZZZ.00.00.0000210 36.7856 09 44125 Removal of small intestine A 17.54 7.64 NA 7.64 1.49 26.67 26.67 0090.09.81.1020210 36.7856 09 44126 Enterectomy w/o taper, cong A 35.50 17.79 NA 17.79 0.36 53.65 53.65 0090.09.81.1020210 36.7856 09 44127 Enterectomy w/taper, cong A 41.00 20.28 NA 20.28 0.41 61.69 61.69 0090.09.81.1020210 36.7856 09 44128 Enterectomy cong, add-on A 4.45 1.73 NA 1.73 0.45 6.63 6.63 0ZZZ.00.00.0000210 36.7856 09 44130 Bowel to bowel fusion A 14.49 6.57 NA 6.57 1.23 22.29 22.29 0090.09.81.1020210 36.7856 09 44132 Enterectomy, cadaver donor R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 44133 Enterectomy, live donor R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 44135 Intestine transplnt, cadaver R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 44136 Intestine transplant, live R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 44139 Mobilization of colon A 2.23 0.78 NA 0.78 0.21 3.22 3.22 0ZZZ.00.00.0000210 36.7856 09 44140 Partial removal of colon A 21.00 8.86 NA 8.86 2.14 32.00 32.00 0090.09.81.1020210 36.7856 09 44141 Partial removal of colon A 19.51 10.20 NA 10.20 1.95 31.66 31.66 0090.09.81.1020210 36.7856 09 44143 Partial removal of colon A 22.99 10.89 NA 10.89 2.02 35.90 35.90 0090.09.81.1020210 36.7856 09 44144 Partial removal of colon A 21.53 9.70 NA 9.70 1.89 33.12 33.12 0090.09.81.1020210 36.7856 09 44145 Partial removal of colon A 26.42 11.04 NA 11.04 2.22 39.68 39.68 0090.09.81.1020210 36.7856 09 44146 Partial removal of colon A 27.54 13.12 NA 13.12 2.20 42.86 42.86 0090.09.81.1020210 36.7856 09 44147 Partial removal of colon A 20.71 8.85 NA 8.85 1.74 31.30 31.30 0090.09.81.1020210 36.7856 09 44150 Removal of colon A 23.95 12.20 NA 12.20 2.05 38.20 38.20 0090.09.81.1020210 36.7856 09 44151 Removal of colon/ileostomy A 26.88 13.55 NA 13.55 1.97 42.40 42.40 0090.09.81.1020210 36.7856 09 44152 Removal of colon/ileostomy A 27.83 11.94 NA 11.94 2.36 42.13 42.13 0090.09.81.1020210 36.7856 09 44153 Removal of colon/ileostomy A 30.59 14.74 NA 14.74 2.33 47.66 47.66 0090.09.81.1020210 36.7856 09 44155 Removal of colon/ileostomy A 27.86 13.56 NA 13.56 2.26 43.68 43.68 0090.09.81.1020210 36.7856 09 44156 Removal of colon/ileostomy A 30.79 15.19 NA 15.19 2.19 48.17 48.17 0090.09.81.1020210 36.7856 09 44160 Removal of colon A 18.62 7.93 NA 7.93 1.86 28.41 28.41 0090.09.81.1020210 36.7856 09 44200 Laparoscopy, enterolysis A 14.44 6.38 NA 6.38 1.46 22.28 22.28 0090.09.81.1020210 36.7856 09 44201 Laparoscopy, jejunostomy A 9.78 4.63 NA 4.63 0.97 15.38 15.38 0090.09.84.0720210 36.7856 09 44202 Lap resect s/intestine singl A 22.04 9.14 NA 9.14 2.16 33.34 33.34 0090.09.81.1020210 36.7856 09 44203 Lap resect s/intestine, addl A 4.45 1.56 NA 1.56 0.46 6.47 6.47 0ZZZ.00.00.0000210 36.7856 09 44204 Laparo partial colectomy A 25.08 10.21 NA 10.21 2.55 37.84 37.84 0090.09.81.1020210 36.7856 09 44205 Lap colectomy part w/ileum A 22.23 9.07 NA 9.07 2.23 33.53 33.53 0090.09.81.1020210 36.7856 09 44206 Lap part colectomy w/stoma A 27.00 11.22 NA 11.22 2.02 40.24 40.24 0090.09.81.1020210 36.7856 09 44207 L colectomy/coloproctostomy A 30.00 11.82 NA 11.82 2.22 44.04 44.04 0090.09.81.1020210 36.7856 09 44208 L colectomy/coloproctostomy A 32.00 13.42 NA 13.42 2.20 47.62 47.62 0090.09.81.1020210 36.7856 09 44209 Laparoscope proc, intestine D 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 44210 Laparo total proctocolectomy A 28.00 12.11 NA 12.11 2.05 42.16 42.16 0090.09.81.1020210 36.7856 09 44211 Laparo total proctocolectomy A 35.00 15.02 NA 15.02 2.33 52.35 52.35 0090.09.81.1020210 36.7856 09 44212 Laparo total proctocolectomy A 32.50 14.16 NA 14.16 2.26 48.92 48.92 0090.09.81.1020210 36.7856 09 44238 Laparoscope proc, intestine C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 44239 Laparoscope proc, rectum C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020200 36.7856 09 44300 Open bowel to skin A 12.11 5.63 NA 5.63 0.88 18.62 18.62 0090.09.81.1020210 36.7856 09 44310 Ileostomy/jejunostomy A 15.95 6.88 NA 6.88 1.13 23.96 23.96 0090.09.81.1020210 36.7856 09 44312 Revision of ileostomy A 8.02 4.09 NA 4.09 0.54 12.65 12.65 0090.09.81.1020000 36.7856 09 44314 Revision of ileostomy A 15.05 6.71 NA 6.71 0.99 22.75 22.75 0090.09.81.1020210 36.7856 09 44316 Devise bowel pouch A 21.09 8.71 NA 8.71 1.41 31.21 31.21 0090.09.81.1020210 36.7856 09 44320 Colostomy A 17.64 7.83 NA 7.83 1.28 26.75 26.75 0090.09.81.1020210 36.7856 09 44322 Colostomy with biopsies A 11.98 8.75 NA 8.75 1.18 21.91 21.91 0090.09.81.1020210 36.7856 09 44340 Revision of colostomy A 7.72 4.35 NA 4.35 0.56 12.63 12.63 0090.09.81.1020110 36.7856 09 44345 Revision of colostomy A 15.43 7.03 NA 7.03 1.11 23.57 23.57 0090.09.81.1020210 36.7856 09 44346 Revision of colostomy A 16.99 7.54 NA 7.54 1.20 25.73 25.73 0090.09.81.1020210 36.7856 09 44360 Small bowel endoscopy A 2.59 1.36 NA 1.36 0.14 4.09 4.09 0000.00.00.0020100 36.7856 09 44361 Small bowel endoscopy/biopsy A 2.87 1.45 NA 1.45 0.15 4.47 4.47 0000.00.00.0030100 44360 36.7856 09 44363 Small bowel endoscopy A 3.50 1.64 NA 1.64 0.19 5.33 5.33 0000.00.00.0030000 44360 36.7856 09 44364 Small bowel endoscopy A 3.74 1.76 NA 1.76 0.21 5.71 5.71 0000.00.00.0030000 44360 36.7856 09 44365 Small bowel endoscopy A 3.31 1.63 NA 1.63 0.18 5.12 5.12 0000.00.00.0030000 44360 36.7856 09 44366 Small bowel endoscopy A 4.41 2.01 NA 2.01 0.22 6.64 6.64 0000.00.00.0030100 44360 36.7856 09 44369 Small bowel endoscopy A 4.52 2.01 NA 2.01 0.23 6.76 6.76 0000.00.00.0030000 44360 36.7856 09 44370 Small bowel endoscopy/stent A 4.80 2.15 NA 2.15 0.21 7.16 7.16 0000.00.00.0030000 44360 36.7856 09 44372 Small bowel endoscopy A 4.41 2.00 NA 2.00 0.27 6.68 6.68 0000.00.00.0030100 44360 36.7856 09 44373 Small bowel endoscopy A 3.50 1.72 NA 1.72 0.19 5.41 5.41 0000.00.00.0030100 44360 36.7856 09 44376 Small bowel endoscopy A 5.26 2.30 NA 2.30 0.29 7.85 7.85 0000.00.00.0020000 36.7856 09 44377 Small bowel endoscopy/biopsy A 5.53 2.43 NA 2.43 0.28 8.24 8.24 0000.00.00.0030000 44376 36.7856 09 44378 Small bowel endoscopy A 7.13 2.99 NA 2.99 0.37 10.49 10.49 0000.00.00.0030000 44376 36.7856 09 44379 S bowel endoscope w/stent A 7.47 3.11 NA 3.11 0.38 10.96 10.96 0000.00.00.0030000 44376 36.7856 09 44380 Small bowel endoscopy A 1.05 0.78 NA 0.78 0.08 1.91 1.91 0000.00.00.0020100 36.7856 09 44382 Small bowel endoscopy A 1.27 0.87 NA 0.87 0.09 2.23 2.23 0000.00.00.0020100 36.7856 09 44383 Ileoscopy w/stent A 2.94 1.42 NA 1.42 0.13 4.49 4.49 0000.00.00.0020100 36.7856 09 44385 Endoscopy of bowel pouch A 1.82 4.53 0.96 0.12 6.47 2.90 0000.00.00.0020100 36.7856 09 44386 Endoscopy, bowel pouch/biop A 2.12 5.99 1.09 0.15 8.26 3.36 0000.00.00.0020000 36.7856 09 44388 Colon endoscopy A 2.82 6.49 1.38 0.18 9.49 4.38 0000.00.00.0020100 36.7856 09 44389 Colonoscopy with biopsy A 3.13 7.24 1.51 0.18 10.55 4.82 0000.00.00.0030100 44388 36.7856 09 44390 Colonoscopy for foreign body A 3.83 6.96 1.73 0.22 11.01 5.78 0000.00.00.0030000 44388 36.7856 09 44391 Colonoscopy for bleeding A 4.32 6.01 1.73 0.23 10.56 6.28 0000.00.00.0030000 44388 36.7856 09 44392 Colonoscopy & polypectomy A 3.82 7.44 1.74 0.23 11.49 5.79 0000.00.00.0030100 44388 36.7856 09 44393 Colonoscopy, lesion removal A 4.84 7.76 2.12 0.27 12.87 7.23 0000.00.00.0030100 44388 36.7856 09 44394 Colonoscopy w/snare A 4.43 7.96 1.98 0.26 12.65 6.67 0000.00.00.0030100 44388 36.7856 09 44397 Colonoscopy w/stent A 4.71 2.06 NA 2.06 0.28 7.05 7.05 0000.00.00.0030100 44388 36.7856 09 44500 Intro, gastrointestinal tube A 0.49 0.36 NA 0.36 0.02 0.87 0.87 0000.00.00.0000000 36.7856 09 44602 Suture, small intestine A 16.03 6.63 NA 6.63 1.07 23.73 23.73 0090.09.81.1020210 36.7856 09 44603 Suture, small intestine A 18.66 7.52 NA 7.52 1.39 27.57 27.57 0090.09.81.1020210 36.7856 09 44604 Suture, large intestine A 16.03 6.69 NA 6.69 1.42 24.14 24.14 0090.09.81.1020210 36.7856 09 44605 Repair of bowel lesion A 19.53 8.66 NA 8.66 1.54 29.73 29.73 0090.09.81.1020210 36.7856 09 44615 Intestinal stricturoplasty A 15.93 6.89 NA 6.89 1.39 24.21 24.21 0090.09.81.1020210 36.7856 09 44620 Repair bowel opening A 12.20 5.48 NA 5.48 1.05 18.73 18.73 0090.09.81.1020210 36.7856 09 44625 Repair bowel opening A 15.05 6.49 NA 6.49 1.30 22.84 22.84 0090.09.81.1020210 36.7856 09 44626 Repair bowel opening A 25.36 10.09 NA 10.09 2.53 37.98 37.98 0090.09.81.1020210 36.7856 09 44640 Repair bowel-skin fistula A 21.65 8.82 NA 8.82 1.46 31.93 31.93 0090.09.81.1020210 36.7856 09 44650 Repair bowel fistula A 22.57 9.13 NA 9.13 1.49 33.19 33.19 0090.09.81.1020210 36.7856 09 44660 Repair bowel-bladder fistula A 21.36 8.56 NA 8.56 1.14 31.06 31.06 0090.09.81.1020210 36.7856 09 44661 Repair bowel-bladder fistula A 24.81 9.80 NA 9.80 1.53 36.14 36.14 0090.09.81.1020210 36.7856 09 44680 Surgical revision, intestine A 15.40 6.64 NA 6.64 1.37 23.41 23.41 0090.09.81.1020210 36.7856 09 44700 Suspend bowel w/prosthesis A 16.11 6.88 NA 6.88 1.21 24.20 24.20 0090.09.81.1020210 36.7856 09 44701 Intraop colon lavage add-on A 3.10 1.07 NA 1.07 0.21 4.38 4.38 0ZZZ.00.00.0000210 36.7856 09 44799 Intestine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 44800 Excision of bowel pouch A 11.23 5.50 NA 5.50 1.11 17.84 17.84 0090.09.81.1020210 36.7856 09 44820 Excision of mesentery lesion A 12.09 5.63 NA 5.63 1.03 18.75 18.75 0090.09.81.1020210 36.7856 09 44850 Repair of mesentery A 10.74 5.13 NA 5.13 0.99 16.86 16.86 0090.09.81.1020210 36.7856 09 44899 Bowel surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 44900 Drain app abscess, open A 10.14 4.87 NA 4.87 0.84 15.85 15.85 0090.09.81.1020210 36.7856 09 44901 Drain app abscess, percut A 3.38 4.51 NA 4.51 0.17 8.06 8.06 0000.00.00.0020200 36.7856 09 44950 Appendectomy A 10.00 4.50 NA 4.50 0.88 15.38 15.38 0090.09.81.1020210 36.7856 09 44955 Appendectomy add-on A 1.53 0.55 NA 0.55 0.16 2.24 2.24 0ZZZ.00.00.0000210 36.7856 09 44960 Appendectomy A 12.34 5.52 NA 5.52 1.09 18.95 18.95 0090.09.81.1020210 36.7856 09 44970 Laparoscopy, appendectomy A 8.70 4.22 NA 4.22 0.88 13.80 13.80 0090.09.81.1020220 36.7856 09 44979 Laparoscope proc, app C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 45000 Drainage of pelvic abscess A 4.52 3.08 NA 3.08 0.37 7.97 7.97 0090.09.81.1020100 36.7856 09 45005 Drainage of rectal abscess A 1.99 4.51 1.57 0.18 6.68 3.74 0010.10.80.1020100 36.7856 09 45020 Drainage of rectal abscess A 4.72 3.38 NA 3.38 0.41 8.51 8.51 0090.09.81.1020100 36.7856 09 45100 Biopsy of rectum A 3.68 2.49 NA 2.49 0.33 6.50 6.50 0090.09.81.1020100 36.7856 09 45108 Removal of anorectal lesion A 4.76 3.02 NA 3.02 0.46 8.24 8.24 0090.09.81.1020110 36.7856 09 45110 Removal of rectum A 28.00 12.51 NA 12.51 2.26 42.77 42.77 0090.09.81.1020210 36.7856 09 45111 Partial removal of rectum A 16.48 7.35 NA 7.35 1.60 25.43 25.43 0090.09.81.1020210 36.7856 09 45112 Removal of rectum A 30.54 12.07 NA 12.07 2.35 44.96 44.96 0090.09.81.1020210 36.7856 09 45113 Partial proctectomy A 30.58 12.98 NA 12.98 2.13 45.69 45.69 0090.09.81.1020210 36.7856 09 45114 Partial removal of rectum A 27.32 11.19 NA 11.19 2.28 40.79 40.79 0090.09.81.1020210 36.7856 09 45116 Partial removal of rectum A 24.58 10.22 NA 10.22 2.00 36.80 36.80 0090.09.81.1020210 36.7856 09 45119 Remove rectum w/reservoir A 30.84 12.85 NA 12.85 2.13 45.82 45.82 0090.09.81.1020210 36.7856 09 45120 Removal of rectum A 24.60 10.31 NA 10.31 2.28 37.19 37.19 0090.09.81.1020210 36.7856 09 45121 Removal of rectum and colon A 27.04 11.34 NA 11.34 2.66 41.04 41.04 0090.09.81.1020210 36.7856 09 45123 Partial proctectomy A 16.71 7.02 NA 7.02 1.04 24.77 24.77 0090.09.81.1020210 36.7856 09 45126 Pelvic exenteration A 45.16 19.41 NA 19.41 3.23 67.80 67.80 0090.12.74.1420210 36.7856 09 45130 Excision of rectal prolapse A 16.44 6.93 NA 6.93 1.12 24.49 24.49 0090.09.81.1020210 36.7856 09 45135 Excision of rectal prolapse A 19.28 8.54 NA 8.54 1.52 29.34 29.34 0090.09.81.1020210 36.7856 09 45136 Excise ileoanal reservior A 27.30 12.31 NA 12.31 2.72 42.33 42.33 0090.09.81.1020210 36.7856 09 45150 Excision of rectal stricture A 5.67 3.08 NA 3.08 0.46 9.21 9.21 0090.09.81.1020000 36.7856 09 45160 Excision of rectal lesion A 15.32 6.78 NA 6.78 1.07 23.17 23.17 0090.09.81.1020210 36.7856 09 45170 Excision of rectal lesion A 11.49 5.39 NA 5.39 0.89 17.77 17.77 0090.09.81.1020210 36.7856 09 45190 Destruction, rectal tumor A 9.74 5.12 NA 5.12 0.76 15.62 15.62 0090.09.81.1020210 36.7856 09 45300 Proctosigmoidoscopy dx A 0.38 1.33 0.23 0.05 1.76 0.66 0000.00.00.0020100 36.7856 09 45303 Proctosigmoidoscopy dilate A 0.44 1.58 0.26 0.06 2.08 0.76 0000.00.00.0030100 45300 36.7856 09 45305 Proctosigmoidoscopy w/bx A 1.01 1.58 0.45 0.09 2.68 1.55 0000.00.00.0030100 45300 36.7856 09 45307 Proctosigmoidoscopy fb A 0.94 2.52 0.42 0.15 3.61 1.51 0000.00.00.0030000 45300 36.7856 09 45308 Proctosigmoidoscopy removal A 0.83 1.52 0.39 0.13 2.48 1.35 0000.00.00.0030100 45300 36.7856 09 45309 Proctosigmoidoscopy removal A 2.01 2.39 0.79 0.17 4.57 2.97 0000.00.00.0030100 45300 36.7856 09 45315 Proctosigmoidoscopy removal A 1.40 2.55 0.59 0.20 4.15 2.19 0000.00.00.0030100 45300 36.7856 09 45317 Proctosigmoidoscopy bleed A 1.50 1.84 0.62 0.20 3.54 2.32 0000.00.00.0030100 45300 36.7856 09 45320 Proctosigmoidoscopy ablate A 1.58 1.80 0.66 0.20 3.58 2.44 0000.00.00.0030100 45300 36.7856 09 45321 Proctosigmoidoscopy volvul A 1.17 0.51 NA 0.51 0.17 1.85 1.85 0000.00.00.0030100 45300 36.7856 09 45327 Proctosigmoidoscopy w/stent A 1.65 0.86 NA 0.86 0.10 2.61 2.61 0000.00.00.0030100 45300 36.7856 09 45330 Diagnostic sigmoidoscopy A 0.96 1.82 0.52 0.05 2.83 1.53 0000.00.00.0020100 36.7856 09 45331 Sigmoidoscopy and biopsy A 1.15 2.24 0.53 0.07 3.46 1.75 0000.00.00.0030100 45330 36.7856 09 45332 Sigmoidoscopy w/fb removal A 1.79 3.96 0.75 0.11 5.86 2.65 0000.00.00.0030100 45330 36.7856 09 45333 Sigmoidoscopy & polypectomy A 1.79 3.57 0.75 0.12 5.48 2.66 0000.00.00.0030100 45330 36.7856 09 45334 Sigmoidoscopy for bleeding A 2.73 1.08 NA 1.08 0.16 3.97 3.97 0000.00.00.0030100 45330 36.7856 09 45335 Sigmoidoscope w/submuc inj A 1.36 2.48 0.65 0.07 3.91 2.08 0000.00.00.0030100 45330 36.7856 09 45337 Sigmoidoscopy & decompress A 2.36 0.95 NA 0.95 0.15 3.46 3.46 0000.00.00.0030100 45330 36.7856 09 45338 Sigmoidoscpy w/tumr remove A 2.34 4.29 0.95 0.15 6.78 3.44 0000.00.00.0030100 45330 36.7856 09 45339 Sigmoidoscopy w/ablate tumr A 3.14 3.26 1.23 0.17 6.57 4.54 0000.00.00.0030100 45330 36.7856 09 45340 Sig w/balloon dilation A 1.66 7.19 0.76 0.07 8.92 2.49 0000.00.00.0030100 45330 36.7856 09 45341 Sigmoidoscopy w/ultrasound A 2.60 1.37 NA 1.37 0.20 4.17 4.17 0000.00.00.0020100 36.7856 09 45342 Sigmoidoscopy w/us guide bx A 4.06 1.81 NA 1.81 0.23 6.10 6.10 0000.00.00.0020100 36.7856 09 45345 Sigmoidoscopy w/stent A 2.92 1.40 NA 1.40 0.15 4.47 4.47 0000.00.00.0030100 45330 36.7856 09 45355 Surgical colonoscopy A 3.52 1.24 NA 1.24 0.26 5.02 5.02 0000.00.00.0020100 36.7856 09 45378 Diagnostic colonoscopy A 3.70 8.03 1.72 0.20 11.93 5.62 0000.00.00.0020100 36.7856 09 4537853Diagnostic colonoscopy A 0.96 1.82 0.52 0.05 2.83 1.53 0000.00.00.0020100 36.7856 09 45379 Colonoscopy w/fb removal A 4.69 8.34 2.08 0.25 13.28 7.02 0000.00.00.0030100 45378 36.7856 09 45380 Colonoscopy and biopsy A 4.44 8.46 2.00 0.21 13.11 6.65 0000.00.00.0030100 45378 36.7856 09 45381 Colonoscope, submucous inj A 4.20 6.15 1.70 0.21 10.56 6.11 0000.00.00.0030100 45378 36.7856 09 45382 Colonoscopy/control bleeding A 5.69 9.73 2.23 0.27 15.69 8.19 0000.00.00.0030100 45378 36.7856 09 45383 Lesion removal colonoscopy A 5.87 9.34 2.50 0.32 15.53 8.69 0000.00.00.0030100 45378 36.7856 09 45384 Lesion remove colonoscopy A 4.70 9.07 2.09 0.24 14.01 7.03 0000.00.00.0030100 45378 36.7856 09 45385 Lesion removal colonoscopy A 5.31 9.24 2.31 0.28 14.83 7.90 0000.00.00.0030100 45378 36.7856 09 45386 Colonoscope dilate stricture A 4.58 15.29 1.84 0.21 20.08 6.63 0000.00.00.0030100 45378 36.7856 09 45387 Colonoscopy w/stent A 5.91 2.52 NA 2.52 0.33 8.76 8.76 0000.00.00.0030100 45378 36.7856 09 45500 Repair of rectum A 7.29 4.14 NA 4.14 0.56 11.99 11.99 0090.09.81.1020000 36.7856 09 45505 Repair of rectum A 7.58 3.70 NA 3.70 0.50 11.78 11.78 0090.09.81.1020100 36.7856 09 45520 Treatment of rectal prolapse A 0.55 0.77 0.19 0.04 1.36 0.78 0000.00.00.0020100 36.7856 09 45540 Correct rectal prolapse A 16.27 7.90 NA 7.90 1.17 25.34 25.34 0090.09.81.1020210 36.7856 09 45541 Correct rectal prolapse A 13.40 6.78 NA 6.78 0.88 21.06 21.06 0090.09.81.1020210 36.7856 09 45550 Repair rectum/remove sigmoid A 23.00 10.15 NA 10.15 1.58 34.73 34.73 0090.09.81.1020210 36.7856 09 45560 Repair of rectocele A 10.58 5.89 NA 5.89 0.73 17.20 17.20 0090.09.81.1020210 36.7856 09 45562 Exploration/repair of rectum A 15.38 7.30 NA 7.30 1.15 23.83 23.83 0090.09.81.1020210 36.7856 09 45563 Exploration/repair of rectum A 23.47 10.90 NA 10.90 1.84 36.21 36.21 0090.09.81.1020210 36.7856 09 45800 Repair rect/bladder fistula A 17.77 7.91 NA 7.91 1.14 26.82 26.82 0090.09.81.1020210 36.7856 09 45805 Repair fistula w/colostomy A 20.78 9.91 NA 9.91 1.47 32.16 32.16 0090.09.81.1020210 36.7856 09 45820 Repair rectourethral fistula A 18.48 8.15 NA 8.15 1.17 27.80 27.80 0090.09.81.1020210 36.7856 09 45825 Repair fistula w/colostomy A 21.25 10.13 NA 10.13 0.97 32.35 32.35 0090.09.81.1020210 36.7856 09 45900 Reduction of rectal prolapse A 2.61 1.02 NA 1.02 0.17 3.80 3.80 0010.10.80.1020000 36.7856 09 45905 Dilation of anal sphincter A 2.30 11.46 0.94 0.14 13.90 3.38 0010.10.80.1020100 36.7856 09 45910 Dilation of rectal narrowing A 2.80 15.87 1.12 0.14 18.81 4.06 0010.10.80.1020100 36.7856 09 45915 Remove rectal obstruction A 3.14 4.65 1.10 0.17 7.96 4.41 0010.10.80.1020100 36.7856 09 45999 Rectum surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 46020 Placement of seton A 2.90 3.12 2.38 0.22 6.24 5.50 0010.10.80.1020100 36.7856 09 46030 Removal of rectal marker A 1.23 3.00 1.19 0.11 4.34 2.53 0010.10.80.1020000 36.7856 09 46040 Incision of rectal abscess A 4.96 5.34 3.05 0.48 10.78 8.49 0090.09.81.1020100 36.7856 09 46045 Incision of rectal abscess A 4.32 2.77 NA 2.77 0.40 7.49 7.49 0090.09.81.1020100 36.7856 09 46050 Incision of anal abscess A 1.19 3.52 1.32 0.11 4.82 2.62 0010.10.80.1020100 36.7856 09 46060 Incision of rectal abscess A 5.69 3.71 NA 3.71 0.52 9.92 9.92 0090.09.81.1020100 36.7856 09 46070 Incision of anal septum A 2.71 2.40 NA 2.40 0.27 5.38 5.38 0090.09.81.1020000 36.7856 09 46080 Incision of anal sphincter A 2.49 3.61 1.60 0.23 6.33 4.32 0010.10.80.1020100 36.7856 09 46083 Incise external hemorrhoid A 1.40 4.66 1.53 0.12 6.18 3.05 0010.10.80.1020100 36.7856 09 46200 Removal of anal fissure A 3.42 3.84 2.35 0.30 7.56 6.07 0090.09.81.1020100 36.7856 09 46210 Removal of anal crypt A 2.67 5.08 2.17 0.26 8.01 5.10 0090.09.81.1020000 36.7856 09 46211 Removal of anal crypts A 4.25 5.20 2.88 0.37 9.82 7.50 0090.09.81.1020000 36.7856 09 46220 Removal of anal tag A 1.56 1.26 0.55 0.14 2.96 2.25 0010.10.80.1020100 36.7856 09 46221 Ligation of hemorrhoid(s) A 2.04 1.71 1.07 0.12 3.87 3.23 0010.10.80.1020100 36.7856 09 46230 Removal of anal tags A 2.57 4.26 1.65 0.22 7.05 4.44 0010.10.80.1020100 36.7856 09 46250 Hemorrhoidectomy A 3.89 5.32 2.65 0.43 9.64 6.97 0090.09.81.1020100 36.7856 09 46255 Hemorrhoidectomy A 4.60 6.00 2.87 0.51 11.11 7.98 0090.09.81.1020100 36.7856 09 46257 Remove hemorrhoids & fissure A 5.40 3.05 NA 3.05 0.59 9.04 9.04 0090.09.81.1020100 36.7856 09 46258 Remove hemorrhoids & fistula A 5.73 3.19 NA 3.19 0.64 9.56 9.56 0090.09.81.1020000 36.7856 09 46260 Hemorrhoidectomy A 6.37 3.92 NA 3.92 0.68 10.97 10.97 0090.09.81.1020100 36.7856 09 46261 Remove hemorrhoids & fissure A 7.08 4.04 NA 4.04 0.70 11.82 11.82 0090.09.81.1020100 36.7856 09 46262 Remove hemorrhoids & fistula A 7.50 4.26 NA 4.26 0.76 12.52 12.52 0090.09.81.1020100 36.7856 09 46270 Removal of anal fistula A 3.72 5.01 2.56 0.36 9.09 6.64 0090.09.81.1020100 36.7856 09 46275 Removal of anal fistula A 4.56 4.66 2.76 0.40 9.62 7.72 0090.09.81.1020100 36.7856 09 46280 Removal of anal fistula A 5.98 3.69 NA 3.69 0.50 10.17 10.17 0090.09.81.1020100 36.7856 09 46285 Removal of anal fistula A 4.09 4.07 2.60 0.34 8.50 7.03 0090.09.81.1020100 36.7856 09 46288 Repair anal fistula A 7.13 4.19 NA 4.19 0.60 11.92 11.92 0090.09.81.1020100 36.7856 09 46320 Removal of hemorrhoid clot A 1.61 3.86 1.54 0.14 5.61 3.29 0010.10.80.1020100 36.7856 09 46500 Injection into hemorrhoid(s) A 1.61 2.71 0.57 0.12 4.44 2.30 0010.10.80.1020100 36.7856 09 46600 Diagnostic anoscopy A 0.50 0.80 0.15 0.04 1.34 0.69 0000.00.00.0020100 36.7856 09 46604 Anoscopy and dilation A 1.31 0.96 0.46 0.09 2.36 1.86 0000.00.00.0030100 46600 36.7856 09 46606 Anoscopy and biopsy A 0.81 0.87 0.28 0.07 1.75 1.16 0000.00.00.0030100 46600 36.7856 09 46608 Anoscopy, remove for body A 1.51 1.83 0.47 0.13 3.47 2.11 0000.00.00.0030000 46600 36.7856 09 46610 Anoscopy, remove lesion A 1.32 1.42 0.47 0.12 2.86 1.91 0000.00.00.0030100 46600 36.7856 09 46611 Anoscopy A 1.81 2.00 0.64 0.15 3.96 2.60 0000.00.00.0030000 46600 36.7856 09 46612 Anoscopy, remove lesions A 2.34 2.45 0.84 0.18 4.97 3.36 0000.00.00.0030000 46600 36.7856 09 46614 Anoscopy, control bleeding A 2.01 1.79 0.69 0.14 3.94 2.84 0000.00.00.0030100 46600 36.7856 09 46615 Anoscopy A 2.68 1.73 0.94 0.23 4.64 3.85 0000.00.00.0030000 46600 36.7856 09 46700 Repair of anal stricture A 9.13 4.64 NA 4.64 0.56 14.33 14.33 0090.09.81.1020100 36.7856 09 46705 Repair of anal stricture A 6.90 4.06 NA 4.06 0.73 11.69 11.69 0090.09.81.1020210 36.7856 09 46706 Repr of anal fistula w/glue A 2.39 1.24 NA 1.24 0.17 3.80 3.80 0010.10.80.1020100 36.7856 09 46715 Repair of anovaginal fistula A 7.20 4.23 NA 4.23 0.76 12.19 12.19 0090.09.81.1020200 36.7856 09 46716 Repair of anovaginal fistula A 15.07 7.38 NA 7.38 1.30 23.75 23.75 0090.09.81.1020210 36.7856 09 46730 Construction of absent anus A 26.75 12.23 NA 12.23 2.03 41.01 41.01 0090.09.81.1020210 36.7856 09 46735 Construction of absent anus A 32.17 14.08 NA 14.08 2.64 48.89 48.89 0090.09.81.1020210 36.7856 09 46740 Construction of absent anus A 30.00 12.54 NA 12.54 1.99 44.53 44.53 0090.09.81.1020210 36.7856 09 46742 Repair of imperforated anus A 35.80 18.00 NA 18.00 2.63 56.43 56.43 0090.09.81.1020210 36.7856 09 46744 Repair of cloacal anomaly A 52.63 21.43 NA 21.43 2.27 76.33 76.33 0090.09.81.1020210 36.7856 09 46746 Repair of cloacal anomaly A 58.22 25.90 NA 25.90 2.51 86.63 86.63 0090.09.81.1020210 36.7856 09 46748 Repair of cloacal anomaly A 64.21 25.75 NA 25.75 2.77 92.73 92.73 0090.09.81.1020210 36.7856 09 46750 Repair of anal sphincter A 10.25 5.63 NA 5.63 0.69 16.57 16.57 0090.09.81.1020210 36.7856 09 46751 Repair of anal sphincter A 8.77 6.38 NA 6.38 0.78 15.93 15.93 0090.09.81.1020210 36.7856 09 46753 Reconstruction of anus A 8.29 4.01 NA 4.01 0.58 12.88 12.88 0090.09.81.1020100 36.7856 09 46754 Removal of suture from anus A 2.20 5.44 1.36 0.12 7.76 3.68 0010.10.80.1020000 36.7856 09 46760 Repair of anal sphincter A 14.43 7.07 NA 7.07 0.86 22.36 22.36 0090.09.81.1020210 36.7856 09 46761 Repair of anal sphincter A 13.84 6.57 NA 6.57 0.84 21.25 21.25 0090.09.81.1020210 36.7856 09 46762 Implant artificial sphincter A 12.71 5.72 NA 5.72 0.71 19.14 19.14 0090.09.81.1020210 36.7856 09 46900 Destruction, anal lesion(s) A 1.91 3.44 0.75 0.13 5.48 2.79 0010.10.80.1020100 36.7856 09 46910 Destruction, anal lesion(s) A 1.86 3.74 1.46 0.14 5.74 3.46 0010.10.80.1020100 36.7856 09 46916 Cryosurgery, anal lesion(s) A 1.86 3.36 1.67 0.09 5.31 3.62 0010.10.80.1020100 36.7856 09 46917 Laser surgery, anal lesions A 1.86 4.72 1.52 0.16 6.74 3.54 0010.10.80.1020100 36.7856 09 46922 Excision of anal lesion(s) A 1.86 3.86 1.43 0.17 5.89 3.46 0010.10.80.1020100 36.7856 09 46924 Destruction, anal lesion(s) A 2.76 5.09 1.69 0.20 8.05 4.65 0010.10.80.1020100 36.7856 09 46934 Destruction of hemorrhoids A 3.51 6.23 3.58 0.26 10.00 7.35 0090.09.81.1020100 36.7856 09 46935 Destruction of hemorrhoids A 2.43 4.23 0.86 0.17 6.83 3.46 0010.10.80.1020100 36.7856 09 46936 Destruction of hemorrhoids A 3.69 5.91 3.43 0.30 9.90 7.42 0090.09.81.1020100 36.7856 09 46937 Cryotherapy of rectal lesion A 2.69 4.41 1.77 0.12 7.22 4.58 0010.10.80.1020000 36.7856 09 46938 Cryotherapy of rectal lesion A 4.66 5.03 3.25 0.40 10.09 8.31 0090.09.81.1020000 36.7856 09 46940 Treatment of anal fissure A 2.32 3.14 0.81 0.17 5.63 3.30 0010.10.80.1020100 36.7856 09 46942 Treatment of anal fissure A 2.04 2.86 0.69 0.14 5.04 2.87 0010.10.80.1020000 36.7856 09 46945 Ligation of hemorrhoids A 1.84 3.93 2.15 0.17 5.94 4.16 0090.09.81.1020100 36.7856 09 46946 Ligation of hemorrhoids A 2.58 4.99 2.45 0.22 7.79 5.25 0090.09.81.1020100 36.7856 09 46999 Anus surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 47000 Needle biopsy of liver A 1.90 8.24 0.65 0.09 10.23 2.64 0000.00.00.0020100 36.7856 09 47001 Needle biopsy, liver add-on A 1.90 0.67 NA 0.67 0.18 2.75 2.75 0ZZZ.00.00.0000110 36.7856 09 47010 Open drainage, liver lesion A 16.01 9.66 NA 9.66 0.65 26.32 26.32 0090.09.81.1020210 36.7856 09 47011 Percut drain, liver lesion A 3.70 4.38 NA 4.38 0.17 8.25 8.25 0000.00.00.0020200 36.7856 09 47015 Inject/aspirate liver cyst A 15.11 7.84 NA 7.84 0.86 23.81 23.81 0090.09.81.1020210 36.7856 09 47100 Wedge biopsy of liver A 11.67 6.30 NA 6.30 0.75 18.72 18.72 0090.09.81.1020210 36.7856 09 47120 Partial removal of liver A 35.50 16.55 NA 16.55 2.29 54.34 54.34 0090.09.81.1020210 36.7856 09 47122 Extensive removal of liver A 55.13 23.43 NA 23.43 3.60 82.16 82.16 0090.09.81.1020210 36.7856 09 47125 Partial removal of liver A 49.19 21.42 NA 21.42 3.18 73.79 73.79 0090.09.81.1020210 36.7856 09 47130 Partial removal of liver A 53.35 22.88 NA 22.88 3.47 79.70 79.70 0090.09.81.1020210 36.7856 09 47133 Removal of donor liver X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 47134 Partial removal, donor liver R 39.15 13.56 NA 13.56 3.98 56.69 56.69 0XXX.00.00.0020212 36.7856 09 47135 Transplantation of liver R 81.52 42.52 NA 42.52 8.13 132.17 132.17 0090.09.81.1020212 36.7856 09 47136 Transplantation of liver R 68.60 41.83 NA 41.83 6.93 117.36 117.36 0090.09.81.1020212 36.7856 09 47300 Surgery for liver lesion A 15.08 7.53 NA 7.53 0.97 23.58 23.58 0090.09.81.1020210 36.7856 09 47350 Repair liver wound A 19.56 9.21 NA 9.21 1.25 30.02 30.02 0090.09.81.1020210 36.7856 09 47360 Repair liver wound A 26.92 12.51 NA 12.51 1.71 41.14 41.14 0090.09.81.1020210 36.7856 09 47361 Repair liver wound A 47.12 19.57 NA 19.57 3.11 69.80 69.80 0090.09.81.1020210 36.7856 09 47362 Repair liver wound A 18.51 9.54 NA 9.54 1.22 29.27 29.27 0090.09.81.1020210 36.7856 09 47370 Laparo ablate liver tumor rf A 19.69 9.72 NA 9.72 0.85 30.26 30.26 0090.09.81.1020210 36.7856 09 47371 Laparo ablate liver cryosurg A 19.69 9.72 NA 9.72 0.85 30.26 30.26 0090.09.81.1020210 36.7856 09 47379 Laparoscope procedure, liver C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020200 36.7856 09 47380 Open ablate liver tumor rf A 23.00 11.01 NA 11.01 0.85 34.86 34.86 0090.09.81.1020210 36.7856 09 47381 Open ablate liver tumor cryo A 23.27 11.12 NA 11.12 0.85 35.24 35.24 0090.09.81.1020210 36.7856 09 47382 Percut ablate liver rf A 15.19 6.25 NA 6.25 1.14 22.58 22.58 0010.10.80.1020200 36.7856 09 47399 Liver surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 47400 Incision of liver duct A 32.49 14.44 NA 14.44 1.82 48.75 48.75 0090.09.81.1020210 36.7856 09 47420 Incision of bile duct A 19.88 9.15 NA 9.15 1.70 30.73 30.73 0090.09.81.1020210 36.7856 09 47425 Incision of bile duct A 19.83 9.22 NA 9.22 1.60 30.65 30.65 0090.09.81.1020210 36.7856 09 47460 Incise bile duct sphincter A 18.04 8.96 NA 8.96 1.24 28.24 28.24 0090.09.81.1020210 36.7856 09 47480 Incision of gallbladder A 10.82 6.58 NA 6.58 0.85 18.25 18.25 0090.09.81.1020210 36.7856 09 47490 Incision of gallbladder A 7.23 7.49 NA 7.49 0.33 15.05 15.05 0090.09.81.1020100 36.7856 09 47500 Injection for liver x-rays A 1.96 0.66 NA 0.66 0.09 2.71 2.71 0000.00.00.0020100 36.7856 09 47505 Injection for liver x-rays A 0.76 2.65 0.26 0.03 3.44 1.05 0000.00.00.0020000 36.7856 09 47510 Insert catheter, bile duct A 7.83 4.69 NA 4.69 0.36 12.88 12.88 0090.09.81.1020100 36.7856 09 47511 Insert bile duct drain A 10.50 10.37 NA 10.37 0.47 21.34 21.34 0090.09.81.1021100 36.7856 09 47525 Change bile duct catheter A 5.55 3.25 NA 3.25 0.24 9.04 9.04 0010.10.80.1020100 36.7856 09 47530 Revise/reinsert bile tube A 5.85 4.93 NA 4.93 0.29 11.07 11.07 0090.09.81.1020100 36.7856 09 47550 Bile duct endoscopy add-on A 3.02 1.04 NA 1.04 0.30 4.36 4.36 0ZZZ.00.00.0000210 36.7856 09 47552 Biliary endoscopy thru skin A 6.04 2.44 NA 2.44 0.42 8.90 8.90 0000.00.00.0020110 36.7856 09 47553 Biliary endoscopy thru skin A 6.35 2.64 NA 2.64 0.30 9.29 9.29 0000.00.00.0030100 47552 36.7856 09 47554 Biliary endoscopy thru skin A 9.06 3.44 NA 3.44 0.74 13.24 13.24 0000.00.00.0030110 47552 36.7856 09 47555 Biliary endoscopy thru skin A 7.56 3.05 NA 3.05 0.35 10.96 10.96 0000.00.00.0030100 47552 36.7856 09 47556 Biliary endoscopy thru skin A 8.56 3.39 NA 3.39 0.38 12.33 12.33 0000.00.00.0030100 47552 36.7856 09 47560 Laparoscopy w/cholangio A 4.89 1.84 NA 1.84 0.49 7.22 7.22 0000.00.00.0020000 36.7856 09 47561 Laparo w/cholangio/biopsy A 5.18 2.13 NA 2.13 0.49 7.80 7.80 0000.00.00.0020000 36.7856 09 47562 Laparoscopic cholecystectomy A 11.09 5.01 NA 5.01 1.13 17.23 17.23 0090.09.81.1020210 36.7856 09 47563 Laparo cholecystectomy/graph A 11.94 5.27 NA 5.27 1.21 18.42 18.42 0090.09.81.1020210 36.7856 09 47564 Laparo cholecystectomy/explr A 14.23 6.08 NA 6.08 1.44 21.75 21.75 0090.09.81.1020210 36.7856 09 47570 Laparo cholecystoenterostomy A 12.58 5.50 NA 5.50 1.28 19.36 19.36 0090.09.81.1020210 36.7856 09 47579 Laparoscope proc, biliary C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 47600 Removal of gallbladder A 13.58 6.67 NA 6.67 1.16 21.41 21.41 0090.09.81.1020210 36.7856 09 47605 Removal of gallbladder A 14.69 7.03 NA 7.03 1.25 22.97 22.97 0090.09.81.1020210 36.7856 09 47610 Removal of gallbladder A 18.82 8.59 NA 8.59 1.61 29.02 29.02 0090.09.81.1020210 36.7856 09 47612 Removal of gallbladder A 18.78 8.45 NA 8.45 1.60 28.83 28.83 0090.09.81.1020210 36.7856 09 47620 Removal of gallbladder A 20.64 9.12 NA 9.12 1.77 31.53 31.53 0090.09.81.1020210 36.7856 09 47630 Remove bile duct stone A 9.11 3.08 NA 3.08 0.46 12.65 12.65 0090.09.81.1020110 36.7856 09 47700 Exploration of bile ducts A 15.62 8.51 NA 8.51 1.40 25.53 25.53 0090.09.81.1020210 36.7856 09 47701 Bile duct revision A 27.81 13.06 NA 13.06 3.00 43.87 43.87 0090.09.81.1020000 36.7856 09 47711 Excision of bile duct tumor A 23.03 11.02 NA 11.02 1.98 36.03 36.03 0090.09.81.1020210 36.7856 09 47712 Excision of bile duct tumor A 30.24 13.63 NA 13.63 2.67 46.54 46.54 0090.09.81.1020210 36.7856 09 47715 Excision of bile duct cyst A 18.80 8.75 NA 8.75 1.59 29.14 29.14 0090.09.81.1020210 36.7856 09 47716 Fusion of bile duct cyst A 16.44 8.20 NA 8.20 1.41 26.05 26.05 0090.09.81.1020210 36.7856 09 47720 Fuse gallbladder & bowel A 15.91 8.48 NA 8.48 1.37 25.76 25.76 0090.09.81.1020210 36.7856 09 47721 Fuse upper gi structures A 19.12 9.60 NA 9.60 1.63 30.35 30.35 0090.09.81.1020210 36.7856 09 47740 Fuse gallbladder & bowel A 18.48 9.40 NA 9.40 1.59 29.47 29.47 0090.09.81.1020210 36.7856 09 47741 Fuse gallbladder & bowel A 21.34 10.33 NA 10.33 1.82 33.49 33.49 0090.09.81.1020210 36.7856 09 47760 Fuse bile ducts and bowel A 25.85 11.93 NA 11.93 2.21 39.99 39.99 0090.09.81.1020210 36.7856 09 47765 Fuse liver ducts & bowel A 24.88 12.37 NA 12.37 2.18 39.43 39.43 0090.09.81.1020210 36.7856 09 47780 Fuse bile ducts and bowel A 26.50 12.17 NA 12.17 2.27 40.94 40.94 0090.09.81.1020210 36.7856 09 47785 Fuse bile ducts and bowel A 31.18 14.49 NA 14.49 2.69 48.36 48.36 0090.09.81.1020210 36.7856 09 47800 Reconstruction of bile ducts A 23.30 11.15 NA 11.15 1.95 36.40 36.40 0090.09.81.1020210 36.7856 09 47801 Placement, bile duct support A 15.17 10.03 NA 10.03 0.69 25.89 25.89 0090.09.81.1020210 36.7856 09 47802 Fuse liver duct & intestine A 21.55 11.13 NA 11.13 1.84 34.52 34.52 0090.09.81.1020210 36.7856 09 47900 Suture bile duct injury A 19.90 9.91 NA 9.91 1.65 31.46 31.46 0090.09.81.1020210 36.7856 09 47999 Bile tract surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 48000 Drainage of abdomen A 28.07 12.40 NA 12.40 1.32 41.79 41.79 0090.09.81.1020210 36.7856 09 48001 Placement of drain, pancreas A 35.45 14.70 NA 14.70 1.90 52.05 52.05 0090.09.81.1020210 36.7856 09 48005 Resect/debride pancreas A 42.17 16.99 NA 16.99 2.26 61.42 61.42 0090.09.81.1020210 36.7856 09 48020 Removal of pancreatic stone A 15.70 7.38 NA 7.38 1.36 24.44 24.44 0090.09.81.1020210 36.7856 09 48100 Biopsy of pancreas, open A 12.23 6.83 NA 6.83 1.08 20.14 20.14 0090.09.81.1020210 36.7856 09 48102 Needle biopsy, pancreas A 4.68 8.84 2.38 0.20 13.72 7.26 0010.10.80.1020100 36.7856 09 48120 Removal of pancreas lesion A 15.85 7.36 NA 7.36 1.35 24.56 24.56 0090.09.81.1020210 36.7856 09 48140 Partial removal of pancreas A 22.94 10.51 NA 10.51 2.12 35.57 35.57 0090.09.81.1020210 36.7856 09 48145 Partial removal of pancreas A 24.02 11.18 NA 11.18 2.25 37.45 37.45 0090.09.81.1020210 36.7856 09 48146 Pancreatectomy A 26.40 13.29 NA 13.29 2.43 42.12 42.12 0090.09.81.1020210 36.7856 09 48148 Removal of pancreatic duct A 17.34 8.98 NA 8.98 1.61 27.93 27.93 0090.09.81.1020210 36.7856 09 48150 Partial removal of pancreas A 48.00 21.38 NA 21.38 4.43 73.81 73.81 0090.09.81.1020210 36.7856 09 48152 Pancreatectomy A 43.75 20.25 NA 20.25 4.07 68.07 68.07 0090.09.81.1020210 36.7856 09 48153 Pancreatectomy A 47.89 21.58 NA 21.58 4.40 73.87 73.87 0090.09.81.1020210 36.7856 09 48154 Pancreatectomy A 44.10 20.13 NA 20.13 4.10 68.33 68.33 0090.09.81.1020210 36.7856 09 48155 Removal of pancreas A 24.64 13.48 NA 13.48 2.30 40.42 40.42 0090.09.81.1020210 36.7856 09 48160 Pancreas removal/transplant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 48180 Fuse pancreas and bowel A 24.72 10.85 NA 10.85 2.24 37.81 37.81 0090.09.81.1020210 36.7856 09 48400 Injection, intraop add-on A 1.95 0.67 NA 0.67 0.10 2.72 2.72 0ZZZ.00.00.0000000 36.7856 09 48500 Surgery of pancreatic cyst A 15.28 7.24 NA 7.24 1.35 23.87 23.87 0090.09.81.1020210 36.7856 09 48510 Drain pancreatic pseudocyst A 14.31 7.49 NA 7.49 1.07 22.87 22.87 0090.09.81.1020210 36.7856 09 48511 Drain pancreatic pseudocyst A 4.00 3.72 NA 3.72 0.17 7.89 7.89 0000.00.00.0020200 36.7856 09 48520 Fuse pancreas cyst and bowel A 15.59 7.21 NA 7.21 1.41 24.21 24.21 0090.09.81.1020210 36.7856 09 48540 Fuse pancreas cyst and bowel A 19.72 8.62 NA 8.62 1.82 30.16 30.16 0090.09.81.1020210 36.7856 09 48545 Pancreatorrhaphy A 18.18 8.68 NA 8.68 1.61 28.47 28.47 0090.09.81.1020210 36.7856 09 48547 Duodenal exclusion A 25.83 10.79 NA 10.79 2.30 38.92 38.92 0090.09.81.1020210 36.7856 09 48550 Donor pancreatectomy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 48554 Transpl allograft pancreas R 34.17 11.94 NA 11.94 3.30 49.41 49.41 0090.09.81.1020222 36.7856 09 48556 Removal, allograft pancreas A 15.71 8.46 NA 8.46 1.52 25.69 25.69 0090.09.81.1020222 36.7856 09 48999 Pancreas surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 49000 Exploration of abdomen A 11.68 6.06 NA 6.06 1.17 18.91 18.91 0090.09.81.1020210 36.7856 09 49002 Reopening of abdomen A 10.49 5.96 NA 5.96 1.06 17.51 17.51 0090.09.81.1020210 36.7856 09 49010 Exploration behind abdomen A 12.28 6.93 NA 6.93 1.22 20.43 20.43 0090.09.81.1020210 36.7856 09 49020 Drain abdominal abscess A 22.84 11.41 NA 11.41 1.31 35.56 35.56 0090.09.81.1020200 36.7856 09 49021 Drain abdominal abscess A 3.38 5.28 NA 5.28 0.16 8.82 8.82 0000.00.00.0020100 36.7856 09 49040 Drain, open, abdom abscess A 13.52 8.19 NA 8.19 0.84 22.55 22.55 0090.09.81.1020210 36.7856 09 49041 Drain, percut, abdom abscess A 4.00 5.61 NA 5.61 0.18 9.79 9.79 0000.00.00.0020200 36.7856 09 49060 Drain, open, retrop abscess A 15.86 9.58 NA 9.58 0.77 26.21 26.21 0090.09.81.1020110 36.7856 09 49061 Drain, percut, retroper absc A 3.70 5.62 NA 5.62 0.17 9.49 9.49 0000.00.00.0020200 36.7856 09 49062 Drain to peritoneal cavity A 11.36 7.07 NA 7.07 1.08 19.51 19.51 0090.09.81.1020210 36.7856 09 49080 Puncture, peritoneal cavity A 1.35 4.39 0.47 0.07 5.81 1.89 0000.00.00.0020100 36.7856 09 49081 Removal of abdominal fluid A 1.26 3.07 0.58 0.06 4.39 1.90 0000.00.00.0020100 36.7856 09 49085 Remove abdomen foreign body A 12.14 6.56 NA 6.56 0.88 19.58 19.58 0090.09.81.1020110 36.7856 09 49180 Biopsy, abdominal mass A 1.73 8.22 0.59 0.08 10.03 2.40 0000.00.00.0020100 36.7856 09 49200 Removal of abdominal lesion A 10.25 6.27 NA 6.27 0.92 17.44 17.44 0090.09.81.1020210 36.7856 09 49201 Remove abdom lesion, complex A 14.84 8.56 NA 8.56 1.47 24.87 24.87 0090.09.81.1020210 36.7856 09 49215 Excise sacral spine tumor A 33.50 14.74 NA 14.74 2.48 50.72 50.72 0090.09.81.1020210 36.7856 09 49220 Multiple surgery, abdomen A 14.88 7.63 NA 7.63 1.51 24.02 24.02 0090.09.81.1020210 36.7856 09 49250 Excision of umbilicus A 8.35 5.08 NA 5.08 0.84 14.27 14.27 0090.09.81.1020110 36.7856 09 49255 Removal of omentum A 11.14 6.49 NA 6.49 1.12 18.75 18.75 0090.09.81.1020210 36.7856 09 49320 Diag laparo separate proc A 5.10 3.01 NA 3.01 0.50 8.61 8.61 0010.10.80.1020200 36.7856 09 49321 Laparoscopy, biopsy A 5.40 2.99 NA 2.99 0.53 8.92 8.92 0010.10.80.1030220 49320 36.7856 09 49322 Laparoscopy, aspiration A 5.70 3.42 NA 3.42 0.57 9.69 9.69 0010.10.80.1030220 49320 36.7856 09 49323 Laparo drain lymphocele A 9.48 4.03 NA 4.03 0.88 14.39 14.39 0090.10.80.1030220 49320 36.7856 09 49329 Laparo proc, abdm/per/oment C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 49400 Air injection into abdomen A 1.88 0.80 NA 0.80 0.11 2.79 2.79 0000.00.00.0020100 36.7856 09 49419 Insrt abdom cath for chemotx A 6.65 3.81 NA 3.81 0.55 11.01 11.01 0090.09.81.1020100 36.7856 09 49420 Insert abdom drain, temp A 2.22 0.97 NA 0.97 0.13 3.32 3.32 0000.00.00.0020100 36.7856 09 49421 Insert abdom drain, perm A 5.54 4.06 NA 4.06 0.55 10.15 10.15 0090.09.81.1020100 36.7856 09 49422 Remove perm cannula/catheter A 6.25 2.93 NA 2.93 0.63 9.81 9.81 0010.10.80.1020100 36.7856 09 49423 Exchange drainage catheter A 1.46 0.68 NA 0.68 0.07 2.21 2.21 0000.00.00.0020000 36.7856 09 49424 Assess cyst, contrast inject A 0.76 0.44 NA 0.44 0.03 1.23 1.23 0000.00.00.0020000 36.7856 09 49425 Insert abdomen-venous drain A 11.37 6.69 NA 6.69 1.21 19.27 19.27 0090.09.81.1020210 36.7856 09 49426 Revise abdomen-venous shunt A 9.63 6.07 NA 6.07 0.93 16.63 16.63 0090.09.81.1020100 36.7856 09 49427 Injection, abdominal shunt A 0.89 0.48 NA 0.48 0.05 1.42 1.42 0000.00.00.0020000 36.7856 09 49428 Ligation of shunt A 6.06 3.16 NA 3.16 0.31 9.53 9.53 0010.10.80.1020100 36.7856 09 49429 Removal of shunt A 7.40 3.44 NA 3.44 0.81 11.65 11.65 0010.10.80.1020100 36.7856 09 49491 Rpr hern preemie reduc A 11.13 5.51 NA 5.51 1.10 17.74 17.74 0090.09.81.1021210 36.7856 09 49492 Rpr ing hern premie, blocked A 14.03 6.28 NA 6.28 1.47 21.78 21.78 0090.09.81.1021210 36.7856 09 49495 Rpr ing hernia baby, reduc A 5.89 3.48 NA 3.48 0.58 9.95 9.95 0090.09.81.1021210 36.7856 09 49496 Rpr ing hernia baby, blocked A 8.79 6.11 NA 6.11 0.92 15.82 15.82 0090.09.81.1021210 36.7856 09 49500 Rpr ing hernia, init, reduce A 5.48 3.34 NA 3.34 0.46 9.28 9.28 0090.09.81.1021210 36.7856 09 49501 Rpr ing hernia, init blocked A 8.88 4.43 NA 4.43 0.76 14.07 14.07 0090.09.81.1021210 36.7856 09 49505 Prp i/hern init reduc>5 yr A 7.60 4.48 4.01 0.65 12.73 12.26 0090.09.81.1021210 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 0090.09.81.1021210 36.7856 09 49520 Rerepair ing hernia, reduce A 9.63 5.34 NA 5.34 0.84 15.81 15.81 0090.09.81.1021210 36.7856 09 49521 Rerepair ing hernia, blocked A 11.97 5.68 NA 5.68 1.04 18.69 18.69 0090.09.81.1021210 36.7856 09 49525 Repair ing hernia, sliding A 8.57 4.83 NA 4.83 0.74 14.14 14.14 0090.09.81.1021210 36.7856 09 49540 Repair lumbar hernia A 10.39 5.51 NA 5.51 0.90 16.80 16.80 0090.09.81.1021210 36.7856 09 49550 Rpr rem hernia, init, reduce A 8.63 4.42 NA 4.42 0.75 13.80 13.80 0090.09.81.1021210 36.7856 09 49553 Rpr fem hernia, init blocked A 9.44 4.84 NA 4.84 0.83 15.11 15.11 0090.09.81.1021210 36.7856 09 49555 Rerepair fem hernia, reduce A 9.03 5.17 NA 5.17 0.79 14.99 14.99 0090.09.81.1021210 36.7856 09 49557 Rerepair fem hernia, blocked A 11.15 5.42 NA 5.42 0.97 17.54 17.54 0090.09.81.1021210 36.7856 09 49560 Rpr ventral hern init, reduc A 11.57 5.95 NA 5.95 1.00 18.52 18.52 0090.09.81.1021210 36.7856 09 49561 Rpr ventral hern init, block A 14.25 6.53 NA 6.53 1.23 22.01 22.01 0090.09.81.1021210 36.7856 09 49565 Rerepair ventrl hern, reduce A 11.57 6.11 NA 6.11 1.00 18.68 18.68 0090.09.81.1021210 36.7856 09 49566 Rerepair ventrl hern, block A 14.40 6.60 NA 6.60 1.24 22.24 22.24 0090.09.81.1021210 36.7856 09 49568 Hernia repair w/mesh A 4.89 1.71 NA 1.71 0.50 7.10 7.10 0ZZZ.00.00.0001210 36.7856 09 49570 Rpr epigastric hern, reduce A 5.69 3.43 NA 3.43 0.50 9.62 9.62 0090.09.81.1021210 36.7856 09 49572 Rpr epigastric hern, blocked A 6.73 3.91 NA 3.91 0.58 11.22 11.22 0090.09.81.1021210 36.7856 09 49580 Rpr umbil hern, reduc < 5 yr A 4.11 2.92 NA 2.92 0.34 7.37 7.37 0090.09.81.1020210 36.7856 09 49582 Rpr umbil hern, block < 5 yr A 6.65 4.86 NA 4.86 0.57 12.08 12.08 0090.09.81.1020210 36.7856 09 49585 Rpr umbil hern, reduc > 5 yr A 6.23 4.04 NA 4.04 0.53 10.80 10.80 0090.09.81.1020210 36.7856 09 49587 Rpr umbil hern, block > 5 yr A 7.56 4.15 NA 4.15 0.65 12.36 12.36 0090.09.81.1020210 36.7856 09 49590 Repair spigilian hernia A 8.54 4.85 NA 4.85 0.74 14.13 14.13 0090.09.81.1021210 36.7856 09 49600 Repair umbilical lesion A 10.96 6.07 NA 6.07 1.13 18.16 18.16 0090.09.81.1020210 36.7856 09 49605 Repair umbilical lesion A 76.00 29.89 NA 29.89 2.57 108.46 108.46 0090.09.81.1020210 36.7856 09 49606 Repair umbilical lesion A 18.60 9.06 NA 9.06 2.22 29.88 29.88 0090.09.81.1020210 36.7856 09 49610 Repair umbilical lesion A 10.50 6.77 NA 6.77 0.77 18.04 18.04 0090.09.81.1020210 36.7856 09 49611 Repair umbilical lesion A 8.92 9.64 NA 9.64 0.65 19.21 19.21 0090.09.81.1020210 36.7856 09 49650 Laparo hernia repair initial A 6.27 3.23 NA 3.23 0.64 10.14 10.14 0090.09.81.1021210 36.7856 09 49651 Laparo hernia repair recur A 8.24 4.28 NA 4.28 0.84 13.36 13.36 0090.09.81.1021210 36.7856 09 49659 Laparo proc, hernia repair C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 49900 Repair of abdominal wall A 12.28 6.65 NA 6.65 1.23 20.16 20.16 0090.09.81.1020210 36.7856 09 49904 Omental flap, extra-abdom A 20.00 15.98 NA 15.98 1.91 37.89 37.89 0090.10.80.1020111 36.7856 09 49905 Omental flap, intra-abdom A 6.55 2.34 NA 2.34 0.61 9.50 9.50 0ZZZ.00.00.0000220 36.7856 09 49906 Free omental flap, microvasc C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.81.1020110 36.7856 09 49999 Abdomen surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 50010 Exploration of kidney A 10.98 6.48 NA 6.48 0.79 18.25 18.25 0090.08.83.0920210 36.7856 09 50020 Renal abscess, open drain A 14.66 13.74 NA 13.74 0.80 29.20 29.20 0090.08.83.0920110 36.7856 09 50021 Renal abscess, percut drain A 3.38 9.98 NA 9.98 0.15 13.51 13.51 0000.00.00.0020200 36.7856 09 50040 Drainage of kidney A 14.94 10.83 NA 10.83 0.82 26.59 26.59 0090.08.83.0920110 36.7856 09 50045 Exploration of kidney A 15.46 7.88 NA 7.88 1.06 24.40 24.40 0090.08.83.0920210 36.7856 09 50060 Removal of kidney stone A 19.30 9.13 NA 9.13 1.14 29.57 29.57 0090.08.83.0920210 36.7856 09 50065 Incision of kidney A 20.79 8.01 NA 8.01 1.13 29.93 29.93 0090.08.83.0920200 36.7856 09 50070 Incision of kidney A 20.32 9.53 NA 9.53 1.20 31.05 31.05 0090.08.83.0920210 36.7856 09 50075 Removal of kidney stone A 25.34 11.61 NA 11.61 1.51 38.46 38.46 0090.08.83.0920210 36.7856 09 50080 Removal of kidney stone A 14.71 10.16 NA 10.16 0.86 25.73 25.73 0090.08.83.0920100 36.7856 09 50081 Removal of kidney stone A 21.80 12.23 NA 12.23 1.30 35.33 35.33 0090.08.83.0920210 36.7856 09 50100 Revise kidney blood vessels A 16.09 9.66 NA 9.66 1.64 27.39 27.39 0090.08.83.0920210 36.7856 09 50120 Exploration of kidney A 15.91 8.08 NA 8.08 1.04 25.03 25.03 0090.08.83.0920210 36.7856 09 50125 Explore and drain kidney A 16.52 8.36 NA 8.36 1.07 25.95 25.95 0090.08.83.0920210 36.7856 09 50130 Removal of kidney stone A 17.29 8.41 NA 8.41 1.04 26.74 26.74 0090.08.83.0920210 36.7856 09 50135 Exploration of kidney A 19.18 9.05 NA 9.05 1.18 29.41 29.41 0090.08.83.0920210 36.7856 09 50200 Biopsy of kidney A 2.63 0.93 NA 0.93 0.12 3.68 3.68 0000.00.00.0020100 36.7856 09 50205 Biopsy of kidney A 11.31 6.20 NA 6.20 0.94 18.45 18.45 0090.08.83.0920210 36.7856 09 50220 Remove kidney, open A 17.15 8.57 NA 8.57 1.16 26.88 26.88 0090.08.83.0920210 36.7856 09 50225 Removal kidney open, complex A 20.23 9.46 NA 9.46 1.26 30.95 30.95 0090.08.83.0920210 36.7856 09 50230 Removal kidney open, radical A 22.07 10.04 NA 10.04 1.35 33.46 33.46 0090.08.83.0920220 36.7856 09 50234 Removal of kidney & ureter A 22.40 10.14 NA 10.14 1.37 33.91 33.91 0090.08.83.0920210 36.7856 09 50236 Removal of kidney & ureter A 24.86 13.21 NA 13.21 1.50 39.57 39.57 0090.08.83.0920210 36.7856 09 50240 Partial removal of kidney A 22.00 12.33 NA 12.33 1.36 35.69 35.69 0090.08.83.0920210 36.7856 09 50280 Removal of kidney lesion A 15.67 7.95 NA 7.95 0.99 24.61 24.61 0090.08.83.0920210 36.7856 09 50290 Removal of kidney lesion A 14.73 7.80 NA 7.80 1.11 23.64 23.64 0090.08.83.0920210 36.7856 09 50300 Removal of donor kidney X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 50320 Removal of donor kidney A 22.21 10.24 NA 10.24 1.78 34.23 34.23 0090.08.83.0901210 36.7856 09 50340 Removal of kidney A 12.15 9.07 NA 9.07 1.15 22.37 22.37 0090.08.83.0921210 36.7856 09 50360 Transplantation of kidney A 31.53 17.43 NA 17.43 2.97 51.93 51.93 0090.08.83.0920222 36.7856 09 50365 Transplantation of kidney A 36.81 21.07 NA 21.07 3.51 61.39 61.39 0090.08.83.0921222 36.7856 09 50370 Remove transplanted kidney A 13.72 9.47 NA 9.47 1.26 24.45 24.45 0090.08.83.0920210 36.7856 09 50380 Reimplantation of kidney A 20.76 13.49 NA 13.49 1.80 36.05 36.05 0090.08.83.0920210 36.7856 09 50390 Drainage of kidney lesion A 1.96 0.66 NA 0.66 0.09 2.71 2.71 0000.00.00.0021100 36.7856 09 50392 Insert kidney drain A 3.38 1.13 NA 1.13 0.15 4.66 4.66 0000.00.00.0021100 36.7856 09 50393 Insert ureteral tube A 4.16 1.39 NA 1.39 0.18 5.73 5.73 0000.00.00.0021100 36.7856 09 50394 Injection for kidney x-ray A 0.76 2.44 0.26 0.04 3.24 1.06 0000.00.00.0021100 36.7856 09 50395 Create passage to kidney A 3.38 1.13 NA 1.13 0.16 4.67 4.67 0000.00.00.0021100 36.7856 09 50396 Measure kidney pressure A 2.09 0.87 NA 0.87 0.10 3.06 3.06 0000.00.00.0021000 36.7856 09 50398 Change kidney tube A 1.46 1.19 0.49 0.07 2.72 2.02 0000.00.00.0021100 36.7856 09 50400 Revision of kidney/ureter A 19.50 9.19 NA 9.19 1.21 29.90 29.90 0090.08.83.0920210 36.7856 09 50405 Revision of kidney/ureter A 23.93 11.44 NA 11.44 1.45 36.82 36.82 0090.08.83.0920210 36.7856 09 50500 Repair of kidney wound A 19.57 10.59 NA 10.59 1.45 31.61 31.61 0090.08.83.0920210 36.7856 09 50520 Close kidney-skin fistula A 17.23 10.04 NA 10.04 1.26 28.53 28.53 0090.08.83.0920210 36.7856 09 50525 Repair renal-abdomen fistula A 22.27 11.99 NA 11.99 1.51 35.77 35.77 0090.08.83.0920210 36.7856 09 50526 Repair renal-abdomen fistula A 24.02 13.43 NA 13.43 1.62 39.07 39.07 0090.08.83.0920200 36.7856 09 50540 Revision of horseshoe kidney A 19.93 9.97 NA 9.97 1.28 31.18 31.18 0090.08.83.0922210 36.7856 09 50541 Laparo ablate renal cyst A 16.00 6.37 NA 6.37 0.99 23.36 23.36 0090.08.83.0920210 36.7856 09 50542 Laparo ablate renal mass A 20.00 8.34 NA 8.34 1.36 29.70 29.70 0090.08.83.0920210 36.7856 09 50543 Laparo partial nephrectomy A 25.50 10.48 NA 10.48 1.36 37.34 37.34 0090.08.83.0920210 36.7856 09 50544 Laparoscopy, pyeloplasty A 22.40 8.56 NA 8.56 1.41 32.37 32.37 0090.08.83.0920210 36.7856 09 50545 Laparo radical nephrectomy A 24.00 9.14 NA 9.14 1.53 34.67 34.67 0090.08.83.0921210 36.7856 09 50546 Laparoscopic nephrectomy A 20.48 7.95 NA 7.95 1.37 29.80 29.80 0090.08.83.0920210 36.7856 09 50547 Laparo removal donor kidney A 25.50 10.79 NA 10.79 2.04 38.33 38.33 0090.08.83.0921210 36.7856 09 50548 Laparo remove k/ureter A 24.40 9.18 NA 9.18 1.49 35.07 35.07 0090.08.83.0920210 36.7856 09 50549 Laparoscope proc, renal C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 50551 Kidney endoscopy A 5.60 4.06 1.84 0.33 9.99 7.77 0000.00.00.0021000 36.7856 09 50553 Kidney endoscopy A 5.99 14.02 2.00 0.35 20.36 8.34 0000.00.00.0021100 36.7856 09 50555 Kidney endoscopy & biopsy A 6.53 16.01 2.17 0.38 22.92 9.08 0000.00.00.0031000 50551 36.7856 09 50557 Kidney endoscopy & treatment A 6.62 14.80 2.18 0.39 21.81 9.19 0000.00.00.0031000 50551 36.7856 09 50559 Renal endoscopy/radiotracer A 6.78 2.31 NA 2.31 0.27 9.36 9.36 0000.00.00.0031000 50551 36.7856 09 50561 Kidney endoscopy & treatment A 7.59 14.09 2.51 0.44 22.12 10.54 0000.00.00.0031000 50551 36.7856 09 50562 Renal scope w/tumor resect A 10.92 4.02 NA 4.02 0.84 15.78 15.78 0090.08.83.0920210 36.7856 09 50570 Kidney endoscopy A 9.54 3.13 NA 3.13 0.56 13.23 13.23 0000.00.00.0021000 36.7856 09 50572 Kidney endoscopy A 10.35 3.41 NA 3.41 0.64 14.40 14.40 0000.00.00.0031000 50570 36.7856 09 50574 Kidney endoscopy & biopsy A 11.02 3.64 NA 3.64 0.65 15.31 15.31 0000.00.00.0031000 50570 36.7856 09 50575 Kidney endoscopy A 13.98 4.60 NA 4.60 0.84 19.42 19.42 0000.00.00.0031100 50570 36.7856 09 50576 Kidney endoscopy & treatment A 10.99 3.60 NA 3.60 0.66 15.25 15.25 0000.00.00.0031000 50570 36.7856 09 50578 Renal endoscopy/radiotracer A 11.35 3.73 NA 3.73 0.67 15.75 15.75 0000.00.00.0031000 50570 36.7856 09 50580 Kidney endoscopy & treatment A 11.86 3.90 NA 3.90 0.70 16.46 16.46 0000.00.00.0031000 50570 36.7856 09 50590 Fragmenting of kidney stone A 9.09 10.73 4.94 0.54 20.36 14.57 0090.08.83.0921100 36.7856 09 50600 Exploration of ureter A 15.84 8.11 NA 8.11 0.99 24.94 24.94 0090.08.83.0921210 36.7856 09 50605 Insert ureteral support A 15.46 8.26 NA 8.26 1.13 24.85 24.85 0090.08.83.0921210 36.7856 09 50610 Removal of ureter stone A 15.92 8.44 NA 8.44 1.08 25.44 25.44 0090.08.83.0921210 36.7856 09 50620 Removal of ureter stone A 15.16 7.64 NA 7.64 0.91 23.71 23.71 0090.08.83.0921210 36.7856 09 50630 Removal of ureter stone A 14.94 7.60 NA 7.60 0.90 23.44 23.44 0090.08.83.0921210 36.7856 09 50650 Removal of ureter A 17.41 8.83 NA 8.83 1.07 27.31 27.31 0090.08.83.0920210 36.7856 09 50660 Removal of ureter A 19.55 9.57 NA 9.57 1.19 30.31 30.31 0090.08.83.0920210 36.7856 09 50684 Injection for ureter x-ray A 0.76 12.61 0.25 0.04 13.41 1.05 0000.00.00.0021100 36.7856 09 50686 Measure ureter pressure A 1.51 2.45 0.67 0.09 4.05 2.27 0000.00.00.0020000 36.7856 09 50688 Change of ureter tube A 1.17 1.69 NA 1.69 0.06 2.92 2.92 0010.10.80.1020100 36.7856 09 50690 Injection for ureter x-ray A 1.16 12.77 0.39 0.06 13.99 1.61 0000.00.00.0020100 36.7856 09 50700 Revision of ureter A 15.21 8.75 NA 8.75 0.86 24.82 24.82 0090.08.83.0920210 36.7856 09 50715 Release of ureter A 18.90 11.71 NA 11.71 1.68 32.29 32.29 0090.08.83.0921210 36.7856 09 50722 Release of ureter A 16.35 9.56 NA 9.56 1.41 27.32 27.32 0090.08.83.0920210 36.7856 09 50725 Release/revise ureter A 18.49 9.86 NA 9.86 1.44 29.79 29.79 0090.08.83.0920210 36.7856 09 50727 Revise ureter A 8.18 5.79 NA 5.79 0.51 14.48 14.48 0090.08.83.0920220 36.7856 09 50728 Revise ureter A 12.02 7.55 NA 7.55 0.88 20.45 20.45 0090.08.83.0920220 36.7856 09 50740 Fusion of ureter & kidney A 18.42 9.09 NA 9.09 1.49 29.00 29.00 0090.08.83.0920210 36.7856 09 50750 Fusion of ureter & kidney A 19.51 9.63 NA 9.63 1.24 30.38 30.38 0090.08.83.0920200 36.7856 09 50760 Fusion of ureters A 18.42 9.37 NA 9.37 1.25 29.04 29.04 0090.08.83.0920210 36.7856 09 50770 Splicing of ureters A 19.51 9.55 NA 9.55 1.25 30.31 30.31 0090.08.83.0920210 36.7856 09 50780 Reimplant ureter in bladder A 18.36 9.22 NA 9.22 1.20 28.78 28.78 0090.08.83.0921210 36.7856 09 50782 Reimplant ureter in bladder A 19.54 11.06 NA 11.06 1.13 31.73 31.73 0090.08.83.0921220 36.7856 09 50783 Reimplant ureter in bladder A 20.55 10.18 NA 10.18 1.35 32.08 32.08 0090.08.83.0921220 36.7856 09 50785 Reimplant ureter in bladder A 20.52 9.96 NA 9.96 1.30 31.78 31.78 0090.08.83.0921210 36.7856 09 50800 Implant ureter in bowel A 14.52 8.99 NA 8.99 0.92 24.43 24.43 0090.08.83.0921210 36.7856 09 50810 Fusion of ureter & bowel A 20.05 12.28 NA 12.28 1.78 34.11 34.11 0090.08.83.0920210 36.7856 09 50815 Urine shunt to intestine A 19.93 10.98 NA 10.98 1.31 32.22 32.22 0090.08.83.0921210 36.7856 09 50820 Construct bowel bladder A 21.89 11.33 NA 11.33 1.38 34.60 34.60 0090.08.83.0921210 36.7856 09 50825 Construct bowel bladder A 28.18 14.12 NA 14.12 1.81 44.11 44.11 0090.08.83.0920210 36.7856 09 50830 Revise urine flow A 31.28 14.80 NA 14.80 2.20 48.28 48.28 0090.08.83.0920210 36.7856 09 50840 Replace ureter by bowel A 20.00 10.92 NA 10.92 1.26 32.18 32.18 0090.08.83.0921210 36.7856 09 50845 Appendico-vesicostomy A 20.89 9.62 NA 9.62 1.26 31.77 31.77 0090.08.83.0920210 36.7856 09 50860 Transplant ureter to skin A 15.36 8.23 NA 8.23 1.01 24.60 24.60 0090.08.83.0921210 36.7856 09 50900 Repair of ureter A 13.62 7.40 NA 7.40 0.98 22.00 22.00 0090.08.83.0920210 36.7856 09 50920 Closure ureter/skin fistula A 14.33 7.95 NA 7.95 0.84 23.12 23.12 0090.08.83.0920210 36.7856 09 50930 Closure ureter/bowel fistula A 18.72 9.48 NA 9.48 1.57 29.77 29.77 0090.08.83.0920210 36.7856 09 50940 Release of ureter A 14.51 7.65 NA 7.65 1.04 23.20 23.20 0090.08.83.0921210 36.7856 09 50945 Laparoscopy ureterolithotomy A 17.00 6.99 NA 6.99 1.15 25.14 25.14 0090.08.83.0921210 36.7856 09 50947 Laparo new ureter/bladder A 24.50 9.90 NA 9.90 1.99 36.39 36.39 0090.08.83.0921210 36.7856 09 50948 Laparo new ureter/bladder A 22.50 8.85 NA 8.85 1.83 33.18 33.18 0090.08.83.0921210 36.7856 09 50949 Laparoscope proc, ureter C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021210 36.7856 09 50951 Endoscopy of ureter A 5.84 4.50 1.92 0.35 10.69 8.11 0000.00.00.0021000 36.7856 09 50953 Endoscopy of ureter A 6.24 13.95 2.06 0.37 20.56 8.67 0000.00.00.0031000 50951 36.7856 09 50955 Ureter endoscopy & biopsy A 6.75 17.98 2.26 0.38 25.11 9.39 0000.00.00.0031000 50951 36.7856 09 50957 Ureter endoscopy & treatment A 6.79 13.79 2.24 0.40 20.98 9.43 0000.00.00.0031000 50951 36.7856 09 50959 Ureter endoscopy & tracer A 4.40 1.45 NA 1.45 0.18 6.03 6.03 0000.00.00.0031000 50951 36.7856 09 50961 Ureter endoscopy & treatment A 6.05 17.61 1.99 0.35 24.01 8.39 0000.00.00.0031000 50951 36.7856 09 50970 Ureter endoscopy A 7.14 2.36 NA 2.36 0.43 9.93 9.93 0000.00.00.0021000 36.7856 09 50972 Ureter endoscopy & catheter A 6.89 2.32 NA 2.32 0.39 9.60 9.60 0000.00.00.0021000 36.7856 09 50974 Ureter endoscopy & biopsy A 9.17 3.01 NA 3.01 0.53 12.71 12.71 0000.00.00.0031000 50970 36.7856 09 50976 Ureter endoscopy & treatment A 9.04 2.99 NA 2.99 0.53 12.56 12.56 0000.00.00.0031000 50970 36.7856 09 50978 Ureter endoscopy & tracer A 5.10 1.74 NA 1.74 0.30 7.14 7.14 0000.00.00.0021000 36.7856 09 50980 Ureter endoscopy & treatment A 6.85 2.26 NA 2.26 0.41 9.52 9.52 0000.00.00.0021000 36.7856 09 51000 Drainage of bladder A 0.78 1.87 0.25 0.05 2.70 1.08 0000.00.00.0020100 36.7856 09 51005 Drainage of bladder A 1.02 3.05 0.35 0.08 4.15 1.45 0000.00.00.0020100 36.7856 09 51010 Drainage of bladder A 3.53 5.71 2.08 0.23 9.47 5.84 0010.10.80.1020100 36.7856 09 51020 Incise & treat bladder A 6.71 5.08 NA 5.08 0.42 12.21 12.21 0090.08.83.0920210 36.7856 09 51030 Incise & treat bladder A 6.77 5.36 NA 5.36 0.42 12.55 12.55 0090.08.83.0920000 36.7856 09 51040 Incise & drain bladder A 4.40 3.80 NA 3.80 0.27 8.47 8.47 0090.08.83.0920210 36.7856 09 51045 Incise bladder/drain ureter A 6.77 5.46 NA 5.46 0.47 12.70 12.70 0090.08.83.0920200 36.7856 09 51050 Removal of bladder stone A 6.92 4.53 NA 4.53 0.42 11.87 11.87 0090.08.83.0920210 36.7856 09 51060 Removal of ureter stone A 8.85 5.65 NA 5.65 0.54 15.04 15.04 0090.08.83.0920210 36.7856 09 51065 Remove ureter calculus A 8.85 5.50 NA 5.50 0.53 14.88 14.88 0090.08.83.0920000 36.7856 09 51080 Drainage of bladder abscess A 5.96 5.14 NA 5.14 0.35 11.45 11.45 0090.08.83.0920210 36.7856 09 51500 Removal of bladder cyst A 10.14 5.85 NA 5.85 0.88 16.87 16.87 0090.08.83.0920210 36.7856 09 51520 Removal of bladder lesion A 9.29 5.87 NA 5.87 0.58 15.74 15.74 0090.08.83.0920210 36.7856 09 51525 Removal of bladder lesion A 13.97 7.28 NA 7.28 0.85 22.10 22.10 0090.08.83.0920210 36.7856 09 51530 Removal of bladder lesion A 12.38 7.08 NA 7.08 0.82 20.28 20.28 0090.08.83.0920210 36.7856 09 51535 Repair of ureter lesion A 12.57 7.63 NA 7.63 0.90 21.10 21.10 0090.08.83.0921210 36.7856 09 51550 Partial removal of bladder A 15.66 7.97 NA 7.97 1.05 24.68 24.68 0090.08.83.0920210 36.7856 09 51555 Partial removal of bladder A 21.23 10.19 NA 10.19 1.37 32.79 32.79 0090.08.83.0920210 36.7856 09 51565 Revise bladder & ureter(s) A 21.62 10.66 NA 10.66 1.40 33.68 33.68 0090.08.83.0920210 36.7856 09 51570 Removal of bladder A 24.24 11.71 NA 11.71 1.59 37.54 37.54 0090.08.83.0920210 36.7856 09 51575 Removal of bladder & nodes A 30.45 14.33 NA 14.33 1.88 46.66 46.66 0090.08.83.0922210 36.7856 09 51580 Remove bladder/revise tract A 31.08 14.97 NA 14.97 1.94 47.99 47.99 0090.08.83.0920210 36.7856 09 51585 Removal of bladder & nodes A 35.23 16.07 NA 16.07 2.18 53.48 53.48 0090.08.83.0922210 36.7856 09 51590 Remove bladder/revise tract A 32.66 14.90 NA 14.90 2.01 49.57 49.57 0090.08.83.0920210 36.7856 09 51595 Remove bladder/revise tract A 37.14 16.33 NA 16.33 2.23 55.70 55.70 0090.08.83.0922210 36.7856 09 51596 Remove bladder/create pouch A 39.52 17.60 NA 17.60 2.39 59.51 59.51 0090.08.83.0920210 36.7856 09 51597 Removal of pelvic structures A 38.35 17.28 NA 17.28 2.49 58.12 58.12 0090.08.83.0920210 36.7856 09 51600 Injection for bladder x-ray A 0.88 4.76 0.30 0.04 5.68 1.22 0000.00.00.0020100 36.7856 09 51605 Preparation for bladder xray A 0.64 13.63 0.22 0.04 14.31 0.90 0000.00.00.0020100 36.7856 09 51610 Injection for bladder x-ray A 1.05 13.41 0.35 0.05 14.51 1.45 0000.00.00.0020100 36.7856 09 51700 Irrigation of bladder A 0.88 1.16 0.29 0.05 2.09 1.22 0000.00.00.0020100 36.7856 09 51701 Insert bladder catheter A 0.50 1.06 0.20 0.03 1.59 0.73 0000.00.00.0020100 36.7856 09 51702 Insert temp bladder cath A 0.50 1.97 0.27 0.03 2.50 0.80 0000.00.00.0020100 36.7856 09 51703 Insert bladder cath, complex A 1.47 1.91 0.59 0.09 3.47 2.15 0000.00.00.0020100 36.7856 09 51705 Change of bladder tube A 1.02 1.40 0.54 0.06 2.48 1.62 0010.10.80.1020100 36.7856 09 51710 Change of bladder tube A 1.49 3.90 1.30 0.09 5.48 2.88 0010.10.80.1020100 36.7856 09 51715 Endoscopic injection/implant A 3.74 3.64 1.24 0.24 7.62 5.22 0000.00.00.0020000 36.7856 09 51720 Treatment of bladder lesion A 1.96 1.41 0.73 0.12 3.49 2.81 0000.00.00.0020100 36.7856 09 51725 Simple cystometrogram A 1.51 7.29 7.29 NA 0.13 8.93 8.93 1000.00.00.0020000 36.7856 09 51725TCSimple cystometrogram A 0.00 6.78 6.78 NA 0.03 6.81 6.81 1000.00.00.0000000 36.7856 02 5172526Simple cystometrogram A 1.51 0.51 0.51 0.10 2.12 2.12 1000.00.00.0020000 36.7856 09 51726 Complex cystometrogram A 1.71 6.97 6.97 NA 0.15 8.83 8.83 1000.00.00.0020100 36.7856 09 51726TCComplex cystometrogram A 0.00 6.39 6.39 NA 0.04 6.43 6.43 1000.00.00.0000100 36.7856 02 5172626Complex cystometrogram A 1.71 0.58 0.58 0.11 2.40 2.40 1000.00.00.0020100 36.7856 09 51736 Urine flow measurement A 0.61 0.55 0.55 NA 0.05 1.21 1.21 1000.00.00.0020000 36.7856 09 51736TCUrine flow measurement A 0.00 0.34 0.34 NA 0.01 0.35 0.35 1000.00.00.0000000 36.7856 02 5173626Urine flow measurement A 0.61 0.21 0.21 0.04 0.86 0.86 1000.00.00.0020000 36.7856 09 51741 Electro-uroflowmetry, first A 1.14 0.79 0.79 NA 0.09 2.02 2.02 1000.00.00.0020100 36.7856 09 51741TCElectro-uroflowmetry, first A 0.00 0.41 0.41 NA 0.02 0.43 0.43 1000.00.00.0000100 36.7856 02 5174126Electro-uroflowmetry, first A 1.14 0.38 0.38 0.07 1.59 1.59 1000.00.00.0020100 36.7856 09 51772 Urethra pressure profile A 1.61 6.32 6.32 NA 0.16 8.09 8.09 1000.00.00.0020000 36.7856 09 51772TCUrethra pressure profile A 0.00 5.75 5.75 NA 0.04 5.79 5.79 1000.00.00.0000000 36.7856 02 5177226Urethra pressure profile A 1.61 0.57 0.57 0.12 2.30 2.30 1000.00.00.0020000 36.7856 09 51784 Anal/urinary muscle study A 1.53 5.25 5.25 NA 0.13 6.91 6.91 1000.00.00.0020100 36.7856 09 51784TCAnal/urinary muscle study A 0.00 4.73 4.73 NA 0.03 4.76 4.76 1000.00.00.0000100 36.7856 02 5178426Anal/urinary muscle study A 1.53 0.52 0.52 0.10 2.15 2.15 1000.00.00.0020100 36.7856 09 51785 Anal/urinary muscle study A 1.53 5.27 5.27 NA 0.12 6.92 6.92 1000.00.00.0020000 36.7856 09 51785TCAnal/urinary muscle study A 0.00 4.75 4.75 NA 0.03 4.78 4.78 1000.00.00.0000000 36.7856 03 5178526Anal/urinary muscle study A 1.53 0.52 0.52 0.09 2.14 2.14 1000.00.00.0020000 36.7856 09 51792 Urinary reflex study A 1.10 5.44 5.44 NA 0.20 6.74 6.74 1000.00.00.0020000 36.7856 09 51792TCUrinary reflex study A 0.00 5.01 5.01 NA 0.11 5.12 5.12 1000.00.00.0000000 36.7856 02 5179226Urinary reflex study A 1.10 0.43 0.43 0.09 1.62 1.62 1000.00.00.0020000 36.7856 09 51795 Urine voiding pressure study A 1.53 6.70 6.70 NA 0.18 8.41 8.41 1000.00.00.0020000 36.7856 09 51795TCUrine voiding pressure study A 0.00 6.18 6.18 NA 0.08 6.26 6.26 1000.00.00.0000000 36.7856 02 5179526Urine voiding pressure study A 1.53 0.52 0.52 0.10 2.15 2.15 1000.00.00.0020000 36.7856 09 51797 Intraabdominal pressure test A 1.60 4.31 4.31 NA 0.14 6.05 6.05 1000.00.00.0020000 36.7856 09 51797TCIntraabdominal pressure test A 0.00 3.77 3.77 NA 0.04 3.81 3.81 1000.00.00.0000000 36.7856 02 5179726Intraabdominal pressure test A 1.60 0.54 0.54 0.10 2.24 2.24 1000.00.00.0020000 36.7856 09 51798 Us urine capacity measure A 0.00 0.58 0.58 NA 0.07 0.65 0.65 0XXX.00.00.0000000 36.7856 09 51800 Revision of bladder/urethra A 17.42 8.79 NA 8.79 1.17 27.38 27.38 0090.08.83.0920210 36.7856 09 51820 Revision of urinary tract A 17.89 10.56 NA 10.56 1.45 29.90 29.90 0090.08.83.0922210 36.7856 09 51840 Attach bladder/urethra A 10.71 6.31 NA 6.31 0.87 17.89 17.89 0090.08.83.0920210 36.7856 09 51841 Attach bladder/urethra A 13.03 7.98 NA 7.98 1.04 22.05 22.05 0090.08.83.0920210 36.7856 09 51845 Repair bladder neck A 9.73 6.13 NA 6.13 0.62 16.48 16.48 0090.08.83.0920210 36.7856 09 51860 Repair of bladder wound A 12.02 7.34 NA 7.34 0.89 20.25 20.25 0090.08.83.0920210 36.7856 09 51865 Repair of bladder wound A 15.04 8.18 NA 8.18 1.01 24.23 24.23 0090.08.83.0920210 36.7856 09 51880 Repair of bladder opening A 7.66 5.30 NA 5.30 0.54 13.50 13.50 0090.08.83.0920210 36.7856 09 51900 Repair bladder/vagina lesion A 12.97 7.62 NA 7.62 0.87 21.46 21.46 0090.08.83.0920210 36.7856 09 51920 Close bladder-uterus fistula A 11.81 6.82 NA 6.82 0.86 19.49 19.49 0090.08.83.0920210 36.7856 09 51925 Hysterectomy/bladder repair A 15.58 9.31 NA 9.31 1.48 26.37 26.37 0090.08.83.0920210 36.7856 09 51940 Correction of bladder defect A 28.43 15.43 NA 15.43 1.97 45.83 45.83 0090.08.83.0920210 36.7856 09 51960 Revision of bladder & bowel A 23.01 12.19 NA 12.19 1.41 36.61 36.61 0090.08.83.0920210 36.7856 09 51980 Construct bladder opening A 11.36 6.56 NA 6.56 0.74 18.66 18.66 0090.08.83.0920210 36.7856 09 51990 Laparo urethral suspension A 12.50 6.53 NA 6.53 1.02 20.05 20.05 0090.08.83.0920210 36.7856 09 51992 Laparo sling operation A 14.01 6.44 NA 6.44 0.93 21.38 21.38 0090.08.83.0920210 36.7856 09 52000 Cystoscopy A 2.01 4.57 0.78 0.12 6.70 2.91 0000.00.00.0020100 36.7856 09 52001 Cystoscopy, removal of clots A 5.45 7.89 2.33 0.32 13.66 8.10 0000.00.00.0020100 36.7856 09 52005 Cystoscopy & ureter catheter A 2.37 6.38 0.92 0.15 8.90 3.44 0000.00.00.0020100 36.7856 09 52007 Cystoscopy and biopsy A 3.02 1.17 NA 1.17 0.18 4.37 4.37 0000.00.00.0031100 52000 36.7856 09 52010 Cystoscopy & duct catheter A 3.02 7.77 1.15 0.18 10.97 4.35 0000.00.00.0030100 52000 36.7856 09 52204 Cystoscopy A 2.37 5.44 0.93 0.15 7.96 3.45 0000.00.00.0030100 52000 36.7856 09 52214 Cystoscopy and treatment A 3.71 7.24 1.36 0.22 11.17 5.29 0000.00.00.0030100 52000 36.7856 09 52224 Cystoscopy and treatment A 3.14 6.12 1.18 0.18 9.44 4.50 0000.00.00.0030100 52000 36.7856 09 52234 Cystoscopy and treatment A 4.63 1.67 NA 1.67 0.27 6.57 6.57 0000.00.00.0020100 36.7856 09 52235 Cystoscopy and treatment A 5.45 1.95 NA 1.95 0.32 7.72 7.72 0000.00.00.0020100 36.7856 09 52240 Cystoscopy and treatment A 9.72 3.37 NA 3.37 0.58 13.67 13.67 0000.00.00.0020100 36.7856 09 52250 Cystoscopy and radiotracer A 4.50 1.70 NA 1.70 0.27 6.47 6.47 0000.00.00.0030100 52000 36.7856 09 52260 Cystoscopy and treatment A 3.92 1.46 NA 1.46 0.23 5.61 5.61 0000.00.00.0030100 52000 36.7856 09 52265 Cystoscopy and treatment A 2.94 5.67 1.14 0.18 8.79 4.26 0000.00.00.0030100 52000 36.7856 09 52270 Cystoscopy & revise urethra A 3.37 6.41 1.34 0.20 9.98 4.91 0000.00.00.0030100 52000 36.7856 09 52275 Cystoscopy & revise urethra A 4.70 7.11 1.78 0.28 12.09 6.76 0000.00.00.0030100 52000 36.7856 09 52276 Cystoscopy and treatment A 5.00 8.01 1.90 0.30 13.31 7.20 0000.00.00.0030100 52000 36.7856 09 52277 Cystoscopy and treatment A 6.17 2.31 NA 2.31 0.38 8.86 8.86 0000.00.00.0030000 52000 36.7856 09 52281 Cystoscopy and treatment A 2.80 8.05 1.10 0.17 11.02 4.07 0000.00.00.0030100 52000 36.7856 09 52282 Cystoscopy, implant stent A 6.40 13.08 2.29 0.38 19.86 9.07 0000.00.00.0030100 52000 36.7856 09 52283 Cystoscopy and treatment A 3.74 5.86 1.41 0.22 9.82 5.37 0000.00.00.0030100 52000 36.7856 09 52285 Cystoscopy and treatment A 3.61 6.31 1.37 0.22 10.14 5.20 0000.00.00.0030100 52000 36.7856 09 52290 Cystoscopy and treatment A 4.59 1.69 NA 1.69 0.27 6.55 6.55 0000.00.00.0032100 52000 36.7856 09 52300 Cystoscopy and treatment A 5.31 1.95 NA 1.95 0.32 7.58 7.58 0000.00.00.0032000 52000 36.7856 09 52301 Cystoscopy and treatment A 5.51 2.04 NA 2.04 0.39 7.94 7.94 0000.00.00.0032000 52000 36.7856 09 52305 Cystoscopy and treatment A 5.31 1.90 NA 1.90 0.31 7.52 7.52 0000.00.00.0030100 52000 36.7856 09 52310 Cystoscopy and treatment A 2.81 4.73 1.05 0.17 7.71 4.03 0000.00.00.0030100 52000 36.7856 09 52315 Cystoscopy and treatment A 5.21 5.75 1.88 0.31 11.27 7.40 0000.00.00.0030100 52000 36.7856 09 52317 Remove bladder stone A 6.72 7.82 2.34 0.40 14.94 9.46 0000.00.00.0030100 52000 36.7856 09 52318 Remove bladder stone A 9.19 3.17 NA 3.17 0.54 12.90 12.90 0000.00.00.0030100 52000 36.7856 09 52320 Cystoscopy and treatment A 4.70 1.68 NA 1.68 0.28 6.66 6.66 0000.00.00.0031100 52005 36.7856 09 52325 Cystoscopy, stone removal A 6.16 2.17 NA 2.17 0.37 8.70 8.70 0000.00.00.0031100 52005 36.7856 09 52327 Cystoscopy, inject material A 5.19 1.87 NA 1.87 0.32 7.38 7.38 0000.00.00.0030100 52005 36.7856 09 52330 Cystoscopy and treatment A 5.04 17.40 1.80 0.30 22.74 7.14 0000.00.00.0031100 52005 36.7856 09 52332 Cystoscopy and treatment A 2.83 16.40 1.07 0.17 19.40 4.07 0000.00.00.0031100 52005 36.7856 09 52334 Create passage to kidney A 4.83 1.80 NA 1.80 0.28 6.91 6.91 0000.00.00.0031100 52005 36.7856 09 52341 Cysto w/ureter stricture tx A 6.00 2.26 NA 2.26 0.37 8.63 8.63 0000.00.00.0031100 52005 36.7856 09 52342 Cysto w/up stricture tx A 6.50 2.41 NA 2.41 0.40 9.31 9.31 0000.00.00.0031100 52005 36.7856 09 52343 Cysto w/renal stricture tx A 7.20 2.69 NA 2.69 0.44 10.33 10.33 0000.00.00.0031100 52005 36.7856 09 52344 Cysto/uretero, stone remove A 7.70 2.87 NA 2.87 0.47 11.04 11.04 0000.00.00.0031100 52005 36.7856 09 52345 Cysto/uretero w/up stricture A 8.20 3.03 NA 3.03 0.50 11.73 11.73 0000.00.00.0030000 52351 36.7856 09 52346 Cystouretero w/renal strict A 9.23 3.38 NA 3.38 0.57 13.18 13.18 0000.00.00.0030000 52351 36.7856 09 52347 Cystoscopy, resect ducts A 5.28 2.09 NA 2.09 0.33 7.70 7.70 0000.00.00.0030000 52010 36.7856 09 52351 Cystouretero & or pyeloscope A 5.86 2.19 NA 2.19 0.36 8.41 8.41 0000.00.00.0020100 36.7856 09 52352 Cystouretero w/stone remove A 6.88 2.57 NA 2.57 0.42 9.87 9.87 0000.00.00.0031100 52351 36.7856 09 52353 Cystouretero w/lithotripsy A 7.97 2.93 NA 2.93 0.49 11.39 11.39 0000.00.00.0031100 52351 36.7856 09 52354 Cystouretero w/biopsy A 7.34 2.74 NA 2.74 0.45 10.53 10.53 0000.00.00.0031100 52351 36.7856 09 52355 Cystouretero w/excise tumor A 8.82 3.22 NA 3.22 0.55 12.59 12.59 0000.00.00.0031100 52351 36.7856 09 52400 Cystouretero w/congen repr A 9.68 4.31 NA 4.31 0.60 14.59 14.59 0090.08.83.0920100 36.7856 09 52450 Incision of prostate A 7.64 3.65 NA 3.65 0.46 11.75 11.75 0090.08.83.0920100 36.7856 09 52500 Revision of bladder neck A 8.47 3.91 NA 3.91 0.50 12.88 12.88 0090.08.83.0920100 36.7856 09 52510 Dilation prostatic urethra A 6.72 3.24 NA 3.24 0.40 10.36 10.36 0090.08.83.0920100 36.7856 09 52601 Prostatectomy (TURP) A 12.37 5.23 NA 5.23 0.74 18.34 18.34 0090.08.83.0920100 36.7856 09 52606 Control postop bleeding A 8.13 3.56 NA 3.56 0.49 12.18 12.18 0090.08.83.0920100 36.7856 09 52612 Prostatectomy, first stage A 7.98 3.83 NA 3.83 0.48 12.29 12.29 0090.08.83.0920100 36.7856 09 52614 Prostatectomy, second stage A 6.84 3.42 NA 3.42 0.41 10.67 10.67 0090.08.83.0920100 36.7856 09 52620 Remove residual prostate A 6.61 3.08 NA 3.08 0.39 10.08 10.08 0090.08.83.0920100 36.7856 09 52630 Remove prostate regrowth A 7.26 3.20 NA 3.20 0.43 10.89 10.89 0090.08.83.0920100 36.7856 09 52640 Relieve bladder contracture A 6.62 3.10 NA 3.10 0.39 10.11 10.11 0090.08.83.0920100 36.7856 09 52647 Laser surgery of prostate A 10.36 42.87 4.57 0.61 53.84 15.54 0090.08.83.0920100 36.7856 09 52648 Laser surgery of prostate A 11.21 4.78 NA 4.78 0.66 16.65 16.65 0090.08.83.0920100 36.7856 09 52700 Drainage of prostate abscess A 6.80 3.24 NA 3.24 0.41 10.45 10.45 0090.08.83.0920000 36.7856 09 53000 Incision of urethra A 2.28 7.31 2.23 0.13 9.72 4.64 0010.10.80.1020100 36.7856 09 53010 Incision of urethra A 3.64 4.08 NA 4.08 0.20 7.92 7.92 0090.08.83.0920100 36.7856 09 53020 Incision of urethra A 1.77 3.05 0.66 0.11 4.93 2.54 0000.00.00.0020100 36.7856 09 53025 Incision of urethra A 1.13 3.69 0.45 0.07 4.89 1.65 0000.00.00.0020000 36.7856 09 53040 Drainage of urethra abscess A 6.40 11.86 7.17 0.41 18.67 13.98 0090.08.83.0920000 36.7856 09 53060 Drainage of urethra abscess A 2.63 5.91 2.67 0.23 8.77 5.53 0010.10.80.1020100 36.7856 09 53080 Drainage of urinary leakage A 6.29 7.22 NA 7.22 0.42 13.93 13.93 0090.08.83.0920100 36.7856 09 53085 Drainage of urinary leakage A 10.27 8.63 NA 8.63 0.67 19.57 19.57 0090.08.83.0920210 36.7856 09 53200 Biopsy of urethra A 2.59 4.76 0.95 0.17 7.52 3.71 0000.00.00.0020100 36.7856 09 53210 Removal of urethra A 12.57 7.49 NA 7.49 0.81 20.87 20.87 0090.08.83.0920210 36.7856 09 53215 Removal of urethra A 15.58 8.08 NA 8.08 0.93 24.59 24.59 0090.08.83.0920210 36.7856 09 53220 Treatment of urethra lesion A 7.00 5.08 NA 5.08 0.44 12.52 12.52 0090.08.83.0920000 36.7856 09 53230 Removal of urethra lesion A 9.58 5.80 NA 5.80 0.60 15.98 15.98 0090.08.83.0920210 36.7856 09 53235 Removal of urethra lesion A 10.14 6.00 NA 6.00 0.60 16.74 16.74 0090.08.83.0920210 36.7856 09 53240 Surgery for urethra pouch A 6.45 4.85 NA 4.85 0.42 11.72 11.72 0090.08.83.0920100 36.7856 09 53250 Removal of urethra gland A 5.89 4.24 NA 4.24 0.35 10.48 10.48 0090.08.83.0920100 36.7856 09 53260 Treatment of urethra lesion A 2.98 5.30 2.24 0.23 8.51 5.45 0010.10.80.1020100 36.7856 09 53265 Treatment of urethra lesion A 3.12 5.77 2.28 0.20 9.09 5.60 0010.10.80.1020100 36.7856 09 53270 Removal of urethra gland A 3.09 5.58 2.52 0.21 8.88 5.82 0010.10.80.1020100 36.7856 09 53275 Repair of urethra defect A 4.53 3.04 NA 3.04 0.28 7.85 7.85 0010.10.80.1020100 36.7856 09 53400 Revise urethra, stage 1 A 12.77 7.42 NA 7.42 0.85 21.04 21.04 0090.08.83.0920210 36.7856 09 53405 Revise urethra, stage 2 A 14.48 7.70 NA 7.70 0.91 23.09 23.09 0090.08.83.0920210 36.7856 09 53410 Reconstruction of urethra A 16.44 8.43 NA 8.43 0.99 25.86 25.86 0090.08.83.0920210 36.7856 09 53415 Reconstruction of urethra A 19.41 8.99 NA 8.99 1.16 29.56 29.56 0090.08.83.0920210 36.7856 09 53420 Reconstruct urethra, stage 1 A 14.08 8.53 NA 8.53 0.90 23.51 23.51 0090.08.83.0920110 36.7856 09 53425 Reconstruct urethra, stage 2 A 15.98 8.49 NA 8.49 0.97 25.44 25.44 0090.08.83.0920210 36.7856 09 53430 Reconstruction of urethra A 16.34 8.62 NA 8.62 1.01 25.97 25.97 0090.08.83.0920210 36.7856 09 53431 Reconstruct urethra/bladder A 19.89 9.04 NA 9.04 1.30 30.23 30.23 0090.08.83.0920210 36.7856 09 53440 Male sling procedure A 13.62 6.33 NA 6.33 0.73 20.68 20.68 0090.08.83.0920210 36.7856 09 53442 Remove/revise male sling A 11.57 5.93 NA 5.93 0.55 18.05 18.05 0090.08.83.0920200 36.7856 09 53444 Insert tandem cuff A 13.40 6.14 NA 6.14 0.88 20.42 20.42 0090.08.83.0920210 36.7856 09 53445 Insert uro/ves nck sphincter A 14.06 7.76 NA 7.76 0.84 22.66 22.66 0090.08.83.0920210 36.7856 09 53446 Remove uro sphincter A 10.23 5.82 NA 5.82 0.67 16.72 16.72 0090.08.83.0920210 36.7856 09 53447 Remove/replace ur sphincter A 13.49 6.55 NA 6.55 0.79 20.83 20.83 0090.08.83.0920210 36.7856 09 53448 Remov/replc ur sphinctr comp A 21.15 9.85 NA 9.85 1.39 32.39 32.39 0090.08.83.0920210 36.7856 09 53449 Repair uro sphincter A 9.70 5.90 NA 5.90 0.57 16.17 16.17 0090.08.83.0920210 36.7856 09 53450 Revision of urethra A 6.14 4.53 NA 4.53 0.37 11.04 11.04 0090.08.83.0920100 36.7856 09 53460 Revision of urethra A 7.12 4.90 NA 4.90 0.43 12.45 12.45 0090.08.83.0920000 36.7856 09 53502 Repair of urethra injury A 7.63 5.32 NA 5.32 0.50 13.45 13.45 0090.08.83.0920100 36.7856 09 53505 Repair of urethra injury A 7.63 5.04 NA 5.04 0.46 13.13 13.13 0090.08.83.0920200 36.7856 09 53510 Repair of urethra injury A 10.11 6.43 NA 6.43 0.60 17.14 17.14 0090.08.83.0920210 36.7856 09 53515 Repair of urethra injury A 13.31 7.05 NA 7.05 0.83 21.19 21.19 0090.08.83.0920210 36.7856 09 53520 Repair of urethra defect A 8.68 5.50 NA 5.50 0.53 14.71 14.71 0090.08.83.0920100 36.7856 09 53600 Dilate urethra stricture A 1.21 0.87 0.45 0.07 2.15 1.73 0000.00.00.0020100 36.7856 09 53601 Dilate urethra stricture A 0.98 0.95 0.39 0.06 1.99 1.43 0000.00.00.0020100 36.7856 09 53605 Dilate urethra stricture A 1.28 0.42 NA 0.42 0.08 1.78 1.78 0000.00.00.0020100 36.7856 09 53620 Dilate urethra stricture A 1.62 1.30 0.62 0.10 3.02 2.34 0000.00.00.0020100 36.7856 09 53621 Dilate urethra stricture A 1.35 1.33 0.51 0.08 2.76 1.94 0000.00.00.0020100 36.7856 09 53660 Dilation of urethra A 0.71 1.01 0.33 0.04 1.76 1.08 0000.00.00.0020100 36.7856 09 53661 Dilation of urethra A 0.72 0.97 0.31 0.04 1.73 1.07 0000.00.00.0020100 36.7856 09 53665 Dilation of urethra A 0.76 0.26 NA 0.26 0.05 1.07 1.07 0000.00.00.0020100 36.7856 09 53670 Insert urinary catheter D 0.50 1.74 0.18 0.03 2.27 0.71 0000.00.00.0020100 36.7856 09 53675 Insert urinary catheter D 1.47 2.63 0.58 0.09 4.19 2.14 0000.00.00.0020100 36.7856 09 53850 Prostatic microwave thermotx A 9.45 63.30 4.25 0.56 73.31 14.26 0090.08.83.0920100 36.7856 09 53852 Prostatic rf thermotx A 9.88 52.42 4.43 0.58 62.88 14.89 0090.08.83.0920100 36.7856 09 53853 Prostatic water thermother A 5.24 38.96 3.67 0.27 44.47 9.18 0090.08.83.0920100 36.7856 09 53899 Urology surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 54000 Slitting of prepuce A 1.54 4.77 1.40 0.10 6.41 3.04 0010.10.80.1020000 36.7856 09 54001 Slitting of prepuce A 2.19 5.36 2.01 0.14 7.69 4.34 0010.10.80.1020100 36.7856 09 54015 Drain penis lesion A 5.32 6.51 3.05 0.33 12.16 8.70 0010.10.80.1020000 36.7856 09 54050 Destruction, penis lesion(s) A 1.24 2.78 0.50 0.07 4.09 1.81 0010.10.80.1020100 36.7856 09 54055 Destruction, penis lesion(s) A 1.22 5.59 1.39 0.07 6.88 2.68 0010.10.80.1020100 36.7856 09 54056 Cryosurgery, penis lesion(s) A 1.24 3.12 0.54 0.06 4.42 1.84 0010.10.80.1020100 36.7856 09 54057 Laser surg, penis lesion(s) A 1.24 3.09 1.24 0.08 4.41 2.56 0010.10.80.1020100 36.7856 09 54060 Excision of penis lesion(s) A 1.93 4.89 1.56 0.12 6.94 3.61 0010.10.80.1020100 36.7856 09 54065 Destruction, penis lesion(s) A 2.42 5.24 2.02 0.13 7.79 4.57 0010.10.80.1020100 36.7856 09 54100 Biopsy of penis A 1.90 3.32 0.76 0.10 5.32 2.76 0000.00.00.0020100 36.7856 09 54105 Biopsy of penis A 3.50 5.55 2.07 0.21 9.26 5.78 0010.10.80.1020100 36.7856 09 54110 Treatment of penis lesion A 10.13 6.86 NA 6.86 0.60 17.59 17.59 0090.10.80.1020200 36.7856 09 54111 Treat penis lesion, graft A 13.57 8.38 NA 8.38 0.79 22.74 22.74 0090.10.80.1020210 36.7856 09 54112 Treat penis lesion, graft A 15.86 8.86 NA 8.86 0.94 25.66 25.66 0090.10.80.1020210 36.7856 09 54115 Treatment of penis lesion A 6.15 9.53 6.06 0.39 16.07 12.60 0090.10.80.1020200 36.7856 09 54120 Partial removal of penis A 9.97 7.23 NA 7.23 0.60 17.80 17.80 0090.10.80.1020210 36.7856 09 54125 Removal of penis A 13.53 8.43 NA 8.43 0.81 22.77 22.77 0090.10.80.1020210 36.7856 09 54130 Remove penis & nodes A 20.14 10.94 NA 10.94 1.19 32.27 32.27 0090.10.80.1022210 36.7856 09 54135 Remove penis & nodes A 26.36 13.00 NA 13.00 1.58 40.94 40.94 0090.10.80.1022200 36.7856 09 54150 Circumcision A 1.81 5.45 1.88 0.17 7.43 3.86 0010.10.80.1020000 36.7856 09 54152 Circumcision A 2.31 1.65 NA 1.65 0.16 4.12 4.12 0010.10.80.1020100 36.7856 09 54160 Circumcision A 2.48 4.97 1.75 0.16 7.61 4.39 0010.10.80.1020100 36.7856 09 54161 Circumcision A 3.27 1.92 NA 1.92 0.20 5.39 5.39 0010.10.80.1020100 36.7856 09 54162 Lysis penil circumic lesion A 3.00 2.30 NA 2.30 0.20 5.50 5.50 0010.10.80.1020100 36.7856 09 54163 Repair of circumcision A 3.00 2.07 NA 2.07 0.20 5.27 5.27 0010.10.80.1020100 36.7856 09 54164 Frenulotomy of penis A 2.50 1.90 NA 1.90 0.16 4.56 4.56 0010.10.80.1020100 36.7856 09 54200 Treatment of penis lesion A 1.06 2.40 0.37 0.06 3.52 1.49 0010.10.80.1020100 36.7856 09 54205 Treatment of penis lesion A 7.93 6.47 NA 6.47 0.47 14.87 14.87 0090.10.80.1020200 36.7856 09 54220 Treatment of penis lesion A 2.42 1.89 1.02 0.15 4.46 3.59 0000.00.00.0020100 36.7856 09 54230 Prepare penis study A 1.34 0.44 NA 0.44 0.08 1.86 1.86 0000.00.00.0020100 36.7856 09 54231 Dynamic cavernosometry A 2.04 2.14 0.81 0.14 4.32 2.99 0000.00.00.0020100 36.7856 09 54235 Penile injection A 1.19 1.12 0.40 0.07 2.38 1.66 0000.00.00.0020100 36.7856 09 54240 Penis study A 1.31 1.85 1.85 NA 0.13 3.29 3.29 1000.00.00.0020000 36.7856 09 54240TCPenis study A 0.00 1.41 1.41 NA 0.05 1.46 1.46 1000.00.00.0000000 36.7856 02 5424026Penis study A 1.31 0.44 0.44 0.08 1.83 1.83 1000.00.00.0020000 36.7856 09 54250 Penis study A 2.22 2.85 2.85 NA 0.16 5.23 5.23 1000.00.00.0020000 36.7856 09 54250TCPenis study A 0.00 2.12 2.12 NA 0.02 2.14 2.14 1000.00.00.0000000 36.7856 01 5425026Penis study A 2.22 0.73 0.73 0.14 3.09 3.09 1000.00.00.0020000 36.7856 09 54300 Revision of penis A 10.41 8.04 NA 8.04 0.64 19.09 19.09 0090.10.80.1020210 36.7856 09 54304 Revision of penis A 12.49 9.25 NA 9.25 0.74 22.48 22.48 0090.10.80.1020200 36.7856 09 54308 Reconstruction of urethra A 11.83 8.82 NA 8.82 0.70 21.35 21.35 0090.10.80.1020210 36.7856 09 54312 Reconstruction of urethra A 13.57 9.87 NA 9.87 0.81 24.25 24.25 0090.10.80.1020210 36.7856 09 54316 Reconstruction of urethra A 16.82 10.83 NA 10.83 1.00 28.65 28.65 0090.10.80.1020210 36.7856 09 54318 Reconstruction of urethra A 11.25 8.64 NA 8.64 1.15 21.04 21.04 0090.10.80.1020210 36.7856 09 54322 Reconstruction of urethra A 13.01 8.56 NA 8.56 0.77 22.34 22.34 0090.10.80.1020200 36.7856 09 54324 Reconstruction of urethra A 16.31 11.06 NA 11.06 1.03 28.40 28.40 0090.10.80.1020210 36.7856 09 54326 Reconstruction of urethra A 15.72 10.15 NA 10.15 0.93 26.80 26.80 0090.10.80.1020210 36.7856 09 54328 Revise penis/urethra A 15.65 10.09 NA 10.09 0.92 26.66 26.66 0090.10.80.1020210 36.7856 09 54332 Revise penis/urethra A 17.08 10.56 NA 10.56 1.01 28.65 28.65 0090.10.80.1020210 36.7856 09 54336 Revise penis/urethra A 20.04 14.12 NA 14.12 1.90 36.06 36.06 0090.10.80.1020210 36.7856 09 54340 Secondary urethral surgery A 8.91 7.34 NA 7.34 0.72 16.97 16.97 0090.10.80.1020210 36.7856 09 54344 Secondary urethral surgery A 15.94 10.34 NA 10.34 1.10 27.38 27.38 0090.10.80.1020210 36.7856 09 54348 Secondary urethral surgery A 17.15 11.25 NA 11.25 1.02 29.42 29.42 0090.10.80.1020210 36.7856 09 54352 Reconstruct urethra/penis A 24.74 14.53 NA 14.53 1.62 40.89 40.89 0090.10.80.1020210 36.7856 09 54360 Penis plastic surgery A 11.93 7.85 NA 7.85 0.72 20.50 20.50 0090.10.80.1020210 36.7856 09 54380 Repair penis A 13.18 9.50 NA 9.50 1.16 23.84 23.84 0090.10.80.1020210 36.7856 09 54385 Repair penis A 15.39 12.19 NA 12.19 0.71 28.29 28.29 0090.10.80.1020210 36.7856 09 54390 Repair penis and bladder A 21.61 13.02 NA 13.02 1.28 35.91 35.91 0090.10.80.1020210 36.7856 09 54400 Insert semi-rigid prosthesis A 8.99 5.68 NA 5.68 0.53 15.20 15.20 0090.10.80.1020110 36.7856 09 54401 Insert self-contd prosthesis A 10.28 6.46 NA 6.46 0.61 17.35 17.35 0090.10.80.1020110 36.7856 09 54405 Insert multi-comp penis pros A 13.43 7.53 NA 7.53 0.80 21.76 21.76 0090.10.80.1020210 36.7856 09 54406 Remove muti-comp penis pros A 12.10 5.50 NA 5.50 0.75 18.35 18.35 0090.10.80.1020210 36.7856 09 54408 Repair multi-comp penis pros A 12.75 5.86 NA 5.86 0.79 19.40 19.40 0090.10.80.1020210 36.7856 09 54410 Remove/replace penis prosth A 15.50 6.77 NA 6.77 0.96 23.23 23.23 0090.10.80.1020210 36.7856 09 54411 Remov/replc penis pros, comp A 16.00 8.90 NA 8.90 0.80 25.70 25.70 0090.10.80.1020210 36.7856 09 54415 Remove self-contd penis pros A 8.20 4.61 NA 4.61 0.54 13.35 13.35 0090.10.80.1020210 36.7856 09 54416 Remv/repl penis contain pros A 10.87 6.91 NA 6.91 0.55 18.33 18.33 0090.10.80.1020210 36.7856 09 54417 Remv/replc penis pros, compl A 14.19 7.81 NA 7.81 0.55 22.55 22.55 0090.10.80.1020210 36.7856 09 54420 Revision of penis A 11.42 7.47 NA 7.47 0.72 19.61 19.61 0090.10.80.1020200 36.7856 09 54430 Revision of penis A 10.15 7.27 NA 7.27 0.60 18.02 18.02 0090.10.80.1022200 36.7856 09 54435 Revision of penis A 6.12 5.01 NA 5.01 0.36 11.49 11.49 0090.10.80.1020100 36.7856 09 54440 Repair of penis C 0.00 0.00 0.00 0.00 0.00 0.00 0090.10.80.1020210 36.7856 09 54450 Preputial stretching A 1.12 1.00 0.48 0.07 2.19 1.67 0000.00.00.0020100 36.7856 09 54500 Biopsy of testis A 1.31 5.46 0.44 0.08 6.85 1.83 0000.00.00.0021000 36.7856 09 54505 Biopsy of testis A 3.46 2.28 NA 2.28 0.21 5.95 5.95 0010.10.80.1021000 36.7856 09 54512 Excise lesion testis A 8.58 4.50 NA 4.50 0.56 13.64 13.64 0090.10.80.1021210 36.7856 09 54520 Removal of testis A 5.23 3.24 NA 3.24 0.33 8.80 8.80 0090.10.80.1021100 36.7856 09 54522 Orchiectomy, partial A 9.50 5.12 NA 5.12 0.62 15.24 15.24 0090.10.80.1021210 36.7856 09 54530 Removal of testis A 8.58 4.86 NA 4.86 0.53 13.97 13.97 0090.10.80.1021210 36.7856 09 54535 Extensive testis surgery A 12.16 6.72 NA 6.72 0.83 19.71 19.71 0090.10.80.1021200 36.7856 09 54550 Exploration for testis A 7.78 4.38 NA 4.38 0.49 12.65 12.65 0090.10.80.1021200 36.7856 09 54560 Exploration for testis A 11.13 6.34 NA 6.34 0.79 18.26 18.26 0090.10.80.1021210 36.7856 09 54600 Reduce testis torsion A 7.01 3.88 NA 3.88 0.45 11.34 11.34 0090.10.80.1021100 36.7856 09 54620 Suspension of testis A 4.90 2.77 NA 2.77 0.31 7.98 7.98 0010.10.80.1021100 36.7856 09 54640 Suspension of testis A 6.90 3.94 NA 3.94 0.49 11.33 11.33 0090.10.80.1021100 36.7856 09 54650 Orchiopexy (Fowler-Stephens) A 11.45 6.59 NA 6.59 0.81 18.85 18.85 0090.10.80.1021200 36.7856 09 54660 Revision of testis A 5.11 3.11 NA 3.11 0.35 8.57 8.57 0090.10.80.1021000 36.7856 09 54670 Repair testis injury A 6.41 3.83 NA 3.83 0.41 10.65 10.65 0090.10.80.1021000 36.7856 09 54680 Relocation of testis(es) A 12.65 7.06 NA 7.06 0.94 20.65 20.65 0090.10.80.1021210 36.7856 09 54690 Laparoscopy, orchiectomy A 10.96 6.32 NA 6.32 0.99 18.27 18.27 0090.10.80.1021210 36.7856 09 54692 Laparoscopy, orchiopexy A 12.88 5.47 NA 5.47 0.87 19.22 19.22 0090.10.80.1021100 36.7856 09 54699 Laparoscope proc, testis C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 54700 Drainage of scrotum A 3.43 7.02 3.06 0.23 10.68 6.72 0010.10.80.1020100 36.7856 09 54800 Biopsy of epididymis A 2.33 4.98 0.79 0.14 7.45 3.26 0000.00.00.0020000 36.7856 09 54820 Exploration of epididymis A 5.14 3.26 NA 3.26 0.33 8.73 8.73 0090.10.80.1020000 36.7856 09 54830 Remove epididymis lesion A 5.38 3.33 NA 3.33 0.34 9.05 9.05 0090.10.80.1020000 36.7856 09 54840 Remove epididymis lesion A 5.20 3.24 NA 3.24 0.31 8.75 8.75 0090.10.80.1020100 36.7856 09 54860 Removal of epididymis A 6.32 3.80 NA 3.80 0.38 10.50 10.50 0090.10.80.1020100 36.7856 09 54861 Removal of epididymis A 8.90 4.64 NA 4.64 0.52 14.06 14.06 0090.10.80.1020000 36.7856 09 54900 Fusion of spermatic ducts A 13.20 6.22 NA 6.22 1.34 20.76 20.76 0090.10.80.1020000 36.7856 09 54901 Fusion of spermatic ducts A 17.94 8.49 NA 8.49 1.83 28.26 28.26 0090.10.80.1022000 36.7856 09 55000 Drainage of hydrocele A 1.43 2.17 0.48 0.10 3.70 2.01 0000.00.00.0020100 36.7856 09 55040 Removal of hydrocele A 5.36 3.10 NA 3.10 0.35 8.81 8.81 0090.10.80.1020100 36.7856 09 55041 Removal of hydroceles A 7.74 4.11 NA 4.11 0.50 12.35 12.35 0090.10.80.1022100 36.7856 09 55060 Repair of hydrocele A 5.52 3.19 NA 3.19 0.37 9.08 9.08 0090.10.80.1021000 36.7856 09 55100 Drainage of scrotum abscess A 2.13 7.87 3.22 0.15 10.15 5.50 0010.10.80.1020100 36.7856 09 55110 Explore scrotum A 5.70 3.22 NA 3.22 0.36 9.28 9.28 0090.10.80.1020100 36.7856 09 55120 Removal of scrotum lesion A 5.09 3.05 NA 3.05 0.33 8.47 8.47 0090.10.80.1020000 36.7856 09 55150 Removal of scrotum A 7.22 4.22 NA 4.22 0.47 11.91 11.91 0090.10.80.1020210 36.7856 09 55175 Revision of scrotum A 5.24 3.31 NA 3.31 0.33 8.88 8.88 0090.10.80.1020000 36.7856 09 55180 Revision of scrotum A 10.72 5.99 NA 5.99 0.72 17.43 17.43 0090.10.80.1020000 36.7856 09 55200 Incision of sperm duct A 4.24 2.79 NA 2.79 0.25 7.28 7.28 0090.10.80.1022000 36.7856 09 55250 Removal of sperm duct(s) A 3.29 7.70 2.92 0.21 11.20 6.42 0090.10.80.1022100 36.7856 09 55300 Prepare, sperm duct x-ray A 3.51 1.54 NA 1.54 0.20 5.25 5.25 0000.00.00.0022000 36.7856 09 55400 Repair of sperm duct A 8.49 4.80 NA 4.80 0.50 13.79 13.79 0090.10.80.1021210 36.7856 09 55450 Ligation of sperm duct A 4.12 5.98 2.43 0.24 10.34 6.79 0010.10.80.1022000 36.7856 09 55500 Removal of hydrocele A 5.59 3.44 NA 3.44 0.43 9.46 9.46 0090.10.80.1020000 36.7856 09 55520 Removal of sperm cord lesion A 6.03 3.64 NA 3.64 0.56 10.23 10.23 0090.10.80.1020210 36.7856 09 55530 Revise spermatic cord veins A 5.66 3.43 NA 3.43 0.36 9.45 9.45 0090.10.80.1021110 36.7856 09 55535 Revise spermatic cord veins A 6.56 3.71 NA 3.71 0.42 10.69 10.69 0090.10.80.1021210 36.7856 09 55540 Revise hernia & sperm veins A 7.67 4.20 NA 4.20 0.74 12.61 12.61 0090.10.80.1021210 36.7856 09 55550 Laparo ligate spermatic vein A 6.57 3.50 NA 3.50 0.47 10.54 10.54 0090.10.80.1021210 36.7856 09 55559 Laparo proc, spermatic cord C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 55600 Incise sperm duct pouch A 6.38 3.82 NA 3.82 0.38 10.58 10.58 0090.10.80.1021000 36.7856 09 55605 Incise sperm duct pouch A 7.96 4.90 NA 4.90 0.54 13.40 13.40 0090.10.80.1021000 36.7856 09 55650 Remove sperm duct pouch A 11.80 5.81 NA 5.81 0.72 18.33 18.33 0090.10.80.1021210 36.7856 09 55680 Remove sperm pouch lesion A 5.19 3.48 NA 3.48 0.31 8.98 8.98 0090.10.80.1020000 36.7856 09 55700 Biopsy of prostate A 1.57 3.50 0.73 0.10 5.17 2.40 0000.00.00.0020100 36.7856 09 55705 Biopsy of prostate A 4.57 3.30 NA 3.30 0.26 8.13 8.13 0010.10.80.1020110 36.7856 09 55720 Drainage of prostate abscess A 7.64 5.30 NA 5.30 0.44 13.38 13.38 0090.10.80.1020210 36.7856 09 55725 Drainage of prostate abscess A 8.68 5.85 NA 5.85 0.51 15.04 15.04 0090.10.80.1020210 36.7856 09 55801 Removal of prostate A 17.80 8.82 NA 8.82 1.08 27.70 27.70 0090.10.80.1020210 36.7856 09 55810 Extensive prostate surgery A 22.58 10.79 NA 10.79 1.35 34.72 34.72 0090.10.80.1020210 36.7856 09 55812 Extensive prostate surgery A 27.51 12.97 NA 12.97 1.69 42.17 42.17 0090.10.80.1020210 36.7856 09 55815 Extensive prostate surgery A 30.46 13.85 NA 13.85 1.84 46.15 46.15 0090.10.80.1022210 36.7856 09 55821 Removal of prostate A 14.25 7.33 NA 7.33 0.85 22.43 22.43 0090.10.80.1020210 36.7856 09 55831 Removal of prostate A 15.62 7.81 NA 7.81 0.94 24.37 24.37 0090.10.80.1020210 36.7856 09 55840 Extensive prostate surgery A 22.69 11.27 NA 11.27 1.37 35.33 35.33 0090.10.80.1020210 36.7856 09 55842 Extensive prostate surgery A 24.38 11.85 NA 11.85 1.48 37.71 37.71 0090.10.80.1020210 36.7856 09 55845 Extensive prostate surgery A 28.55 13.14 NA 13.14 1.71 43.40 43.40 0090.10.80.1022210 36.7856 09 55859 Percut/needle insert, pros A 12.52 6.86 NA 6.86 0.74 20.12 20.12 0090.10.80.1020000 36.7856 09 55860 Surgical exposure, prostate A 14.45 7.58 NA 7.58 0.82 22.85 22.85 0090.10.80.1020110 36.7856 09 55862 Extensive prostate surgery A 18.39 9.19 NA 9.19 1.14 28.72 28.72 0090.10.80.1020210 36.7856 09 55865 Extensive prostate surgery A 22.87 10.50 NA 10.50 1.37 34.74 34.74 0090.10.80.1022210 36.7856 09 55866 Laparo radical prostatectomy A 30.74 11.79 NA 11.79 1.37 43.90 43.90 0090.08.83.0920210 36.7856 09 55870 Electroejaculation A 2.58 1.94 1.04 0.14 4.66 3.76 0000.00.00.0020110 36.7856 09 55873 Cryoablate prostate A 19.47 9.46 NA 9.46 1.02 29.95 29.95 0090.08.83.0920100 36.7856 09 55899 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020111 36.7856 09 55970 Sex transformation, M to F N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 55980 Sex transformation, F to M N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 56405 I & D of vulva/perineum A 1.44 2.29 1.23 0.14 3.87 2.81 0010.10.80.1020120 36.7856 09 56420 Drainage of gland abscess A 1.39 2.29 1.24 0.13 3.81 2.76 0010.10.80.1020100 36.7856 09 56440 Surgery for vulva lesion A 2.84 3.45 2.22 0.28 6.57 5.34 0010.10.80.1020100 36.7856 09 56441 Lysis of labial lesion(s) A 1.97 2.33 1.81 0.17 4.47 3.95 0010.10.80.1020000 36.7856 09 56501 Destroy, vulva lesions, sim A 1.53 2.24 1.29 0.15 3.92 2.97 0010.10.80.1020100 36.7856 09 56515 Destroy vulva lesion/s compl A 2.76 3.01 2.24 0.18 5.95 5.18 0010.10.80.1020100 36.7856 09 56605 Biopsy of vulva/perineum A 1.10 1.09 0.47 0.11 2.30 1.68 0000.00.00.0020120 36.7856 09 56606 Biopsy of vulva/perineum A 0.55 0.51 0.22 0.06 1.12 0.83 0ZZZ.00.00.0000120 36.7856 09 56620 Partial removal of vulva A 7.47 4.85 NA 4.85 0.76 13.08 13.08 0090.12.74.1420210 36.7856 09 56625 Complete removal of vulva A 8.40 5.78 NA 5.78 0.84 15.02 15.02 0090.12.74.1420210 36.7856 09 56630 Extensive vulva surgery A 12.36 7.60 NA 7.60 1.23 21.19 21.19 0090.12.74.1420210 36.7856 09 56631 Extensive vulva surgery A 16.20 10.27 NA 10.27 1.63 28.10 28.10 0090.12.74.1420220 36.7856 09 56632 Extensive vulva surgery A 20.29 10.23 NA 10.23 2.03 32.55 32.55 0090.12.74.1422220 36.7856 09 56633 Extensive vulva surgery A 16.47 9.27 NA 9.27 1.66 27.40 27.40 0090.12.74.1420220 36.7856 09 56634 Extensive vulva surgery A 17.88 10.95 NA 10.95 1.78 30.61 30.61 0090.12.74.1420220 36.7856 09 56637 Extensive vulva surgery A 21.97 12.64 NA 12.64 2.18 36.79 36.79 0090.12.74.1420220 36.7856 09 56640 Extensive vulva surgery A 22.17 12.24 NA 12.24 2.26 36.67 36.67 0090.12.74.1421210 36.7856 09 56700 Partial removal of hymen A 2.52 1.70 NA 1.70 0.24 4.46 4.46 0010.10.80.1020210 36.7856 09 56720 Incision of hymen A 0.68 0.41 NA 0.41 0.07 1.16 1.16 0000.00.00.0020000 36.7856 09 56740 Remove vagina gland lesion A 4.57 2.58 NA 2.58 0.37 7.52 7.52 0010.10.80.1020100 36.7856 09 56800 Repair of vagina A 3.89 2.61 NA 2.61 0.37 6.87 6.87 0010.10.80.1020210 36.7856 09 56805 Repair clitoris A 18.86 9.12 NA 9.12 1.82 29.80 29.80 0090.12.74.1420210 36.7856 09 56810 Repair of perineum A 4.13 2.72 NA 2.72 0.41 7.26 7.26 0010.10.80.1020220 36.7856 09 56820 Exam of vulva w/scope A 1.50 1.64 0.65 0.10 3.24 2.25 0000.00.00.0020100 36.7856 09 56821 Exam/biopsy of vulva w/scope A 2.05 2.02 0.92 0.13 4.20 3.10 0000.00.00.0020100 36.7856 09 57000 Exploration of vagina A 2.97 2.19 NA 2.19 0.28 5.44 5.44 0010.10.80.1020000 36.7856 09 57010 Drainage of pelvic abscess A 6.03 3.79 NA 3.79 0.57 10.39 10.39 0090.12.74.1420000 36.7856 09 57020 Drainage of pelvic fluid A 1.50 1.56 0.63 0.15 3.21 2.28 0000.00.00.0020000 36.7856 09 57022 I & d vaginal hematoma, pp A 2.56 2.03 NA 2.03 0.24 4.83 4.83 0010.10.80.1020000 36.7856 09 57023 I & d vag hematoma, non-ob A 4.75 2.89 NA 2.89 0.24 7.88 7.88 0010.10.80.1020000 36.7856 09 57061 Destroy vag lesions, simple A 1.25 2.16 1.16 0.13 3.54 2.54 0010.10.80.1020100 36.7856 09 57065 Destroy vag lesions, complex A 2.61 2.88 2.23 0.26 5.75 5.10 0010.10.80.1020100 36.7856 09 57100 Biopsy of vagina A 1.20 1.11 0.50 0.10 2.41 1.80 0000.00.00.0020100 36.7856 09 57105 Biopsy of vagina A 1.69 2.00 1.31 0.17 3.86 3.17 0010.10.80.1020100 36.7856 09 57106 Remove vagina wall, partial A 6.36 3.87 NA 3.87 0.58 10.81 10.81 0090.12.74.1420210 36.7856 09 57107 Remove vagina tissue, part A 23.00 10.28 NA 10.28 2.17 35.45 35.45 0090.12.74.1420210 36.7856 09 57109 Vaginectomy partial w/nodes A 27.00 11.53 NA 11.53 1.97 40.50 40.50 0090.12.74.1422210 36.7856 09 57110 Remove vagina wall, complete A 14.29 7.21 NA 7.21 1.43 22.93 22.93 0090.12.74.1420210 36.7856 09 57111 Remove vagina tissue, compl A 27.00 12.30 NA 12.30 2.71 42.01 42.01 0090.12.74.1422210 36.7856 09 57112 Vaginectomy w/nodes, compl A 29.00 12.39 NA 12.39 2.19 43.58 43.58 0090.12.74.1422210 36.7856 09 57120 Closure of vagina A 7.41 4.59 NA 4.59 0.75 12.75 12.75 0090.12.74.1420210 36.7856 09 57130 Remove vagina lesion A 2.43 2.03 NA 2.03 0.23 4.69 4.69 0010.10.80.1020210 36.7856 09 57135 Remove vagina lesion A 2.67 2.87 2.13 0.26 5.80 5.06 0010.10.80.1020100 36.7856 09 57150 Treat vagina infection A 0.55 0.99 0.22 0.06 1.60 0.83 0000.00.00.0020100 36.7856 09 57155 Insert uteri tandems/ovoids A 6.27 3.68 NA 3.68 0.59 10.54 10.54 0090.12.74.1420100 36.7856 09 57160 Insert pessary/other device A 0.89 1.10 0.40 0.09 2.08 1.38 0000.00.00.0020100 36.7856 09 57170 Fitting of diaphragm/cap A 0.91 1.38 0.34 0.09 2.38 1.34 0000.00.00.0020000 36.7856 09 57180 Treat vaginal bleeding A 1.58 2.22 1.41 0.16 3.96 3.15 0010.10.80.1020100 36.7856 09 57200 Repair of vagina A 3.94 3.11 NA 3.11 0.38 7.43 7.43 0090.12.74.1420210 36.7856 09 57210 Repair vagina/perineum A 5.17 3.67 NA 3.67 0.50 9.34 9.34 0090.12.74.1420210 36.7856 09 57220 Revision of urethra A 4.31 3.34 NA 3.34 0.42 8.07 8.07 0090.12.74.1420210 36.7856 09 57230 Repair of urethral lesion A 5.64 3.54 NA 3.54 0.50 9.68 9.68 0090.12.74.1420210 36.7856 09 57240 Repair bladder & vagina A 6.07 3.90 NA 3.90 0.53 10.50 10.50 0090.12.74.1420210 36.7856 09 57250 Repair rectum & vagina A 5.53 3.81 NA 3.81 0.54 9.88 9.88 0090.12.74.1420210 36.7856 09 57260 Repair of vagina A 8.27 5.14 NA 5.14 0.83 14.24 14.24 0090.12.74.1420210 36.7856 09 57265 Extensive repair of vagina A 11.34 6.38 NA 6.38 1.14 18.86 18.86 0090.12.74.1420210 36.7856 09 57268 Repair of bowel bulge A 6.76 4.48 NA 4.48 0.66 11.90 11.90 0090.12.74.1420210 36.7856 09 57270 Repair of bowel pouch A 12.11 6.60 NA 6.60 1.17 19.88 19.88 0090.12.74.1420210 36.7856 09 57280 Suspension of vagina A 15.04 7.73 NA 7.73 1.44 24.21 24.21 0090.12.74.1420210 36.7856 09 57282 Repair of vaginal prolapse A 8.86 5.58 NA 5.58 0.86 15.30 15.30 0090.12.74.1420210 36.7856 09 57284 Repair paravaginal defect A 12.70 7.12 NA 7.12 1.17 20.99 20.99 0090.08.83.0920220 36.7856 09 57287 Revise/remove sling repair A 10.71 5.60 NA 5.60 0.74 17.05 17.05 0090.12.74.1420210 36.7856 09 57288 Repair bladder defect A 13.02 6.05 NA 6.05 0.86 19.93 19.93 0090.12.74.1420210 36.7856 09 57289 Repair bladder & vagina A 11.58 6.26 NA 6.26 0.95 18.79 18.79 0090.12.74.1420210 36.7856 09 57291 Construction of vagina A 7.95 5.29 NA 5.29 0.78 14.02 14.02 0090.12.74.1420200 36.7856 09 57292 Construct vagina with graft A 13.09 7.38 NA 7.38 1.29 21.76 21.76 0090.12.74.1420210 36.7856 09 57300 Repair rectum-vagina fistula A 7.61 4.85 NA 4.85 0.70 13.16 13.16 0090.12.74.1420210 36.7856 09 57305 Repair rectum-vagina fistula A 13.77 6.49 NA 6.49 1.33 21.59 21.59 0090.12.74.1420210 36.7856 09 57307 Fistula repair & colostomy A 15.93 7.55 NA 7.55 1.59 25.07 25.07 0090.12.74.1420210 36.7856 09 57308 Fistula repair, transperine A 9.94 5.89 NA 5.89 0.91 16.74 16.74 0090.12.74.1420210 36.7856 09 57310 Repair urethrovaginal lesion A 6.78 4.29 NA 4.29 0.45 11.52 11.52 0090.12.74.1420210 36.7856 09 57311 Repair urethrovaginal lesion A 7.98 4.85 NA 4.85 0.51 13.34 13.34 0090.12.74.1420210 36.7856 09 57320 Repair bladder-vagina lesion A 8.01 4.95 NA 4.95 0.60 13.56 13.56 0090.12.74.1420210 36.7856 09 57330 Repair bladder-vagina lesion A 12.35 6.29 NA 6.29 0.86 19.50 19.50 0090.12.74.1420210 36.7856 09 57335 Repair vagina A 18.73 8.97 NA 8.97 1.66 29.36 29.36 0090.12.74.1420210 36.7856 09 57400 Dilation of vagina A 2.27 1.14 NA 1.14 0.22 3.63 3.63 0000.00.00.0020000 36.7856 09 57410 Pelvic examination A 1.75 2.55 1.03 0.14 4.44 2.92 0000.00.00.0020100 36.7856 09 57415 Remove vaginal foreign body A 2.17 3.21 1.87 0.19 5.57 4.23 0010.10.80.1020000 36.7856 09 57420 Exam of vagina w/scope A 1.60 1.68 0.69 0.10 3.38 2.39 0000.00.00.0020100 36.7856 09 57421 Exam/biopsy of vag w/scope A 2.20 2.08 0.98 0.13 4.41 3.31 0000.00.00.0020100 36.7856 09 57452 Exam of cervix w/scope A 1.50 1.70 0.65 0.10 3.30 2.25 0000.00.00.0020100 36.7856 09 57454 Bx/curett of cervix w/scope A 2.33 2.05 1.02 0.13 4.51 3.48 0000.00.00.0030100 57452 36.7856 09 57455 Biopsy of cervix w/scope A 1.99 1.94 0.89 0.13 4.06 3.01 0000.00.00.0030100 57452 36.7856 09 57456 Endocerv curettage w/scope A 1.85 1.86 0.84 0.13 3.84 2.82 0000.00.00.0030100 57452 36.7856 09 57460 Bx of cervix w/scope, leep A 2.83 5.01 1.25 0.28 8.12 4.36 0000.00.00.0030100 57452 36.7856 09 57461 Conz of cervix w/scope, leep A 3.44 5.32 1.50 0.28 9.04 5.22 0000.00.00.0030100 57452 36.7856 09 57500 Biopsy of cervix A 0.97 2.02 0.49 0.10 3.09 1.56 0000.00.00.0020100 36.7856 09 57505 Endocervical curettage A 1.14 1.90 1.21 0.12 3.16 2.47 0010.10.80.1020100 36.7856 09 57510 Cauterization of cervix A 1.90 3.01 1.51 0.18 5.09 3.59 0010.10.80.1020100 36.7856 09 57511 Cryocautery of cervix A 1.90 2.36 0.75 0.18 4.44 2.83 0010.10.80.1020100 36.7856 09 57513 Laser surgery of cervix A 1.90 2.57 1.50 0.19 4.66 3.59 0010.10.80.1020100 36.7856 09 57520 Conization of cervix A 4.04 4.13 2.76 0.41 8.58 7.21 0090.12.74.1420100 36.7856 09 57522 Conization of cervix A 3.36 3.66 2.49 0.34 7.36 6.19 0090.12.74.1420100 36.7856 09 57530 Removal of cervix A 4.79 3.53 NA 3.53 0.48 8.80 8.80 0090.12.74.1420210 36.7856 09 57531 Removal of cervix, radical A 28.00 13.53 NA 13.53 2.46 43.99 43.99 0090.12.74.1422210 36.7856 09 57540 Removal of residual cervix A 12.22 6.14 NA 6.14 1.21 19.57 19.57 0090.12.74.1420210 36.7856 09 57545 Remove cervix/repair pelvis A 13.03 6.59 NA 6.59 1.30 20.92 20.92 0090.12.74.1420210 36.7856 09 57550 Removal of residual cervix A 5.53 3.78 NA 3.78 0.55 9.86 9.86 0090.12.74.1420210 36.7856 09 57555 Remove cervix/repair vagina A 8.95 5.60 NA 5.60 0.89 15.44 15.44 0090.12.74.1420210 36.7856 09 57556 Remove cervix, repair bowel A 8.37 4.83 NA 4.83 0.80 14.00 14.00 0090.12.74.1420210 36.7856 09 57700 Revision of cervix A 3.55 2.44 NA 2.44 0.33 6.32 6.32 0090.12.74.1420000 36.7856 09 57720 Revision of cervix A 4.13 3.20 NA 3.20 0.41 7.74 7.74 0090.12.74.1420200 36.7856 09 57800 Dilation of cervical canal A 0.77 0.77 0.48 0.08 1.62 1.33 0000.00.00.0020100 36.7856 09 57820 D & c of residual cervix A 1.67 1.51 1.11 0.17 3.35 2.95 0010.10.80.1020100 36.7856 09 58100 Biopsy of uterus lining A 1.53 1.45 0.75 0.07 3.05 2.35 0000.00.00.0020100 36.7856 09 58120 Dilation and curettage A 3.27 2.35 1.97 0.33 5.95 5.57 0010.10.80.1020100 36.7856 09 58140 Myomectomy abdom method A 14.60 7.01 NA 7.01 1.46 23.07 23.07 0090.12.74.1420210 36.7856 09 58145 Myomectomy vag method A 8.04 4.84 NA 4.84 0.80 13.68 13.68 0090.12.74.1420210 36.7856 09 58146 Myomectomy abdom complex A 19.00 9.15 NA 9.15 1.46 29.61 29.61 0090.12.74.1420210 36.7856 09 58150 Total hysterectomy A 15.24 7.89 NA 7.89 1.57 24.70 24.70 0090.12.74.1420210 36.7856 09 58152 Total hysterectomy A 20.60 10.28 NA 10.28 1.52 32.40 32.40 0090.12.74.1420210 36.7856 09 58180 Partial hysterectomy A 15.29 7.85 NA 7.85 1.54 24.68 24.68 0090.12.74.1420210 36.7856 09 58200 Extensive hysterectomy A 21.59 10.60 NA 10.60 2.15 34.34 34.34 0090.12.74.1420210 36.7856 09 58210 Extensive hysterectomy A 28.85 13.96 NA 13.96 2.91 45.72 45.72 0090.12.74.1422210 36.7856 09 58240 Removal of pelvis contents A 38.39 18.48 NA 18.48 3.76 60.63 60.63 0090.12.74.1420210 36.7856 09 58260 Vaginal hysterectomy A 12.98 6.68 NA 6.68 1.23 20.89 20.89 0090.12.74.1420210 36.7856 09 58262 Vag hyst including t/o A 14.77 7.43 NA 7.43 1.42 23.62 23.62 0090.12.74.1420220 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 0090.12.74.1420220 36.7856 09 58267 Vag hyst w/urinary repair A 17.04 8.52 NA 8.52 1.51 27.07 27.07 0090.12.74.1420210 36.7856 09 58270 Vag hyst w/enterocele repair A 14.26 7.19 NA 7.19 1.37 22.82 22.82 0090.12.74.1420210 36.7856 09 58275 Hysterectomy/revise vagina A 15.76 7.72 NA 7.72 1.51 24.99 24.99 0090.12.74.1420210 36.7856 09 58280 Hysterectomy/revise vagina A 17.01 8.21 NA 8.21 1.54 26.76 26.76 0090.12.74.1420210 36.7856 09 58285 Extensive hysterectomy A 22.26 10.85 NA 10.85 1.88 34.99 34.99 0090.12.74.1420210 36.7856 09 58290 Vag hyst complex A 19.00 9.37 NA 9.37 1.23 29.60 29.60 0090.12.74.1420210 36.7856 09 58291 Vag hyst incl t/o, complex A 20.79 10.34 NA 10.34 1.42 32.55 32.55 0090.12.74.1420220 36.7856 09 58292 Vag hyst t/o & repair, compl A 22.08 10.85 NA 10.85 1.55 34.48 34.48 0090.12.74.1420220 36.7856 09 58293 Vag hyst w/uro repair, compl A 23.06 11.25 NA 11.25 1.51 35.82 35.82 0090.12.74.1420210 36.7856 09 58294 Vag hyst w/enterocele, compl A 20.28 10.10 NA 10.10 1.37 31.75 31.75 0090.12.74.1420210 36.7856 09 58300 Insert intrauterine device N+ 1.01 1.44 0.39 0.10 2.55 1.50 9XXX.00.00.0099999 36.7856 09 58301 Remove intrauterine device A 1.27 1.54 0.50 0.13 2.94 1.90 0000.00.00.0020000 36.7856 09 58321 Artificial insemination A 0.92 0.94 0.38 0.10 1.96 1.40 0000.00.00.0020000 36.7856 09 58322 Artificial insemination A 1.10 1.00 0.43 0.11 2.21 1.64 0000.00.00.0020000 36.7856 09 58323 Sperm washing A 0.23 0.54 0.10 0.02 0.79 0.35 0000.00.00.0020000 36.7856 09 58340 Catheter for hysterography A 0.88 12.74 0.32 0.08 13.70 1.28 0000.00.00.0020100 36.7856 09 58345 Reopen fallopian tube A 4.66 1.73 NA 1.73 0.36 6.75 6.75 0010.10.80.1021220 36.7856 09 58346 Insert heyman uteri capsule A 6.75 3.87 NA 3.87 0.64 11.26 11.26 0090.12.74.1420100 36.7856 09 58350 Reopen fallopian tube A 1.01 1.93 1.05 0.10 3.04 2.16 0010.10.80.1020100 36.7856 09 58353 Endometr ablate, thermal A 3.56 2.23 NA 2.23 0.37 6.16 6.16 0010.10.80.1021220 36.7856 09 58400 Suspension of uterus A 6.36 3.93 NA 3.93 0.62 10.91 10.91 0090.12.74.1420210 36.7856 09 58410 Suspension of uterus A 12.73 6.55 NA 6.55 1.09 20.37 20.37 0090.12.74.1420210 36.7856 09 58520 Repair of ruptured uterus A 11.92 5.93 NA 5.93 1.17 19.02 19.02 0090.12.74.1420210 36.7856 09 58540 Revision of uterus A 14.64 6.90 NA 6.90 1.28 22.82 22.82 0090.12.74.1420200 36.7856 09 58545 Laparoscopic myomectomy A 14.60 7.76 NA 7.76 1.45 23.81 23.81 0090.12.74.1420220 36.7856 09 58546 Laparo-myomectomy, complex A 19.00 9.55 NA 9.55 1.45 30.00 30.00 0090.12.74.1420220 36.7856 09 58550 Laparo-asst vag hysterectomy A 14.19 7.21 NA 7.21 1.44 22.84 22.84 0090.12.74.1430220 49320 36.7856 09 58551 Laparoscopy, remove myoma D 14.21 7.09 7.09 1.45 22.75 22.75 0010.10.80.1030220 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 0090.12.74.1420220 36.7856 09 58553 Laparo-vag hyst, complex A 19.00 9.57 NA 9.57 1.23 29.80 29.80 0090.12.74.1420220 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 0090.12.74.1420220 36.7856 09 58555 Hysteroscopy, dx, sep proc A 3.33 2.10 1.49 0.34 5.77 5.16 0000.00.00.0020020 36.7856 09 58558 Hysteroscopy, biopsy A 4.75 2.12 NA 2.12 0.49 7.36 7.36 0000.00.00.0030120 58555 36.7856 09 58559 Hysteroscopy, lysis A 6.17 2.69 NA 2.69 0.62 9.48 9.48 0000.00.00.0030120 58555 36.7856 09 58560 Hysteroscopy, resect septum A 7.00 3.05 NA 3.05 0.71 10.76 10.76 0000.00.00.0030220 58555 36.7856 09 58561 Hysteroscopy, remove myoma A 10.00 4.28 NA 4.28 1.02 15.30 15.30 0000.00.00.0030020 58555 36.7856 09 58562 Hysteroscopy, remove fb A 5.21 2.27 NA 2.27 0.52 8.00 8.00 0000.00.00.0030120 58555 36.7856 09 58563 Hysteroscopy, ablation A 6.17 2.71 NA 2.71 0.62 9.50 9.50 0000.00.00.0030020 58555 36.7856 09 58578 Laparo proc, uterus C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 58579 Hysteroscope procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 58600 Division of fallopian tube A 5.60 3.28 NA 3.28 0.39 9.27 9.27 0090.12.74.1422210 36.7856 09 58605 Division of fallopian tube A 5.00 3.12 NA 3.12 0.33 8.45 8.45 0090.12.74.1422200 36.7856 09 58611 Ligate oviduct(s) add-on A 1.45 0.59 NA 0.59 0.07 2.11 2.11 0ZZZ.00.00.0000200 36.7856 09 58615 Occlude fallopian tube(s) A 3.90 3.11 NA 3.11 0.40 7.41 7.41 0010.10.80.1020200 36.7856 09 58660 Laparoscopy, lysis A 11.29 5.60 NA 5.60 1.14 18.03 18.03 0090.09.84.0730220 49320 36.7856 09 58661 Laparoscopy, remove adnexa A 11.05 5.27 NA 5.27 1.12 17.44 17.44 0010.10.80.1030220 49320 36.7856 09 58662 Laparoscopy, excise lesions A 11.79 5.54 NA 5.54 1.18 18.51 18.51 0090.09.84.0730220 49320 36.7856 09 58670 Laparoscopy, tubal cautery A 5.60 3.62 NA 3.62 0.55 9.77 9.77 0090.10.80.1030120 49320 36.7856 09 58671 Laparoscopy, tubal block A 5.60 3.63 NA 3.63 0.56 9.79 9.79 0090.10.80.1030120 49320 36.7856 09 58672 Laparoscopy, fimbrioplasty A 12.88 6.52 NA 6.52 1.22 20.62 20.62 0090.10.80.1031200 49320 36.7856 09 58673 Laparoscopy, salpingostomy A 13.74 6.86 NA 6.86 1.40 22.00 22.00 0090.10.80.1031200 49320 36.7856 09 58679 Laparo proc, oviduct-ovary C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 58700 Removal of fallopian tube A 12.05 5.80 NA 5.80 0.64 18.49 18.49 0090.12.74.1422210 36.7856 09 58720 Removal of ovary/tube(s) A 11.36 5.75 NA 5.75 1.14 18.25 18.25 0090.12.74.1422210 36.7856 09 58740 Revise fallopian tube(s) A 14.00 6.99 NA 6.99 0.59 21.58 21.58 0090.12.74.1420210 36.7856 09 58750 Repair oviduct A 14.84 7.37 NA 7.37 1.52 23.73 23.73 0090.12.74.1420210 36.7856 09 58752 Revise ovarian tube(s) A 14.84 7.06 NA 7.06 1.51 23.41 23.41 0090.12.74.1420200 36.7856 09 58760 Remove tubal obstruction A 13.13 6.67 NA 6.67 1.34 21.14 21.14 0090.12.74.1421210 36.7856 09 58770 Create new tubal opening A 13.97 6.97 NA 6.97 1.42 22.36 22.36 0090.12.74.1421200 36.7856 09 58800 Drainage of ovarian cyst(s) A 4.14 4.39 4.36 0.36 8.89 8.86 0090.12.74.1422100 36.7856 09 58805 Drainage of ovarian cyst(s) A 5.88 3.47 NA 3.47 0.56 9.91 9.91 0090.12.74.1422210 36.7856 09 58820 Drain ovary abscess, open A 4.22 3.34 NA 3.34 0.29 7.85 7.85 0090.12.74.1420200 36.7856 09 58822 Drain ovary abscess, percut A 10.13 5.04 NA 5.04 0.92 16.09 16.09 0090.12.74.1420210 36.7856 09 58823 Drain pelvic abscess, percut A 3.38 2.32 NA 2.32 0.18 5.88 5.88 0000.00.00.0020200 36.7856 09 58825 Transposition, ovary(s) A 10.98 5.74 NA 5.74 0.62 17.34 17.34 0090.12.74.1420210 36.7856 09 58900 Biopsy of ovary(s) A 5.99 3.53 NA 3.53 0.56 10.08 10.08 0090.12.74.1422210 36.7856 09 58920 Partial removal of ovary(s) A 11.36 5.58 NA 5.58 0.68 17.62 17.62 0090.12.74.1422210 36.7856 09 58925 Removal of ovarian cyst(s) A 11.36 5.54 NA 5.54 1.14 18.04 18.04 0090.12.74.1422210 36.7856 09 58940 Removal of ovary(s) A 7.29 3.94 NA 3.94 0.73 11.96 11.96 0090.12.74.1422210 36.7856 09 58943 Removal of ovary(s) A 18.43 9.44 NA 9.44 1.86 29.73 29.73 0090.12.74.1420210 36.7856 09 58950 Resect ovarian malignancy A 16.93 9.00 NA 9.00 1.55 27.48 27.48 0090.12.74.1422210 36.7856 09 58951 Resect ovarian malignancy A 22.38 11.32 NA 11.32 2.20 35.90 35.90 0090.12.74.1422210 36.7856 09 58952 Resect ovarian malignancy A 25.01 12.41 NA 12.41 2.57 39.99 39.99 0090.12.74.1422210 36.7856 09 58953 Tah, rad dissect for debulk A 32.00 15.08 NA 15.08 3.30 50.38 50.38 0090.12.74.1422210 36.7856 09 58954 Tah rad debulk/lymph remove A 35.00 16.15 NA 16.15 3.56 54.71 54.71 0090.12.74.1422210 36.7856 09 58960 Exploration of abdomen A 14.65 8.12 NA 8.12 1.47 24.24 24.24 0090.12.74.1420210 36.7856 09 58970 Retrieval of oocyte A 3.53 8.36 1.67 0.36 12.25 5.56 0000.00.00.0020000 36.7856 09 58974 Transfer of embryo C 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0020210 36.7856 09 58976 Transfer of embryo A 3.83 2.29 1.59 0.39 6.51 5.81 0000.00.00.0020210 36.7856 09 58999 Genital surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 59000 Amniocentesis, diagnostic A 1.30 1.88 0.71 0.23 3.41 2.24 0000.00.00.0020100 36.7856 09 59001 Amniocentesis, therapeutic A 3.00 1.35 NA 1.35 0.23 4.58 4.58 0000.00.00.0020100 36.7856 09 59012 Fetal cord puncture,prenatal A 3.45 1.60 NA 1.60 0.62 5.67 5.67 0000.00.00.0020000 36.7856 09 59015 Chorion biopsy A 2.20 1.59 1.08 0.40 4.19 3.68 0000.00.00.0020000 36.7856 09 59020 Fetal contract stress test A 0.66 0.79 0.79 NA 0.20 1.65 1.65 1000.00.00.0020000 36.7856 09 59020TCFetal contract stress test A 0.00 0.52 0.52 NA 0.08 0.60 0.60 1000.00.00.0000000 36.7856 02 5902026Fetal contract stress test A 0.66 0.27 0.27 0.12 1.05 1.05 1000.00.00.0020000 36.7856 09 59025 Fetal non-stress test A 0.53 0.45 0.45 NA 0.12 1.10 1.10 1000.00.00.0020000 36.7856 09 59025TCFetal non-stress test A 0.00 0.23 0.23 NA 0.02 0.25 0.25 1000.00.00.0000000 36.7856 01 5902526Fetal non-stress test A 0.53 0.22 0.22 0.10 0.85 0.85 1000.00.00.0020000 36.7856 09 59030 Fetal scalp blood sample A 1.99 1.06 NA 1.06 0.36 3.41 3.41 0000.00.00.0020000 36.7856 09 59050 Fetal monitor w/report A 0.89 0.36 NA 0.36 0.16 1.41 1.41 0XXX.00.00.0000000 36.7856 09 59051 Fetal monitor/interpret only A 0.74 0.30 NA 0.30 0.14 1.18 1.18 0XXX.00.00.0000000 36.7856 09 59100 Remove uterus lesion A 12.35 6.29 NA 6.29 2.21 20.85 20.85 0090.17.60.2320210 36.7856 09 59120 Treat ectopic pregnancy A 11.49 6.06 NA 6.06 2.06 19.61 19.61 0090.17.60.2320210 36.7856 09 59121 Treat ectopic pregnancy A 11.67 6.19 NA 6.19 2.09 19.95 19.95 0090.17.60.2320210 36.7856 09 59130 Treat ectopic pregnancy A 14.22 5.81 NA 5.81 2.54 22.57 22.57 0090.17.60.2320000 36.7856 09 59135 Treat ectopic pregnancy A 13.88 7.04 NA 7.04 2.49 23.41 23.41 0090.17.60.2320000 36.7856 09 59136 Treat ectopic pregnancy A 13.18 6.61 NA 6.61 2.36 22.15 22.15 0090.17.60.2320200 36.7856 09 59140 Treat ectopic pregnancy A 5.46 3.36 NA 3.36 0.98 9.80 9.80 0090.17.60.2320200 36.7856 09 59150 Treat ectopic pregnancy A 11.67 6.40 NA 6.40 1.23 19.30 19.30 0090.17.60.2320200 36.7856 09 59151 Treat ectopic pregnancy A 11.49 5.84 NA 5.84 1.41 18.74 18.74 0090.17.60.2320200 36.7856 09 59160 D & c after delivery A 2.71 3.48 2.15 0.49 6.68 5.35 0010.10.80.1020000 36.7856 09 59200 Insert cervical dilator A 0.79 1.32 0.31 0.15 2.26 1.25 0000.00.00.0020100 36.7856 09 59300 Episiotomy or vaginal repair A 2.41 2.08 0.99 0.43 4.92 3.83 0000.00.00.0020000 36.7856 09 59320 Revision of cervix A 2.48 1.29 NA 1.29 0.45 4.22 4.22 0000.00.00.0020000 36.7856 09 59325 Revision of cervix A 4.07 1.96 NA 1.96 0.73 6.76 6.76 0000.00.00.0020000 36.7856 09 59350 Repair of uterus A 4.95 2.00 NA 2.00 0.88 7.83 7.83 0000.00.00.0020200 36.7856 09 59400 Obstetrical care A 23.06 16.09 NA 16.09 4.14 43.29 43.29 0MMM.00.00.0020100 36.7856 09 59409 Obstetrical care A 13.50 5.44 NA 5.44 2.42 21.36 21.36 0MMM.00.00.0020000 36.7856 09 59410 Obstetrical care A 14.78 6.48 NA 6.48 2.65 23.91 23.91 0MMM.00.00.0020100 36.7856 09 59412 Antepartum manipulation A 1.71 0.84 NA 0.84 0.31 2.86 2.86 0MMM.00.00.0000000 36.7856 09 59414 Deliver placenta A 1.61 0.65 NA 0.65 0.29 2.55 2.55 0MMM.00.00.0020000 36.7856 09 59425 Antepartum care only A 4.81 4.46 1.90 0.86 10.13 7.57 0MMM.00.00.0000000 36.7856 09 59426 Antepartum care only A 8.28 8.04 3.30 1.49 17.81 13.07 0MMM.00.00.0000000 36.7856 09 59430 Care after delivery A 2.13 0.98 NA 0.98 0.38 3.49 3.49 0MMM.00.00.0020100 36.7856 09 59510 Cesarean delivery A 26.22 18.21 NA 18.21 4.70 49.13 49.13 0MMM.00.00.0020100 36.7856 09 59514 Cesarean delivery only A 15.97 6.38 NA 6.38 2.86 25.21 25.21 0MMM.00.00.0020210 36.7856 09 59515 Cesarean delivery A 17.37 8.05 NA 8.05 3.12 28.54 28.54 0MMM.00.00.0020100 36.7856 09 59525 Remove uterus after cesarean A 8.54 3.39 NA 3.39 1.53 13.46 13.46 0ZZZ.00.00.0000210 36.7856 09 59610 Vbac delivery A 24.62 16.66 NA 16.66 4.41 45.69 45.69 0MMM.00.00.0020000 36.7856 09 59612 Vbac delivery only A 15.06 6.21 NA 6.21 2.70 23.97 23.97 0MMM.00.00.0020000 36.7856 09 59614 Vbac care after delivery A 16.34 7.12 NA 7.12 2.93 26.39 26.39 0MMM.00.00.0020000 36.7856 09 59618 Attempted vbac delivery A 27.78 19.52 NA 19.52 4.98 52.28 52.28 0MMM.00.00.0020200 36.7856 09 59620 Attempted vbac delivery only A 17.53 6.94 NA 6.94 3.15 27.62 27.62 0MMM.00.00.0020200 36.7856 09 59622 Attempted vbac after care A 18.93 8.87 NA 8.87 3.39 31.19 31.19 0MMM.00.00.0020200 36.7856 09 59812 Treatment of miscarriage A 4.01 3.60 2.53 0.58 8.19 7.12 0090.17.60.2320100 36.7856 09 59820 Care of miscarriage A 4.01 3.62 2.66 0.72 8.35 7.39 0090.17.60.2320100 36.7856 09 59821 Treatment of miscarriage A 4.47 3.79 2.85 0.80 9.06 8.12 0090.17.60.2320000 36.7856 09 59830 Treat uterus infection A 6.11 3.94 NA 3.94 1.10 11.15 11.15 0090.17.60.2320000 36.7856 09 59840 Abortion R 3.01 3.98 2.24 0.54 7.53 5.79 0010.10.80.1020000 36.7856 09 59841 Abortion R 5.24 5.60 3.55 0.94 11.78 9.73 0010.10.80.1020000 36.7856 09 59850 Abortion R 5.91 2.73 NA 2.73 1.06 9.70 9.70 0090.17.60.2320000 36.7856 09 59851 Abortion R 5.93 3.13 NA 3.13 1.06 10.12 10.12 0090.17.60.2320000 36.7856 09 59852 Abortion R 8.24 4.57 NA 4.57 1.48 14.29 14.29 0090.17.60.2320000 36.7856 09 59855 Abortion R 6.12 3.24 NA 3.24 1.10 10.46 10.46 0090.17.60.2320000 36.7856 09 59856 Abortion R 7.48 3.83 NA 3.83 1.34 12.65 12.65 0090.17.60.2320000 36.7856 09 59857 Abortion R 9.29 4.39 NA 4.39 1.66 15.34 15.34 0090.17.60.2320000 36.7856 09 59866 Abortion (mpr) R 4.00 1.55 NA 1.55 0.72 6.27 6.27 0000.00.00.0020210 36.7856 09 59870 Evacuate mole of uterus A 6.01 3.78 NA 3.78 0.77 10.56 10.56 0090.17.60.2320200 36.7856 09 59871 Remove cerclage suture A 2.13 2.00 0.90 0.38 4.51 3.41 0000.00.00.0020000 36.7856 09 59898 Laparo proc, ob care/deliver C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 59899 Maternity care procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 60000 Drain thyroid/tongue cyst A 1.76 2.36 2.15 0.14 4.26 4.05 0010.10.80.1020000 36.7856 09 60001 Aspirate/inject thyriod cyst A 0.97 1.64 0.35 0.06 2.67 1.38 0000.00.00.0020100 36.7856 09 60100 Biopsy of thyroid A 1.56 1.86 0.55 0.05 3.47 2.16 0000.00.00.0020100 36.7856 09 60200 Remove thyroid lesion A 9.55 6.57 NA 6.57 0.84 16.96 16.96 0090.09.82.0920210 36.7856 09 60210 Partial thyroid excision A 10.88 6.45 NA 6.45 1.01 18.34 18.34 0090.09.82.0920210 36.7856 09 60212 Partial thyroid excision A 16.03 8.23 NA 8.23 1.51 25.77 25.77 0090.09.82.0920210 36.7856 09 60220 Partial removal of thyroid A 11.90 6.99 NA 6.99 0.97 19.86 19.86 0090.09.82.0920210 36.7856 09 60225 Partial removal of thyroid A 14.19 7.82 NA 7.82 1.31 23.32 23.32 0090.09.82.0920210 36.7856 09 60240 Removal of thyroid A 16.06 9.05 NA 9.05 1.50 26.61 26.61 0090.09.82.0920210 36.7856 09 60252 Removal of thyroid A 20.57 11.39 NA 11.39 1.63 33.59 33.59 0090.09.82.0920210 36.7856 09 60254 Extensive thyroid surgery A 26.99 15.79 NA 15.79 1.96 44.74 44.74 0090.09.82.0920210 36.7856 09 60260 Repeat thyroid surgery A 17.47 10.30 NA 10.30 1.39 29.16 29.16 0090.09.82.0922210 36.7856 09 60270 Removal of thyroid A 20.27 11.50 NA 11.50 1.78 33.55 33.55 0090.09.82.0920210 36.7856 09 60271 Removal of thyroid A 16.83 9.82 NA 9.82 1.35 28.00 28.00 0090.09.82.0920210 36.7856 09 60280 Remove thyroid duct lesion A 5.87 5.16 NA 5.16 0.45 11.48 11.48 0090.09.82.0920210 36.7856 09 60281 Remove thyroid duct lesion A 8.53 6.35 NA 6.35 0.67 15.55 15.55 0090.09.82.0920210 36.7856 09 60500 Explore parathyroid glands A 16.23 7.75 NA 7.75 1.61 25.59 25.59 0090.09.82.0920210 36.7856 09 60502 Re-explore parathyroids A 20.35 9.59 NA 9.59 2.00 31.94 31.94 0090.09.82.0920210 36.7856 09 60505 Explore parathyroid glands A 21.49 11.42 NA 11.42 2.14 35.05 35.05 0090.09.82.0920210 36.7856 09 60512 Autotransplant parathyroid A 4.45 1.66 NA 1.66 0.44 6.55 6.55 0ZZZ.00.00.0000210 36.7856 09 60520 Removal of thymus gland A 16.81 9.84 NA 9.84 1.84 28.49 28.49 0090.09.82.0920210 36.7856 09 60521 Removal of thymus gland A 18.87 11.77 NA 11.77 2.34 32.98 32.98 0090.09.82.0920210 36.7856 09 60522 Removal of thymus gland A 23.09 13.01 NA 13.01 2.83 38.93 38.93 0090.09.82.0920210 36.7856 09 60540 Explore adrenal gland A 17.03 7.64 NA 7.64 1.42 26.09 26.09 0090.09.82.0921210 36.7856 09 60545 Explore adrenal gland A 19.88 9.33 NA 9.33 1.75 30.96 30.96 0090.09.82.0920210 36.7856 09 60600 Remove carotid body lesion A 17.93 13.24 NA 13.24 1.87 33.04 33.04 0090.09.82.0920210 36.7856 09 60605 Remove carotid body lesion A 20.24 18.11 NA 18.11 2.28 40.63 40.63 0090.09.82.0920210 36.7856 09 60650 Laparoscopy adrenalectomy A 20.00 8.06 NA 8.06 1.98 30.04 30.04 0090.09.84.0721210 36.7856 09 60659 Laparo proc, endocrine C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021200 36.7856 09 60699 Endocrine surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020211 36.7856 09 61000 Remove cranial cavity fluid A 1.58 0.98 NA 0.98 0.13 2.69 2.69 0000.00.00.0022100 36.7856 09 61001 Remove cranial cavity fluid A 1.49 1.08 NA 1.08 0.15 2.72 2.72 0000.00.00.0022100 36.7856 09 61020 Remove brain cavity fluid A 1.51 1.38 NA 1.38 0.26 3.15 3.15 0000.00.00.0020100 36.7856 09 61026 Injection into brain canal A 1.69 1.45 NA 1.45 0.21 3.35 3.35 0000.00.00.0020100 36.7856 09 61050 Remove brain canal fluid A 1.51 1.27 NA 1.27 0.13 2.91 2.91 0000.00.00.0020000 36.7856 09 61055 Injection into brain canal A 2.10 1.42 NA 1.42 0.13 3.65 3.65 0000.00.00.0000100 36.7856 09 61070 Brain canal shunt procedure A 0.89 1.04 NA 1.04 0.09 2.02 2.02 0000.00.00.0020100 36.7856 09 61105 Twist drill hole A 5.14 4.04 NA 4.04 1.05 10.23 10.23 0090.11.76.1320000 36.7856 09 61107 Drill skull for implantation A 5.00 3.38 NA 3.38 1.02 9.40 9.40 0000.00.00.0000100 36.7856 09 61108 Drill skull for drainage A 10.19 7.29 NA 7.29 2.04 19.52 19.52 0090.11.76.1320100 36.7856 09 61120 Burr hole for puncture A 8.76 6.12 NA 6.12 1.81 16.69 16.69 0090.11.76.1320000 36.7856 09 61140 Pierce skull for biopsy A 15.90 10.11 NA 10.11 3.15 29.16 29.16 0090.11.76.1320200 36.7856 09 61150 Pierce skull for drainage A 17.57 10.66 NA 10.66 3.52 31.75 31.75 0090.11.76.1320110 36.7856 09 61151 Pierce skull for drainage A 12.42 8.01 NA 8.01 2.45 22.88 22.88 0090.11.76.1320100 36.7856 09 61154 Pierce skull & remove clot A 14.99 9.70 NA 9.70 3.05 27.74 27.74 0090.11.76.1321210 36.7856 09 61156 Pierce skull for drainage A 16.32 10.07 NA 10.07 3.42 29.81 29.81 0090.11.76.1320210 36.7856 09 61210 Pierce skull, implant device A 5.84 3.78 NA 3.78 1.16 10.78 10.78 0000.00.00.0000100 36.7856 09 61215 Insert brain-fluid device A 4.89 4.09 NA 4.09 0.99 9.97 9.97 0090.11.76.1320110 36.7856 09 61250 Pierce skull & explore A 10.42 7.01 NA 7.01 2.02 19.45 19.45 0090.11.76.1321210 36.7856 09 61253 Pierce skull & explore A 12.36 7.87 NA 7.87 2.26 22.49 22.49 0090.11.76.1322200 36.7856 09 61304 Open skull for exploration A 21.96 13.18 NA 13.18 4.33 39.47 39.47 0090.11.76.1320210 36.7856 09 61305 Open skull for exploration A 26.61 15.70 NA 15.70 5.25 47.56 47.56 0090.11.76.1320210 36.7856 09 61312 Open skull for drainage A 24.57 15.42 NA 15.42 4.99 44.98 44.98 0090.11.76.1320210 36.7856 09 61313 Open skull for drainage A 24.93 15.20 NA 15.20 5.07 45.20 45.20 0090.11.76.1320210 36.7856 09 61314 Open skull for drainage A 24.23 13.34 NA 13.34 4.00 41.57 41.57 0090.11.76.1320210 36.7856 09 61315 Open skull for drainage A 27.68 16.42 NA 16.42 5.62 49.72 49.72 0090.11.76.1320210 36.7856 09 61316 Implt cran bone flap to abdo A 1.39 0.57 NA 0.57 0.43 2.39 2.39 0ZZZ.00.00.0000100 36.7856 09 61320 Open skull for drainage A 25.62 15.16 NA 15.16 5.20 45.98 45.98 0090.11.76.1320210 36.7856 09 61321 Open skull for drainage A 28.50 16.55 NA 16.55 5.35 50.40 50.40 0090.11.76.1320210 36.7856 09 61322 Decompressive craniotomy A 29.50 13.88 NA 13.88 4.99 48.37 48.37 0090.11.76.1320210 36.7856 09 61323 Decompressive lobectomy A 31.00 14.08 NA 14.08 4.99 50.07 50.07 0090.11.76.1320110 36.7856 09 61330 Decompress eye socket A 23.32 14.10 NA 14.10 2.58 40.00 40.00 0090.11.76.1321210 36.7856 09 61332 Explore/biopsy eye socket A 27.28 15.97 NA 15.97 4.15 47.40 47.40 0090.11.76.1320210 36.7856 09 61333 Explore orbit/remove lesion A 27.95 16.02 NA 16.02 2.24 46.21 46.21 0090.11.76.1320210 36.7856 09 61334 Explore orbit/remove object A 18.27 10.93 NA 10.93 3.02 32.22 32.22 0090.11.76.1320210 36.7856 09 61340 Subtemporal decompression A 18.66 11.41 NA 11.41 3.66 33.73 33.73 0090.11.76.1321210 36.7856 09 61343 Incise skull (press relief) A 29.77 17.97 NA 17.97 6.04 53.78 53.78 0090.11.76.1320210 36.7856 09 61345 Relieve cranial pressure A 27.20 16.51 NA 16.51 5.23 48.94 48.94 0090.11.76.1320210 36.7856 09 61440 Incise skull for surgery A 26.63 15.30 NA 15.30 5.57 47.50 47.50 0090.11.76.1320210 36.7856 09 61450 Incise skull for surgery A 25.95 15.53 NA 15.53 5.11 46.59 46.59 0090.11.76.1320210 36.7856 09 61458 Incise skull for brain wound A 27.29 16.59 NA 16.59 5.28 49.16 49.16 0090.11.76.1320210 36.7856 09 61460 Incise skull for surgery A 28.39 17.53 NA 17.53 5.13 51.05 51.05 0090.11.76.1320220 36.7856 09 61470 Incise skull for surgery A 26.06 15.06 NA 15.06 4.65 45.77 45.77 0090.11.76.1320210 36.7856 09 61480 Incise skull for surgery A 26.49 15.99 NA 15.99 5.54 48.02 48.02 0090.11.76.1320210 36.7856 09 61490 Incise skull for surgery A 25.66 15.56 NA 15.56 5.37 46.59 46.59 0090.11.76.1321210 36.7856 09 61500 Removal of skull lesion A 17.92 11.76 NA 11.76 3.26 32.94 32.94 0090.11.76.1320210 36.7856 09 61501 Remove infected skull bone A 14.84 9.97 NA 9.97 2.63 27.44 27.44 0090.11.76.1320210 36.7856 09 61510 Removal of brain lesion A 28.45 17.22 NA 17.22 5.77 51.44 51.44 0090.11.76.1320210 36.7856 09 61512 Remove brain lining lesion A 35.09 20.72 NA 20.72 7.14 62.95 62.95 0090.11.76.1320210 36.7856 09 61514 Removal of brain abscess A 25.26 15.47 NA 15.47 5.12 45.85 45.85 0090.11.76.1320210 36.7856 09 61516 Removal of brain lesion A 24.61 14.92 NA 14.92 4.94 44.47 44.47 0090.11.76.1320210 36.7856 09 61517 Implt brain chemotx add-on A 1.38 0.56 NA 0.56 0.08 2.02 2.02 0ZZZ.00.00.0000100 36.7856 09 61518 Removal of brain lesion A 37.32 22.22 NA 22.22 7.53 67.07 67.07 0090.11.76.1320210 36.7856 09 61519 Remove brain lining lesion A 41.39 24.21 NA 24.21 8.15 73.75 73.75 0090.11.76.1320210 36.7856 09 61520 Removal of brain lesion A 54.84 31.73 NA 31.73 10.10 96.67 96.67 0090.11.76.1320220 36.7856 09 61521 Removal of brain lesion A 44.48 25.76 NA 25.76 8.85 79.09 79.09 0090.11.76.1320210 36.7856 09 61522 Removal of brain abscess A 29.45 17.56 NA 17.56 5.30 52.31 52.31 0090.11.76.1320210 36.7856 09 61524 Removal of brain lesion A 27.86 16.79 NA 16.79 5.01 49.66 49.66 0090.11.76.1320210 36.7856 09 61526 Removal of brain lesion A 52.17 30.71 NA 30.71 6.72 89.60 89.60 0090.11.76.1320120 36.7856 09 61530 Removal of brain lesion A 43.86 26.94 NA 26.94 6.17 76.97 76.97 0090.11.76.1320120 36.7856 09 61531 Implant brain electrodes A 14.63 9.66 NA 9.66 2.84 27.13 27.13 0090.11.76.1320220 36.7856 09 61533 Implant brain electrodes A 19.71 12.32 NA 12.32 3.80 35.83 35.83 0090.11.76.1320210 36.7856 09 61534 Removal of brain lesion A 20.97 13.13 NA 13.13 4.15 38.25 38.25 0090.11.76.1320210 36.7856 09 61535 Remove brain electrodes A 11.63 8.10 NA 8.10 2.29 22.02 22.02 0090.11.76.1320210 36.7856 09 61536 Removal of brain lesion A 35.52 21.02 NA 21.02 6.68 63.22 63.22 0090.11.76.1320210 36.7856 09 61538 Removal of brain tissue A 26.81 16.32 NA 16.32 5.38 48.51 48.51 0090.11.76.1320210 36.7856 09 61539 Removal of brain tissue A 32.08 18.97 NA 18.97 6.62 57.67 57.67 0090.11.76.1320210 36.7856 09 61541 Incision of brain tissue A 28.85 16.91 NA 16.91 5.50 51.26 51.26 0090.11.76.1320210 36.7856 09 61542 Removal of brain tissue A 31.02 19.07 NA 19.07 6.49 56.58 56.58 0090.11.76.1320210 36.7856 09 61543 Removal of brain tissue A 29.22 17.52 NA 17.52 6.11 52.85 52.85 0090.11.76.1320210 36.7856 09 61544 Remove & treat brain lesion A 25.50 14.52 NA 14.52 4.91 44.93 44.93 0090.11.76.1320200 36.7856 09 61545 Excision of brain tumor A 43.80 25.02 NA 25.02 8.88 77.70 77.70 0090.11.76.1320210 36.7856 09 61546 Removal of pituitary gland A 31.30 18.68 NA 18.68 6.06 56.04 56.04 0090.11.76.1320210 36.7856 09 61548 Removal of pituitary gland A 21.53 13.64 NA 13.64 3.63 38.80 38.80 0090.11.76.1320220 36.7856 09 61550 Release of skull seams A 14.65 7.34 NA 7.34 1.14 23.13 23.13 0090.11.76.1320210 36.7856 09 61552 Release of skull seams A 19.56 9.84 NA 9.84 0.88 30.28 30.28 0090.11.76.1320210 36.7856 09 61556 Incise skull/sutures A 22.26 12.01 NA 12.01 3.57 37.84 37.84 0090.11.76.1320200 36.7856 09 61557 Incise skull/sutures A 22.38 13.86 NA 13.86 4.68 40.92 40.92 0090.11.76.1320200 36.7856 09 61558 Excision of skull/sutures A 25.58 15.13 NA 15.13 2.61 43.32 43.32 0090.11.76.1320200 36.7856 09 61559 Excision of skull/sutures A 32.79 19.67 NA 19.67 6.86 59.32 59.32 0090.11.76.1320210 36.7856 09 61563 Excision of skull tumor A 26.83 16.07 NA 16.07 4.46 47.36 47.36 0090.11.76.1320210 36.7856 09 61564 Excision of skull tumor A 33.83 18.72 NA 18.72 7.08 59.63 59.63 0090.11.76.1320210 36.7856 09 61570 Remove foreign body, brain A 24.60 14.37 NA 14.37 4.60 43.57 43.57 0090.11.76.1320210 36.7856 09 61571 Incise skull for brain wound A 26.39 15.70 NA 15.70 5.23 47.32 47.32 0090.11.76.1320210 36.7856 09 61575 Skull base/brainstem surgery A 34.36 21.20 NA 21.20 5.02 60.58 60.58 0090.11.76.1320210 36.7856 09 61576 Skull base/brainstem surgery A 52.43 30.80 NA 30.80 4.68 87.91 87.91 0090.11.76.1320210 36.7856 09 61580 Craniofacial approach, skull A 30.35 19.15 NA 19.15 2.75 52.25 52.25 0090.11.76.1321212 36.7856 09 61581 Craniofacial approach, skull A 34.60 15.39 NA 15.39 3.37 53.36 53.36 0090.11.76.1321122 36.7856 09 61582 Craniofacial approach, skull A 31.66 19.26 NA 19.26 6.30 57.22 57.22 0090.11.76.1320212 36.7856 09 61583 Craniofacial approach, skull A 36.21 22.62 NA 22.62 6.94 65.77 65.77 0090.11.76.1320212 36.7856 09 61584 Orbitocranial approach/skull A 34.65 20.92 NA 20.92 6.53 62.10 62.10 0090.11.76.1321212 36.7856 09 61585 Orbitocranial approach/skull A 38.61 22.58 NA 22.58 6.19 67.38 67.38 0090.11.76.1321212 36.7856 09 61586 Resect nasopharynx, skull A 25.10 16.22 NA 16.22 3.52 44.84 44.84 0090.11.76.1320212 36.7856 09 61590 Infratemporal approach/skull A 41.78 25.53 NA 25.53 4.28 71.59 71.59 0090.11.76.1321212 36.7856 09 61591 Infratemporal approach/skull A 43.68 26.34 NA 26.34 5.26 75.28 75.28 0090.11.76.1321212 36.7856 09 61592 Orbitocranial approach/skull A 39.64 23.61 NA 23.61 7.55 70.80 70.80 0090.11.76.1321212 36.7856 09 61595 Transtemporal approach/skull A 29.57 19.32 NA 19.32 3.05 51.94 51.94 0090.11.76.1321212 36.7856 09 61596 Transcochlear approach/skull A 35.63 22.01 NA 22.01 4.25 61.89 61.89 0090.11.76.1321212 36.7856 09 61597 Transcondylar approach/skull A 37.96 21.20 NA 21.20 6.65 65.81 65.81 0090.11.76.1321212 36.7856 09 61598 Transpetrosal approach/skull A 33.41 20.65 NA 20.65 4.60 58.66 58.66 0090.11.76.1320212 36.7856 09 61600 Resect/excise cranial lesion A 25.85 15.96 NA 15.96 3.12 44.93 44.93 0090.11.76.1320212 36.7856 09 61601 Resect/excise cranial lesion A 27.89 17.32 NA 17.32 5.29 50.50 50.50 0090.11.76.1320212 36.7856 09 61605 Resect/excise cranial lesion A 29.33 18.50 NA 18.50 2.51 50.34 50.34 0090.11.76.1320212 36.7856 09 61606 Resect/excise cranial lesion A 38.83 23.37 NA 23.37 6.81 69.01 69.01 0090.11.76.1320212 36.7856 09 61607 Resect/excise cranial lesion A 36.27 22.05 NA 22.05 5.69 64.01 64.01 0090.11.76.1320212 36.7856 09 61608 Resect/excise cranial lesion A 42.10 24.77 NA 24.77 8.31 75.18 75.18 0090.11.76.1320212 36.7856 09 61609 Transect artery, sinus A 9.89 4.91 NA 4.91 2.07 16.87 16.87 0ZZZ.00.00.0001212 36.7856 09 61610 Transect artery, sinus A 29.67 13.48 NA 13.48 3.52 46.67 46.67 0ZZZ.00.00.0001212 36.7856 09 61611 Transect artery, sinus A 7.42 3.40 NA 3.40 1.55 12.37 12.37 0ZZZ.00.00.0001212 36.7856 09 61612 Transect artery, sinus A 27.88 13.67 NA 13.67 3.55 45.10 45.10 0ZZZ.00.00.0001212 36.7856 09 61613 Remove aneurysm, sinus A 40.86 23.95 NA 23.95 8.32 73.13 73.13 0090.11.76.1321212 36.7856 09 61615 Resect/excise lesion, skull A 32.07 20.58 NA 20.58 4.64 57.29 57.29 0090.11.76.1320212 36.7856 09 61616 Resect/excise lesion, skull A 43.33 26.87 NA 26.87 7.02 77.22 77.22 0090.11.76.1320212 36.7856 09 61618 Repair dura A 16.99 11.45 NA 11.45 2.92 31.36 31.36 0090.11.76.1320212 36.7856 09 61619 Repair dura A 20.71 13.38 NA 13.38 3.42 37.51 37.51 0090.11.76.1320212 36.7856 09 61623 Endovasc tempory vessel occl A 9.96 4.23 NA 4.23 0.50 14.69 14.69 0000.00.00.0020100 36.7856 09 61624 Transcath occlusion, cns A 20.15 7.13 NA 7.13 1.15 28.43 28.43 0000.00.00.0020100 36.7856 09 61626 Transcath occlusion, non-cns A 16.62 5.70 NA 5.70 0.84 23.16 23.16 0000.00.00.0020100 36.7856 09 61680 Intracranial vessel surgery A 30.71 18.44 NA 18.44 6.04 55.19 55.19 0090.11.76.1320210 36.7856 09 61682 Intracranial vessel surgery A 61.57 34.01 NA 34.01 12.69 108.27 108.27 0090.11.76.1320210 36.7856 09 61684 Intracranial vessel surgery A 39.81 23.12 NA 23.12 7.87 70.80 70.80 0090.11.76.1320210 36.7856 09 61686 Intracranial vessel surgery A 64.49 36.02 NA 36.02 13.20 113.71 113.71 0090.11.76.1320210 36.7856 09 61690 Intracranial vessel surgery A 29.31 17.76 NA 17.76 5.51 52.58 52.58 0090.11.76.1320210 36.7856 09 61692 Intracranial vessel surgery A 51.87 28.84 NA 28.84 10.17 90.88 90.88 0090.11.76.1320210 36.7856 09 61697 Brain aneurysm repr, complx A 50.52 28.73 NA 28.73 10.31 89.56 89.56 0090.11.76.1320210 36.7856 09 61698 Brain aneurysm repr, complx A 48.41 27.36 NA 27.36 9.99 85.76 85.76 0090.11.76.1320210 36.7856 09 61700 Brain aneurysm repr, simple A 50.52 28.68 NA 28.68 10.18 89.38 89.38 0090.11.76.1320210 36.7856 09 61702 Inner skull vessel surgery A 48.41 27.66 NA 27.66 9.75 85.82 85.82 0090.11.76.1320210 36.7856 09 61703 Clamp neck artery A 17.47 11.24 NA 11.24 3.62 32.33 32.33 0090.11.76.1320210 36.7856 09 61705 Revise circulation to head A 36.20 20.05 NA 20.05 6.67 62.92 62.92 0090.11.76.1320210 36.7856 09 61708 Revise circulation to head A 35.30 15.87 NA 15.87 2.18 53.35 53.35 0090.11.76.1320200 36.7856 09 61710 Revise circulation to head A 29.67 14.53 NA 14.53 2.42 46.62 46.62 0090.11.76.1320000 36.7856 09 61711 Fusion of skull arteries A 36.33 20.63 NA 20.63 7.39 64.35 64.35 0090.11.76.1320210 36.7856 09 61720 Incise skull/brain surgery A 16.77 10.74 NA 10.74 3.51 31.02 31.02 0090.11.76.1320100 36.7856 09 61735 Incise skull/brain surgery A 20.43 12.76 NA 12.76 4.16 37.35 37.35 0090.11.76.1320110 36.7856 09 61750 Incise skull/brain biopsy A 18.20 10.96 NA 10.96 3.71 32.87 32.87 0090.11.76.1320110 36.7856 09 61751 Brain biopsy w/ct/mr guide A 17.62 10.77 NA 10.77 3.57 31.96 31.96 0090.11.76.1320110 36.7856 09 61760 Implant brain electrodes A 22.27 8.83 NA 8.83 4.59 35.69 35.69 0090.11.76.1320120 36.7856 09 61770 Incise skull for treatment A 21.44 13.05 NA 13.05 4.09 38.58 38.58 0090.11.76.1320110 36.7856 09 61790 Treat trigeminal nerve A 10.86 6.02 NA 6.02 1.82 18.70 18.70 0090.11.76.1320100 36.7856 09 61791 Treat trigeminal tract A 14.61 9.26 NA 9.26 3.03 26.90 26.90 0090.11.76.1320000 36.7856 09 61793 Focus radiation beam A 17.24 10.93 NA 10.93 3.51 31.68 31.68 0090.11.76.1320100 36.7856 09 61795 Brain surgery using computer A 4.04 2.09 NA 2.09 0.81 6.94 6.94 0ZZZ.00.00.0000100 36.7856 09 61850 Implant neuroelectrodes A 12.39 8.08 NA 8.08 2.23 22.70 22.70 0090.11.76.1320200 36.7856 09 61860 Implant neuroelectrodes A 20.87 12.88 NA 12.88 4.04 37.79 37.79 0090.11.76.1320200 36.7856 09 61862 Implant neurostimul, subcort A 19.34 12.08 NA 12.08 3.97 35.39 35.39 0090.11.76.1321210 36.7856 09 61870 Implant neuroelectrodes A 14.94 10.85 NA 10.85 1.70 27.49 27.49 0090.11.76.1320210 36.7856 09 61875 Implant neuroelectrodes A 15.06 9.28 NA 9.28 2.42 26.76 26.76 0090.11.76.1320200 36.7856 09 61880 Revise/remove neuroelectrode A 6.29 5.34 NA 5.34 1.31 12.94 12.94 0090.11.76.1321210 36.7856 09 61885 Implant neurostim one array A 5.85 5.09 NA 5.09 1.22 12.16 12.16 0090.11.76.1321000 36.7856 09 61886 Implant neurostim arrays A 8.00 6.15 NA 6.15 1.64 15.79 15.79 0090.11.76.1320000 36.7856 09 61888 Revise/remove neuroreceiver A 5.07 3.90 NA 3.90 1.04 10.01 10.01 0010.10.80.1021100 36.7856 09 62000 Treat skull fracture A 12.53 5.65 NA 5.65 0.87 19.05 19.05 0090.11.76.1320100 36.7856 09 62005 Treat skull fracture A 16.17 9.46 NA 9.46 2.33 27.96 27.96 0090.11.76.1320210 36.7856 09 62010 Treatment of head injury A 19.81 12.28 NA 12.28 4.05 36.14 36.14 0090.11.76.1320210 36.7856 09 62100 Repair brain fluid leakage A 22.03 13.85 NA 13.85 4.07 39.95 39.95 0090.11.76.1320210 36.7856 09 62115 Reduction of skull defect A 21.66 11.69 NA 11.69 4.53 37.88 37.88 0090.11.76.1320210 36.7856 09 62116 Reduction of skull defect A 23.59 13.79 NA 13.79 4.85 42.23 42.23 0090.11.76.1320200 36.7856 09 62117 Reduction of skull defect A 26.60 15.87 NA 15.87 5.56 48.03 48.03 0090.11.76.1320210 36.7856 09 62120 Repair skull cavity lesion A 23.35 14.38 NA 14.38 3.07 40.80 40.80 0090.11.76.1320210 36.7856 09 62121 Incise skull repair A 21.58 13.55 NA 13.55 2.47 37.60 37.60 0090.11.76.1320200 36.7856 09 62140 Repair of skull defect A 13.51 8.61 NA 8.61 2.60 24.72 24.72 0090.11.76.1320210 36.7856 09 62141 Repair of skull defect A 14.91 9.78 NA 9.78 2.85 27.54 27.54 0090.11.76.1320210 36.7856 09 62142 Remove skull plate/flap A 10.79 7.24 NA 7.24 2.10 20.13 20.13 0090.11.76.1320200 36.7856 09 62143 Replace skull plate/flap A 13.05 8.75 NA 8.75 2.55 24.35 24.35 0090.11.76.1320210 36.7856 09 62145 Repair of skull & brain A 18.82 11.69 NA 11.69 3.81 34.32 34.32 0090.11.76.1320210 36.7856 09 62146 Repair of skull with graft A 16.12 10.40 NA 10.40 2.94 29.46 29.46 0090.11.76.1320210 36.7856 09 62147 Repair of skull with graft A 19.34 12.14 NA 12.14 3.64 35.12 35.12 0090.11.76.1320210 36.7856 09 62148 Retr bone flap to fix skull A 2.00 0.82 NA 0.82 0.43 3.25 3.25 0ZZZ.00.00.0000100 36.7856 09 62160 Neuroendoscopy add-on A 3.00 1.16 NA 1.16 0.52 4.68 4.68 0ZZZ.00.00.0000100 36.7856 09 62161 Dissect brain w/scope A 20.00 9.71 NA 9.71 3.70 33.41 33.41 0090.11.76.1320210 36.7856 09 62162 Remove colloid cyst w/scope A 25.25 11.89 NA 11.89 5.77 42.91 42.91 0090.11.76.1320210 36.7856 09 62163 Neuroendoscopy w/fb removal A 15.50 7.97 NA 7.97 3.70 27.17 27.17 0090.11.76.1320210 36.7856 09 62164 Remove brain tumor w/scope A 27.50 13.12 NA 13.12 5.77 46.39 46.39 0090.11.76.1320210 36.7856 09 62165 Remove pituit tumor w/scope A 22.00 10.68 NA 10.68 3.63 36.31 36.31 0090.11.76.1320210 36.7856 09 62180 Establish brain cavity shunt A 21.06 12.90 NA 12.90 4.32 38.28 38.28 0090.11.76.1320200 36.7856 09 62190 Establish brain cavity shunt A 11.07 7.73 NA 7.73 2.18 20.98 20.98 0090.11.76.1320110 36.7856 09 62192 Establish brain cavity shunt A 12.25 8.27 NA 8.27 2.46 22.98 22.98 0090.11.76.1320210 36.7856 09 62194 Replace/irrigate catheter A 5.03 2.77 NA 2.77 0.50 8.30 8.30 0010.10.80.1020000 36.7856 09 62200 Establish brain cavity shunt A 18.32 11.59 NA 11.59 3.70 33.61 33.61 0090.11.76.1320210 36.7856 09 62201 Brain cavity shunt w/scope A 14.86 9.77 NA 9.77 2.52 27.15 27.15 0090.11.76.1320100 36.7856 09 62220 Establish brain cavity shunt A 13.00 8.65 NA 8.65 2.53 24.18 24.18 0090.11.76.1320210 36.7856 09 62223 Establish brain cavity shunt A 12.87 8.51 NA 8.51 2.58 23.96 23.96 0090.11.76.1320210 36.7856 09 62225 Replace/irrigate catheter A 5.41 4.81 NA 4.81 1.09 11.31 11.31 0090.11.76.1320100 36.7856 09 62230 Replace/revise brain shunt A 10.54 7.23 NA 7.23 2.10 19.87 19.87 0090.11.76.1320210 36.7856 09 62252 Csf shunt reprogram A 0.74 1.47 1.47 NA 0.18 2.39 2.39 1XXX.00.00.0000000 36.7856 09 62252TCCsf shunt reprogram A 0.00 1.09 1.09 NA 0.02 1.11 1.11 1XXX.00.00.0000000 36.7856 03 6225226Csf shunt reprogram A 0.74 0.38 0.38 0.16 1.28 1.28 1XXX.00.00.0000000 36.7856 09 62256 Remove brain cavity shunt A 6.60 5.45 NA 5.45 1.34 13.39 13.39 0090.11.76.1320200 36.7856 09 62258 Replace brain cavity shunt A 14.54 9.34 NA 9.34 2.91 26.79 26.79 0090.11.76.1320210 36.7856 09 62263 Epidural lysis mult sessions A 6.14 13.45 2.43 0.42 20.01 8.99 0010.10.80.1020100 36.7856 09 62264 Epidural lysis on single day A 4.43 11.38 1.32 0.30 16.11 6.05 0010.10.80.1020100 36.7856 09 62268 Drain spinal cord cyst A 4.74 2.71 NA 2.71 0.29 7.74 7.74 0000.00.00.0020100 36.7856 09 62269 Needle biopsy, spinal cord A 5.02 2.37 NA 2.37 0.29 7.68 7.68 0000.00.00.0020000 36.7856 09 62270 Spinal fluid tap, diagnostic A 1.13 3.78 0.50 0.06 4.97 1.69 0000.00.00.0020100 36.7856 09 62272 Drain cerebro spinal fluid A 1.35 4.85 0.65 0.13 6.33 2.13 0000.00.00.0020100 36.7856 09 62273 Treat epidural spine lesion A 2.15 2.79 0.58 0.14 5.08 2.87 0000.00.00.0020100 36.7856 09 62280 Treat spinal cord lesion A 2.63 9.34 0.82 0.17 12.14 3.62 0010.10.80.1020100 36.7856 09 62281 Treat spinal cord lesion A 2.66 7.92 0.72 0.16 10.74 3.54 0010.10.80.1020100 36.7856 09 62282 Treat spinal canal lesion A 2.33 11.43 0.73 0.14 13.90 3.20 0010.10.80.1020100 36.7856 09 62284 Injection for myelogram A 1.54 5.07 0.61 0.10 6.71 2.25 0000.00.00.0000100 36.7856 09 62287 Percutaneous diskectomy A 8.08 5.04 NA 5.04 0.66 13.78 13.78 0090.11.76.1320100 36.7856 09 62290 Inject for spine disk x-ray A 3.00 8.54 1.29 0.20 11.74 4.49 0000.00.00.0020100 36.7856 09 62291 Inject for spine disk x-ray A 2.91 7.28 1.15 0.17 10.36 4.23 0000.00.00.0020100 36.7856 09 62292 Injection into disk lesion A 7.86 5.04 NA 5.04 0.65 13.55 13.55 0090.11.76.1320000 36.7856 09 62294 Injection into spinal artery A 11.83 6.68 NA 6.68 0.85 19.36 19.36 0090.11.76.1320100 36.7856 09 62310 Inject spine c/t A 1.91 4.91 0.51 0.11 6.93 2.53 0000.00.00.0020100 36.7856 09 62311 Inject spine l/s (cd) A 1.54 5.02 0.45 0.09 6.65 2.08 0000.00.00.0020100 36.7856 09 62318 Inject spine w/cath, c/t A 2.04 5.53 0.52 0.12 7.69 2.68 0000.00.00.0020100 36.7856 09 62319 Inject spine w/cath l/s (cd) A 1.87 4.90 0.48 0.11 6.88 2.46 0000.00.00.0020100 36.7856 09 62350 Implant spinal canal cath A 6.87 3.64 NA 3.64 0.64 11.15 11.15 0090.11.76.1320110 36.7856 09 62351 Implant spinal canal cath A 10.00 6.72 NA 6.72 1.79 18.51 18.51 0090.11.76.1320220 36.7856 09 62355 Remove spinal canal catheter A 5.45 2.82 NA 2.82 0.47 8.74 8.74 0090.11.76.1320000 36.7856 09 62360 Insert spine infusion device A 2.62 2.28 NA 2.28 0.21 5.11 5.11 0090.11.76.1320010 36.7856 09 62361 Implant spine infusion pump A 5.42 3.50 NA 3.50 0.50 9.42 9.42 0090.11.76.1320010 36.7856 09 62362 Implant spine infusion pump A 7.04 4.06 NA 4.06 0.86 11.96 11.96 0090.11.76.1320010 36.7856 09 62365 Remove spine infusion device A 5.42 4.09 NA 4.09 0.58 10.09 10.09 0090.11.76.1320000 36.7856 09 62367 Analyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 62367TCAnalyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 02 6236726Analyze spine infusion pump A 0.48 0.13 0.13 0.03 0.64 0.64 1XXX.00.00.0000000 36.7856 09 62368 Analyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 62368TCAnalyze spine infusion pump C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 02 6236826Analyze spine infusion pump A 0.75 0.19 0.19 0.05 0.99 0.99 1XXX.00.00.0000000 36.7856 09 63001 Removal of spinal lamina A 15.82 9.93 NA 9.93 3.03 28.78 28.78 0090.11.76.1320220 36.7856 09 63003 Removal of spinal lamina A 15.95 10.28 NA 10.28 2.98 29.21 29.21 0090.11.76.1320220 36.7856 09 63005 Removal of spinal lamina A 14.92 10.31 NA 10.31 2.62 27.85 27.85 0090.11.76.1320220 36.7856 09 63011 Removal of spinal lamina A 14.52 8.60 NA 8.60 1.43 24.55 24.55 0090.11.76.1320220 36.7856 09 63012 Removal of spinal lamina A 15.40 10.45 NA 10.45 2.71 28.56 28.56 0090.11.76.1320220 36.7856 09 63015 Removal of spinal lamina A 19.35 12.36 NA 12.36 3.84 35.55 35.55 0090.11.76.1320220 36.7856 09 63016 Removal of spinal lamina A 19.20 12.22 NA 12.22 3.62 35.04 35.04 0090.11.76.1320220 36.7856 09 63017 Removal of spinal lamina A 15.94 10.77 NA 10.77 2.91 29.62 29.62 0090.11.76.1320220 36.7856 09 63020 Neck spine disk surgery A 14.81 10.08 NA 10.08 2.89 27.78 27.78 0090.11.76.1321220 36.7856 09 63030 Low back disk surgery A 12.00 8.75 NA 8.75 2.21 22.96 22.96 0090.11.76.1321220 36.7856 09 63035 Spinal disk surgery add-on A 3.15 1.63 NA 1.63 0.57 5.35 5.35 0ZZZ.00.00.0001220 36.7856 09 63040 Laminotomy, single cervical A 18.81 11.91 NA 11.91 3.36 34.08 34.08 0090.11.76.1321220 36.7856 09 63042 Laminotomy, single lumbar A 17.47 11.71 NA 11.71 3.11 32.29 32.29 0090.11.76.1321220 36.7856 09 63043 Laminotomy, addl cervical C 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001220 36.7856 09 63044 Laminotomy, addl lumbar C 0.00 0.00 0.00 0.00 0.00 0.00 0ZZZ.00.00.0001220 36.7856 09 63045 Removal of spinal lamina A 16.50 10.76 NA 10.76 3.19 30.45 30.45 0090.11.76.1322220 36.7856 09 63046 Removal of spinal lamina A 15.80 10.54 NA 10.54 2.89 29.23 29.23 0090.11.76.1322220 36.7856 09 63047 Removal of spinal lamina A 14.61 10.23 NA 10.23 2.61 27.45 27.45 0090.11.76.1322220 36.7856 09 63048 Remove spinal lamina add-on A 3.26 1.71 NA 1.71 0.58 5.55 5.55 0ZZZ.00.00.0002220 36.7856 09 63055 Decompress spinal cord A 21.99 13.60 NA 13.60 4.09 39.68 39.68 0090.11.76.1320210 36.7856 09 63056 Decompress spinal cord A 20.36 12.98 NA 12.98 3.34 36.68 36.68 0090.11.76.1320210 36.7856 09 63057 Decompress spine cord add-on A 5.26 2.71 NA 2.71 0.81 8.78 8.78 0ZZZ.00.00.0000210 36.7856 09 63064 Decompress spinal cord A 24.61 14.93 NA 14.93 4.72 44.26 44.26 0090.11.76.1320210 36.7856 09 63066 Decompress spine cord add-on A 3.26 1.71 NA 1.71 0.63 5.60 5.60 0ZZZ.00.00.0000210 36.7856 09 63075 Neck spine disk surgery A 19.41 12.53 NA 12.53 3.73 35.67 35.67 0090.11.76.1320220 36.7856 09 63076 Neck spine disk surgery A 4.05 2.11 NA 2.11 0.78 6.94 6.94 0ZZZ.00.00.0000220 36.7856 09 63077 Spine disk surgery, thorax A 21.44 13.08 NA 13.08 3.44 37.96 37.96 0090.11.76.1320220 36.7856 09 63078 Spine disk surgery, thorax A 3.28 1.67 NA 1.67 0.50 5.45 5.45 0ZZZ.00.00.0000220 36.7856 09 63081 Removal of vertebral body A 23.73 14.80 NA 14.80 4.46 42.99 42.99 0090.11.76.1320212 36.7856 09 63082 Remove vertebral body add-on A 4.37 2.29 NA 2.29 0.82 7.48 7.48 0ZZZ.00.00.0000212 36.7856 09 63085 Removal of vertebral body A 26.92 15.83 NA 15.83 4.70 47.45 47.45 0090.11.76.1320222 36.7856 09 63086 Remove vertebral body add-on A 3.19 1.63 NA 1.63 0.55 5.37 5.37 0ZZZ.00.00.0000222 36.7856 09 63087 Removal of vertebral body A 35.57 19.93 NA 19.93 5.87 61.37 61.37 0090.11.76.1320222 36.7856 09 63088 Remove vertebral body add-on A 4.33 2.23 NA 2.23 0.77 7.33 7.33 0ZZZ.00.00.0000222 36.7856 09 63090 Removal of vertebral body A 28.16 16.40 NA 16.40 4.27 48.83 48.83 0090.11.76.1320222 36.7856 09 63091 Remove vertebral body add-on A 3.03 1.49 NA 1.49 0.45 4.97 4.97 0ZZZ.00.00.0000222 36.7856 09 63170 Incise spinal cord tract(s) A 19.83 13.69 NA 13.69 3.89 37.41 37.41 0090.11.76.1320210 36.7856 09 63172 Drainage of spinal cyst A 17.66 13.21 NA 13.21 3.46 34.33 34.33 0090.11.76.1320210 36.7856 09 63173 Drainage of spinal cyst A 21.99 15.22 NA 15.22 4.14 41.35 41.35 0090.11.76.1320210 36.7856 09 63180 Revise spinal cord ligaments A 18.27 13.27 NA 13.27 3.83 35.37 35.37 0090.11.76.1320210 36.7856 09 63182 Revise spinal cord ligaments A 20.50 12.93 NA 12.93 3.48 36.91 36.91 0090.11.76.1320210 36.7856 09 63185 Incise spinal column/nerves A 15.04 9.82 NA 9.82 2.08 26.94 26.94 0090.11.76.1320210 36.7856 09 63190 Incise spinal column/nerves A 17.45 11.92 NA 11.92 2.88 32.25 32.25 0090.11.76.1320210 36.7856 09 63191 Incise spinal column/nerves A 17.54 12.31 NA 12.31 3.50 33.35 33.35 0090.11.76.1321210 36.7856 09 63194 Incise spinal column & cord A 19.19 13.35 NA 13.35 4.01 36.55 36.55 0090.11.76.1320210 36.7856 09 63195 Incise spinal column & cord A 18.84 12.97 NA 12.97 3.44 35.25 35.25 0090.11.76.1320210 36.7856 09 63196 Incise spinal column & cord A 22.30 13.65 NA 13.65 4.66 40.61 40.61 0090.11.76.1320210 36.7856 09 63197 Incise spinal column & cord A 21.11 13.85 NA 13.85 4.42 39.38 39.38 0090.11.76.1320210 36.7856 09 63198 Incise spinal column & cord A 25.38 10.80 NA 10.80 5.31 41.49 41.49 0090.11.76.1320210 36.7856 09 63199 Incise spinal column & cord A 26.89 16.29 NA 16.29 5.62 48.80 48.80 0090.11.76.1320210 36.7856 09 63200 Release of spinal cord A 19.18 13.10 NA 13.10 3.61 35.89 35.89 0090.11.76.1320200 36.7856 09 63250 Revise spinal cord vessels A 40.76 20.69 NA 20.69 7.65 69.10 69.10 0090.11.76.1320210 36.7856 09 63251 Revise spinal cord vessels A 41.20 23.26 NA 23.26 7.98 72.44 72.44 0090.11.76.1320210 36.7856 09 63252 Revise spinal cord vessels A 41.19 22.90 NA 22.90 7.75 71.84 71.84 0090.11.76.1320210 36.7856 09 63265 Excise intraspinal lesion A 21.56 13.30 NA 13.30 4.29 39.15 39.15 0090.11.76.1320210 36.7856 09 63266 Excise intraspinal lesion A 22.30 13.73 NA 13.73 4.47 40.50 40.50 0090.11.76.1320210 36.7856 09 63267 Excise intraspinal lesion A 17.95 11.53 NA 11.53 3.50 32.98 32.98 0090.11.76.1320210 36.7856 09 63268 Excise intraspinal lesion A 18.52 10.86 NA 10.86 3.18 32.56 32.56 0090.11.76.1320210 36.7856 09 63270 Excise intraspinal lesion A 26.80 16.10 NA 16.10 5.41 48.31 48.31 0090.11.76.1320210 36.7856 09 63271 Excise intraspinal lesion A 26.92 16.20 NA 16.20 5.56 48.68 48.68 0090.11.76.1320210 36.7856 09 63272 Excise intraspinal lesion A 25.32 15.27 NA 15.27 5.07 45.66 45.66 0090.11.76.1320210 36.7856 09 63273 Excise intraspinal lesion A 24.29 14.89 NA 14.89 5.08 44.26 44.26 0090.11.76.1320200 36.7856 09 63275 Biopsy/excise spinal tumor A 23.68 14.35 NA 14.35 4.68 42.71 42.71 0090.11.76.1320210 36.7856 09 63276 Biopsy/excise spinal tumor A 23.45 14.23 NA 14.23 4.63 42.31 42.31 0090.11.76.1320210 36.7856 09 63277 Biopsy/excise spinal tumor A 20.83 13.01 NA 13.01 4.03 37.87 37.87 0090.11.76.1320210 36.7856 09 63278 Biopsy/excise spinal tumor A 20.56 12.84 NA 12.84 4.02 37.42 37.42 0090.11.76.1320210 36.7856 09 63280 Biopsy/excise spinal tumor A 28.35 16.80 NA 16.80 5.80 50.95 50.95 0090.11.76.1320210 36.7856 09 63281 Biopsy/excise spinal tumor A 28.05 16.64 NA 16.64 5.67 50.36 50.36 0090.11.76.1320210 36.7856 09 63282 Biopsy/excise spinal tumor A 26.39 15.77 NA 15.77 5.33 47.49 47.49 0090.11.76.1320210 36.7856 09 63283 Biopsy/excise spinal tumor A 25.00 15.09 NA 15.09 5.12 45.21 45.21 0090.11.76.1320210 36.7856 09 63285 Biopsy/excise spinal tumor A 36.00 20.53 NA 20.53 7.31 63.84 63.84 0090.11.76.1320210 36.7856 09 63286 Biopsy/excise spinal tumor A 35.63 20.47 NA 20.47 7.07 63.17 63.17 0090.11.76.1320210 36.7856 09 63287 Biopsy/excise spinal tumor A 36.70 21.04 NA 21.04 7.48 65.22 65.22 0090.11.76.1320210 36.7856 09 63290 Biopsy/excise spinal tumor A 37.38 21.18 NA 21.18 7.65 66.21 66.21 0090.11.76.1320210 36.7856 09 63300 Removal of vertebral body A 24.43 14.84 NA 14.84 4.78 44.05 44.05 0090.11.76.1320210 36.7856 09 63301 Removal of vertebral body A 27.60 15.84 NA 15.84 5.03 48.47 48.47 0090.11.76.1320210 36.7856 09 63302 Removal of vertebral body A 27.81 16.16 NA 16.16 5.25 49.22 49.22 0090.11.76.1320210 36.7856 09 63303 Removal of vertebral body A 30.50 17.39 NA 17.39 5.21 53.10 53.10 0090.11.76.1320210 36.7856 09 63304 Removal of vertebral body A 30.33 17.77 NA 17.77 4.72 52.82 52.82 0090.11.76.1320200 36.7856 09 63305 Removal of vertebral body A 32.03 18.30 NA 18.30 5.39 55.72 55.72 0090.11.76.1320210 36.7856 09 63306 Removal of vertebral body A 32.22 18.04 NA 18.04 2.39 52.65 52.65 0090.11.76.1320210 36.7856 09 63307 Removal of vertebral body A 31.63 17.33 NA 17.33 4.23 53.19 53.19 0090.11.76.1320210 36.7856 09 63308 Remove vertebral body add-on A 5.25 2.67 NA 2.67 1.01 8.93 8.93 0ZZZ.00.00.0000200 36.7856 09 63600 Remove spinal cord lesion A 14.02 6.03 NA 6.03 1.22 21.27 21.27 0090.11.76.1320000 36.7856 09 63610 Stimulation of spinal cord A 8.73 3.79 NA 3.79 0.43 12.95 12.95 0000.00.00.0020000 36.7856 09 63615 Remove lesion of spinal cord A 16.28 9.99 NA 9.99 2.85 29.12 29.12 0090.11.76.1320110 36.7856 09 63650 Implant neuroelectrodes A 6.74 2.96 NA 2.96 0.48 10.18 10.18 0090.11.76.1320100 36.7856 09 63655 Implant neuroelectrodes A 10.29 7.23 NA 7.23 1.85 19.37 19.37 0090.11.76.1320210 36.7856 09 63660 Revise/remove neuroelectrode A 6.16 3.74 NA 3.74 0.65 10.55 10.55 0090.11.76.1320110 36.7856 09 63685 Implant neuroreceiver A 7.04 4.28 NA 4.28 0.96 12.28 12.28 0090.11.76.1320210 36.7856 09 63688 Revise/remove neuroreceiver A 5.39 3.68 NA 3.68 0.70 9.77 9.77 0090.11.76.1320100 36.7856 09 63700 Repair of spinal herniation A 16.53 10.45 NA 10.45 2.69 29.67 29.67 0090.11.76.1320210 36.7856 09 63702 Repair of spinal herniation A 18.48 10.71 NA 10.71 1.36 30.55 30.55 0090.11.76.1320210 36.7856 09 63704 Repair of spinal herniation A 21.18 12.61 NA 12.61 3.84 37.63 37.63 0090.11.76.1320210 36.7856 09 63706 Repair of spinal herniation A 24.11 13.52 NA 13.52 4.73 42.36 42.36 0090.11.76.1320210 36.7856 09 63707 Repair spinal fluid leakage A 11.26 8.01 NA 8.01 1.96 21.23 21.23 0090.11.76.1320210 36.7856 09 63709 Repair spinal fluid leakage A 14.32 9.70 NA 9.70 2.49 26.51 26.51 0090.11.76.1320210 36.7856 09 63710 Graft repair of spine defect A 14.07 9.43 NA 9.43 2.61 26.11 26.11 0090.11.76.1320210 36.7856 09 63740 Install spinal shunt A 11.36 7.76 NA 7.76 2.15 21.27 21.27 0090.11.76.1320210 36.7856 09 63741 Install spinal shunt A 8.25 4.86 NA 4.86 1.05 14.16 14.16 0090.11.76.1320210 36.7856 09 63744 Revision of spinal shunt A 8.10 5.58 NA 5.58 1.51 15.19 15.19 0090.11.76.1320210 36.7856 09 63746 Removal of spinal shunt A 6.43 4.04 NA 4.04 1.15 11.62 11.62 0090.11.76.1320000 36.7856 09 64400 N block inj, trigeminal A 1.11 1.96 0.36 0.06 3.13 1.53 0000.00.00.0020100 36.7856 09 64402 N block inj, facial A 1.25 1.57 0.54 0.07 2.89 1.86 0000.00.00.0020100 36.7856 09 64405 N block inj, occipital A 1.32 1.70 0.40 0.08 3.10 1.80 0000.00.00.0020100 36.7856 09 64408 N block inj, vagus A 1.41 2.60 0.67 0.09 4.10 2.17 0000.00.00.0020000 36.7856 09 64410 N block inj, phrenic A 1.43 2.48 0.40 0.08 3.99 1.91 0000.00.00.0020000 36.7856 09 64412 N block inj, spinal accessor A 1.18 2.62 0.37 0.08 3.88 1.63 0000.00.00.0020100 36.7856 09 64413 N block inj, cervical plexus A 1.40 1.99 0.44 0.09 3.48 1.93 0000.00.00.0020100 36.7856 09 64415 N block inj, brachial plexus A 1.48 3.05 0.39 0.08 4.61 1.95 0000.00.00.0020100 36.7856 09 64416 N block cont infuse, b plex A 3.50 0.75 NA 0.75 0.08 4.33 4.33 0010.10.80.1020100 36.7856 09 64417 N block inj, axillary A 1.44 3.25 0.43 0.09 4.78 1.96 0000.00.00.0020100 36.7856 09 64418 N block inj, suprascapular A 1.32 2.67 0.37 0.07 4.06 1.76 0000.00.00.0020100 36.7856 09 64420 N block inj, intercost, sng A 1.18 3.56 0.35 0.07 4.81 1.60 0000.00.00.0020100 36.7856 09 64421 N block inj, intercost, mlt A 1.68 5.30 0.46 0.10 7.08 2.24 0000.00.00.0020100 36.7856 09 64425 N block inj ilio-ing/hypogi A 1.75 1.60 0.48 0.11 3.46 2.34 0000.00.00.0020100 36.7856 09 64430 N block inj, pudendal A 1.46 2.09 0.50 0.11 3.66 2.07 0000.00.00.0020100 36.7856 09 64435 N block inj, paracervical A 1.45 2.24 0.65 0.15 3.84 2.25 0000.00.00.0020100 36.7856 09 64445 N block inj, sciatic, sng A 1.48 2.78 0.38 0.08 4.34 1.94 0000.00.00.0020100 36.7856 09 64446 N blk inj, sciatic, cont inf A 3.25 1.15 NA 1.15 0.08 4.48 4.48 0010.10.80.1020100 36.7856 09 64447 N block inj fem, single A 1.50 0.52 NA 0.52 0.08 2.10 2.10 0000.00.00.0020100 36.7856 09 64448 N block inj fem, cont inf A 3.00 1.04 NA 1.04 0.08 4.12 4.12 0010.10.80.1020100 36.7856 09 64450 N block, other peripheral A 1.27 1.30 0.42 0.08 2.65 1.77 0000.00.00.0020100 36.7856 09 64470 Inj paravertebral c/t A 1.85 4.99 0.57 0.12 6.96 2.54 0000.00.00.0021100 36.7856 09 64472 Inj paravertebral c/t add-on A 1.29 1.99 0.32 0.09 3.37 1.70 0ZZZ.00.00.0001100 36.7856 09 64475 Inj paravertebral l/s A 1.41 4.65 0.48 0.09 6.15 1.98 0000.00.00.0021100 36.7856 09 64476 Inj paravertebral l/s add-on A 0.98 1.86 0.25 0.06 2.90 1.29 0ZZZ.00.00.0001100 36.7856 09 64479 Inj foramen epidural c/t A 2.20 7.32 0.73 0.14 9.66 3.07 0000.00.00.0021100 36.7856 09 64480 Inj foramen epidural add-on A 1.54 2.36 0.48 0.09 3.99 2.11 0ZZZ.00.00.0001100 36.7856 09 64483 Inj foramen epidural l/s A 1.90 7.75 0.67 0.12 9.77 2.69 0000.00.00.0021100 36.7856 09 64484 Inj foramen epidural add-on A 1.33 2.70 0.38 0.08 4.11 1.79 0ZZZ.00.00.0001100 36.7856 09 64505 N block, spenopalatine gangl A 1.36 1.89 0.49 0.08 3.33 1.93 0000.00.00.0020100 36.7856 09 64508 N block, carotid sinus s/p A 1.12 4.79 0.52 0.06 5.97 1.70 0000.00.00.0020000 36.7856 09 64510 N block, stellate ganglion A 1.22 3.19 0.38 0.07 4.48 1.67 0000.00.00.0020100 36.7856 09 64520 N block, lumbar/thoracic A 1.35 4.54 0.42 0.08 5.97 1.85 0000.00.00.0020100 36.7856 09 64530 N block inj, celiac pelus A 1.58 5.83 0.48 0.09 7.50 2.15 0000.00.00.0020100 36.7856 09 64550 Apply neurostimulator A 0.18 0.56 0.05 0.01 0.75 0.24 0000.00.00.0000100 36.7856 09 64553 Implant neuroelectrodes A 2.31 1.89 1.27 0.17 4.37 3.75 0010.10.80.1020000 36.7856 09 64555 Implant neuroelectrodes A 2.27 2.47 0.64 0.11 4.85 3.02 0010.10.80.1020100 36.7856 09 64560 Implant neuroelectrodes A 2.36 2.43 0.71 0.17 4.96 3.24 0010.10.80.1020000 36.7856 09 64561 Implant neuroelectrodes A 6.74 15.24 3.78 0.11 22.09 10.63 0010.10.80.1020100 36.7856 09 64565 Implant neuroelectrodes A 1.76 3.26 0.66 0.08 5.10 2.50 0010.10.80.1020100 36.7856 09 64573 Implant neuroelectrodes A 7.50 5.40 NA 5.40 1.48 14.38 14.38 0090.11.76.1320000 36.7856 09 64575 Implant neuroelectrodes A 4.35 3.01 NA 3.01 0.37 7.73 7.73 0090.11.76.1320100 36.7856 09 64577 Implant neuroelectrodes A 4.62 3.63 NA 3.63 0.50 8.75 8.75 0090.11.76.1320100 36.7856 09 64580 Implant neuroelectrodes A 4.12 4.01 NA 4.01 0.21 8.34 8.34 0090.11.76.1320200 36.7856 09 64581 Implant neuroelectrodes A 13.50 6.61 NA 6.61 0.37 20.48 20.48 0090.11.76.1320100 36.7856 09 64585 Revise/remove neuroelectrode A 2.06 3.38 2.09 0.29 5.73 4.44 0010.10.80.1020200 36.7856 09 64590 Implant neuroreceiver A 2.40 2.24 NA 2.24 0.40 5.04 5.04 0010.10.80.1020210 36.7856 09 64595 Revise/remove neuroreceiver A 1.73 1.91 NA 1.91 0.22 3.86 3.86 0010.10.80.1020100 36.7856 09 64600 Injection treatment of nerve A 3.45 9.19 1.50 0.28 12.92 5.23 0010.10.80.1022100 36.7856 09 64605 Injection treatment of nerve A 5.61 10.60 2.01 0.53 16.74 8.15 0010.10.80.1020000 36.7856 09 64610 Injection treatment of nerve A 7.16 3.58 NA 3.58 1.12 11.86 11.86 0010.10.80.1020100 36.7856 09 64612 Destroy nerve, face muscle A 1.96 2.29 1.03 0.09 4.34 3.08 0010.10.80.1021100 36.7856 09 64613 Destroy nerve, spine muscle A 1.96 2.96 0.96 0.10 5.02 3.02 0010.10.80.1020100 36.7856 09 64614 Destroy nerve, extrem musc A 2.20 4.40 1.04 0.09 6.69 3.33 0010.10.80.1021100 36.7856 09 64620 Injection treatment of nerve A 2.84 6.13 1.10 0.17 9.14 4.11 0010.10.80.1020100 36.7856 09 64622 Destr paravertebrl nerve l/s A 3.00 8.53 1.17 0.17 11.70 4.34 0010.10.80.1021100 36.7856 09 64623 Destr paravertebral n add-on A 0.99 2.49 0.23 0.06 3.54 1.28 0ZZZ.00.00.0001100 36.7856 09 64626 Destr paravertebrl nerve c/t A 3.28 8.46 1.84 0.22 11.96 5.34 0010.10.80.1021100 36.7856 09 64627 Destr paravertebral n add-on A 1.16 2.70 0.27 0.08 3.94 1.51 0ZZZ.00.00.0001100 36.7856 09 64630 Injection treatment of nerve A 3.00 4.46 1.22 0.16 7.62 4.38 0010.10.80.1020000 36.7856 09 64640 Injection treatment of nerve A 2.76 6.72 1.70 0.11 9.59 4.57 0010.10.80.1020100 36.7856 09 64680 Injection treatment of nerve A 2.62 7.28 1.21 0.15 10.05 3.98 0010.10.80.1020100 36.7856 09 64702 Revise finger/toe nerve A 4.23 3.99 NA 3.99 0.51 8.73 8.73 0090.11.76.1320100 36.7856 09 64704 Revise hand/foot nerve A 4.57 3.22 NA 3.22 0.59 8.38 8.38 0090.11.76.1320210 36.7856 09 64708 Revise arm/leg nerve A 6.12 5.12 NA 5.12 0.82 12.06 12.06 0090.11.76.1320210 36.7856 09 64712 Revision of sciatic nerve A 7.75 5.27 NA 5.27 0.54 13.56 13.56 0090.11.76.1320210 36.7856 09 64713 Revision of arm nerve(s) A 11.00 5.80 NA 5.80 1.01 17.81 17.81 0090.11.76.1320210 36.7856 09 64714 Revise low back nerve(s) A 10.33 4.22 NA 4.22 0.64 15.19 15.19 0090.11.76.1320210 36.7856 09 64716 Revision of cranial nerve A 6.31 4.97 NA 4.97 0.59 11.87 11.87 0090.11.76.1320210 36.7856 09 64718 Revise ulnar nerve at elbow A 5.99 5.30 NA 5.30 0.87 12.16 12.16 0090.11.76.1320000 36.7856 09 64719 Revise ulnar nerve at wrist A 4.85 4.77 NA 4.77 0.63 10.25 10.25 0090.11.76.1320100 36.7856 09 64721 Carpal tunnel surgery A 4.29 5.97 5.64 0.59 10.85 10.52 0090.11.76.1321100 36.7856 09 64722 Relieve pressure on nerve(s) A 4.70 3.33 NA 3.33 0.32 8.35 8.35 0090.11.76.1320210 36.7856 09 64726 Release foot/toe nerve A 4.18 3.09 NA 3.09 0.57 7.84 7.84 0090.11.76.1320100 36.7856 09 64727 Internal nerve revision A 3.10 1.54 NA 1.54 0.40 5.04 5.04 0ZZZ.00.00.0000100 36.7856 09 64732 Incision of brow nerve A 4.41 3.64 NA 3.64 0.77 8.82 8.82 0090.11.76.1320200 36.7856 09 64734 Incision of cheek nerve A 4.92 3.65 NA 3.65 0.83 9.40 9.40 0090.11.76.1320000 36.7856 09 64736 Incision of chin nerve A 4.60 2.95 NA 2.95 0.71 8.26 8.26 0090.11.76.1320200 36.7856 09 64738 Incision of jaw nerve A 5.73 3.65 NA 3.65 0.84 10.22 10.22 0090.11.76.1320200 36.7856 09 64740 Incision of tongue nerve A 5.59 3.82 NA 3.82 0.43 9.84 9.84 0090.11.76.1320200 36.7856 09 64742 Incision of facial nerve A 6.22 4.71 NA 4.71 0.69 11.62 11.62 0090.11.76.1320200 36.7856 09 64744 Incise nerve, back of head A 5.24 4.00 NA 4.00 0.98 10.22 10.22 0090.11.76.1321000 36.7856 09 64746 Incise diaphragm nerve A 5.93 4.49 NA 4.49 0.75 11.17 11.17 0090.11.76.1320210 36.7856 09 64752 Incision of vagus nerve A 7.06 4.70 NA 4.70 0.83 12.59 12.59 0090.11.76.1320210 36.7856 09 64755 Incision of stomach nerves A 13.52 6.17 NA 6.17 1.16 20.85 20.85 0090.11.76.1320210 36.7856 09 64760 Incision of vagus nerve A 6.96 4.02 NA 4.02 0.51 11.49 11.49 0090.11.76.1320210 36.7856 09 64761 Incision of pelvis nerve A 6.41 3.63 NA 3.63 0.26 10.30 10.30 0090.11.76.1321200 36.7856 09 64763 Incise hip/thigh nerve A 6.93 6.07 NA 6.07 0.77 13.77 13.77 0090.11.76.1321210 36.7856 09 64766 Incise hip/thigh nerve A 8.67 5.68 NA 5.68 0.99 15.34 15.34 0090.11.76.1321200 36.7856 09 64771 Sever cranial nerve A 7.35 5.62 NA 5.62 1.32 14.29 14.29 0090.11.76.1320200 36.7856 09 64772 Incision of spinal nerve A 7.21 4.89 NA 4.89 1.20 13.30 13.30 0090.11.76.1320210 36.7856 09 64774 Remove skin nerve lesion A 5.17 3.78 NA 3.78 0.60 9.55 9.55 0090.11.76.1320100 36.7856 09 64776 Remove digit nerve lesion A 5.12 3.84 NA 3.84 0.63 9.59 9.59 0090.11.76.1320000 36.7856 09 64778 Digit nerve surgery add-on A 3.11 1.54 NA 1.54 0.38 5.03 5.03 0ZZZ.00.00.0000100 36.7856 09 64782 Remove limb nerve lesion A 6.23 3.72 NA 3.72 0.79 10.74 10.74 0090.11.76.1320110 36.7856 09 64783 Limb nerve surgery add-on A 3.72 1.89 NA 1.89 0.48 6.09 6.09 0ZZZ.00.00.0000100 36.7856 09 64784 Remove nerve lesion A 9.82 6.68 NA 6.68 1.17 17.67 17.67 0090.11.76.1320000 36.7856 09 64786 Remove sciatic nerve lesion A 15.46 10.13 NA 10.13 2.22 27.81 27.81 0090.11.76.1320200 36.7856 09 64787 Implant nerve end A 4.30 2.18 NA 2.18 0.56 7.04 7.04 0ZZZ.00.00.0000000 36.7856 09 64788 Remove skin nerve lesion A 4.61 3.48 NA 3.48 0.54 8.63 8.63 0090.11.76.1320100 36.7856 09 64790 Removal of nerve lesion A 11.31 7.29 NA 7.29 1.68 20.28 20.28 0090.11.76.1320010 36.7856 09 64792 Removal of nerve lesion A 14.92 8.85 NA 8.85 1.88 25.65 25.65 0090.11.76.1320210 36.7856 09 64795 Biopsy of nerve A 3.01 1.80 NA 1.80 0.40 5.21 5.21 0000.00.00.0020100 36.7856 09 64802 Remove sympathetic nerves A 9.15 5.43 NA 5.43 0.87 15.45 15.45 0090.11.76.1321210 36.7856 09 64804 Remove sympathetic nerves A 14.64 7.42 NA 7.42 1.79 23.85 23.85 0090.11.76.1321210 36.7856 09 64809 Remove sympathetic nerves A 13.67 6.31 NA 6.31 0.96 20.94 20.94 0090.11.76.1321210 36.7856 09 64818 Remove sympathetic nerves A 10.30 5.77 NA 5.77 1.08 17.15 17.15 0090.11.76.1321210 36.7856 09 64820 Remove sympathetic nerves A 10.37 7.44 NA 7.44 1.17 18.98 18.98 0090.11.76.1320100 36.7856 09 64821 Remove sympathestic nerves A 8.75 9.23 NA 9.23 0.99 18.97 18.97 0090.11.76.1321100 36.7856 09 64822 Remove sympathetic nerves A 8.75 9.23 NA 9.23 0.99 18.97 18.97 0090.11.76.1321100 36.7856 09 64823 Remove sympathetic nerves A 10.37 10.03 NA 10.03 1.17 21.57 21.57 0090.11.76.1321100 36.7856 09 64831 Repair of digit nerve A 9.44 7.24 NA 7.24 1.14 17.82 17.82 0090.11.76.1320100 36.7856 09 64832 Repair nerve add-on A 5.66 3.02 NA 3.02 0.68 9.36 9.36 0ZZZ.00.00.0000000 36.7856 09 64834 Repair of hand or foot nerve A 10.19 7.18 NA 7.18 1.23 18.60 18.60 0090.11.76.1320000 36.7856 09 64835 Repair of hand or foot nerve A 10.94 7.86 NA 7.86 1.36 20.16 20.16 0090.11.76.1320200 36.7856 09 64836 Repair of hand or foot nerve A 10.94 7.83 NA 7.83 1.32 20.09 20.09 0090.11.76.1320200 36.7856 09 64837 Repair nerve add-on A 6.26 3.31 NA 3.31 0.80 10.37 10.37 0ZZZ.00.00.0000200 36.7856 09 64840 Repair of leg nerve A 13.02 8.34 NA 8.34 0.86 22.22 22.22 0090.11.76.1320200 36.7856 09 64856 Repair/transpose nerve A 13.80 9.40 NA 9.40 1.71 24.91 24.91 0090.11.76.1320110 36.7856 09 64857 Repair arm/leg nerve A 14.49 9.87 NA 9.87 1.76 26.12 26.12 0090.11.76.1320210 36.7856 09 64858 Repair sciatic nerve A 16.49 10.82 NA 10.82 2.78 30.09 30.09 0090.11.76.1320210 36.7856 09 64859 Nerve surgery A 4.26 2.25 NA 2.25 0.50 7.01 7.01 0ZZZ.00.00.0000210 36.7856 09 64861 Repair of arm nerves A 19.24 12.64 NA 12.64 2.45 34.33 34.33 0090.11.76.1320210 36.7856 09 64862 Repair of low back nerves A 19.44 12.26 NA 12.26 2.47 34.17 34.17 0090.11.76.1320200 36.7856 09 64864 Repair of facial nerve A 12.55 8.52 NA 8.52 1.13 22.20 22.20 0090.11.76.1320210 36.7856 09 64865 Repair of facial nerve A 15.24 10.09 NA 10.09 1.37 26.70 26.70 0090.11.76.1320210 36.7856 09 64866 Fusion of facial/other nerve A 15.74 9.99 NA 9.99 1.06 26.79 26.79 0090.11.76.1320210 36.7856 09 64868 Fusion of facial/other nerve A 14.04 9.32 NA 9.32 1.40 24.76 24.76 0090.11.76.1320210 36.7856 09 64870 Fusion of facial/other nerve A 15.99 9.09 NA 9.09 1.08 26.16 26.16 0090.11.76.1320210 36.7856 09 64872 Subsequent repair of nerve A 1.99 1.08 NA 1.08 0.24 3.31 3.31 0ZZZ.00.00.0000210 36.7856 09 64874 Repair & revise nerve add-on A 2.98 1.54 NA 1.54 0.34 4.86 4.86 0ZZZ.00.00.0000210 36.7856 09 64876 Repair nerve/shorten bone A 3.38 1.31 NA 1.31 0.39 5.08 5.08 0ZZZ.00.00.0000210 36.7856 09 64885 Nerve graft, head or neck A 17.53 11.16 NA 11.16 1.51 30.20 30.20 0090.11.76.1320210 36.7856 09 64886 Nerve graft, head or neck A 20.75 13.07 NA 13.07 1.73 35.55 35.55 0090.11.76.1320210 36.7856 09 64890 Nerve graft, hand or foot A 15.15 10.25 NA 10.25 1.74 27.14 27.14 0090.11.76.1320200 36.7856 09 64891 Nerve graft, hand or foot A 16.14 7.75 NA 7.75 1.38 25.27 25.27 0090.11.76.1320200 36.7856 09 64892 Nerve graft, arm or leg A 14.65 9.10 NA 9.10 1.65 25.40 25.40 0090.11.76.1320210 36.7856 09 64893 Nerve graft, arm or leg A 15.60 10.05 NA 10.05 1.77 27.42 27.42 0090.11.76.1320200 36.7856 09 64895 Nerve graft, hand or foot A 19.25 9.82 NA 9.82 2.04 31.11 31.11 0090.11.76.1320210 36.7856 09 64896 Nerve graft, hand or foot A 20.49 11.11 NA 11.11 1.85 33.45 33.45 0090.11.76.1320210 36.7856 09 64897 Nerve graft, arm or leg A 18.24 10.91 NA 10.91 2.64 31.79 31.79 0090.11.76.1320200 36.7856 09 64898 Nerve graft, arm or leg A 19.50 11.88 NA 11.88 2.71 34.09 34.09 0090.11.76.1320210 36.7856 09 64901 Nerve graft add-on A 10.22 5.41 NA 5.41 0.99 16.62 16.62 0ZZZ.00.00.0000210 36.7856 09 64902 Nerve graft add-on A 11.83 6.13 NA 6.13 1.10 19.06 19.06 0ZZZ.00.00.0000200 36.7856 09 64905 Nerve pedicle transfer A 14.02 8.94 NA 8.94 1.52 24.48 24.48 0090.11.76.1320210 36.7856 09 64907 Nerve pedicle transfer A 18.83 12.38 NA 12.38 1.79 33.00 33.00 0090.11.76.1320210 36.7856 09 64999 Nervous system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 65091 Revise eye A 6.46 11.28 NA 11.28 0.26 18.00 18.00 0090.10.70.2021010 36.7856 09 65093 Revise eye with implant A 6.87 11.50 NA 11.50 0.28 18.65 18.65 0090.10.70.2021110 36.7856 09 65101 Removal of eye A 7.03 11.59 NA 11.59 0.28 18.90 18.90 0090.10.70.2021100 36.7856 09 65103 Remove eye/insert implant A 7.57 11.74 NA 11.74 0.30 19.61 19.61 0090.10.70.2021110 36.7856 09 65105 Remove eye/attach implant A 8.49 12.24 NA 12.24 0.34 21.07 21.07 0090.10.70.2021210 36.7856 09 65110 Removal of eye A 13.95 15.29 NA 15.29 0.68 29.92 29.92 0090.10.70.2021210 36.7856 09 65112 Remove eye/revise socket A 16.38 17.54 NA 17.54 0.96 34.88 34.88 0090.10.70.2021210 36.7856 09 65114 Remove eye/revise socket A 17.53 17.50 NA 17.50 0.94 35.97 35.97 0090.10.70.2021210 36.7856 09 65125 Revise ocular implant A 3.12 5.96 1.45 0.15 9.23 4.72 0090.10.70.2021110 36.7856 09 65130 Insert ocular implant A 7.15 11.22 NA 11.22 0.28 18.65 18.65 0090.10.70.2021110 36.7856 09 65135 Insert ocular implant A 7.33 11.43 NA 11.43 0.29 19.05 19.05 0090.10.70.2021100 36.7856 09 65140 Attach ocular implant A 8.02 11.71 NA 11.71 0.31 20.04 20.04 0090.10.70.2021100 36.7856 09 65150 Revise ocular implant A 6.26 10.75 NA 10.75 0.25 17.26 17.26 0090.10.70.2021000 36.7856 09 65155 Reinsert ocular implant A 8.66 12.54 NA 12.54 0.40 21.60 21.60 0090.10.70.2021100 36.7856 09 65175 Removal of ocular implant A 6.28 10.82 NA 10.82 0.26 17.36 17.36 0090.10.70.2021110 36.7856 09 65205 Remove foreign body from eye A 0.71 0.62 0.19 0.03 1.36 0.93 0000.00.00.0021100 36.7856 09 65210 Remove foreign body from eye A 0.84 0.77 0.30 0.03 1.64 1.17 0000.00.00.0021100 36.7856 09 65220 Remove foreign body from eye A 0.71 3.50 0.18 0.05 4.26 0.94 0000.00.00.0021100 36.7856 09 65222 Remove foreign body from eye A 0.93 0.78 0.28 0.04 1.75 1.25 0000.00.00.0021100 36.7856 09 65235 Remove foreign body from eye A 7.57 6.84 NA 6.84 0.30 14.71 14.71 0090.10.70.2021000 36.7856 09 65260 Remove foreign body from eye A 10.96 12.38 NA 12.38 0.43 23.77 23.77 0090.10.70.2021200 36.7856 09 65265 Remove foreign body from eye A 12.59 13.88 NA 13.88 0.50 26.97 26.97 0090.10.70.2021210 36.7856 09 65270 Repair of eye wound A 1.90 3.97 2.31 0.08 5.95 4.29 0010.10.80.1021000 36.7856 09 65272 Repair of eye wound A 3.82 5.59 4.64 0.16 9.57 8.62 0090.10.70.2021100 36.7856 09 65273 Repair of eye wound A 4.36 4.98 NA 4.98 0.17 9.51 9.51 0090.10.70.2021110 36.7856 09 65275 Repair of eye wound A 5.34 5.56 5.08 0.27 11.17 10.69 0090.10.70.2021000 36.7856 09 65280 Repair of eye wound A 7.66 7.64 NA 7.64 0.30 15.60 15.60 0090.10.70.2021000 36.7856 09 65285 Repair of eye wound A 12.90 13.46 NA 13.46 0.51 26.87 26.87 0090.10.70.2021200 36.7856 09 65286 Repair of eye wound A 5.51 8.82 7.61 0.21 14.54 13.33 0090.10.70.2021100 36.7856 09 65290 Repair of eye socket wound A 5.41 6.27 NA 6.27 0.26 11.94 11.94 0090.10.70.2021110 36.7856 09 65400 Removal of eye lesion A 6.06 8.38 6.91 0.24 14.68 13.21 0090.10.70.2021100 36.7856 09 65410 Biopsy of cornea A 1.47 1.71 0.67 0.06 3.24 2.20 0000.00.00.0021000 36.7856 09 65420 Removal of eye lesion A 4.17 8.08 6.97 0.17 12.42 11.31 0090.10.70.2021100 36.7856 09 65426 Removal of eye lesion A 5.25 7.80 6.54 0.20 13.25 11.99 0090.10.70.2021100 36.7856 09 65430 Corneal smear A 1.47 8.34 0.68 0.06 9.87 2.21 0000.00.00.0021100 36.7856 09 65435 Curette/treat cornea A 0.92 1.33 0.40 0.04 2.29 1.36 0000.00.00.0021100 36.7856 09 65436 Curette/treat cornea A 4.19 5.81 4.86 0.17 10.17 9.22 0090.10.70.2021100 36.7856 09 65450 Treatment of corneal lesion A 3.27 7.76 6.57 0.13 11.16 9.97 0090.10.70.2021100 36.7856 09 65600 Revision of cornea A 3.40 5.39 1.43 0.14 8.93 4.97 0090.10.70.2021100 36.7856 09 65710 Corneal transplant A 12.35 12.72 NA 12.72 0.49 25.56 25.56 0090.10.70.2021210 36.7856 09 65730 Corneal transplant A 14.25 11.77 NA 11.77 0.56 26.58 26.58 0090.10.70.2021210 36.7856 09 65750 Corneal transplant A 15.00 14.13 NA 14.13 0.59 29.72 29.72 0090.10.70.2021210 36.7856 09 65755 Corneal transplant A 14.89 14.04 NA 14.04 0.58 29.51 29.51 0090.10.70.2021210 36.7856 09 65760 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 65765 Revision of cornea N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 65767 Corneal tissue transplant N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 65770 Revise cornea with implant A 17.56 15.06 NA 15.06 0.69 33.31 33.31 0090.10.70.2021200 36.7856 09 65771 Radial keratotomy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 65772 Correction of astigmatism A 4.29 7.24 6.24 0.17 11.70 10.70 0090.10.70.2021100 36.7856 09 65775 Correction of astigmatism A 5.79 8.38 NA 8.38 0.22 14.39 14.39 0090.10.70.2021100 36.7856 09 65800 Drainage of eye A 1.91 2.26 1.40 0.08 4.25 3.39 0000.00.00.0021100 36.7856 09 65805 Drainage of eye A 1.91 2.26 1.41 0.08 4.25 3.40 0000.00.00.0021100 36.7856 09 65810 Drainage of eye A 4.87 8.65 NA 8.65 0.19 13.71 13.71 0090.10.70.2021100 36.7856 09 65815 Drainage of eye A 5.05 9.08 7.88 0.20 14.33 13.13 0090.10.70.2021100 36.7856 09 65820 Relieve inner eye pressure A 8.13 10.64 NA 10.64 0.32 19.09 19.09 0090.10.70.2021000 36.7856 09 65850 Incision of eye A 10.52 9.99 NA 9.99 0.41 20.92 20.92 0090.10.70.2021110 36.7856 09 65855 Laser surgery of eye A 3.85 5.01 3.56 0.17 9.03 7.58 0010.10.80.1021100 36.7856 09 65860 Incise inner eye adhesions A 3.55 4.01 3.07 0.14 7.70 6.76 0090.10.70.2021000 36.7856 09 65865 Incise inner eye adhesions A 5.60 6.69 NA 6.69 0.22 12.51 12.51 0090.10.70.2021110 36.7856 09 65870 Incise inner eye adhesions A 6.27 7.02 NA 7.02 0.24 13.53 13.53 0090.10.70.2021110 36.7856 09 65875 Incise inner eye adhesions A 6.54 7.12 NA 7.12 0.25 13.91 13.91 0090.10.70.2021110 36.7856 09 65880 Incise inner eye adhesions A 7.09 7.38 NA 7.38 0.28 14.75 14.75 0090.10.70.2021100 36.7856 09 65900 Remove eye lesion A 10.93 12.48 NA 12.48 0.46 23.87 23.87 0090.10.70.2021200 36.7856 09 65920 Remove implant of eye A 8.40 7.99 NA 7.99 0.33 16.72 16.72 0090.10.70.2021110 36.7856 09 65930 Remove blood clot from eye A 7.44 8.56 NA 8.56 0.29 16.29 16.29 0090.10.70.2021110 36.7856 09 66020 Injection treatment of eye A 1.59 2.36 1.52 0.07 4.02 3.18 0010.10.80.1021100 36.7856 09 66030 Injection treatment of eye A 1.25 2.20 1.35 0.05 3.50 2.65 0010.10.80.1021100 36.7856 09 66130 Remove eye lesion A 7.69 7.39 6.48 0.31 15.39 14.48 0090.10.70.2021000 36.7856 09 66150 Glaucoma surgery A 8.30 10.61 NA 10.61 0.33 19.24 19.24 0090.10.70.2021110 36.7856 09 66155 Glaucoma surgery A 8.29 10.58 NA 10.58 0.32 19.19 19.19 0090.10.70.2021100 36.7856 09 66160 Glaucoma surgery A 10.17 11.44 NA 11.44 0.41 22.02 22.02 0090.10.70.2021110 36.7856 09 66165 Glaucoma surgery A 8.01 10.44 NA 10.44 0.31 18.76 18.76 0090.10.70.2021200 36.7856 09 66170 Glaucoma surgery A 12.16 16.52 NA 16.52 0.48 29.16 29.16 0090.10.70.2021210 36.7856 09 66172 Incision of eye A 15.04 15.12 NA 15.12 0.59 30.75 30.75 0090.10.70.2021210 36.7856 09 66180 Implant eye shunt A 14.55 12.04 NA 12.04 0.57 27.16 27.16 0090.10.70.2021210 36.7856 09 66185 Revise eye shunt A 8.14 8.23 NA 8.23 0.32 16.69 16.69 0090.10.70.2021200 36.7856 09 66220 Repair eye lesion A 7.77 9.93 NA 9.93 0.32 18.02 18.02 0090.10.70.2021210 36.7856 09 66225 Repair/graft eye lesion A 11.05 9.31 NA 9.31 0.44 20.80 20.80 0090.10.70.2021210 36.7856 09 66250 Follow-up surgery of eye A 5.98 7.79 6.33 0.23 14.00 12.54 0090.10.70.2021100 36.7856 09 66500 Incision of iris A 3.71 4.65 NA 4.65 0.15 8.51 8.51 0090.10.70.2021110 36.7856 09 66505 Incision of iris A 4.08 4.80 NA 4.80 0.17 9.05 9.05 0090.10.70.2021100 36.7856 09 66600 Remove iris and lesion A 8.68 8.62 NA 8.62 0.34 17.64 17.64 0090.10.70.2021100 36.7856 09 66605 Removal of iris A 12.79 12.14 NA 12.14 0.61 25.54 25.54 0090.10.70.2021100 36.7856 09 66625 Removal of iris A 5.13 7.62 6.59 0.20 12.95 11.92 0090.10.70.2021100 36.7856 09 66630 Removal of iris A 6.16 7.50 NA 7.50 0.24 13.90 13.90 0090.10.70.2021100 36.7856 09 66635 Removal of iris A 6.25 6.46 NA 6.46 0.24 12.95 12.95 0090.10.70.2021100 36.7856 09 66680 Repair iris & ciliary body A 5.44 6.06 NA 6.06 0.21 11.71 11.71 0090.10.70.2021110 36.7856 09 66682 Repair iris & ciliary body A 6.21 7.51 NA 7.51 0.24 13.96 13.96 0090.10.70.2021100 36.7856 09 66700 Destruction, ciliary body A 4.78 5.44 4.27 0.19 10.41 9.24 0090.10.70.2021000 36.7856 09 66710 Destruction, ciliary body A 4.78 5.14 3.81 0.18 10.10 8.77 0090.10.70.2021100 36.7856 09 66720 Destruction, ciliary body A 4.78 5.45 4.49 0.19 10.42 9.46 0090.10.70.2021100 36.7856 09 66740 Destruction, ciliary body A 4.78 4.84 NA 4.84 0.18 9.80 9.80 0090.10.70.2021100 36.7856 09 66761 Revision of iris A 4.07 5.25 3.98 0.16 9.48 8.21 0090.10.70.2021100 36.7856 09 66762 Revision of iris A 4.58 5.33 3.97 0.18 10.09 8.73 0090.10.70.2021100 36.7856 09 66770 Removal of inner eye lesion A 5.18 5.76 4.48 0.20 11.14 9.86 0090.10.70.2021100 36.7856 09 66820 Incision, secondary cataract A 3.89 8.19 NA 8.19 0.16 12.24 12.24 0090.10.70.2021100 36.7856 09 66821 After cataract laser surgery A 2.35 3.83 3.39 0.10 6.28 5.84 0090.10.70.2021100 36.7856 09 66825 Reposition intraocular lens A 8.23 10.19 NA 10.19 0.32 18.74 18.74 0090.10.70.2021000 36.7856 09 66830 Removal of lens lesion A 8.20 6.83 NA 6.83 0.32 15.35 15.35 0090.10.70.2021100 36.7856 09 66840 Removal of lens material A 7.91 6.74 NA 6.74 0.31 14.96 14.96 0090.10.70.2021100 36.7856 09 66850 Removal of lens material A 9.11 7.26 NA 7.26 0.36 16.73 16.73 0090.10.70.2021100 36.7856 09 66852 Removal of lens material A 9.97 7.72 NA 7.72 0.39 18.08 18.08 0090.10.70.2021010 36.7856 09 66920 Extraction of lens A 8.86 7.19 NA 7.19 0.35 16.40 16.40 0090.10.70.2021010 36.7856 09 66930 Extraction of lens A 10.18 8.68 NA 8.68 0.41 19.27 19.27 0090.10.70.2021000 36.7856 09 66940 Extraction of lens A 8.93 8.12 NA 8.12 0.35 17.40 17.40 0090.10.70.2021010 36.7856 09 66982 Cataract surgery, complex A 13.50 9.09 NA 9.09 0.56 23.15 23.15 0090.10.70.2021100 36.7856 09 66983 Cataract surg w/iol, 1 stage A 8.99 5.88 NA 5.88 0.37 15.24 15.24 0090.10.70.2021100 36.7856 09 66984 Cataract surg w/iol, 1 stage A 10.23 7.65 NA 7.65 0.41 18.29 18.29 0090.10.70.2021100 36.7856 09 66985 Insert lens prosthesis A 8.39 6.82 NA 6.82 0.33 15.54 15.54 0090.10.70.2021110 36.7856 09 66986 Exchange lens prosthesis A 12.28 8.57 NA 8.57 0.49 21.34 21.34 0090.10.70.2021110 36.7856 09 66990 Ophthalmic endoscope add-on A 1.51 0.70 NA 0.70 0.06 2.27 2.27 0ZZZ.00.00.0001100 36.7856 09 66999 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 67005 Partial removal of eye fluid A 5.70 2.65 NA 2.65 0.22 8.57 8.57 0090.10.70.2021110 36.7856 09 67010 Partial removal of eye fluid A 6.87 3.20 NA 3.20 0.27 10.34 10.34 0090.10.70.2021210 36.7856 09 67015 Release of eye fluid A 6.92 8.12 NA 8.12 0.27 15.31 15.31 0090.10.70.2021110 36.7856 09 67025 Replace eye fluid A 6.84 16.76 7.51 0.27 23.87 14.62 0090.10.70.2021110 36.7856 09 67027 Implant eye drug system A 10.85 14.10 8.71 0.46 25.41 20.02 0090.10.70.2021210 36.7856 09 67028 Injection eye drug A 2.52 10.43 1.16 0.11 13.06 3.79 0000.00.00.0021100 36.7856 09 67030 Incise inner eye strands A 4.84 6.72 NA 6.72 0.19 11.75 11.75 0090.10.70.2021210 36.7856 09 67031 Laser surgery, eye strands A 3.67 4.08 3.13 0.15 7.90 6.95 0090.10.70.2021100 36.7856 09 67036 Removal of inner eye fluid A 11.89 8.99 NA 8.99 0.47 21.35 21.35 0090.10.70.2021210 36.7856 09 67038 Strip retinal membrane A 21.24 15.45 NA 15.45 0.84 37.53 37.53 0090.10.70.2021210 36.7856 09 67039 Laser treatment of retina A 14.52 12.33 NA 12.33 0.57 27.42 27.42 0090.10.70.2021210 36.7856 09 67040 Laser treatment of retina A 17.23 13.59 NA 13.59 0.68 31.50 31.50 0090.10.70.2021210 36.7856 09 67101 Repair detached retina A 7.53 10.94 8.87 0.29 18.76 16.69 0090.10.70.2021100 36.7856 09 67105 Repair detached retina A 7.41 7.56 5.54 0.29 15.26 13.24 0090.10.70.2021100 36.7856 09 67107 Repair detached retina A 14.84 13.18 NA 13.18 0.58 28.60 28.60 0090.10.70.2021210 36.7856 09 67108 Repair detached retina A 20.82 17.69 NA 17.69 0.82 39.33 39.33 0090.10.70.2021210 36.7856 09 67110 Repair detached retina A 8.81 20.18 10.29 0.35 29.34 19.45 0090.10.70.2021100 36.7856 09 67112 Rerepair detached retina A 16.86 15.69 NA 15.69 0.66 33.21 33.21 0090.10.70.2021210 36.7856 09 67115 Release encircling material A 4.99 6.81 NA 6.81 0.19 11.99 11.99 0090.10.70.2021100 36.7856 09 67120 Remove eye implant material A 5.98 16.07 7.12 0.23 22.28 13.33 0090.10.70.2021110 36.7856 09 67121 Remove eye implant material A 10.67 12.10 NA 12.10 0.42 23.19 23.19 0090.10.70.2021210 36.7856 09 67141 Treatment of retina A 5.20 8.03 6.95 0.20 13.43 12.35 0090.10.70.2021100 36.7856 09 67145 Treatment of retina A 5.37 5.27 4.16 0.21 10.85 9.74 0090.10.70.2021100 36.7856 09 67208 Treatment of retinal lesion A 6.70 8.36 7.13 0.26 15.32 14.09 0090.10.70.2021100 36.7856 09 67210 Treatment of retinal lesion A 8.82 7.26 5.74 0.35 16.43 14.91 0090.10.70.2021100 36.7856 09 67218 Treatment of retinal lesion A 18.53 15.79 NA 15.79 0.53 34.85 34.85 0090.10.70.2021100 36.7856 09 67220 Treatment of choroid lesion A 13.13 10.81 9.62 0.51 24.45 23.26 0090.10.70.2021100 36.7856 09 67221 Ocular photodynamic ther R 4.01 4.63 1.88 0.16 8.80 6.05 0000.00.00.0020100 36.7856 09 67225 Eye photodynamic ther add-on A 0.47 0.28 0.21 0.01 0.76 0.69 0ZZZ.00.00.0000100 36.7856 09 67227 Treatment of retinal lesion A 6.58 9.10 7.15 0.26 15.94 13.99 0090.10.70.2021100 36.7856 09 67228 Treatment of retinal lesion A 12.74 9.84 7.21 0.50 23.08 20.45 0090.10.70.2021100 36.7856 09 67250 Reinforce eye wall A 8.66 11.67 NA 11.67 0.36 20.69 20.69 0090.10.70.2021110 36.7856 09 67255 Reinforce/graft eye wall A 8.90 11.84 NA 11.84 0.35 21.09 21.09 0090.10.70.2021210 36.7856 09 67299 Eye surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021011 36.7856 09 67311 Revise eye muscle A 6.65 6.15 NA 6.15 0.27 13.07 13.07 0090.10.70.2021100 36.7856 09 67312 Revise two eye muscles A 8.54 7.20 NA 7.20 0.35 16.09 16.09 0090.10.70.2021110 36.7856 09 67314 Revise eye muscle A 7.52 6.72 NA 6.72 0.30 14.54 14.54 0090.10.70.2021100 36.7856 09 67316 Revise two eye muscles A 9.66 7.70 NA 7.70 0.40 17.76 17.76 0090.10.70.2021000 36.7856 09 67318 Revise eye muscle(s) A 7.85 7.11 NA 7.11 0.31 15.27 15.27 0090.10.70.2021110 36.7856 09 67320 Revise eye muscle(s) add-on A 4.33 2.01 NA 2.01 0.17 6.51 6.51 0ZZZ.00.00.0001100 36.7856 09 67331 Eye surgery follow-up add-on A 4.06 1.94 NA 1.94 0.17 6.17 6.17 0ZZZ.00.00.0001110 36.7856 09 67332 Rerevise eye muscles add-on A 4.49 2.08 NA 2.08 0.18 6.75 6.75 0ZZZ.00.00.0001210 36.7856 09 67334 Revise eye muscle w/suture A 3.98 1.84 NA 1.84 0.16 5.98 5.98 0ZZZ.00.00.0001110 36.7856 09 67335 Eye suture during surgery A 2.49 1.15 NA 1.15 0.10 3.74 3.74 0ZZZ.00.00.0001110 36.7856 09 67340 Revise eye muscle add-on A 4.93 2.28 NA 2.28 0.19 7.40 7.40 0ZZZ.00.00.0001200 36.7856 09 67343 Release eye tissue A 7.35 7.00 NA 7.00 0.30 14.65 14.65 0090.10.70.2021210 36.7856 09 67345 Destroy nerve of eye muscle A 2.96 4.33 1.34 0.13 7.42 4.43 0010.10.80.1021100 36.7856 09 67350 Biopsy eye muscle A 2.87 1.93 NA 1.93 0.13 4.93 4.93 0000.00.00.0021000 36.7856 09 67399 Eye muscle surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 36.7856 09 67400 Explore/biopsy eye socket A 9.76 13.39 NA 13.39 0.43 23.58 23.58 0090.10.70.2021210 36.7856 09 67405 Explore/drain eye socket A 7.93 12.30 NA 12.30 0.36 20.59 20.59 0090.10.70.2021200 36.7856 09 67412 Explore/treat eye socket A 9.50 15.45 NA 15.45 0.41 25.36 25.36 0090.10.70.2021210 36.7856 09 67413 Explore/treat eye socket A 10.00 13.35 NA 13.35 0.43 23.78 23.78 0090.10.70.2021200 36.7856 09 67414 Explr/decompress eye socket A 11.13 16.37 NA 16.37 0.48 27.98 27.98 0090.10.70.2021210 36.7856 09 67415 Aspiration, orbital contents A 1.76 0.79 NA 0.79 0.09 2.64 2.64 0000.00.00.0021000 36.7856 09 67420 Explore/treat eye socket A 20.06 20.10 NA 20.10 0.84 41.00 41.00 0090.10.70.2021210 36.7856 09 67430 Explore/treat eye socket A 13.39 17.12 NA 17.12 0.97 31.48 31.48 0090.10.70.2021200 36.7856 09 67440 Explore/drain eye socket A 13.09 16.53 NA 16.53 0.58 30.20 30.20 0090.10.70.2021210 36.7856 09 67445 Explr/decompress eye socket A 14.42 17.65 NA 17.65 0.63 32.70 32.70 0090.10.70.2021210 36.7856 09 67450 Explore/biopsy eye socket A 13.51 16.68 NA 16.68 0.56 30.75 30.75 0090.10.70.2021210 36.7856 09 67500 Inject/treat eye socket A 0.79 0.84 0.19 0.04 1.67 1.02 0000.00.00.0021100 36.7856 09 67505 Inject/treat eye socket A 0.82 0.93 0.21 0.04 1.79 1.07 0000.00.00.0021100 36.7856 09 67515 Inject/treat eye socket A 0.61 0.84 0.28 0.02 1.47 0.91 0000.00.00.0021100 36.7856 09 67550 Insert eye socket implant A 10.19 13.19 NA 13.19 0.50 23.88 23.88 0090.10.70.2021110 36.7856 09 67560 Revise eye socket implant A 10.60 13.05 NA 13.05 0.47 24.12 24.12 0090.10.70.2021000 36.7856 09 67570 Decompress optic nerve A 13.58 17.13 NA 17.13 0.69 31.40 31.40 0090.10.70.2021210 36.7856 09 67599 Orbit surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0021211 36.7856 09 67700 Drainage of eyelid abscess A 1.35 7.46 0.58 0.06 8.87 1.99 0010.10.80.1021100 36.7856 09 67710 Incision of eyelid A 1.02 7.61 0.48 0.04 8.67 1.54 0010.10.80.1021100 36.7856 09 67715 Incision of eyelid fold A 1.22 0.57 NA 0.57 0.05 1.84 1.84 0010.10.80.1021100 36.7856 09 67800 Remove eyelid lesion A 1.38 2.58 0.64 0.06 4.02 2.08 0010.10.80.1020100 36.7856 09 67801 Remove eyelid lesions A 1.88 7.91 0.88 0.08 9.87 2.84 0010.10.80.1020100 36.7856 09 67805 Remove eyelid lesions A 2.22 8.08 1.03 0.09 10.39 3.34 0010.10.80.1020100 36.7856 09 67808 Remove eyelid lesion(s) A 3.80 4.16 NA 4.16 0.17 8.13 8.13 0090.10.70.2020100 36.7856 09 67810 Biopsy of eyelid A 1.48 5.52 0.70 0.06 7.06 2.24 0000.00.00.0020100 36.7856 09 67820 Revise eyelashes A 0.89 1.14 0.38 0.04 2.07 1.31 0000.00.00.0020100 36.7856 09 67825 Revise eyelashes A 1.38 1.62 1.03 0.06 3.06 2.47 0010.10.80.1020100 36.7856 09 67830 Revise eyelashes A 1.70 11.06 2.11 0.07 12.83 3.88 0010.10.80.1020100 36.7856 09 67835 Revise eyelashes A 5.56 4.65 NA 4.65 0.22 10.43 10.43 0090.10.70.2020000 36.7856 09 67840 Remove eyelid lesion A 2.04 7.87 0.96 0.08 9.99 3.08 0010.10.80.1020100 36.7856 09 67850 Treat eyelid lesion A 1.69 9.04 2.06 0.07 10.80 3.82 0010.10.80.1020100 36.7856 09 67875 Closure of eyelid by suture A 1.35 11.20 2.08 0.06 12.61 3.49 0000.00.00.0020100 36.7856 09 67880 Revision of eyelid A 3.80 12.26 3.13 0.16 16.22 7.09 0090.10.70.2020100 36.7856 09 67882 Revision of eyelid A 5.07 14.08 4.62 0.21 19.36 9.90 0090.10.70.2020100 36.7856 09 67900 Repair brow defect A 6.14 10.96 6.46 0.30 17.40 12.90 0090.10.70.2020100 36.7856 09 67901 Repair eyelid defect A 6.97 6.80 NA 6.80 0.32 14.09 14.09 0090.10.70.2021100 36.7856 09 67902 Repair eyelid defect A 7.03 6.88 NA 6.88 0.34 14.25 14.25 0090.10.70.2021110 36.7856 09 67903 Repair eyelid defect A 6.37 12.11 7.18 0.39 18.87 13.94 0090.10.70.2021110 36.7856 09 67904 Repair eyelid defect A 6.26 14.38 8.10 0.26 20.90 14.62 0090.10.70.2021110 36.7856 09 67906 Repair eyelid defect A 6.79 9.57 6.37 0.42 16.78 13.58 0090.10.70.2021100 36.7856 09 67908 Repair eyelid defect A 5.13 9.32 6.10 0.20 14.65 11.43 0090.10.70.2021100 36.7856 09 67909 Revise eyelid defect A 5.40 9.94 6.58 0.25 15.59 12.23 0090.10.70.2021100 36.7856 09 67911 Revise eyelid defect A 5.27 6.68 NA 6.68 0.23 12.18 12.18 0090.10.70.2021100 36.7856 09 67914 Repair eyelid defect A 3.68 12.71 3.56 0.16 16.55 7.40 0090.10.70.2021100 36.7856 09 67915 Repair eyelid defect A 3.18 11.26 1.48 0.13 14.57 4.79 0090.10.70.2021100 36.7856 09 67916 Repair eyelid defect A 5.31 15.80 5.33 0.22 21.33 10.86 0090.10.70.2021100 36.7856 09 67917 Repair eyelid defect A 6.02 10.26 6.60 0.25 16.53 12.87 0090.10.70.2021100 36.7856 09 67921 Repair eyelid defect A 3.40 12.44 3.35 0.14 15.98 6.89 0090.10.70.2021100 36.7856 09 67922 Repair eyelid defect A 3.06 11.23 3.16 0.13 14.42 6.35 0090.10.70.2021100 36.7856 09 67923 Repair eyelid defect A 5.88 14.92 5.42 0.24 21.04 11.54 0090.10.70.2021100 36.7856 09 67924 Repair eyelid defect A 5.79 9.60 5.96 0.23 15.62 11.98 0090.10.70.2021100 36.7856 09 67930 Repair eyelid wound A 3.61 12.28 3.05 0.17 16.06 6.83 0010.10.80.1020100 36.7856 09 67935 Repair eyelid wound A 6.22 15.02 5.40 0.29 21.53 11.91 0090.10.70.2020100 36.7856 09 67938 Remove eyelid foreign body A 1.33 9.40 0.51 0.06 10.79 1.90 0010.10.80.1020100 36.7856 09 67950 Revision of eyelid A 5.82 8.75 7.27 0.30 14.87 13.39 0090.10.70.2020110 36.7856 09 67961 Revision of eyelid A 5.69 9.12 5.75 0.26 15.07 11.70 0090.10.70.2020000 36.7856 09 67966 Revision of eyelid A 6.57 8.80 5.89 0.33 15.70 12.79 0090.10.70.2020100 36.7856 09 67971 Reconstruction of eyelid A 9.79 7.53 NA 7.53 0.42 17.74 17.74 0090.10.70.2020210 36.7856 09 67973 Reconstruction of eyelid A 12.87 9.54 NA 9.54 0.59 23.00 23.00 0090.10.70.2020210 36.7856 09 67974 Reconstruction of eyelid A 12.84 9.45 NA 9.45 0.54 22.83 22.83 0090.10.70.2020210 36.7856 09 67975 Reconstruction of eyelid A 9.13 7.20 NA 7.20 0.38 16.71 16.71 0090.10.70.2020100 36.7856 09 67999 Revision of eyelid C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 68020 Incise/drain eyelid lining A 1.37 7.52 0.63 0.06 8.95 2.06 0010.10.80.1020100 36.7856 09 68040 Treatment of eyelid lesions A 0.85 7.38 0.39 0.03 8.26 1.27 0000.00.00.0020100 36.7856 09 68100 Biopsy of eyelid lining A 1.35 7.59 0.62 0.06 9.00 2.03 0000.00.00.0020100 36.7856 09 68110 Remove eyelid lining lesion A 1.77 8.64 1.35 0.07 10.48 3.19 0010.10.80.1020100 36.7856 09 68115 Remove eyelid lining lesion A 2.36 8.14 1.09 0.10 10.60 3.55 0010.10.80.1020100 36.7856 09 68130 Remove eyelid lining lesion A 4.93 2.30 NA 2.30 0.19 7.42 7.42 0090.10.70.2020100 36.7856 09 68135 Remove eyelid lining lesion A 1.84 7.89 0.86 0.07 9.80 2.77 0010.10.80.1020100 36.7856 09 68200 Treat eyelid by injection A 0.49 0.74 0.23 0.02 1.25 0.74 0000.00.00.0021100 36.7856 09 68320 Revise/graft eyelid lining A 5.37 5.56 5.14 0.21 11.14 10.72 0090.10.70.2020110 36.7856 09 68325 Revise/graft eyelid lining A 7.36 6.16 NA 6.16 0.30 13.82 13.82 0090.10.70.2020110 36.7856 09 68326 Revise/graft eyelid lining A 7.15 6.03 NA 6.03 0.30 13.48 13.48 0090.10.70.2020100 36.7856 09 68328 Revise/graft eyelid lining A 8.18 6.79 NA 6.79 0.40 15.37 15.37 0090.10.70.2020000 36.7856 09 68330 Revise eyelid lining A 4.83 7.04 5.53 0.19 12.06 10.55 0090.10.70.2020000 36.7856 09 68335 Revise/graft eyelid lining A 7.19 5.48 NA 5.48 0.29 12.96 12.96 0090.10.70.2020110 36.7856 09 68340 Separate eyelid adhesions A 4.17 14.49 4.17 0.17 18.83 8.51 0090.10.70.2020000 36.7856 09 68360 Revise eyelid lining A 4.37 6.58 5.23 0.17 11.12 9.77 0090.10.70.2020100 36.7856 09 68362 Revise eyelid lining A 7.34 7.82 NA 7.82 0.29 15.45 15.45 0090.10.70.2020110 36.7856 09 68399 Eyelid lining surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 68400 Incise/drain tear gland A 1.69 11.17 2.13 0.07 12.93 3.89 0010.10.80.1020100 36.7856 09 68420 Incise/drain tear sac A 2.30 11.50 2.44 0.10 13.90 4.84 0010.10.80.1020100 36.7856 09 68440 Incise tear duct opening A 0.94 7.52 0.44 0.04 8.50 1.42 0010.10.80.1020100 36.7856 09 68500 Removal of tear gland A 11.02 9.59 NA 9.59 0.60 21.21 21.21 0090.10.70.2020100 36.7856 09 68505 Partial removal, tear gland A 10.94 10.69 NA 10.69 0.57 22.20 22.20 0090.10.70.2020100 36.7856 09 68510 Biopsy of tear gland A 4.61 12.31 2.15 0.19 17.11 6.95 0000.00.00.0020000 36.7856 09 68520 Removal of tear sac A 7.51 7.17 NA 7.17 0.33 15.01 15.01 0090.10.70.2020000 36.7856 09 68525 Biopsy of tear sac A 4.43 2.07 NA 2.07 0.18 6.68 6.68 0000.00.00.0020110 36.7856 09 68530 Clearance of tear duct A 3.66 13.81 3.00 0.16 17.63 6.82 0010.10.80.1020100 36.7856 09 68540 Remove tear gland lesion A 10.60 9.17 NA 9.17 0.46 20.23 20.23 0090.10.70.2020110 36.7856 09 68550 Remove tear gland lesion A 13.26 11.19 NA 11.19 0.66 25.11 25.11 0090.10.70.2020100 36.7856 09 68700 Repair tear ducts A 6.60 6.64 NA 6.64 0.27 13.51 13.51 0090.10.70.2020100 36.7856 09 68705 Revise tear duct opening A 2.06 8.07 0.97 0.08 10.21 3.11 0010.10.80.1020100 36.7856 09 68720 Create tear sac drain A 8.96 7.78 NA 7.78 0.38 17.12 17.12 0090.10.70.2020210 36.7856 09 68745 Create tear duct drain A 8.63 7.66 NA 7.66 0.38 16.67 16.67 0090.10.70.2020210 36.7856 09 68750 Create tear duct drain A 8.66 8.17 NA 8.17 0.37 17.20 17.20 0090.10.70.2020210 36.7856 09 68760 Close tear duct opening A 1.73 6.49 1.19 0.07 8.29 2.99 0010.10.80.1021100 36.7856 09 68761 Close tear duct opening A 1.36 3.00 0.95 0.06 4.42 2.37 0010.10.80.1021000 36.7856 09 68770 Close tear system fistula A 7.02 16.24 5.98 0.28 23.54 13.28 0090.10.70.2020000 36.7856 09 68801 Dilate tear duct opening A 0.94 0.85 0.56 0.04 1.83 1.54 0010.10.80.1021100 36.7856 09 68810 Probe nasolacrimal duct A 1.90 2.40 0.88 0.08 4.38 2.86 0010.10.80.1021100 36.7856 09 68811 Probe nasolacrimal duct A 2.35 2.39 NA 2.39 0.10 4.84 4.84 0010.10.80.1021100 36.7856 09 68815 Probe nasolacrimal duct A 3.20 12.25 2.83 0.14 15.59 6.17 0010.10.80.1021100 36.7856 09 68840 Explore/irrigate tear ducts A 1.25 1.56 0.93 0.05 2.86 2.23 0010.10.80.1020100 36.7856 09 68850 Injection for tear sac x-ray A 0.80 14.94 0.31 0.03 15.77 1.14 0000.00.00.0020100 36.7856 09 68899 Tear duct system surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 69000 Drain external ear lesion A 1.45 2.10 0.55 0.10 3.65 2.10 0010.10.80.1020100 36.7856 09 69005 Drain external ear lesion A 2.11 2.53 2.01 0.16 4.80 4.28 0010.10.80.1020100 36.7856 09 69020 Drain outer ear canal lesion A 1.48 2.22 0.71 0.11 3.81 2.30 0010.10.80.1020100 36.7856 09 69090 Pierce earlobes N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 69100 Biopsy of external ear A 0.81 1.59 0.41 0.04 2.44 1.26 0000.00.00.0020100 36.7856 09 69105 Biopsy of external ear canal A 0.85 1.51 1.02 0.06 2.42 1.93 0000.00.00.0020100 36.7856 09 69110 Remove external ear, partial A 3.44 3.53 2.78 0.24 7.21 6.46 0090.07.79.1420100 36.7856 09 69120 Removal of external ear A 4.05 4.45 NA 4.45 0.31 8.81 8.81 0090.07.79.1420100 36.7856 09 69140 Remove ear canal lesion(s) A 7.97 8.07 NA 8.07 0.56 16.60 16.60 0090.07.79.1420000 36.7856 09 69145 Remove ear canal lesion(s) A 2.62 3.37 2.52 0.18 6.17 5.32 0090.07.79.1420100 36.7856 09 69150 Extensive ear canal surgery A 13.43 11.17 NA 11.17 1.07 25.67 25.67 0090.07.79.1420110 36.7856 09 69155 Extensive ear/neck surgery A 20.80 15.26 NA 15.26 1.51 37.57 37.57 0090.07.79.1420210 36.7856 09 69200 Clear outer ear canal A 0.77 1.44 0.76 0.05 2.26 1.58 0000.00.00.0020100 36.7856 09 69205 Clear outer ear canal A 1.20 1.56 NA 1.56 0.09 2.85 2.85 0010.10.80.1020100 36.7856 09 69210 Remove impacted ear wax A 0.61 0.58 0.24 0.04 1.23 0.89 0000.00.00.0022100 36.7856 09 69220 Clean out mastoid cavity A 0.83 1.52 0.43 0.06 2.41 1.32 0000.00.00.0021100 36.7856 09 69222 Clean out mastoid cavity A 1.40 2.23 1.70 0.10 3.73 3.20 0010.10.80.1021100 36.7856 09 69300 Revise external ear R 6.36 4.37 NA 4.37 0.43 11.16 11.16 0YYY.00.00.0001000 36.7856 09 69310 Rebuild outer ear canal A 10.79 9.71 NA 9.71 0.77 21.27 21.27 0090.07.79.1420100 36.7856 09 69320 Rebuild outer ear canal A 16.96 13.79 NA 13.79 1.17 31.92 31.92 0090.07.79.1420200 36.7856 09 69399 Outer ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 69400 Inflate middle ear canal A 0.83 1.51 0.40 0.06 2.40 1.29 0000.00.00.0020100 36.7856 09 69401 Inflate middle ear canal A 0.63 1.41 0.35 0.04 2.08 1.02 0000.00.00.0020100 36.7856 09 69405 Catheterize middle ear canal A 2.63 3.09 1.46 0.18 5.90 4.27 0010.10.80.1020000 36.7856 09 69410 Inset middle ear (baffle) A 0.33 1.42 0.16 0.02 1.77 0.51 0000.00.00.0020000 36.7856 09 69420 Incision of eardrum A 1.33 2.36 0.71 0.10 3.79 2.14 0010.10.80.1021100 36.7856 09 69421 Incision of eardrum A 1.73 2.58 1.90 0.13 4.44 3.76 0010.10.80.1021100 36.7856 09 69424 Remove ventilating tube A 0.85 1.69 0.90 0.06 2.60 1.81 0000.00.00.0021100 36.7856 09 69433 Create eardrum opening A 1.52 2.31 0.85 0.11 3.94 2.48 0010.10.80.1021100 36.7856 09 69436 Create eardrum opening A 1.96 2.04 NA 2.04 0.14 4.14 4.14 0010.10.80.1021100 36.7856 09 69440 Exploration of middle ear A 7.57 7.30 NA 7.30 0.53 15.40 15.40 0090.07.79.1420100 36.7856 09 69450 Eardrum revision A 5.57 6.11 NA 6.11 0.39 12.07 12.07 0090.07.79.1420000 36.7856 09 69501 Mastoidectomy A 9.07 8.07 NA 8.07 0.65 17.79 17.79 0090.07.79.1420100 36.7856 09 69502 Mastoidectomy A 12.38 10.64 NA 10.64 0.86 23.88 23.88 0090.07.79.1420000 36.7856 09 69505 Remove mastoid structures A 12.99 10.89 NA 10.89 0.92 24.80 24.80 0090.07.79.1420000 36.7856 09 69511 Extensive mastoid surgery A 13.52 11.23 NA 11.23 0.96 25.71 25.71 0090.07.79.1420000 36.7856 09 69530 Extensive mastoid surgery A 19.19 14.75 NA 14.75 1.32 35.26 35.26 0090.07.79.1420200 36.7856 09 69535 Remove part of temporal bone A 36.14 24.17 NA 24.17 2.59 62.90 62.90 0090.07.79.1420110 36.7856 09 69540 Remove ear lesion A 1.20 2.27 1.59 0.09 3.56 2.88 0010.10.80.1020100 36.7856 09 69550 Remove ear lesion A 10.99 9.75 NA 9.75 0.80 21.54 21.54 0090.07.79.1420200 36.7856 09 69552 Remove ear lesion A 19.46 14.32 NA 14.32 1.36 35.14 35.14 0090.07.79.1420200 36.7856 09 69554 Remove ear lesion A 33.16 21.82 NA 21.82 2.32 57.30 57.30 0090.07.79.1420210 36.7856 09 69601 Mastoid surgery revision A 13.24 11.82 NA 11.82 0.92 25.98 25.98 0090.07.79.1420000 36.7856 09 69602 Mastoid surgery revision A 13.58 11.36 NA 11.36 0.94 25.88 25.88 0090.07.79.1420000 36.7856 09 69603 Mastoid surgery revision A 14.02 11.55 NA 11.55 1.00 26.57 26.57 0090.07.79.1420000 36.7856 09 69604 Mastoid surgery revision A 14.02 11.48 NA 11.48 0.98 26.48 26.48 0090.07.79.1420100 36.7856 09 69605 Mastoid surgery revision A 18.49 14.48 NA 14.48 1.29 34.26 34.26 0090.07.79.1420200 36.7856 09 69610 Repair of eardrum A 4.43 4.22 3.40 0.31 8.96 8.14 0010.10.80.1020100 36.7856 09 69620 Repair of eardrum A 5.89 6.87 3.19 0.40 13.16 9.48 0090.07.79.1420100 36.7856 09 69631 Repair eardrum structures A 9.86 9.19 NA 9.19 0.69 19.74 19.74 0090.07.79.1420100 36.7856 09 69632 Rebuild eardrum structures A 12.75 11.54 NA 11.54 0.89 25.18 25.18 0090.07.79.1420100 36.7856 09 69633 Rebuild eardrum structures A 12.10 11.19 NA 11.19 0.84 24.13 24.13 0090.07.79.1420100 36.7856 09 69635 Repair eardrum structures A 13.33 10.74 NA 10.74 0.87 24.94 24.94 0090.07.79.1420100 36.7856 09 69636 Rebuild eardrum structures A 15.22 13.01 NA 13.01 1.07 29.30 29.30 0090.07.79.1420000 36.7856 09 69637 Rebuild eardrum structures A 15.11 12.92 NA 12.92 1.06 29.09 29.09 0090.07.79.1420000 36.7856 09 69641 Revise middle ear & mastoid A 12.71 10.87 NA 10.87 0.89 24.47 24.47 0090.07.79.1420100 36.7856 09 69642 Revise middle ear & mastoid A 16.84 13.86 NA 13.86 1.18 31.88 31.88 0090.07.79.1420100 36.7856 09 69643 Revise middle ear & mastoid A 15.32 13.01 NA 13.01 1.08 29.41 29.41 0090.07.79.1420100 36.7856 09 69644 Revise middle ear & mastoid A 16.97 13.94 NA 13.94 1.19 32.10 32.10 0090.07.79.1420100 36.7856 09 69645 Revise middle ear & mastoid A 16.38 13.57 NA 13.57 1.16 31.11 31.11 0090.07.79.1420100 36.7856 09 69646 Revise middle ear & mastoid A 17.99 14.53 NA 14.53 1.26 33.78 33.78 0090.07.79.1420000 36.7856 09 69650 Release middle ear bone A 9.66 8.43 NA 8.43 0.68 18.77 18.77 0090.07.79.1420100 36.7856 09 69660 Revise middle ear bone A 11.90 9.65 NA 9.65 0.84 22.39 22.39 0090.07.79.1420100 36.7856 09 69661 Revise middle ear bone A 15.74 12.44 NA 12.44 1.10 29.28 29.28 0090.07.79.1420000 36.7856 09 69662 Revise middle ear bone A 15.44 12.31 NA 12.31 1.08 28.83 28.83 0090.07.79.1420100 36.7856 09 69666 Repair middle ear structures A 9.75 8.51 NA 8.51 0.68 18.94 18.94 0090.07.79.1420000 36.7856 09 69667 Repair middle ear structures A 9.76 8.49 NA 8.49 0.72 18.97 18.97 0090.07.79.1420000 36.7856 09 69670 Remove mastoid air cells A 11.51 10.11 NA 10.11 0.78 22.40 22.40 0090.07.79.1420200 36.7856 09 69676 Remove middle ear nerve A 9.52 9.03 NA 9.03 0.69 19.24 19.24 0090.07.79.1421100 36.7856 09 69700 Close mastoid fistula A 8.23 5.53 NA 5.53 0.55 14.31 14.31 0090.07.79.1420100 36.7856 09 69710 Implant/replace hearing aid N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 69711 Remove/repair hearing aid A 10.44 9.35 NA 9.35 0.62 20.41 20.41 0090.07.79.1420200 36.7856 09 69714 Implant temple bone w/stimul A 14.00 11.17 NA 11.17 1.01 26.18 26.18 0090.07.79.1420100 36.7856 09 69715 Temple bne implnt w/stimulat A 18.25 13.73 NA 13.73 1.32 33.30 33.30 0090.07.79.1420100 36.7856 09 69717 Temple bone implant revision A 14.98 10.55 NA 10.55 1.08 26.61 26.61 0090.07.79.1420100 36.7856 09 69718 Revise temple bone implant A 18.50 13.61 NA 13.61 1.34 33.45 33.45 0090.07.79.1420100 36.7856 09 69720 Release facial nerve A 14.38 12.47 NA 12.47 1.03 27.88 27.88 0090.07.79.1420010 36.7856 09 69725 Release facial nerve A 25.38 18.04 NA 18.04 1.78 45.20 45.20 0090.07.79.1420200 36.7856 09 69740 Repair facial nerve A 15.96 11.27 NA 11.27 1.13 28.36 28.36 0090.07.79.1420200 36.7856 09 69745 Repair facial nerve A 16.69 12.77 NA 12.77 1.00 30.46 30.46 0090.07.79.1420200 36.7856 09 69799 Middle ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 69801 Incise inner ear A 8.56 7.84 NA 7.84 0.60 17.00 17.00 0090.07.79.1420000 36.7856 09 69802 Incise inner ear A 13.10 11.13 NA 11.13 0.91 25.14 25.14 0090.07.79.1420200 36.7856 09 69805 Explore inner ear A 13.82 10.80 NA 10.80 0.97 25.59 25.59 0090.07.79.1420200 36.7856 09 69806 Explore inner ear A 12.35 10.68 NA 10.68 0.86 23.89 23.89 0090.07.79.1420100 36.7856 09 69820 Establish inner ear window A 10.34 8.97 NA 8.97 0.66 19.97 19.97 0090.07.79.1420200 36.7856 09 69840 Revise inner ear window A 10.26 7.64 NA 7.64 0.64 18.54 18.54 0090.07.79.1420200 36.7856 09 69905 Remove inner ear A 11.10 9.73 NA 9.73 0.77 21.60 21.60 0090.07.79.1420100 36.7856 09 69910 Remove inner ear & mastoid A 13.63 11.19 NA 11.19 0.94 25.76 25.76 0090.07.79.1420000 36.7856 09 69915 Incise inner ear nerve A 21.23 15.65 NA 15.65 1.54 38.42 38.42 0090.07.79.1420210 36.7856 09 69930 Implant cochlear device A 16.81 12.70 NA 12.70 1.19 30.70 30.70 0090.07.79.1420000 36.7856 09 69949 Inner ear surgery procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 69950 Incise inner ear nerve A 25.64 16.46 NA 16.46 2.90 45.00 45.00 0090.07.79.1420210 36.7856 09 69955 Release facial nerve A 27.04 18.64 NA 18.64 1.89 47.57 47.57 0090.07.79.1420210 36.7856 09 69960 Release inner ear canal A 27.04 18.13 NA 18.13 2.43 47.60 47.60 0090.07.79.1420210 36.7856 09 69970 Remove inner ear lesion A 30.04 18.91 NA 18.91 2.34 51.29 51.29 0090.07.79.1420210 36.7856 09 69979 Temporal bone surgery C 0.00 0.00 0.00 0.00 0.00 0.00 0YYY.00.00.0020011 36.7856 09 69990 Microsurgery add-on R 3.47 1.84 NA 1.84 0.56 5.87 5.87 0ZZZ.00.00.0000200 36.7856 09 70010 Contrast x-ray of brain A 1.19 4.72 4.72 NA 0.24 6.15 6.15 1XXX.00.00.0000000 36.7856 09 70010TCContrast x-ray of brain A 0.00 4.31 4.31 NA 0.18 4.49 4.49 1XXX.00.00.0000000 36.7856 03 7001026Contrast x-ray of brain A 1.19 0.41 0.41 0.06 1.66 1.66 1XXX.00.00.0000000 36.7856 09 70015 Contrast x-ray of brain A 1.19 1.75 1.75 NA 0.12 3.06 3.06 1XXX.00.00.0000000 36.7856 09 70015TCContrast x-ray of brain A 0.00 1.34 1.34 NA 0.07 1.41 1.41 1XXX.00.00.0000000 36.7856 03 7001526Contrast x-ray of brain A 1.19 0.41 0.41 0.05 1.65 1.65 1XXX.00.00.0000000 36.7856 09 70030 X-ray eye for foreign body A 0.17 0.48 0.48 NA 0.03 0.68 0.68 1XXX.00.00.0003000 36.7856 09 70030TCX-ray eye for foreign body A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0003000 36.7856 01 7003026X-ray eye for foreign body A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 70100 X-ray exam of jaw A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 36.7856 09 70100TCX-ray exam of jaw A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7010026X-ray exam of jaw A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 70110 X-ray exam of jaw A 0.25 0.70 0.70 NA 0.04 0.99 0.99 1XXX.00.00.0000000 36.7856 09 70110TCX-ray exam of jaw A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 01 7011026X-ray exam of jaw A 0.25 0.08 0.08 0.01 0.34 0.34 1XXX.00.00.0000000 36.7856 09 70120 X-ray exam of mastoids A 0.18 0.68 0.68 NA 0.04 0.90 0.90 1XXX.00.00.0003000 36.7856 09 70120TCX-ray exam of mastoids A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0003000 36.7856 01 7012026X-ray exam of mastoids A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0003000 36.7856 09 70130 X-ray exam of mastoids A 0.34 0.90 0.90 NA 0.05 1.29 1.29 1XXX.00.00.0003000 36.7856 09 70130TCX-ray exam of mastoids A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0003000 36.7856 01 7013026X-ray exam of mastoids A 0.34 0.12 0.12 0.01 0.47 0.47 1XXX.00.00.0003000 36.7856 09 70134 X-ray exam of middle ear A 0.34 0.86 0.86 NA 0.05 1.25 1.25 1XXX.00.00.0000000 36.7856 09 70134TCX-ray exam of middle ear A 0.00 0.74 0.74 NA 0.04 0.78 0.78 1XXX.00.00.0000000 36.7856 01 7013426X-ray exam of middle ear A 0.34 0.12 0.12 0.01 0.47 0.47 1XXX.00.00.0000000 36.7856 09 70140 X-ray exam of facial bones A 0.19 0.68 0.68 NA 0.04 0.91 0.91 1XXX.00.00.0000000 36.7856 09 70140TCX-ray exam of facial bones A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 01 7014026X-ray exam of facial bones A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 36.7856 09 70150 X-ray exam of facial bones A 0.26 0.87 0.87 NA 0.05 1.18 1.18 1XXX.00.00.0000000 36.7856 09 70150TCX-ray exam of facial bones A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 01 7015026X-ray exam of facial bones A 0.26 0.09 0.09 0.01 0.36 0.36 1XXX.00.00.0000000 36.7856 09 70160 X-ray exam of nasal bones A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0000000 36.7856 09 70160TCX-ray exam of nasal bones A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7016026X-ray exam of nasal bones A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 70170 X-ray exam of tear duct A 0.30 1.05 1.05 NA 0.06 1.41 1.41 1XXX.00.00.0000000 36.7856 09 70170TCX-ray exam of tear duct A 0.00 0.95 0.95 NA 0.05 1.00 1.00 1XXX.00.00.0000000 36.7856 03 7017026X-ray exam of tear duct A 0.30 0.10 0.10 0.01 0.41 0.41 1XXX.00.00.0000000 36.7856 09 70190 X-ray exam of eye sockets A 0.21 0.69 0.69 NA 0.04 0.94 0.94 1XXX.00.00.0003000 36.7856 09 70190TCX-ray exam of eye sockets A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0003000 36.7856 01 7019026X-ray exam of eye sockets A 0.21 0.07 0.07 0.01 0.29 0.29 1XXX.00.00.0003000 36.7856 09 70200 X-ray exam of eye sockets A 0.28 0.88 0.88 NA 0.05 1.21 1.21 1XXX.00.00.0000000 36.7856 09 70200TCX-ray exam of eye sockets A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 01 7020026X-ray exam of eye sockets A 0.28 0.10 0.10 0.01 0.39 0.39 1XXX.00.00.0000000 36.7856 09 70210 X-ray exam of sinuses A 0.17 0.68 0.68 NA 0.04 0.89 0.89 1XXX.00.00.0000000 36.7856 09 70210TCX-ray exam of sinuses A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 01 7021026X-ray exam of sinuses A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 70220 X-ray exam of sinuses A 0.25 0.87 0.87 NA 0.05 1.17 1.17 1XXX.00.00.0000000 36.7856 09 70220TCX-ray exam of sinuses A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 01 7022026X-ray exam of sinuses A 0.25 0.09 0.09 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 70240 X-ray exam, pituitary saddle A 0.19 0.48 0.48 NA 0.03 0.70 0.70 1XXX.00.00.0000000 36.7856 09 70240TCX-ray exam, pituitary saddle A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 01 7024026X-ray exam, pituitary saddle A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 36.7856 09 70250 X-ray exam of skull A 0.24 0.70 0.70 NA 0.04 0.98 0.98 1XXX.00.00.0000000 36.7856 09 70250TCX-ray exam of skull A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 01 7025026X-ray exam of skull A 0.24 0.08 0.08 0.01 0.33 0.33 1XXX.00.00.0000000 36.7856 09 70260 X-ray exam of skull A 0.34 1.01 1.01 NA 0.06 1.41 1.41 1XXX.00.00.0000000 36.7856 09 70260TCX-ray exam of skull A 0.00 0.89 0.89 NA 0.05 0.94 0.94 1XXX.00.00.0000000 36.7856 01 7026026X-ray exam of skull A 0.34 0.12 0.12 0.01 0.47 0.47 1XXX.00.00.0000000 36.7856 09 70300 X-ray exam of teeth A 0.10 0.30 0.30 NA 0.03 0.43 0.43 1XXX.00.00.0000000 36.7856 09 70300TCX-ray exam of teeth A 0.00 0.26 0.26 NA 0.02 0.28 0.28 1XXX.00.00.0000000 36.7856 01 7030026X-ray exam of teeth A 0.10 0.04 0.04 0.01 0.15 0.15 1XXX.00.00.0000000 36.7856 09 70310 X-ray exam of teeth A 0.16 0.48 0.48 NA 0.03 0.67 0.67 1XXX.00.00.0000000 36.7856 09 70310TCX-ray exam of teeth A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 01 7031026X-ray exam of teeth A 0.16 0.06 0.06 0.01 0.23 0.23 1XXX.00.00.0000000 36.7856 09 70320 Full mouth x-ray of teeth A 0.22 0.86 0.86 NA 0.05 1.13 1.13 1XXX.00.00.0000000 36.7856 09 70320TCFull mouth x-ray of teeth A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 01 7032026Full mouth x-ray of teeth A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 36.7856 09 70328 X-ray exam of jaw joint A 0.18 0.55 0.55 NA 0.03 0.76 0.76 1XXX.00.00.0000000 36.7856 09 70328TCX-ray exam of jaw joint A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0000000 36.7856 01 7032826X-ray exam of jaw joint A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 70330 X-ray exam of jaw joints A 0.24 0.92 0.92 NA 0.05 1.21 1.21 1XXX.00.00.0002000 36.7856 09 70330TCX-ray exam of jaw joints A 0.00 0.84 0.84 NA 0.04 0.88 0.88 1XXX.00.00.0002000 36.7856 01 7033026X-ray exam of jaw joints A 0.24 0.08 0.08 0.01 0.33 0.33 1XXX.00.00.0002000 36.7856 09 70332 X-ray exam of jaw joint A 0.54 2.28 2.28 NA 0.12 2.94 2.94 1XXX.00.00.0003000 36.7856 09 70332TCX-ray exam of jaw joint A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0003000 36.7856 03 7033226X-ray exam of jaw joint A 0.54 0.19 0.19 0.02 0.75 0.75 1XXX.00.00.0003000 36.7856 09 70336 Magnetic image, jaw joint A 1.48 11.67 11.67 NA 0.56 13.71 13.71 1XXX.00.00.0003000 36.7856 09 70336TCMagnetic image, jaw joint A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0003000 36.7856 01 7033626Magnetic image, jaw joint A 1.48 0.51 0.51 0.07 2.06 2.06 1XXX.00.00.0003000 36.7856 09 70350 X-ray head for orthodontia A 0.17 0.44 0.44 NA 0.03 0.64 0.64 1XXX.00.00.0000000 36.7856 09 70350TCX-ray head for orthodontia A 0.00 0.38 0.38 NA 0.02 0.40 0.40 1XXX.00.00.0000000 36.7856 01 7035026X-ray head for orthodontia A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 70355 Panoramic x-ray of jaws A 0.20 0.64 0.64 NA 0.04 0.88 0.88 1XXX.00.00.0000000 36.7856 09 70355TCPanoramic x-ray of jaws A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0000000 36.7856 01 7035526Panoramic x-ray of jaws A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 36.7856 09 70360 X-ray exam of neck A 0.17 0.48 0.48 NA 0.03 0.68 0.68 1XXX.00.00.0000000 36.7856 09 70360TCX-ray exam of neck A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 01 7036026X-ray exam of neck A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 70370 Throat x-ray & fluoroscopy A 0.32 1.41 1.41 NA 0.07 1.80 1.80 1XXX.00.00.0000000 36.7856 09 70370TCThroat x-ray & fluoroscopy A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7037026Throat x-ray & fluoroscopy A 0.32 0.11 0.11 0.01 0.44 0.44 1XXX.00.00.0000000 36.7856 09 70371 Speech evaluation, complex A 0.84 2.38 2.38 NA 0.14 3.36 3.36 1XXX.00.00.0000000 36.7856 09 70371TCSpeech evaluation, complex A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0000000 36.7856 03 7037126Speech evaluation, complex A 0.84 0.29 0.29 0.04 1.17 1.17 1XXX.00.00.0000000 36.7856 09 70373 Contrast x-ray of larynx A 0.44 1.92 1.92 NA 0.11 2.47 2.47 1XXX.00.00.0000000 36.7856 09 70373TCContrast x-ray of larynx A 0.00 1.77 1.77 NA 0.09 1.86 1.86 1XXX.00.00.0000000 36.7856 03 7037326Contrast x-ray of larynx A 0.44 0.15 0.15 0.02 0.61 0.61 1XXX.00.00.0000000 36.7856 09 70380 X-ray exam of salivary gland A 0.17 0.73 0.73 NA 0.04 0.94 0.94 1XXX.00.00.0000000 36.7856 09 70380TCX-ray exam of salivary gland A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0000000 36.7856 01 7038026X-ray exam of salivary gland A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 70390 X-ray exam of salivary duct A 0.38 1.90 1.90 NA 0.11 2.39 2.39 1XXX.00.00.0000000 36.7856 09 70390TCX-ray exam of salivary duct A 0.00 1.77 1.77 NA 0.09 1.86 1.86 1XXX.00.00.0000000 36.7856 03 7039026X-ray exam of salivary duct A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 36.7856 09 70450 Ct head/brain w/o dye A 0.85 4.99 4.99 NA 0.25 6.09 6.09 1XXX.00.00.0000000 36.7856 09 70450TCCt head/brain w/o dye A 0.00 4.70 4.70 NA 0.21 4.91 4.91 1XXX.00.00.0000000 36.7856 01 7045026Ct head/brain w/o dye A 0.85 0.29 0.29 0.04 1.18 1.18 1XXX.00.00.0000000 36.7856 09 70460 Ct head/brain w/dye A 1.13 6.02 6.02 NA 0.30 7.45 7.45 1XXX.00.00.0000000 36.7856 09 70460TCCt head/brain w/dye A 0.00 5.63 5.63 NA 0.25 5.88 5.88 1XXX.00.00.0000000 36.7856 02 7046026Ct head/brain w/dye A 1.13 0.39 0.39 0.05 1.57 1.57 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70470TCCt head/brain w/o&w dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7047026Ct head/brain w/o&w dye A 1.27 0.43 0.43 0.06 1.76 1.76 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70480TCCt orbit/ear/fossa w/o dye A 0.00 4.70 4.70 NA 0.21 4.91 4.91 1XXX.00.00.0000000 36.7856 01 7048026Ct orbit/ear/fossa w/o dye A 1.28 0.44 0.44 0.06 1.78 1.78 1XXX.00.00.0000000 36.7856 09 70481 Ct orbit/ear/fossa w/dye A 1.38 6.10 6.10 NA 0.31 7.79 7.79 1XXX.00.00.0000000 36.7856 09 70481TCCt orbit/ear/fossa w/dye A 0.00 5.63 5.63 NA 0.25 5.88 5.88 1XXX.00.00.0000000 36.7856 02 7048126Ct orbit/ear/fossa w/dye A 1.38 0.47 0.47 0.06 1.91 1.91 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70482TCCt orbit/ear/fossa w/o&w dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7048226Ct orbit/ear/fossa w/o&w dye A 1.45 0.49 0.49 0.06 2.00 2.00 1XXX.00.00.0000000 36.7856 09 70486 Ct maxillofacial w/o dye A 1.14 5.09 5.09 NA 0.26 6.49 6.49 1XXX.00.00.0000000 36.7856 09 70486TCCt maxillofacial w/o dye A 0.00 4.70 4.70 NA 0.21 4.91 4.91 1XXX.00.00.0000000 36.7856 01 7048626Ct maxillofacial w/o dye A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 36.7856 09 70487 Ct maxillofacial w/dye A 1.30 6.07 6.07 NA 0.31 7.68 7.68 1XXX.00.00.0000000 36.7856 09 70487TCCt maxillofacial w/dye A 0.00 5.63 5.63 NA 0.25 5.88 5.88 1XXX.00.00.0000000 36.7856 02 7048726Ct maxillofacial w/dye A 1.30 0.44 0.44 0.06 1.80 1.80 1XXX.00.00.0000000 36.7856 09 70488 Ct maxillofacial w/o&w dye A 1.42 7.52 7.52 NA 0.37 9.31 9.31 1XXX.00.00.0000000 36.7856 09 70488TCCt maxillofacial w/o&w dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7048826Ct maxillofacial w/o&w dye A 1.42 0.48 0.48 0.06 1.96 1.96 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70490TCCt soft tissue neck w/o dye A 0.00 4.70 4.70 NA 0.21 4.91 4.91 1XXX.00.00.0000000 36.7856 01 7049026Ct soft tissue neck w/o dye A 1.28 0.43 0.43 0.06 1.77 1.77 1XXX.00.00.0000000 36.7856 09 70491 Ct soft tissue neck w/dye A 1.38 6.10 6.10 NA 0.31 7.79 7.79 1XXX.00.00.0000000 36.7856 09 70491TCCt soft tissue neck w/dye A 0.00 5.63 5.63 NA 0.25 5.88 5.88 1XXX.00.00.0000000 36.7856 02 7049126Ct soft tissue neck w/dye A 1.38 0.47 0.47 0.06 1.91 1.91 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70492TCCt sft tsue nck w/o & w/dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7049226Ct sft tsue nck w/o & w/dye A 1.45 0.49 0.49 0.06 2.00 2.00 1XXX.00.00.0000000 36.7856 09 70496 Ct angiography, head A 1.75 11.15 11.15 NA 0.56 13.46 13.46 1XXX.00.00.0000000 36.7856 09 70496TCCt angiography, head A 0.00 10.56 10.56 NA 0.48 11.04 11.04 1XXX.00.00.0000000 36.7856 02 7049626Ct angiography, head A 1.75 0.59 0.59 0.08 2.42 2.42 1XXX.00.00.0000000 36.7856 09 70498 Ct angiography, neck A 1.75 11.16 11.16 NA 0.56 13.47 13.47 1XXX.00.00.0000000 36.7856 09 70498TCCt angiography, neck A 0.00 10.56 10.56 NA 0.48 11.04 11.04 1XXX.00.00.0000000 36.7856 02 7049826Ct angiography, neck A 1.75 0.60 0.60 0.08 2.43 2.43 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70540TCMri orbit/face/neck w/o dye A 0.00 11.16 11.16 NA 0.32 11.48 11.48 1XXX.00.00.0000000 36.7856 01 7054026Mri orbit/face/neck w/o dye A 1.35 0.46 0.46 0.04 1.85 1.85 1XXX.00.00.0000000 36.7856 09 70542 Mri orbit/face/neck w/dye A 1.62 13.94 13.94 NA 0.44 16.00 16.00 1XXX.00.00.0000000 36.7856 09 70542TCMri orbit/face/neck w/dye A 0.00 13.38 13.38 NA 0.39 13.77 13.77 1XXX.00.00.0000000 36.7856 02 7054226Mri orbit/face/neck w/dye A 1.62 0.56 0.56 0.05 2.23 2.23 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70543TCMri orbt/fac/nck w/o&w dye A 0.00 24.78 24.78 NA 0.70 25.48 25.48 1XXX.00.00.0000000 36.7856 02 7054326Mri orbt/fac/nck w/o&w dye A 2.15 0.73 0.73 0.07 2.95 2.95 1XXX.00.00.0000000 36.7856 09 70544 Mr angiography head w/o dye A 1.20 11.57 11.57 NA 0.54 13.31 13.31 1XXX.00.00.0000000 36.7856 09 70544TCMr angiography head w/o dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7054426Mr angiography head w/o dye A 1.20 0.41 0.41 0.05 1.66 1.66 1XXX.00.00.0000000 36.7856 09 70545 Mr angiography head w/dye A 1.20 11.57 11.57 NA 0.54 13.31 13.31 1XXX.00.00.0000000 36.7856 09 70545TCMr angiography head w/dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 02 7054526Mr angiography head w/dye A 1.20 0.41 0.41 0.05 1.66 1.66 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70546TCMr angiograph head w/o&w dye A 0.00 22.31 22.31 NA 0.49 22.80 22.80 1XXX.00.00.0000000 36.7856 02 7054626Mr angiograph head w/o&w dye A 1.80 0.62 0.62 0.08 2.50 2.50 1XXX.00.00.0000000 36.7856 09 70547 Mr angiography neck w/o dye A 1.20 11.57 11.57 NA 0.54 13.31 13.31 1XXX.00.00.0000000 36.7856 09 70547TCMr angiography neck w/o dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7054726Mr angiography neck w/o dye A 1.20 0.41 0.41 0.05 1.66 1.66 1XXX.00.00.0000000 36.7856 09 70548 Mr angiography neck w/dye A 1.20 11.57 11.57 NA 0.54 13.31 13.31 1XXX.00.00.0000000 36.7856 09 70548TCMr angiography neck w/dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 02 7054826Mr angiography neck w/dye A 1.20 0.41 0.41 0.05 1.66 1.66 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 70549TCMr angiograph neck w/o&w dye A 0.00 22.31 22.31 NA 0.49 22.80 22.80 1XXX.00.00.0000000 36.7856 02 7054926Mr angiograph neck w/o&w dye A 1.80 0.62 0.62 0.08 2.50 2.50 1XXX.00.00.0000000 36.7856 09 70551 Mri brain w/o dye A 1.48 11.67 11.67 NA 0.56 13.71 13.71 1XXX.00.00.0000000 36.7856 09 70551TCMri brain w/o dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7055126Mri brain w/o dye A 1.48 0.51 0.51 0.07 2.06 2.06 1XXX.00.00.0000000 36.7856 09 70552 Mri brain w/dye A 1.78 14.00 14.00 NA 0.66 16.44 16.44 1XXX.00.00.0000000 36.7856 09 70552TCMri brain w/dye A 0.00 13.38 13.38 NA 0.58 13.96 13.96 1XXX.00.00.0000000 36.7856 02 7055226Mri brain w/dye A 1.78 0.62 0.62 0.08 2.48 2.48 1XXX.00.00.0000000 36.7856 09 70553 Mri brain w/o&w dye A 2.36 25.59 25.59 NA 1.19 29.14 29.14 1XXX.00.00.0000000 36.7856 09 70553TCMri brain w/o&w dye A 0.00 24.78 24.78 NA 1.09 25.87 25.87 1XXX.00.00.0000000 36.7856 02 7055326Mri brain w/o&w dye A 2.36 0.81 0.81 0.10 3.27 3.27 1XXX.00.00.0000000 36.7856 09 71010 Chest x-ray A 0.18 0.53 0.53 NA 0.03 0.74 0.74 1XXX.00.00.0000000 36.7856 09 71010TCChest x-ray A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0000000 36.7856 01 7101026Chest x-ray A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 71015 Chest x-ray A 0.21 0.59 0.59 NA 0.03 0.83 0.83 1XXX.00.00.0000000 36.7856 09 71015TCChest x-ray A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7101526Chest x-ray A 0.21 0.07 0.07 0.01 0.29 0.29 1XXX.00.00.0000000 36.7856 09 71020 Chest x-ray A 0.22 0.69 0.69 NA 0.04 0.95 0.95 1XXX.00.00.0000000 36.7856 09 71020TCChest x-ray A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 01 7102026Chest x-ray A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 71021 Chest x-ray A 0.27 0.83 0.83 NA 0.05 1.15 1.15 1XXX.00.00.0000000 36.7856 09 71021TCChest x-ray A 0.00 0.74 0.74 NA 0.04 0.78 0.78 1XXX.00.00.0000000 36.7856 01 7102126Chest x-ray A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 36.7856 09 71022 Chest x-ray A 0.31 0.85 0.85 NA 0.06 1.22 1.22 1XXX.00.00.0000000 36.7856 09 71022TCChest x-ray A 0.00 0.74 0.74 NA 0.04 0.78 0.78 1XXX.00.00.0000000 36.7856 01 7102226Chest x-ray A 0.31 0.11 0.11 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 09 71023 Chest x-ray and fluoroscopy A 0.38 0.92 0.92 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 09 71023TCChest x-ray and fluoroscopy A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 03 7102326Chest x-ray and fluoroscopy A 0.38 0.14 0.14 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 09 71030 Chest x-ray A 0.31 0.88 0.88 NA 0.05 1.24 1.24 1XXX.00.00.0000000 36.7856 09 71030TCChest x-ray A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 01 7103026Chest x-ray A 0.31 0.10 0.10 0.01 0.42 0.42 1XXX.00.00.0000000 36.7856 09 71034 Chest x-ray and fluoroscopy A 0.46 1.60 1.60 NA 0.09 2.15 2.15 1XXX.00.00.0000000 36.7856 09 71034TCChest x-ray and fluoroscopy A 0.00 1.43 1.43 NA 0.07 1.50 1.50 1XXX.00.00.0000000 36.7856 03 7103426Chest x-ray and fluoroscopy A 0.46 0.17 0.17 0.02 0.65 0.65 1XXX.00.00.0000000 36.7856 09 71035 Chest x-ray A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 36.7856 09 71035TCChest x-ray A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7103526Chest x-ray A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 71040 Contrast x-ray of bronchi A 0.58 1.65 1.65 NA 0.10 2.33 2.33 1XXX.00.00.0000000 36.7856 09 71040TCContrast x-ray of bronchi A 0.00 1.45 1.45 NA 0.07 1.52 1.52 1XXX.00.00.0000000 36.7856 03 7104026Contrast x-ray of bronchi A 0.58 0.20 0.20 0.03 0.81 0.81 1XXX.00.00.0000000 36.7856 09 71060 Contrast x-ray of bronchi A 0.74 2.45 2.45 NA 0.14 3.33 3.33 1XXX.00.00.0002000 36.7856 09 71060TCContrast x-ray of bronchi A 0.00 2.20 2.20 NA 0.11 2.31 2.31 1XXX.00.00.0002000 36.7856 03 7106026Contrast x-ray of bronchi A 0.74 0.25 0.25 0.03 1.02 1.02 1XXX.00.00.0002000 36.7856 09 71090 X-ray & pacemaker insertion A 0.54 1.88 1.88 NA 0.11 2.53 2.53 1XXX.00.00.0000000 36.7856 09 71090TCX-ray & pacemaker insertion A 0.00 1.67 1.67 NA 0.09 1.76 1.76 1XXX.00.00.0000000 36.7856 03 7109026X-ray & pacemaker insertion A 0.54 0.21 0.21 0.02 0.77 0.77 1XXX.00.00.0000000 36.7856 09 71100 X-ray exam of ribs A 0.22 0.64 0.64 NA 0.04 0.90 0.90 1XXX.00.00.0000000 36.7856 09 71100TCX-ray exam of ribs A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0000000 36.7856 01 7110026X-ray exam of ribs A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 71101 X-ray exam of ribs/chest A 0.27 0.76 0.76 NA 0.04 1.07 1.07 1XXX.00.00.0000000 36.7856 09 71101TCX-ray exam of ribs/chest A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0000000 36.7856 01 7110126X-ray exam of ribs/chest A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 36.7856 09 71110 X-ray exam of ribs A 0.27 0.87 0.87 NA 0.05 1.19 1.19 1XXX.00.00.0002000 36.7856 09 71110TCX-ray exam of ribs A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0002000 36.7856 01 7111026X-ray exam of ribs A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0002000 36.7856 09 71111 X-ray exam of ribs/ chest A 0.32 1.00 1.00 NA 0.06 1.38 1.38 1XXX.00.00.0002000 36.7856 09 71111TCX-ray exam of ribs/ chest A 0.00 0.89 0.89 NA 0.05 0.94 0.94 1XXX.00.00.0002000 36.7856 01 7111126X-ray exam of ribs/ chest A 0.32 0.11 0.11 0.01 0.44 0.44 1XXX.00.00.0002000 36.7856 09 71120 X-ray exam of breastbone A 0.20 0.72 0.72 NA 0.04 0.96 0.96 1XXX.00.00.0000000 36.7856 09 71120TCX-ray exam of breastbone A 0.00 0.65 0.65 NA 0.03 0.68 0.68 1XXX.00.00.0000000 36.7856 01 7112026X-ray exam of breastbone A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 36.7856 09 71130 X-ray exam of breastbone A 0.22 0.78 0.78 NA 0.04 1.04 1.04 1XXX.00.00.0000000 36.7856 09 71130TCX-ray exam of breastbone A 0.00 0.71 0.71 NA 0.03 0.74 0.74 1XXX.00.00.0000000 36.7856 01 7113026X-ray exam of breastbone A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 71250 Ct thorax w/o dye A 1.16 6.27 6.27 NA 0.31 7.74 7.74 1XXX.00.00.0000000 36.7856 09 71250TCCt thorax w/o dye A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7125026Ct thorax w/o dye A 1.16 0.39 0.39 0.05 1.60 1.60 1XXX.00.00.0000000 36.7856 09 71260 Ct thorax w/dye A 1.24 7.46 7.46 NA 0.36 9.06 9.06 1XXX.00.00.0000000 36.7856 09 71260TCCt thorax w/dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7126026Ct thorax w/dye A 1.24 0.42 0.42 0.05 1.71 1.71 1XXX.00.00.0000000 36.7856 09 71270 Ct thorax w/o&w dye A 1.38 9.28 9.28 NA 0.44 11.10 11.10 1XXX.00.00.0000000 36.7856 09 71270TCCt thorax w/o&w dye A 0.00 8.81 8.81 NA 0.38 9.19 9.19 1XXX.00.00.0000000 36.7856 02 7127026Ct thorax w/o&w dye A 1.38 0.47 0.47 0.06 1.91 1.91 1XXX.00.00.0000000 36.7856 09 71275 Ct angiography, chest A 1.92 12.98 12.98 NA 0.38 15.28 15.28 1XXX.00.00.0000000 36.7856 09 71275TCCt angiography, chest A 0.00 12.33 12.33 NA 0.32 12.65 12.65 1XXX.00.00.0000000 36.7856 02 7127526Ct angiography, chest A 1.92 0.65 0.65 0.06 2.63 2.63 1XXX.00.00.0000000 36.7856 09 71550 Mri chest w/o dye A 1.46 11.66 11.66 NA 0.41 13.53 13.53 1XXX.00.00.0000000 36.7856 09 71550TCMri chest w/o dye A 0.00 11.16 11.16 NA 0.37 11.53 11.53 1XXX.00.00.0000000 36.7856 01 7155026Mri chest w/o dye A 1.46 0.50 0.50 0.04 2.00 2.00 1XXX.00.00.0000000 36.7856 09 71551 Mri chest w/dye A 1.73 13.97 13.97 NA 0.49 16.19 16.19 1XXX.00.00.0000000 36.7856 09 71551TCMri chest w/dye A 0.00 13.38 13.38 NA 0.43 13.81 13.81 1XXX.00.00.0000000 36.7856 02 7155126Mri chest w/dye A 1.73 0.59 0.59 0.06 2.38 2.38 1XXX.00.00.0000000 36.7856 09 71552 Mri chest w/o&w/dye A 2.26 25.55 25.55 NA 0.64 28.45 28.45 1XXX.00.00.0000000 36.7856 09 71552TCMri chest w/o&w/dye A 0.00 24.78 24.78 NA 0.56 25.34 25.34 1XXX.00.00.0000000 36.7856 02 7155226Mri chest w/o&w/dye A 2.26 0.77 0.77 0.08 3.11 3.11 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 71555TCMri angio chest w or w/o dye R 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 02 7155526Mri angio chest w or w/o dye R 1.81 0.62 0.62 0.08 2.51 2.51 1XXX.00.00.0000000 36.7856 09 72010 X-ray exam of spine A 0.45 1.17 1.17 NA 0.08 1.70 1.70 1XXX.00.00.0000000 36.7856 09 72010TCX-ray exam of spine A 0.00 1.02 1.02 NA 0.05 1.07 1.07 1XXX.00.00.0000000 36.7856 01 7201026X-ray exam of spine A 0.45 0.15 0.15 0.03 0.63 0.63 1XXX.00.00.0000000 36.7856 09 72020 X-ray exam of spine A 0.15 0.47 0.47 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 09 72020TCX-ray exam of spine A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 01 7202026X-ray exam of spine A 0.15 0.05 0.05 0.01 0.21 0.21 1XXX.00.00.0000000 36.7856 09 72040 X-ray exam of neck spine A 0.22 0.67 0.67 NA 0.04 0.93 0.93 1XXX.00.00.0000000 36.7856 09 72040TCX-ray exam of neck spine A 0.00 0.60 0.60 NA 0.03 0.63 0.63 1XXX.00.00.0000000 36.7856 01 7204026X-ray exam of neck spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 72050 X-ray exam of neck spine A 0.31 1.00 1.00 NA 0.07 1.38 1.38 1XXX.00.00.0000000 36.7856 09 72050TCX-ray exam of neck spine A 0.00 0.89 0.89 NA 0.05 0.94 0.94 1XXX.00.00.0000000 36.7856 01 7205026X-ray exam of neck spine A 0.31 0.11 0.11 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 09 72052 X-ray exam of neck spine A 0.36 1.24 1.24 NA 0.07 1.67 1.67 1XXX.00.00.0000000 36.7856 09 72052TCX-ray exam of neck spine A 0.00 1.12 1.12 NA 0.05 1.17 1.17 1XXX.00.00.0000000 36.7856 01 7205226X-ray exam of neck spine A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 36.7856 09 72069 X-ray exam of trunk spine A 0.22 0.57 0.57 NA 0.04 0.83 0.83 1XXX.00.00.0000000 36.7856 09 72069TCX-ray exam of trunk spine A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0000000 36.7856 01 7206926X-ray exam of trunk spine A 0.22 0.08 0.08 0.02 0.32 0.32 1XXX.00.00.0000000 36.7856 09 72070 X-ray exam of thoracic spine A 0.22 0.72 0.72 NA 0.04 0.98 0.98 1XXX.00.00.0000000 36.7856 09 72070TCX-ray exam of thoracic spine A 0.00 0.65 0.65 NA 0.03 0.68 0.68 1XXX.00.00.0000000 36.7856 01 7207026X-ray exam of thoracic spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 72072 X-ray exam of thoracic spine A 0.22 0.81 0.81 NA 0.05 1.08 1.08 1XXX.00.00.0000000 36.7856 09 72072TCX-ray exam of thoracic spine A 0.00 0.74 0.74 NA 0.04 0.78 0.78 1XXX.00.00.0000000 36.7856 01 7207226X-ray exam of thoracic spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 72074 X-ray exam of thoracic spine A 0.22 0.98 0.98 NA 0.06 1.26 1.26 1XXX.00.00.0000000 36.7856 09 72074TCX-ray exam of thoracic spine A 0.00 0.91 0.91 NA 0.05 0.96 0.96 1XXX.00.00.0000000 36.7856 01 7207426X-ray exam of thoracic spine A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 72080 X-ray exam of trunk spine A 0.22 0.75 0.75 NA 0.05 1.02 1.02 1XXX.00.00.0000000 36.7856 09 72080TCX-ray exam of trunk spine A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0000000 36.7856 01 7208026X-ray exam of trunk spine A 0.22 0.08 0.08 0.02 0.32 0.32 1XXX.00.00.0000000 36.7856 09 72090 X-ray exam of trunk spine A 0.28 0.77 0.77 NA 0.05 1.10 1.10 1XXX.00.00.0000000 36.7856 09 72090TCX-ray exam of trunk spine A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0000000 36.7856 01 7209026X-ray exam of trunk spine A 0.28 0.10 0.10 0.02 0.40 0.40 1XXX.00.00.0000000 36.7856 09 72100 X-ray exam of lower spine A 0.22 0.75 0.75 NA 0.05 1.02 1.02 1XXX.00.00.0000000 36.7856 09 72100TCX-ray exam of lower spine A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0000000 36.7856 01 7210026X-ray exam of lower spine A 0.22 0.08 0.08 0.02 0.32 0.32 1XXX.00.00.0000000 36.7856 09 72110 X-ray exam of lower spine A 0.31 1.02 1.02 NA 0.07 1.40 1.40 1XXX.00.00.0000000 36.7856 09 72110TCX-ray exam of lower spine A 0.00 0.91 0.91 NA 0.05 0.96 0.96 1XXX.00.00.0000000 36.7856 01 7211026X-ray exam of lower spine A 0.31 0.11 0.11 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 09 72114 X-ray exam of lower spine A 0.36 1.30 1.30 NA 0.08 1.74 1.74 1XXX.00.00.0000000 36.7856 09 72114TCX-ray exam of lower spine A 0.00 1.18 1.18 NA 0.05 1.23 1.23 1XXX.00.00.0000000 36.7856 01 7211426X-ray exam of lower spine A 0.36 0.12 0.12 0.03 0.51 0.51 1XXX.00.00.0000000 36.7856 09 72120 X-ray exam of lower spine A 0.22 0.97 0.97 NA 0.07 1.26 1.26 1XXX.00.00.0000000 36.7856 09 72120TCX-ray exam of lower spine A 0.00 0.89 0.89 NA 0.05 0.94 0.94 1XXX.00.00.0000000 36.7856 01 7212026X-ray exam of lower spine A 0.22 0.08 0.08 0.02 0.32 0.32 1XXX.00.00.0000000 36.7856 09 72125 Ct neck spine w/o dye A 1.16 6.27 6.27 NA 0.31 7.74 7.74 1XXX.00.00.0000000 36.7856 09 72125TCCt neck spine w/o dye A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7212526Ct neck spine w/o dye A 1.16 0.39 0.39 0.05 1.60 1.60 1XXX.00.00.0000000 36.7856 09 72126 Ct neck spine w/dye A 1.22 7.45 7.45 NA 0.36 9.03 9.03 1XXX.00.00.0000000 36.7856 09 72126TCCt neck spine w/dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7212626Ct neck spine w/dye A 1.22 0.41 0.41 0.05 1.68 1.68 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72127TCCt neck spine w/o&w/dye A 0.00 8.81 8.81 NA 0.38 9.19 9.19 1XXX.00.00.0000000 36.7856 02 7212726Ct neck spine w/o&w/dye A 1.27 0.43 0.43 0.06 1.76 1.76 1XXX.00.00.0000000 36.7856 09 72128 Ct chest spine w/o dye A 1.16 6.27 6.27 NA 0.31 7.74 7.74 1XXX.00.00.0000000 36.7856 09 72128TCCt chest spine w/o dye A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7212826Ct chest spine w/o dye A 1.16 0.39 0.39 0.05 1.60 1.60 1XXX.00.00.0000000 36.7856 09 72129 Ct chest spine w/dye A 1.22 7.45 7.45 NA 0.36 9.03 9.03 1XXX.00.00.0000000 36.7856 09 72129TCCt chest spine w/dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7212926Ct chest spine w/dye A 1.22 0.41 0.41 0.05 1.68 1.68 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72130TCCt chest spine w/o&w/dye A 0.00 8.81 8.81 NA 0.38 9.19 9.19 1XXX.00.00.0000000 36.7856 02 7213026Ct chest spine w/o&w/dye A 1.27 0.43 0.43 0.06 1.76 1.76 1XXX.00.00.0000000 36.7856 09 72131 Ct lumbar spine w/o dye A 1.16 6.28 6.28 NA 0.31 7.75 7.75 1XXX.00.00.0000000 36.7856 09 72131TCCt lumbar spine w/o dye A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7213126Ct lumbar spine w/o dye A 1.16 0.40 0.40 0.05 1.61 1.61 1XXX.00.00.0000000 36.7856 09 72132 Ct lumbar spine w/dye A 1.22 7.45 7.45 NA 0.37 9.04 9.04 1XXX.00.00.0000000 36.7856 09 72132TCCt lumbar spine w/dye A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 02 7213226Ct lumbar spine w/dye A 1.22 0.41 0.41 0.06 1.69 1.69 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72133TCCt lumbar spine w/o&w/dye A 0.00 8.81 8.81 NA 0.38 9.19 9.19 1XXX.00.00.0000000 36.7856 02 7213326Ct lumbar spine w/o&w/dye A 1.27 0.44 0.44 0.06 1.77 1.77 1XXX.00.00.0000000 36.7856 09 72141 Mri neck spine w/o dye A 1.60 11.71 11.71 NA 0.56 13.87 13.87 1XXX.00.00.0000000 36.7856 09 72141TCMri neck spine w/o dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7214126Mri neck spine w/o dye A 1.60 0.55 0.55 0.07 2.22 2.22 1XXX.00.00.0000000 36.7856 09 72142 Mri neck spine w/dye A 1.92 14.05 14.05 NA 0.67 16.64 16.64 1XXX.00.00.0000000 36.7856 09 72142TCMri neck spine w/dye A 0.00 13.38 13.38 NA 0.58 13.96 13.96 1XXX.00.00.0000000 36.7856 02 7214226Mri neck spine w/dye A 1.92 0.67 0.67 0.09 2.68 2.68 1XXX.00.00.0000000 36.7856 09 72146 Mri chest spine w/o dye A 1.60 12.94 12.94 NA 0.60 15.14 15.14 1XXX.00.00.0000000 36.7856 09 72146TCMri chest spine w/o dye A 0.00 12.39 12.39 NA 0.53 12.92 12.92 1XXX.00.00.0000000 36.7856 01 7214626Mri chest spine w/o dye A 1.60 0.55 0.55 0.07 2.22 2.22 1XXX.00.00.0000000 36.7856 09 72147 Mri chest spine w/dye A 1.92 14.04 14.04 NA 0.67 16.63 16.63 1XXX.00.00.0000000 36.7856 09 72147TCMri chest spine w/dye A 0.00 13.38 13.38 NA 0.58 13.96 13.96 1XXX.00.00.0000000 36.7856 02 7214726Mri chest spine w/dye A 1.92 0.66 0.66 0.09 2.67 2.67 1XXX.00.00.0000000 36.7856 09 72148 Mri lumbar spine w/o dye A 1.48 12.90 12.90 NA 0.60 14.98 14.98 1XXX.00.00.0000000 36.7856 09 72148TCMri lumbar spine w/o dye A 0.00 12.39 12.39 NA 0.53 12.92 12.92 1XXX.00.00.0000000 36.7856 01 7214826Mri lumbar spine w/o dye A 1.48 0.51 0.51 0.07 2.06 2.06 1XXX.00.00.0000000 36.7856 09 72149 Mri lumbar spine w/dye A 1.78 14.00 14.00 NA 0.67 16.45 16.45 1XXX.00.00.0000000 36.7856 09 72149TCMri lumbar spine w/dye A 0.00 13.38 13.38 NA 0.58 13.96 13.96 1XXX.00.00.0000000 36.7856 02 7214926Mri lumbar spine w/dye A 1.78 0.62 0.62 0.09 2.49 2.49 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72156TCMri neck spine w/o&w/dye A 0.00 24.78 24.78 NA 1.09 25.87 25.87 1XXX.00.00.0000000 36.7856 02 7215626Mri neck spine w/o&w/dye A 2.57 0.88 0.88 0.11 3.56 3.56 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72157TCMri chest spine w/o&w/dye A 0.00 24.78 24.78 NA 1.09 25.87 25.87 1XXX.00.00.0000000 36.7856 02 7215726Mri chest spine w/o&w/dye A 2.57 0.88 0.88 0.11 3.56 3.56 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72158TCMri lumbar spine w/o&w/dye A 0.00 24.78 24.78 NA 1.09 25.87 25.87 1XXX.00.00.0000000 36.7856 02 7215826Mri lumbar spine w/o&w/dye A 2.36 0.81 0.81 0.11 3.28 3.28 1XXX.00.00.0000000 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 1XXX.00.00.0099999 36.7856 09 72159TCMr angio spine w/o&w/dye N+ 0.00 12.39 12.39 NA 0.53 12.92 12.92 1XXX.00.00.0099999 36.7856 02 7215926Mr angio spine w/o&w/dye N+ 1.80 0.70 0.70 0.08 2.58 2.58 1XXX.00.00.0099999 36.7856 09 72170 X-ray exam of pelvis A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0000000 36.7856 09 72170TCX-ray exam of pelvis A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7217026X-ray exam of pelvis A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 72190 X-ray exam of pelvis A 0.21 0.74 0.74 NA 0.04 0.99 0.99 1XXX.00.00.0000000 36.7856 09 72190TCX-ray exam of pelvis A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0000000 36.7856 01 7219026X-ray exam of pelvis A 0.21 0.07 0.07 0.01 0.29 0.29 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72191TCCt angiograph pelv w/o&w/dye A 0.00 11.97 11.97 NA 0.32 12.29 12.29 1XXX.00.00.0000000 36.7856 02 7219126Ct angiograph pelv w/o&w/dye A 1.81 0.62 0.62 0.06 2.49 2.49 1XXX.00.00.0000000 36.7856 09 72192 Ct pelvis w/o dye A 1.09 6.25 6.25 NA 0.31 7.65 7.65 1XXX.00.00.0000000 36.7856 09 72192TCCt pelvis w/o dye A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7219226Ct pelvis w/o dye A 1.09 0.37 0.37 0.05 1.51 1.51 1XXX.00.00.0000000 36.7856 09 72193 Ct pelvis w/dye A 1.16 7.21 7.21 NA 0.35 8.72 8.72 1XXX.00.00.0000000 36.7856 09 72193TCCt pelvis w/dye A 0.00 6.82 6.82 NA 0.30 7.12 7.12 1XXX.00.00.0000000 36.7856 02 7219326Ct pelvis w/dye A 1.16 0.39 0.39 0.05 1.60 1.60 1XXX.00.00.0000000 36.7856 09 72194 Ct pelvis w/o&w/dye A 1.22 8.86 8.86 NA 0.41 10.49 10.49 1XXX.00.00.0000000 36.7856 09 72194TCCt pelvis w/o&w/dye A 0.00 8.45 8.45 NA 0.36 8.81 8.81 1XXX.00.00.0000000 36.7856 02 7219426Ct pelvis w/o&w/dye A 1.22 0.41 0.41 0.05 1.68 1.68 1XXX.00.00.0000000 36.7856 09 72195 Mri pelvis w/o dye A 1.46 11.66 11.66 NA 0.42 13.54 13.54 1XXX.00.00.0000000 36.7856 09 72195TCMri pelvis w/o dye A 0.00 11.16 11.16 NA 0.37 11.53 11.53 1XXX.00.00.0000000 36.7856 01 7219526Mri pelvis w/o dye A 1.46 0.50 0.50 0.05 2.01 2.01 1XXX.00.00.0000000 36.7856 09 72196 Mri pelvis w/dye A 1.73 13.97 13.97 NA 0.48 16.18 16.18 1XXX.00.00.0000000 36.7856 09 72196TCMri pelvis w/dye A 0.00 13.38 13.38 NA 0.43 13.81 13.81 1XXX.00.00.0000000 36.7856 02 7219626Mri pelvis w/dye A 1.73 0.59 0.59 0.05 2.37 2.37 1XXX.00.00.0000000 36.7856 09 72197 Mri pelvis w/o & w/dye A 2.26 25.55 25.55 NA 0.84 28.65 28.65 1XXX.00.00.0000000 36.7856 09 72197TCMri pelvis w/o & w/dye A 0.00 24.78 24.78 NA 0.76 25.54 25.54 1XXX.00.00.0000000 36.7856 02 7219726Mri pelvis w/o & w/dye A 2.26 0.77 0.77 0.08 3.11 3.11 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 72198TCMr angio pelvis w/o&w/dye A+ 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 02 7219826Mr angio pelvis w/o&w/dye A+ 1.80 0.70 0.70 0.08 2.58 2.58 1XXX.00.00.0000000 36.7856 09 72200 X-ray exam sacroiliac joints A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0000000 36.7856 09 72200TCX-ray exam sacroiliac joints A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7220026X-ray exam sacroiliac joints A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 72202 X-ray exam sacroiliac joints A 0.19 0.68 0.68 NA 0.04 0.91 0.91 1XXX.00.00.0000000 36.7856 09 72202TCX-ray exam sacroiliac joints A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 01 7220226X-ray exam sacroiliac joints A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 36.7856 09 72220 X-ray exam of tailbone A 0.17 0.63 0.63 NA 0.04 0.84 0.84 1XXX.00.00.0000000 36.7856 09 72220TCX-ray exam of tailbone A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0000000 36.7856 01 7222026X-ray exam of tailbone A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 72240 Contrast x-ray of neck spine A 0.91 5.03 5.03 NA 0.25 6.19 6.19 1XXX.00.00.0000000 36.7856 09 72240TCContrast x-ray of neck spine A 0.00 4.73 4.73 NA 0.21 4.94 4.94 1XXX.00.00.0000000 36.7856 03 7224026Contrast x-ray of neck spine A 0.91 0.30 0.30 0.04 1.25 1.25 1XXX.00.00.0000000 36.7856 09 72255 Contrast x-ray, thorax spine A 0.91 4.59 4.59 NA 0.22 5.72 5.72 1XXX.00.00.0000000 36.7856 09 72255TCContrast x-ray, thorax spine A 0.00 4.31 4.31 NA 0.18 4.49 4.49 1XXX.00.00.0000000 36.7856 03 7225526Contrast x-ray, thorax spine A 0.91 0.28 0.28 0.04 1.23 1.23 1XXX.00.00.0000000 36.7856 09 72265 Contrast x-ray, lower spine A 0.83 4.31 4.31 NA 0.22 5.36 5.36 1XXX.00.00.0000000 36.7856 09 72265TCContrast x-ray, lower spine A 0.00 4.05 4.05 NA 0.18 4.23 4.23 1XXX.00.00.0000000 36.7856 03 7226526Contrast x-ray, lower spine A 0.83 0.26 0.26 0.04 1.13 1.13 1XXX.00.00.0000000 36.7856 09 72270 Contrast x-ray of spine A 1.33 6.50 6.50 NA 0.34 8.17 8.17 1XXX.00.00.0000000 36.7856 09 72270TCContrast x-ray of spine A 0.00 6.07 6.07 NA 0.27 6.34 6.34 1XXX.00.00.0000000 36.7856 03 7227026Contrast x-ray of spine A 1.33 0.43 0.43 0.07 1.83 1.83 1XXX.00.00.0000000 36.7856 09 72275 Epidurography A 0.76 2.29 2.29 NA 0.21 3.26 3.26 1XXX.00.00.0099999 36.7856 09 72275TCEpidurography A 0.00 2.09 2.09 NA 0.18 2.27 2.27 1XXX.00.00.0099999 36.7856 03 7227526Epidurography A 0.76 0.20 0.20 0.03 0.99 0.99 1XXX.00.00.0099999 36.7856 09 72285 X-ray c/t spine disk A 1.16 8.72 8.72 NA 0.42 10.30 10.30 1XXX.00.00.0000000 36.7856 09 72285TCX-ray c/t spine disk A 0.00 8.35 8.35 NA 0.36 8.71 8.71 1XXX.00.00.0000000 36.7856 03 7228526X-ray c/t spine disk A 1.16 0.37 0.37 0.06 1.59 1.59 1XXX.00.00.0000000 36.7856 09 72295 X-ray of lower spine disk A 0.83 8.10 8.10 NA 0.37 9.30 9.30 1XXX.00.00.0000000 36.7856 09 72295TCX-ray of lower spine disk A 0.00 7.82 7.82 NA 0.33 8.15 8.15 1XXX.00.00.0000000 36.7856 03 7229526X-ray of lower spine disk A 0.83 0.28 0.28 0.04 1.15 1.15 1XXX.00.00.0000000 36.7856 09 73000 X-ray exam of collar bone A 0.16 0.57 0.57 NA 0.03 0.76 0.76 1XXX.00.00.0003000 36.7856 09 73000TCX-ray exam of collar bone A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 36.7856 01 7300026X-ray exam of collar bone A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 36.7856 09 73010 X-ray exam of shoulder blade A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0003000 36.7856 09 73010TCX-ray exam of shoulder blade A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 36.7856 01 7301026X-ray exam of shoulder blade A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73020 X-ray exam of shoulder A 0.15 0.52 0.52 NA 0.03 0.70 0.70 1XXX.00.00.0003000 36.7856 09 73020TCX-ray exam of shoulder A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0003000 36.7856 01 7302026X-ray exam of shoulder A 0.15 0.05 0.05 0.01 0.21 0.21 1XXX.00.00.0003000 36.7856 09 73030 X-ray exam of shoulder A 0.18 0.63 0.63 NA 0.04 0.85 0.85 1XXX.00.00.0003000 36.7856 09 73030TCX-ray exam of shoulder A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0003000 36.7856 01 7303026X-ray exam of shoulder A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0003000 36.7856 09 73040 Contrast x-ray of shoulder A 0.54 2.27 2.27 NA 0.13 2.94 2.94 1XXX.00.00.0003000 36.7856 09 73040TCContrast x-ray of shoulder A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0003000 36.7856 03 7304026Contrast x-ray of shoulder A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0003000 36.7856 09 73050 X-ray exam of shoulders A 0.20 0.74 0.74 NA 0.05 0.99 0.99 1XXX.00.00.0002000 36.7856 09 73050TCX-ray exam of shoulders A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0002000 36.7856 01 7305026X-ray exam of shoulders A 0.20 0.07 0.07 0.02 0.29 0.29 1XXX.00.00.0002000 36.7856 09 73060 X-ray exam of humerus A 0.17 0.63 0.63 NA 0.04 0.84 0.84 1XXX.00.00.0003000 36.7856 09 73060TCX-ray exam of humerus A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0003000 36.7856 01 7306026X-ray exam of humerus A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73070 X-ray exam of elbow A 0.15 0.57 0.57 NA 0.03 0.75 0.75 1XXX.00.00.0003000 36.7856 09 73070TCX-ray exam of elbow A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 36.7856 01 7307026X-ray exam of elbow A 0.15 0.05 0.05 0.01 0.21 0.21 1XXX.00.00.0003000 36.7856 09 73080 X-ray exam of elbow A 0.17 0.63 0.63 NA 0.04 0.84 0.84 1XXX.00.00.0003000 36.7856 09 73080TCX-ray exam of elbow A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0003000 36.7856 01 7308026X-ray exam of elbow A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73085 Contrast x-ray of elbow A 0.54 2.28 2.28 NA 0.13 2.95 2.95 1XXX.00.00.0003000 36.7856 09 73085TCContrast x-ray of elbow A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0003000 36.7856 03 7308526Contrast x-ray of elbow A 0.54 0.19 0.19 0.03 0.76 0.76 1XXX.00.00.0003000 36.7856 09 73090 X-ray exam of forearm A 0.16 0.57 0.57 NA 0.03 0.76 0.76 1XXX.00.00.0003000 36.7856 09 73090TCX-ray exam of forearm A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 36.7856 01 7309026X-ray exam of forearm A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 36.7856 09 73092 X-ray exam of arm, infant A 0.16 0.54 0.54 NA 0.03 0.73 0.73 1XXX.00.00.0003000 36.7856 09 73092TCX-ray exam of arm, infant A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 36.7856 01 7309226X-ray exam of arm, infant A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0003000 36.7856 09 73100 X-ray exam of wrist A 0.16 0.55 0.55 NA 0.04 0.75 0.75 1XXX.00.00.0003000 36.7856 09 73100TCX-ray exam of wrist A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 36.7856 01 7310026X-ray exam of wrist A 0.16 0.06 0.06 0.02 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73110 X-ray exam of wrist A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 36.7856 09 73110TCX-ray exam of wrist A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 36.7856 01 7311026X-ray exam of wrist A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73115 Contrast x-ray of wrist A 0.54 1.76 1.76 NA 0.11 2.41 2.41 1XXX.00.00.0003000 36.7856 09 73115TCContrast x-ray of wrist A 0.00 1.57 1.57 NA 0.08 1.65 1.65 1XXX.00.00.0003000 36.7856 03 7311526Contrast x-ray of wrist A 0.54 0.19 0.19 0.03 0.76 0.76 1XXX.00.00.0003000 36.7856 09 73120 X-ray exam of hand A 0.16 0.55 0.55 NA 0.03 0.74 0.74 1XXX.00.00.0003000 36.7856 09 73120TCX-ray exam of hand A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 36.7856 01 7312026X-ray exam of hand A 0.16 0.06 0.06 0.01 0.23 0.23 1XXX.00.00.0003000 36.7856 09 73130 X-ray exam of hand A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 36.7856 09 73130TCX-ray exam of hand A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 36.7856 01 7313026X-ray exam of hand A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73140 X-ray exam of finger(s) A 0.13 0.46 0.46 NA 0.03 0.62 0.62 1XXX.00.00.0003000 36.7856 09 73140TCX-ray exam of finger(s) A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0003000 36.7856 01 7314026X-ray exam of finger(s) A 0.13 0.04 0.04 0.01 0.18 0.18 1XXX.00.00.0003000 36.7856 09 73200 Ct upper extremity w/o dye A 1.09 5.31 5.31 NA 0.26 6.66 6.66 1XXX.00.00.0003000 36.7856 09 73200TCCt upper extremity w/o dye A 0.00 4.94 4.94 NA 0.21 5.15 5.15 1XXX.00.00.0003000 36.7856 01 7320026Ct upper extremity w/o dye A 1.09 0.37 0.37 0.05 1.51 1.51 1XXX.00.00.0003000 36.7856 09 73201 Ct upper extremity w/dye A 1.16 6.28 6.28 NA 0.31 7.75 7.75 1XXX.00.00.0003000 36.7856 09 73201TCCt upper extremity w/dye A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0003000 36.7856 02 7320126Ct upper extremity w/dye A 1.16 0.40 0.40 0.05 1.61 1.61 1XXX.00.00.0003000 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 1XXX.00.00.0003000 36.7856 09 73202TCCt uppr extremity w/o&w/dye A 0.00 7.39 7.39 NA 0.32 7.71 7.71 1XXX.00.00.0003000 36.7856 02 7320226Ct uppr extremity w/o&w/dye A 1.22 0.42 0.42 0.06 1.70 1.70 1XXX.00.00.0003000 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 1XXX.00.00.0000000 36.7856 09 73206TCCt angio upr extrm w/o&w/dye A 0.00 10.92 10.92 NA 0.32 11.24 11.24 1XXX.00.00.0000000 36.7856 02 7320626Ct angio upr extrm w/o&w/dye A 1.81 0.62 0.62 0.06 2.49 2.49 1XXX.00.00.0000000 36.7856 09 73218 Mri upper extremity w/o dye A 1.35 11.62 11.62 NA 0.36 13.33 13.33 1XXX.00.00.0000000 36.7856 09 73218TCMri upper extremity w/o dye A 0.00 11.16 11.16 NA 0.32 11.48 11.48 1XXX.00.00.0000000 36.7856 01 7321826Mri upper extremity w/o dye A 1.35 0.46 0.46 0.04 1.85 1.85 1XXX.00.00.0000000 36.7856 09 73219 Mri upper extremity w/dye A 1.62 13.94 13.94 NA 0.44 16.00 16.00 1XXX.00.00.0000000 36.7856 09 73219TCMri upper extremity w/dye A 0.00 13.38 13.38 NA 0.39 13.77 13.77 1XXX.00.00.0000000 36.7856 02 7321926Mri upper extremity w/dye A 1.62 0.56 0.56 0.05 2.23 2.23 1XXX.00.00.0000000 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 1XXX.00.00.0003000 36.7856 09 73220TCMri uppr extremity w/o&w/dye A 0.00 24.78 24.78 NA 0.70 25.48 25.48 1XXX.00.00.0003000 36.7856 02 7322026Mri uppr extremity w/o&w/dye A 2.15 0.74 0.74 0.08 2.97 2.97 1XXX.00.00.0003000 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 1XXX.00.00.0003000 36.7856 09 73221TCMri joint upr extrem w/o dye A 0.00 11.16 11.16 NA 0.32 11.48 11.48 1XXX.00.00.0003000 36.7856 01 7322126Mri joint upr extrem w/o dye A 1.35 0.46 0.46 0.04 1.85 1.85 1XXX.00.00.0003000 36.7856 09 73222 Mri joint upr extrem w/dye A 1.62 13.93 13.93 NA 0.44 15.99 15.99 1XXX.00.00.0000000 36.7856 09 73222TCMri joint upr extrem w/dye A 0.00 13.38 13.38 NA 0.39 13.77 13.77 1XXX.00.00.0000000 36.7856 02 7322226Mri joint upr extrem w/dye A 1.62 0.55 0.55 0.05 2.22 2.22 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 73223TCMri joint upr extr w/o&w/dye A 0.00 24.78 24.78 NA 0.70 25.48 25.48 1XXX.00.00.0000000 36.7856 02 7322326Mri joint upr extr w/o&w/dye A 2.15 0.74 0.74 0.07 2.96 2.96 1XXX.00.00.0000000 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 1XXX.00.00.0099999 36.7856 09 73225TCMr angio upr extr w/o&w/dye N+ 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0099999 36.7856 02 7322526Mr angio upr extr w/o&w/dye N+ 1.73 0.68 0.68 0.08 2.49 2.49 1XXX.00.00.0099999 36.7856 09 73500 X-ray exam of hip A 0.17 0.53 0.53 NA 0.03 0.73 0.73 1XXX.00.00.0000000 36.7856 09 73500TCX-ray exam of hip A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0000000 36.7856 01 7350026X-ray exam of hip A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0000000 36.7856 09 73510 X-ray exam of hip A 0.21 0.64 0.64 NA 0.05 0.90 0.90 1XXX.00.00.0000000 36.7856 09 73510TCX-ray exam of hip A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0000000 36.7856 01 7351026X-ray exam of hip A 0.21 0.07 0.07 0.02 0.30 0.30 1XXX.00.00.0000000 36.7856 09 73520 X-ray exam of hips A 0.26 0.76 0.76 NA 0.05 1.07 1.07 1XXX.00.00.0002000 36.7856 09 73520TCX-ray exam of hips A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0002000 36.7856 01 7352026X-ray exam of hips A 0.26 0.09 0.09 0.02 0.37 0.37 1XXX.00.00.0002000 36.7856 09 73525 Contrast x-ray of hip A 0.54 2.27 2.27 NA 0.13 2.94 2.94 1XXX.00.00.0003000 36.7856 09 73525TCContrast x-ray of hip A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0003000 36.7856 03 7352526Contrast x-ray of hip A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0003000 36.7856 09 73530 X-ray exam of hip A 0.29 0.62 0.62 NA 0.03 0.94 0.94 1XXX.00.00.0003000 36.7856 09 73530TCX-ray exam of hip A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 36.7856 03 7353026X-ray exam of hip A 0.29 0.10 0.10 0.01 0.40 0.40 1XXX.00.00.0003000 36.7856 09 73540 X-ray exam of pelvis & hips A 0.20 0.64 0.64 NA 0.05 0.89 0.89 1XXX.00.00.0000000 36.7856 09 73540TCX-ray exam of pelvis & hips A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0000000 36.7856 01 7354026X-ray exam of pelvis & hips A 0.20 0.07 0.07 0.02 0.29 0.29 1XXX.00.00.0000000 36.7856 09 73542 X-ray exam, sacroiliac joint A 0.59 2.26 2.26 NA 0.13 2.98 2.98 1XXX.00.00.0099999 36.7856 09 73542TCX-ray exam, sacroiliac joint A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0099999 36.7856 03 7354226X-ray exam, sacroiliac joint A 0.59 0.17 0.17 0.03 0.79 0.79 1XXX.00.00.0099999 36.7856 09 73550 X-ray exam of thigh A 0.17 0.63 0.63 NA 0.04 0.84 0.84 1XXX.00.00.0003000 36.7856 09 73550TCX-ray exam of thigh A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0003000 36.7856 01 7355026X-ray exam of thigh A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 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 1XXX.00.00.0003000 36.7856 09 73560TCX-ray exam of knee, 1 or 2 A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 36.7856 01 7356026X-ray exam of knee, 1 or 2 A 0.17 0.06 0.06 0.02 0.25 0.25 1XXX.00.00.0003000 36.7856 09 73562 X-ray exam of knee, 3 A 0.18 0.63 0.63 NA 0.05 0.86 0.86 1XXX.00.00.0003000 36.7856 09 73562TCX-ray exam of knee, 3 A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0003000 36.7856 01 7356226X-ray exam of knee, 3 A 0.18 0.06 0.06 0.02 0.26 0.26 1XXX.00.00.0003000 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 1XXX.00.00.0003000 36.7856 09 73564TCX-ray exam, knee, 4 or more A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0003000 36.7856 01 7356426X-ray exam, knee, 4 or more A 0.22 0.08 0.08 0.02 0.32 0.32 1XXX.00.00.0003000 36.7856 09 73565 X-ray exam of knees A 0.17 0.55 0.55 NA 0.04 0.76 0.76 1XXX.00.00.0002000 36.7856 09 73565TCX-ray exam of knees A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0002000 36.7856 01 7356526X-ray exam of knees A 0.17 0.06 0.06 0.02 0.25 0.25 1XXX.00.00.0002000 36.7856 09 73580 Contrast x-ray of knee joint A 0.54 2.79 2.79 NA 0.15 3.48 3.48 1XXX.00.00.0003000 36.7856 09 73580TCContrast x-ray of knee joint A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0003000 36.7856 03 7358026Contrast x-ray of knee joint A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0003000 36.7856 09 73590 X-ray exam of lower leg A 0.17 0.58 0.58 NA 0.03 0.78 0.78 1XXX.00.00.0003000 36.7856 09 73590TCX-ray exam of lower leg A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0003000 36.7856 01 7359026X-ray exam of lower leg A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73592 X-ray exam of leg, infant A 0.16 0.55 0.55 NA 0.03 0.74 0.74 1XXX.00.00.0003000 36.7856 09 73592TCX-ray exam of leg, infant A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 36.7856 01 7359226X-ray exam of leg, infant A 0.16 0.06 0.06 0.01 0.23 0.23 1XXX.00.00.0003000 36.7856 09 73600 X-ray exam of ankle A 0.16 0.55 0.55 NA 0.03 0.74 0.74 1XXX.00.00.0003000 36.7856 09 73600TCX-ray exam of ankle A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 36.7856 01 7360026X-ray exam of ankle A 0.16 0.06 0.06 0.01 0.23 0.23 1XXX.00.00.0003000 36.7856 09 73610 X-ray exam of ankle A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 36.7856 09 73610TCX-ray exam of ankle A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 36.7856 01 7361026X-ray exam of ankle A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73615 Contrast x-ray of ankle A 0.54 2.28 2.28 NA 0.13 2.95 2.95 1XXX.00.00.0003000 36.7856 09 73615TCContrast x-ray of ankle A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0003000 36.7856 03 7361526Contrast x-ray of ankle A 0.54 0.19 0.19 0.03 0.76 0.76 1XXX.00.00.0003000 36.7856 09 73620 X-ray exam of foot A 0.16 0.55 0.55 NA 0.03 0.74 0.74 1XXX.00.00.0003000 36.7856 09 73620TCX-ray exam of foot A 0.00 0.49 0.49 NA 0.02 0.51 0.51 1XXX.00.00.0003000 36.7856 01 7362026X-ray exam of foot A 0.16 0.06 0.06 0.01 0.23 0.23 1XXX.00.00.0003000 36.7856 09 73630 X-ray exam of foot A 0.17 0.59 0.59 NA 0.03 0.79 0.79 1XXX.00.00.0003000 36.7856 09 73630TCX-ray exam of foot A 0.00 0.53 0.53 NA 0.02 0.55 0.55 1XXX.00.00.0003000 36.7856 01 7363026X-ray exam of foot A 0.17 0.06 0.06 0.01 0.24 0.24 1XXX.00.00.0003000 36.7856 09 73650 X-ray exam of heel A 0.16 0.53 0.53 NA 0.03 0.72 0.72 1XXX.00.00.0003000 36.7856 09 73650TCX-ray exam of heel A 0.00 0.47 0.47 NA 0.02 0.49 0.49 1XXX.00.00.0003000 36.7856 01 7365026X-ray exam of heel A 0.16 0.06 0.06 0.01 0.23 0.23 1XXX.00.00.0003000 36.7856 09 73660 X-ray exam of toe(s) A 0.13 0.46 0.46 NA 0.03 0.62 0.62 1XXX.00.00.0003000 36.7856 09 73660TCX-ray exam of toe(s) A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0003000 36.7856 01 7366026X-ray exam of toe(s) A 0.13 0.04 0.04 0.01 0.18 0.18 1XXX.00.00.0003000 36.7856 09 73700 Ct lower extremity w/o dye A 1.09 5.31 5.31 NA 0.26 6.66 6.66 1XXX.00.00.0002000 36.7856 09 73700TCCt lower extremity w/o dye A 0.00 4.94 4.94 NA 0.21 5.15 5.15 1XXX.00.00.0002000 36.7856 01 7370026Ct lower extremity w/o dye A 1.09 0.37 0.37 0.05 1.51 1.51 1XXX.00.00.0002000 36.7856 09 73701 Ct lower extremity w/dye A 1.16 6.27 6.27 NA 0.31 7.74 7.74 1XXX.00.00.0002000 36.7856 09 73701TCCt lower extremity w/dye A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0002000 36.7856 02 7370126Ct lower extremity w/dye A 1.16 0.39 0.39 0.05 1.60 1.60 1XXX.00.00.0002000 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 1XXX.00.00.0002000 36.7856 09 73702TCCt lwr extremity w/o&w/dye A 0.00 7.39 7.39 NA 0.32 7.71 7.71 1XXX.00.00.0002000 36.7856 02 7370226Ct lwr extremity w/o&w/dye A 1.22 0.41 0.41 0.05 1.68 1.68 1XXX.00.00.0002000 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 1XXX.00.00.0000000 36.7856 09 73706TCCt angio lwr extr w/o&w/dye A 0.00 10.92 10.92 NA 0.32 11.24 11.24 1XXX.00.00.0000000 36.7856 02 7370626Ct angio lwr extr w/o&w/dye A 1.90 0.65 0.65 0.06 2.61 2.61 1XXX.00.00.0000000 36.7856 09 73718 Mri lower extremity w/o dye A 1.35 11.62 11.62 NA 0.36 13.33 13.33 1XXX.00.00.0002000 36.7856 09 73718TCMri lower extremity w/o dye A 0.00 11.16 11.16 NA 0.32 11.48 11.48 1XXX.00.00.0002000 36.7856 01 7371826Mri lower extremity w/o dye A 1.35 0.46 0.46 0.04 1.85 1.85 1XXX.00.00.0002000 36.7856 09 73719 Mri lower extremity w/dye A 1.62 13.93 13.93 NA 0.44 15.99 15.99 1XXX.00.00.0002000 36.7856 09 73719TCMri lower extremity w/dye A 0.00 13.38 13.38 NA 0.39 13.77 13.77 1XXX.00.00.0002000 36.7856 02 7371926Mri lower extremity w/dye A 1.62 0.55 0.55 0.05 2.22 2.22 1XXX.00.00.0002000 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 1XXX.00.00.0002000 36.7856 09 73720TCMri lwr extremity w/o&w/dye A 0.00 24.78 24.78 NA 0.70 25.48 25.48 1XXX.00.00.0002000 36.7856 02 7372026Mri lwr extremity w/o&w/dye A 2.15 0.73 0.73 0.08 2.96 2.96 1XXX.00.00.0002000 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 1XXX.00.00.0003000 36.7856 09 73721TCMri jnt of lwr extre w/o dye A 0.00 11.16 11.16 NA 0.32 11.48 11.48 1XXX.00.00.0003000 36.7856 01 7372126Mri jnt of lwr extre w/o dye A 1.35 0.46 0.46 0.04 1.85 1.85 1XXX.00.00.0003000 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 1XXX.00.00.0000000 36.7856 09 73722TCMri joint of lwr extr w/dye A 0.00 13.38 13.38 NA 0.39 13.77 13.77 1XXX.00.00.0000000 36.7856 02 7372226Mri joint of lwr extr w/dye A 1.62 0.56 0.56 0.06 2.24 2.24 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 73723TCMri joint lwr extr w/o&w/dye A 0.00 24.78 24.78 NA 0.70 25.48 25.48 1XXX.00.00.0000000 36.7856 02 7372326Mri joint lwr extr w/o&w/dye A 2.15 0.74 0.74 0.07 2.96 2.96 1XXX.00.00.0000000 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 1XXX.00.00.0002000 36.7856 09 73725TCMr ang lwr ext w or w/o dye R 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0002000 36.7856 02 7372526Mr ang lwr ext w or w/o dye R 1.82 0.62 0.62 0.08 2.52 2.52 1XXX.00.00.0002000 36.7856 09 74000 X-ray exam of abdomen A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 36.7856 09 74000TCX-ray exam of abdomen A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7400026X-ray exam of abdomen A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 74010 X-ray exam of abdomen A 0.23 0.65 0.65 NA 0.04 0.92 0.92 1XXX.00.00.0000000 36.7856 09 74010TCX-ray exam of abdomen A 0.00 0.57 0.57 NA 0.03 0.60 0.60 1XXX.00.00.0000000 36.7856 01 7401026X-ray exam of abdomen A 0.23 0.08 0.08 0.01 0.32 0.32 1XXX.00.00.0000000 36.7856 09 74020 X-ray exam of abdomen A 0.27 0.71 0.71 NA 0.04 1.02 1.02 1XXX.00.00.0000000 36.7856 09 74020TCX-ray exam of abdomen A 0.00 0.62 0.62 NA 0.03 0.65 0.65 1XXX.00.00.0000000 36.7856 01 7402026X-ray exam of abdomen A 0.27 0.09 0.09 0.01 0.37 0.37 1XXX.00.00.0000000 36.7856 09 74022 X-ray exam series, abdomen A 0.32 0.85 0.85 NA 0.05 1.22 1.22 1XXX.00.00.0000000 36.7856 09 74022TCX-ray exam series, abdomen A 0.00 0.74 0.74 NA 0.04 0.78 0.78 1XXX.00.00.0000000 36.7856 01 7402226X-ray exam series, abdomen A 0.32 0.11 0.11 0.01 0.44 0.44 1XXX.00.00.0000000 36.7856 09 74150 Ct abdomen w/o dye A 1.19 6.03 6.03 NA 0.30 7.52 7.52 1XXX.00.00.0000000 36.7856 09 74150TCCt abdomen w/o dye A 0.00 5.63 5.63 NA 0.25 5.88 5.88 1XXX.00.00.0000000 36.7856 01 7415026Ct abdomen w/o dye A 1.19 0.40 0.40 0.05 1.64 1.64 1XXX.00.00.0000000 36.7856 09 74160 Ct abdomen w/dye A 1.27 7.25 7.25 NA 0.36 8.88 8.88 1XXX.00.00.0000000 36.7856 09 74160TCCt abdomen w/dye A 0.00 6.82 6.82 NA 0.30 7.12 7.12 1XXX.00.00.0000000 36.7856 02 7416026Ct abdomen w/dye A 1.27 0.43 0.43 0.06 1.76 1.76 1XXX.00.00.0000000 36.7856 09 74170 Ct abdomen w/o&w/dye A 1.40 8.93 8.93 NA 0.42 10.75 10.75 1XXX.00.00.0000000 36.7856 09 74170TCCt abdomen w/o&w/dye A 0.00 8.45 8.45 NA 0.36 8.81 8.81 1XXX.00.00.0000000 36.7856 02 7417026Ct abdomen w/o&w/dye A 1.40 0.48 0.48 0.06 1.94 1.94 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 74175TCCt angio abdom w/o&w/dye A 0.00 11.97 11.97 NA 0.32 12.29 12.29 1XXX.00.00.0000000 36.7856 02 7417526Ct angio abdom w/o&w/dye A 1.90 0.65 0.65 0.06 2.61 2.61 1XXX.00.00.0000000 36.7856 09 74181 Mri abdomen w/o dye A 1.46 11.66 11.66 NA 0.43 13.55 13.55 1XXX.00.00.0000000 36.7856 09 74181TCMri abdomen w/o dye A 0.00 11.16 11.16 NA 0.37 11.53 11.53 1XXX.00.00.0000000 36.7856 01 7418126Mri abdomen w/o dye A 1.46 0.50 0.50 0.06 2.02 2.02 1XXX.00.00.0000000 36.7856 09 74182 Mri abdomen w/dye A 1.73 13.97 13.97 NA 0.49 16.19 16.19 1XXX.00.00.0000000 36.7856 09 74182TCMri abdomen w/dye A 0.00 13.38 13.38 NA 0.43 13.81 13.81 1XXX.00.00.0000000 36.7856 02 7418226Mri abdomen w/dye A 1.73 0.59 0.59 0.06 2.38 2.38 1XXX.00.00.0000000 36.7856 09 74183 Mri abdomen w/o&w/dye A 2.26 25.55 25.55 NA 0.84 28.65 28.65 1XXX.00.00.0000000 36.7856 09 74183TCMri abdomen w/o&w/dye A 0.00 24.78 24.78 NA 0.76 25.54 25.54 1XXX.00.00.0000000 36.7856 02 7418326Mri abdomen w/o&w/dye A 2.26 0.77 0.77 0.08 3.11 3.11 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 74185TCMri angio, abdom w or w/o dy R 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 02 7418526Mri angio, abdom w or w/o dy R 1.80 0.61 0.61 0.08 2.49 2.49 1XXX.00.00.0000000 36.7856 09 74190 X-ray exam of peritoneum A 0.48 1.46 1.46 NA 0.08 2.02 2.02 1XXX.00.00.0000000 36.7856 09 74190TCX-ray exam of peritoneum A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7419026X-ray exam of peritoneum A 0.48 0.16 0.16 0.02 0.66 0.66 1XXX.00.00.0000000 36.7856 09 74210 Contrst x-ray exam of throat A 0.36 1.30 1.30 NA 0.07 1.73 1.73 1XXX.00.00.0000000 36.7856 09 74210TCContrst x-ray exam of throat A 0.00 1.18 1.18 NA 0.05 1.23 1.23 1XXX.00.00.0000000 36.7856 03 7421026Contrst x-ray exam of throat A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 36.7856 09 74220 Contrast x-ray, esophagus A 0.46 1.34 1.34 NA 0.07 1.87 1.87 1XXX.00.00.0000000 36.7856 09 74220TCContrast x-ray, esophagus A 0.00 1.18 1.18 NA 0.05 1.23 1.23 1XXX.00.00.0000000 36.7856 03 7422026Contrast x-ray, esophagus A 0.46 0.16 0.16 0.02 0.64 0.64 1XXX.00.00.0000000 36.7856 09 74230 Cine/vid x-ray, throat/esoph A 0.53 1.48 1.48 NA 0.08 2.09 2.09 1XXX.00.00.0000000 36.7856 09 74230TCCine/vid x-ray, throat/esoph A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7423026Cine/vid x-ray, throat/esoph A 0.53 0.18 0.18 0.02 0.73 0.73 1XXX.00.00.0000000 36.7856 09 74235 Remove esophagus obstruction A 1.19 3.02 3.02 NA 0.17 4.38 4.38 1XXX.00.00.0000000 36.7856 09 74235TCRemove esophagus obstruction A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 03 7423526Remove esophagus obstruction A 1.19 0.41 0.41 0.05 1.65 1.65 1XXX.00.00.0000000 36.7856 09 74240 X-ray exam, upper gi tract A 0.69 1.68 1.68 NA 0.10 2.47 2.47 1XXX.00.00.0000000 36.7856 09 74240TCX-ray exam, upper gi tract A 0.00 1.45 1.45 NA 0.07 1.52 1.52 1XXX.00.00.0000000 36.7856 03 7424026X-ray exam, upper gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 74241 X-ray exam, upper gi tract A 0.69 1.71 1.71 NA 0.10 2.50 2.50 1XXX.00.00.0000000 36.7856 09 74241TCX-ray exam, upper gi tract A 0.00 1.48 1.48 NA 0.07 1.55 1.55 1XXX.00.00.0000000 36.7856 03 7424126X-ray exam, upper gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 74245 X-ray exam, upper gi tract A 0.91 2.68 2.68 NA 0.15 3.74 3.74 1XXX.00.00.0000000 36.7856 09 74245TCX-ray exam, upper gi tract A 0.00 2.37 2.37 NA 0.11 2.48 2.48 1XXX.00.00.0000000 36.7856 03 7424526X-ray exam, upper gi tract A 0.91 0.31 0.31 0.04 1.26 1.26 1XXX.00.00.0000000 36.7856 09 74246 Contrst x-ray uppr gi tract A 0.69 1.86 1.86 NA 0.11 2.66 2.66 1XXX.00.00.0000000 36.7856 09 74246TCContrst x-ray uppr gi tract A 0.00 1.63 1.63 NA 0.08 1.71 1.71 1XXX.00.00.0000000 36.7856 03 7424626Contrst x-ray uppr gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 74247 Contrst x-ray uppr gi tract A 0.69 1.90 1.90 NA 0.12 2.71 2.71 1XXX.00.00.0000000 36.7856 09 74247TCContrst x-ray uppr gi tract A 0.00 1.67 1.67 NA 0.09 1.76 1.76 1XXX.00.00.0000000 36.7856 03 7424726Contrst x-ray uppr gi tract A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 74249 Contrst x-ray uppr gi tract A 0.91 2.87 2.87 NA 0.16 3.94 3.94 1XXX.00.00.0000000 36.7856 09 74249TCContrst x-ray uppr gi tract A 0.00 2.56 2.56 NA 0.12 2.68 2.68 1XXX.00.00.0000000 36.7856 03 7424926Contrst x-ray uppr gi tract A 0.91 0.31 0.31 0.04 1.26 1.26 1XXX.00.00.0000000 36.7856 09 74250 X-ray exam of small bowel A 0.47 1.46 1.46 NA 0.08 2.01 2.01 1XXX.00.00.0000000 36.7856 09 74250TCX-ray exam of small bowel A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 02 7425026X-ray exam of small bowel A 0.47 0.16 0.16 0.02 0.65 0.65 1XXX.00.00.0000000 36.7856 09 74251 X-ray exam of small bowel A 0.69 1.53 1.53 NA 0.09 2.31 2.31 1XXX.00.00.0000000 36.7856 09 74251TCX-ray exam of small bowel A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7425126X-ray exam of small bowel A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 74260 X-ray exam of small bowel A 0.50 1.65 1.65 NA 0.09 2.24 2.24 1XXX.00.00.0000000 36.7856 09 74260TCX-ray exam of small bowel A 0.00 1.48 1.48 NA 0.07 1.55 1.55 1XXX.00.00.0000000 36.7856 03 7426026X-ray exam of small bowel A 0.50 0.17 0.17 0.02 0.69 0.69 1XXX.00.00.0000000 36.7856 09 74270 Contrast x-ray exam of colon A 0.69 1.92 1.92 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 74270TCContrast x-ray exam of colon A 0.00 1.69 1.69 NA 0.09 1.78 1.78 1XXX.00.00.0000000 36.7856 03 7427026Contrast x-ray exam of colon A 0.69 0.23 0.23 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 74280 Contrast x-ray exam of colon A 0.99 2.56 2.56 NA 0.15 3.70 3.70 1XXX.00.00.0000000 36.7856 09 74280TCContrast x-ray exam of colon A 0.00 2.22 2.22 NA 0.11 2.33 2.33 1XXX.00.00.0000000 36.7856 03 7428026Contrast x-ray exam of colon A 0.99 0.34 0.34 0.04 1.37 1.37 1XXX.00.00.0000000 36.7856 09 74283 Contrast x-ray exam of colon A 2.02 3.24 3.24 NA 0.21 5.47 5.47 1XXX.00.00.0000000 36.7856 09 74283TCContrast x-ray exam of colon A 0.00 2.55 2.55 NA 0.12 2.67 2.67 1XXX.00.00.0000000 36.7856 03 7428326Contrast x-ray exam of colon A 2.02 0.69 0.69 0.09 2.80 2.80 1XXX.00.00.0000000 36.7856 09 74290 Contrast x-ray, gallbladder A 0.32 0.85 0.85 NA 0.05 1.22 1.22 1XXX.00.00.0000000 36.7856 09 74290TCContrast x-ray, gallbladder A 0.00 0.74 0.74 NA 0.04 0.78 0.78 1XXX.00.00.0000000 36.7856 01 7429026Contrast x-ray, gallbladder A 0.32 0.11 0.11 0.01 0.44 0.44 1XXX.00.00.0000000 36.7856 09 74291 Contrast x-rays, gallbladder A 0.20 0.49 0.49 NA 0.03 0.72 0.72 1XXX.00.00.0000000 36.7856 09 74291TCContrast x-rays, gallbladder A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 01 7429126Contrast x-rays, gallbladder A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 36.7856 09 74300 X-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 74300TCX-ray bile ducts/pancreas C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 7430026X-ray bile ducts/pancreas A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 36.7856 09 74301 X-rays at surgery add-on C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 09 74301TCX-rays at surgery add-on C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 03 7430126X-rays at surgery add-on A 0.21 0.07 0.07 0.01 0.29 0.29 1ZZZ.00.00.0000000 36.7856 09 74305 X-ray bile ducts/pancreas A 0.42 0.92 0.92 NA 0.06 1.40 1.40 1XXX.00.00.0000000 36.7856 09 74305TCX-ray bile ducts/pancreas A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 03 7430526X-ray bile ducts/pancreas A 0.42 0.14 0.14 0.02 0.58 0.58 1XXX.00.00.0000000 36.7856 09 74320 Contrast x-ray of bile ducts A 0.54 3.31 3.31 NA 0.16 4.01 4.01 1XXX.00.00.0000000 36.7856 09 74320TCContrast x-ray of bile ducts A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7432026Contrast x-ray of bile ducts A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 74327 X-ray bile stone removal A 0.70 1.99 1.99 NA 0.12 2.81 2.81 1XXX.00.00.0000000 36.7856 09 74327TCX-ray bile stone removal A 0.00 1.75 1.75 NA 0.09 1.84 1.84 1XXX.00.00.0000000 36.7856 03 7432726X-ray bile stone removal A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 74328 X-ray bile duct endoscopy A 0.70 3.37 3.37 NA 0.17 4.24 4.24 1XXX.00.00.0000000 36.7856 09 74328TCX-ray bile duct endoscopy A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7432826X-ray bile duct endoscopy A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 74329 X-ray for pancreas endoscopy A 0.70 3.37 3.37 NA 0.17 4.24 4.24 1XXX.00.00.0000000 36.7856 09 74329TCX-ray for pancreas endoscopy A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7432926X-ray for pancreas endoscopy A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 74330 X-ray bile/panc endoscopy A 0.90 3.44 3.44 NA 0.18 4.52 4.52 1XXX.00.00.0000000 36.7856 09 74330TCX-ray bile/panc endoscopy A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7433026X-ray bile/panc endoscopy A 0.90 0.31 0.31 0.04 1.25 1.25 1XXX.00.00.0000000 36.7856 09 74340 X-ray guide for GI tube A 0.54 2.79 2.79 NA 0.14 3.47 3.47 1XXX.00.00.0000000 36.7856 09 74340TCX-ray guide for GI tube A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 03 7434026X-ray guide for GI tube A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 74350 X-ray guide, stomach tube A 0.76 3.39 3.39 NA 0.17 4.32 4.32 1XXX.00.00.0000000 36.7856 09 74350TCX-ray guide, stomach tube A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7435026X-ray guide, stomach tube A 0.76 0.26 0.26 0.03 1.05 1.05 1XXX.00.00.0000000 36.7856 09 74355 X-ray guide, intestinal tube A 0.76 2.87 2.87 NA 0.15 3.78 3.78 1XXX.00.00.0000000 36.7856 09 74355TCX-ray guide, intestinal tube A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 03 7435526X-ray guide, intestinal tube A 0.76 0.26 0.26 0.03 1.05 1.05 1XXX.00.00.0000000 36.7856 09 74360 X-ray guide, GI dilation A 0.54 3.32 3.32 NA 0.16 4.02 4.02 1XXX.00.00.0000000 36.7856 09 74360TCX-ray guide, GI dilation A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7436026X-ray guide, GI dilation A 0.54 0.19 0.19 0.02 0.75 0.75 1XXX.00.00.0000000 36.7856 09 74363 X-ray, bile duct dilation A 0.88 6.37 6.37 NA 0.31 7.56 7.56 1XXX.00.00.0000000 36.7856 09 74363TCX-ray, bile duct dilation A 0.00 6.07 6.07 NA 0.27 6.34 6.34 1XXX.00.00.0000000 36.7856 03 7436326X-ray, bile duct dilation A 0.88 0.30 0.30 0.04 1.22 1.22 1XXX.00.00.0000000 36.7856 09 74400 Contrst x-ray, urinary tract A 0.49 1.84 1.84 NA 0.11 2.44 2.44 1XXX.00.00.0000000 36.7856 09 74400TCContrst x-ray, urinary tract A 0.00 1.67 1.67 NA 0.09 1.76 1.76 1XXX.00.00.0000000 36.7856 02 7440026Contrst x-ray, urinary tract A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 74410 Contrst x-ray, urinary tract A 0.49 2.11 2.11 NA 0.11 2.71 2.71 1XXX.00.00.0000000 36.7856 09 74410TCContrst x-ray, urinary tract A 0.00 1.94 1.94 NA 0.09 2.03 2.03 1XXX.00.00.0000000 36.7856 02 7441026Contrst x-ray, urinary tract A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 74415 Contrst x-ray, urinary tract A 0.49 2.28 2.28 NA 0.12 2.89 2.89 1XXX.00.00.0000000 36.7856 09 74415TCContrst x-ray, urinary tract A 0.00 2.11 2.11 NA 0.10 2.21 2.21 1XXX.00.00.0000000 36.7856 02 7441526Contrst x-ray, urinary tract A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 74420 Contrst x-ray, urinary tract A 0.36 2.73 2.73 NA 0.14 3.23 3.23 1XXX.00.00.0000000 36.7856 09 74420TCContrst x-ray, urinary tract A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 03 7442026Contrst x-ray, urinary tract A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 36.7856 09 74425 Contrst x-ray, urinary tract A 0.36 1.42 1.42 NA 0.08 1.86 1.86 1XXX.00.00.0000000 36.7856 09 74425TCContrst x-ray, urinary tract A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7442526Contrst x-ray, urinary tract A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 36.7856 09 74430 Contrast x-ray, bladder A 0.32 1.15 1.15 NA 0.07 1.54 1.54 1XXX.00.00.0000000 36.7856 09 74430TCContrast x-ray, bladder A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0000000 36.7856 03 7443026Contrast x-ray, bladder A 0.32 0.11 0.11 0.02 0.45 0.45 1XXX.00.00.0000000 36.7856 09 74440 X-ray, male genital tract A 0.38 1.25 1.25 NA 0.07 1.70 1.70 1XXX.00.00.0000000 36.7856 09 74440TCX-ray, male genital tract A 0.00 1.12 1.12 NA 0.05 1.17 1.17 1XXX.00.00.0000000 36.7856 03 7444026X-ray, male genital tract A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 36.7856 09 74445 X-ray exam of penis A 1.14 1.50 1.50 NA 0.10 2.74 2.74 1XXX.00.00.0000000 36.7856 09 74445TCX-ray exam of penis A 0.00 1.12 1.12 NA 0.05 1.17 1.17 1XXX.00.00.0000000 36.7856 03 7444526X-ray exam of penis A 1.14 0.38 0.38 0.05 1.57 1.57 1XXX.00.00.0000000 36.7856 09 74450 X-ray, urethra/bladder A 0.33 1.56 1.56 NA 0.09 1.98 1.98 1XXX.00.00.0000000 36.7856 09 74450TCX-ray, urethra/bladder A 0.00 1.45 1.45 NA 0.07 1.52 1.52 1XXX.00.00.0000000 36.7856 03 7445026X-ray, urethra/bladder A 0.33 0.11 0.11 0.02 0.46 0.46 1XXX.00.00.0000000 36.7856 09 74455 X-ray, urethra/bladder A 0.33 1.68 1.68 NA 0.10 2.11 2.11 1XXX.00.00.0000000 36.7856 09 74455TCX-ray, urethra/bladder A 0.00 1.57 1.57 NA 0.08 1.65 1.65 1XXX.00.00.0000000 36.7856 03 7445526X-ray, urethra/bladder A 0.33 0.11 0.11 0.02 0.46 0.46 1XXX.00.00.0000000 36.7856 09 74470 X-ray exam of kidney lesion A 0.54 1.42 1.42 NA 0.08 2.04 2.04 1XXX.00.00.0000000 36.7856 09 74470TCX-ray exam of kidney lesion A 0.00 1.24 1.24 NA 0.06 1.30 1.30 1XXX.00.00.0000000 36.7856 03 7447026X-ray exam of kidney lesion A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 74475 X-ray control, cath insert A 0.54 4.23 4.23 NA 0.20 4.97 4.97 1XXX.00.00.0000000 36.7856 09 74475TCX-ray control, cath insert A 0.00 4.05 4.05 NA 0.18 4.23 4.23 1XXX.00.00.0000000 36.7856 03 7447526X-ray control, cath insert A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 74480 X-ray control, cath insert A 0.54 4.23 4.23 NA 0.20 4.97 4.97 1XXX.00.00.0000000 36.7856 09 74480TCX-ray control, cath insert A 0.00 4.05 4.05 NA 0.18 4.23 4.23 1XXX.00.00.0000000 36.7856 03 7448026X-ray control, cath insert A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 74485 X-ray guide, GU dilation A 0.54 3.31 3.31 NA 0.17 4.02 4.02 1XXX.00.00.0000000 36.7856 09 74485TCX-ray guide, GU dilation A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7448526X-ray guide, GU dilation A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0000000 36.7856 09 74710 X-ray measurement of pelvis A 0.34 1.16 1.16 NA 0.07 1.57 1.57 1XXX.00.00.0000000 36.7856 09 74710TCX-ray measurement of pelvis A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0000000 36.7856 01 7471026X-ray measurement of pelvis A 0.34 0.12 0.12 0.02 0.48 0.48 1XXX.00.00.0000000 36.7856 09 74740 X-ray, female genital tract A 0.38 1.43 1.43 NA 0.08 1.89 1.89 1XXX.00.00.0000000 36.7856 09 74740TCX-ray, female genital tract A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7474026X-ray, female genital tract A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 36.7856 09 74742 X-ray, fallopian tube A 0.61 3.34 3.34 NA 0.16 4.11 4.11 1XXX.00.00.0000000 36.7856 09 74742TCX-ray, fallopian tube A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7474226X-ray, fallopian tube A 0.61 0.21 0.21 0.02 0.84 0.84 1XXX.00.00.0000000 36.7856 09 74775 X-ray exam of perineum A 0.62 1.67 1.67 NA 0.10 2.39 2.39 1XXX.00.00.0000000 36.7856 09 74775TCX-ray exam of perineum A 0.00 1.45 1.45 NA 0.07 1.52 1.52 1XXX.00.00.0000000 36.7856 03 7477526X-ray exam of perineum A 0.62 0.22 0.22 0.03 0.87 0.87 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 75552TCHeart mri for morph w/o dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7555226Heart mri for morph w/o dye A 1.60 0.55 0.55 0.07 2.22 2.22 1XXX.00.00.0000000 36.7856 09 75553 Heart mri for morph w/dye A 2.00 11.84 11.84 NA 0.58 14.42 14.42 1XXX.00.00.0000000 36.7856 09 75553TCHeart mri for morph w/dye A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 02 7555326Heart mri for morph w/dye A 2.00 0.68 0.68 0.09 2.77 2.77 1XXX.00.00.0000000 36.7856 09 75554 Cardiac MRI/function A 1.83 11.83 11.83 NA 0.56 14.22 14.22 1XXX.00.00.0000000 36.7856 09 75554TCCardiac MRI/function A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7555426Cardiac MRI/function A 1.83 0.67 0.67 0.07 2.57 2.57 1XXX.00.00.0000000 36.7856 09 75555 Cardiac MRI/limited study A 1.74 11.82 11.82 NA 0.56 14.12 14.12 1XXX.00.00.0000000 36.7856 09 75555TCCardiac MRI/limited study A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7555526Cardiac MRI/limited study A 1.74 0.66 0.66 0.07 2.47 2.47 1XXX.00.00.0000000 36.7856 09 75556 Cardiac MRI/flow mapping N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 75600 Contrast x-ray exam of aorta A 0.49 12.74 12.74 NA 0.56 13.79 13.79 1XXX.00.00.0000000 36.7856 09 75600TCContrast x-ray exam of aorta A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7560026Contrast x-ray exam of aorta A 0.49 0.19 0.19 0.02 0.70 0.70 1XXX.00.00.0000000 36.7856 09 75605 Contrast x-ray exam of aorta A 1.14 12.96 12.96 NA 0.59 14.69 14.69 1XXX.00.00.0000000 36.7856 09 75605TCContrast x-ray exam of aorta A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7560526Contrast x-ray exam of aorta A 1.14 0.41 0.41 0.05 1.60 1.60 1XXX.00.00.0000000 36.7856 09 75625 Contrast x-ray exam of aorta A 1.14 12.94 12.94 NA 0.59 14.67 14.67 1XXX.00.00.0000000 36.7856 09 75625TCContrast x-ray exam of aorta A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7562526Contrast x-ray exam of aorta A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 36.7856 09 75630 X-ray aorta, leg arteries A 1.79 13.72 13.72 NA 0.65 16.16 16.16 1XXX.00.00.0000000 36.7856 09 75630TCX-ray aorta, leg arteries A 0.00 13.08 13.08 NA 0.57 13.65 13.65 1XXX.00.00.0000000 36.7856 03 7563026X-ray aorta, leg arteries A 1.79 0.64 0.64 0.08 2.51 2.51 1XXX.00.00.0000000 36.7856 09 75635 Ct angio abdominal arteries A 2.40 16.66 16.66 NA 0.41 19.47 19.47 1XXX.00.00.0000000 36.7856 09 75635TCCt angio abdominal arteries A 0.00 15.84 15.84 NA 0.32 16.16 16.16 1XXX.00.00.0000000 36.7856 03 7563526Ct angio abdominal arteries A 2.40 0.82 0.82 0.09 3.31 3.31 1XXX.00.00.0000000 36.7856 09 75650 Artery x-rays, head & neck A 1.49 13.06 13.06 NA 0.61 15.16 15.16 1XXX.00.00.0000000 36.7856 09 75650TCArtery x-rays, head & neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7565026Artery x-rays, head & neck A 1.49 0.51 0.51 0.07 2.07 2.07 1XXX.00.00.0000000 36.7856 09 75658 Artery x-rays, arm A 1.31 13.04 13.04 NA 0.60 14.95 14.95 1XXX.00.00.0000000 36.7856 09 75658TCArtery x-rays, arm A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7565826Artery x-rays, arm A 1.31 0.49 0.49 0.06 1.86 1.86 1XXX.00.00.0000000 36.7856 09 75660 Artery x-rays, head & neck A 1.31 13.01 13.01 NA 0.60 14.92 14.92 1XXX.00.00.0000000 36.7856 09 75660TCArtery x-rays, head & neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7566026Artery x-rays, head & neck A 1.31 0.46 0.46 0.06 1.83 1.83 1XXX.00.00.0000000 36.7856 09 75662 Artery x-rays, head & neck A 1.66 13.16 13.16 NA 0.62 15.44 15.44 1XXX.00.00.0002000 36.7856 09 75662TCArtery x-rays, head & neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7566226Artery x-rays, head & neck A 1.66 0.61 0.61 0.08 2.35 2.35 1XXX.00.00.0002000 36.7856 09 75665 Artery x-rays, head & neck A 1.31 13.00 13.00 NA 0.61 14.92 14.92 1XXX.00.00.0000000 36.7856 09 75665TCArtery x-rays, head & neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7566526Artery x-rays, head & neck A 1.31 0.45 0.45 0.07 1.83 1.83 1XXX.00.00.0000000 36.7856 09 75671 Artery x-rays, head & neck A 1.66 13.12 13.12 NA 0.62 15.40 15.40 1XXX.00.00.0002000 36.7856 09 75671TCArtery x-rays, head & neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7567126Artery x-rays, head & neck A 1.66 0.57 0.57 0.08 2.31 2.31 1XXX.00.00.0002000 36.7856 09 75676 Artery x-rays, neck A 1.31 13.01 13.01 NA 0.61 14.93 14.93 1XXX.00.00.0000000 36.7856 09 75676TCArtery x-rays, neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7567626Artery x-rays, neck A 1.31 0.46 0.46 0.07 1.84 1.84 1XXX.00.00.0000000 36.7856 09 75680 Artery x-rays, neck A 1.66 13.12 13.12 NA 0.62 15.40 15.40 1XXX.00.00.0002000 36.7856 09 75680TCArtery x-rays, neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7568026Artery x-rays, neck A 1.66 0.57 0.57 0.08 2.31 2.31 1XXX.00.00.0002000 36.7856 09 75685 Artery x-rays, spine A 1.31 13.00 13.00 NA 0.60 14.91 14.91 1XXX.00.00.0003000 36.7856 09 75685TCArtery x-rays, spine A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0003000 36.7856 03 7568526Artery x-rays, spine A 1.31 0.45 0.45 0.06 1.82 1.82 1XXX.00.00.0003000 36.7856 09 75705 Artery x-rays, spine A 2.18 13.31 13.31 NA 0.65 16.14 16.14 1XXX.00.00.0000000 36.7856 09 75705TCArtery x-rays, spine A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7570526Artery x-rays, spine A 2.18 0.76 0.76 0.11 3.05 3.05 1XXX.00.00.0000000 36.7856 09 75710 Artery x-rays, arm/leg A 1.14 12.95 12.95 NA 0.60 14.69 14.69 1XXX.00.00.0000000 36.7856 09 75710TCArtery x-rays, arm/leg A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7571026Artery x-rays, arm/leg A 1.14 0.40 0.40 0.06 1.60 1.60 1XXX.00.00.0000000 36.7856 09 75716 Artery x-rays, arms/legs A 1.31 13.00 13.00 NA 0.60 14.91 14.91 1XXX.00.00.0002000 36.7856 09 75716TCArtery x-rays, arms/legs A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7571626Artery x-rays, arms/legs A 1.31 0.45 0.45 0.06 1.82 1.82 1XXX.00.00.0002000 36.7856 09 75722 Artery x-rays, kidney A 1.14 12.96 12.96 NA 0.59 14.69 14.69 1XXX.00.00.0000000 36.7856 09 75722TCArtery x-rays, kidney A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7572226Artery x-rays, kidney A 1.14 0.41 0.41 0.05 1.60 1.60 1XXX.00.00.0000000 36.7856 09 75724 Artery x-rays, kidneys A 1.49 13.13 13.13 NA 0.59 15.21 15.21 1XXX.00.00.0002000 36.7856 09 75724TCArtery x-rays, kidneys A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7572426Artery x-rays, kidneys A 1.49 0.58 0.58 0.05 2.12 2.12 1XXX.00.00.0002000 36.7856 09 75726 Artery x-rays, abdomen A 1.14 12.94 12.94 NA 0.59 14.67 14.67 1XXX.00.00.0000000 36.7856 09 75726TCArtery x-rays, abdomen A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7572626Artery x-rays, abdomen A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 36.7856 09 75731 Artery x-rays, adrenal gland A 1.14 12.94 12.94 NA 0.59 14.67 14.67 1XXX.00.00.0000000 36.7856 09 75731TCArtery x-rays, adrenal gland A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7573126Artery x-rays, adrenal gland A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 36.7856 09 75733 Artery x-rays, adrenals A 1.31 13.00 13.00 NA 0.60 14.91 14.91 1XXX.00.00.0002000 36.7856 09 75733TCArtery x-rays, adrenals A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7573326Artery x-rays, adrenals A 1.31 0.45 0.45 0.06 1.82 1.82 1XXX.00.00.0002000 36.7856 09 75736 Artery x-rays, pelvis A 1.14 12.94 12.94 NA 0.59 14.67 14.67 1XXX.00.00.0000000 36.7856 09 75736TCArtery x-rays, pelvis A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7573626Artery x-rays, pelvis A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 36.7856 09 75741 Artery x-rays, lung A 1.31 13.00 13.00 NA 0.60 14.91 14.91 1XXX.00.00.0000000 36.7856 09 75741TCArtery x-rays, lung A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7574126Artery x-rays, lung A 1.31 0.45 0.45 0.06 1.82 1.82 1XXX.00.00.0000000 36.7856 09 75743 Artery x-rays, lungs A 1.66 13.11 13.11 NA 0.61 15.38 15.38 1XXX.00.00.0002000 36.7856 09 75743TCArtery x-rays, lungs A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7574326Artery x-rays, lungs A 1.66 0.56 0.56 0.07 2.29 2.29 1XXX.00.00.0002000 36.7856 09 75746 Artery x-rays, lung A 1.14 12.94 12.94 NA 0.59 14.67 14.67 1XXX.00.00.0000000 36.7856 09 75746TCArtery x-rays, lung A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7574626Artery x-rays, lung A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 36.7856 09 75756 Artery x-rays, chest A 1.14 13.01 13.01 NA 0.58 14.73 14.73 1XXX.00.00.0000000 36.7856 09 75756TCArtery x-rays, chest A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7575626Artery x-rays, chest A 1.14 0.46 0.46 0.04 1.64 1.64 1XXX.00.00.0000000 36.7856 09 75774 Artery x-ray, each vessel A 0.36 12.68 12.68 NA 0.56 13.60 13.60 1ZZZ.00.00.0000000 36.7856 09 75774TCArtery x-ray, each vessel A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1ZZZ.00.00.0000000 36.7856 03 7577426Artery x-ray, each vessel A 0.36 0.13 0.13 0.02 0.51 0.51 1ZZZ.00.00.0000000 36.7856 09 75790 Visualize A-V shunt A 1.84 1.96 1.96 NA 0.16 3.96 3.96 1XXX.00.00.0000000 36.7856 09 75790TCVisualize A-V shunt A 0.00 1.34 1.34 NA 0.07 1.41 1.41 1XXX.00.00.0000000 36.7856 03 7579026Visualize A-V shunt A 1.84 0.62 0.62 0.09 2.55 2.55 1XXX.00.00.0000000 36.7856 09 75801 Lymph vessel x-ray, arm/leg A 0.81 5.67 5.67 NA 0.29 6.77 6.77 1XXX.00.00.0000000 36.7856 09 75801TCLymph vessel x-ray, arm/leg A 0.00 5.39 5.39 NA 0.24 5.63 5.63 1XXX.00.00.0000000 36.7856 03 7580126Lymph vessel x-ray, arm/leg A 0.81 0.28 0.28 0.05 1.14 1.14 1XXX.00.00.0000000 36.7856 09 75803 Lymph vessel x-ray,arms/legs A 1.17 5.79 5.79 NA 0.29 7.25 7.25 1XXX.00.00.0002000 36.7856 09 75803TCLymph vessel x-ray,arms/legs A 0.00 5.39 5.39 NA 0.24 5.63 5.63 1XXX.00.00.0002000 36.7856 03 7580326Lymph vessel x-ray,arms/legs A 1.17 0.40 0.40 0.05 1.62 1.62 1XXX.00.00.0002000 36.7856 09 75805 Lymph vessel x-ray, trunk A 0.81 6.35 6.35 NA 0.31 7.47 7.47 1XXX.00.00.0000000 36.7856 09 75805TCLymph vessel x-ray, trunk A 0.00 6.07 6.07 NA 0.27 6.34 6.34 1XXX.00.00.0000000 36.7856 03 7580526Lymph vessel x-ray, trunk A 0.81 0.28 0.28 0.04 1.13 1.13 1XXX.00.00.0000000 36.7856 09 75807 Lymph vessel x-ray, trunk A 1.17 6.47 6.47 NA 0.32 7.96 7.96 1XXX.00.00.0002000 36.7856 09 75807TCLymph vessel x-ray, trunk A 0.00 6.07 6.07 NA 0.27 6.34 6.34 1XXX.00.00.0002000 36.7856 03 7580726Lymph vessel x-ray, trunk A 1.17 0.40 0.40 0.05 1.62 1.62 1XXX.00.00.0002000 36.7856 09 75809 Nonvascular shunt, x-ray A 0.47 0.94 0.94 NA 0.06 1.47 1.47 1XXX.00.00.0000000 36.7856 09 75809TCNonvascular shunt, x-ray A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 03 7580926Nonvascular shunt, x-ray A 0.47 0.16 0.16 0.02 0.65 0.65 1XXX.00.00.0000000 36.7856 09 75810 Vein x-ray, spleen/liver A 1.14 12.94 12.94 NA 0.60 14.68 14.68 1XXX.00.00.0000000 36.7856 09 75810TCVein x-ray, spleen/liver A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7581026Vein x-ray, spleen/liver A 1.14 0.39 0.39 0.06 1.59 1.59 1XXX.00.00.0000000 36.7856 09 75820 Vein x-ray, arm/leg A 0.70 1.19 1.19 NA 0.08 1.97 1.97 1XXX.00.00.0000000 36.7856 09 75820TCVein x-ray, arm/leg A 0.00 0.95 0.95 NA 0.05 1.00 1.00 1XXX.00.00.0000000 36.7856 03 7582026Vein x-ray, arm/leg A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 75822 Vein x-ray, arms/legs A 1.06 1.83 1.83 NA 0.12 3.01 3.01 1XXX.00.00.0002000 36.7856 09 75822TCVein x-ray, arms/legs A 0.00 1.47 1.47 NA 0.07 1.54 1.54 1XXX.00.00.0002000 36.7856 03 7582226Vein x-ray, arms/legs A 1.06 0.36 0.36 0.05 1.47 1.47 1XXX.00.00.0002000 36.7856 09 75825 Vein x-ray, trunk A 1.14 12.94 12.94 NA 0.60 14.68 14.68 1XXX.00.00.0000000 36.7856 09 75825TCVein x-ray, trunk A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7582526Vein x-ray, trunk A 1.14 0.39 0.39 0.06 1.59 1.59 1XXX.00.00.0000000 36.7856 09 75827 Vein x-ray, chest A 1.14 12.93 12.93 NA 0.59 14.66 14.66 1XXX.00.00.0000000 36.7856 09 75827TCVein x-ray, chest A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7582726Vein x-ray, chest A 1.14 0.38 0.38 0.05 1.57 1.57 1XXX.00.00.0000000 36.7856 09 75831 Vein x-ray, kidney A 1.14 12.93 12.93 NA 0.59 14.66 14.66 1XXX.00.00.0000000 36.7856 09 75831TCVein x-ray, kidney A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7583126Vein x-ray, kidney A 1.14 0.38 0.38 0.05 1.57 1.57 1XXX.00.00.0000000 36.7856 09 75833 Vein x-ray, kidneys A 1.49 13.06 13.06 NA 0.61 15.16 15.16 1XXX.00.00.0002000 36.7856 09 75833TCVein x-ray, kidneys A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7583326Vein x-ray, kidneys A 1.49 0.51 0.51 0.07 2.07 2.07 1XXX.00.00.0002000 36.7856 09 75840 Vein x-ray, adrenal gland A 1.14 12.94 12.94 NA 0.61 14.69 14.69 1XXX.00.00.0000000 36.7856 09 75840TCVein x-ray, adrenal gland A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7584026Vein x-ray, adrenal gland A 1.14 0.39 0.39 0.07 1.60 1.60 1XXX.00.00.0000000 36.7856 09 75842 Vein x-ray, adrenal glands A 1.49 13.05 13.05 NA 0.61 15.15 15.15 1XXX.00.00.0002000 36.7856 09 75842TCVein x-ray, adrenal glands A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0002000 36.7856 03 7584226Vein x-ray, adrenal glands A 1.49 0.50 0.50 0.07 2.06 2.06 1XXX.00.00.0002000 36.7856 09 75860 Vein x-ray, neck A 1.14 12.95 12.95 NA 0.60 14.69 14.69 1XXX.00.00.0000000 36.7856 09 75860TCVein x-ray, neck A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7586026Vein x-ray, neck A 1.14 0.40 0.40 0.06 1.60 1.60 1XXX.00.00.0000000 36.7856 09 75870 Vein x-ray, skull A 1.14 12.95 12.95 NA 0.60 14.69 14.69 1XXX.00.00.0000000 36.7856 09 75870TCVein x-ray, skull A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7587026Vein x-ray, skull A 1.14 0.40 0.40 0.06 1.60 1.60 1XXX.00.00.0000000 36.7856 09 75872 Vein x-ray, skull A 1.14 12.94 12.94 NA 0.59 14.67 14.67 1XXX.00.00.0000000 36.7856 09 75872TCVein x-ray, skull A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7587226Vein x-ray, skull A 1.14 0.39 0.39 0.05 1.58 1.58 1XXX.00.00.0000000 36.7856 09 75880 Vein x-ray, eye socket A 0.70 1.19 1.19 NA 0.08 1.97 1.97 1XXX.00.00.0000000 36.7856 09 75880TCVein x-ray, eye socket A 0.00 0.95 0.95 NA 0.05 1.00 1.00 1XXX.00.00.0000000 36.7856 03 7588026Vein x-ray, eye socket A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 75885 Vein x-ray, liver A 1.44 13.04 13.04 NA 0.60 15.08 15.08 1XXX.00.00.0000000 36.7856 09 75885TCVein x-ray, liver A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7588526Vein x-ray, liver A 1.44 0.49 0.49 0.06 1.99 1.99 1XXX.00.00.0000000 36.7856 09 75887 Vein x-ray, liver A 1.44 13.04 13.04 NA 0.60 15.08 15.08 1XXX.00.00.0000000 36.7856 09 75887TCVein x-ray, liver A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7588726Vein x-ray, liver A 1.44 0.49 0.49 0.06 1.99 1.99 1XXX.00.00.0000000 36.7856 09 75889 Vein x-ray, liver A 1.14 12.93 12.93 NA 0.59 14.66 14.66 1XXX.00.00.0000000 36.7856 09 75889TCVein x-ray, liver A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7588926Vein x-ray, liver A 1.14 0.38 0.38 0.05 1.57 1.57 1XXX.00.00.0000000 36.7856 09 75891 Vein x-ray, liver A 1.14 12.93 12.93 NA 0.59 14.66 14.66 1XXX.00.00.0000000 36.7856 09 75891TCVein x-ray, liver A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7589126Vein x-ray, liver A 1.14 0.38 0.38 0.05 1.57 1.57 1XXX.00.00.0000000 36.7856 09 75893 Venous sampling by catheter A 0.54 12.74 12.74 NA 0.56 13.84 13.84 1XXX.00.00.0000000 36.7856 09 75893TCVenous sampling by catheter A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7589326Venous sampling by catheter A 0.54 0.19 0.19 0.02 0.75 0.75 1XXX.00.00.0000000 36.7856 09 75894 X-rays, transcath therapy A 1.31 24.48 24.48 NA 1.12 26.91 26.91 1XXX.00.00.0000000 36.7856 09 75894TCX-rays, transcath therapy A 0.00 24.03 24.03 NA 1.05 25.08 25.08 1XXX.00.00.0000000 36.7856 03 7589426X-rays, transcath therapy A 1.31 0.45 0.45 0.07 1.83 1.83 1XXX.00.00.0000000 36.7856 09 75896 X-rays, transcath therapy A 1.31 21.37 21.37 NA 0.97 23.65 23.65 1XXX.00.00.0000000 36.7856 09 75896TCX-rays, transcath therapy A 0.00 20.90 20.90 NA 0.91 21.81 21.81 1XXX.00.00.0000000 36.7856 03 7589626X-rays, transcath therapy A 1.31 0.47 0.47 0.06 1.84 1.84 1XXX.00.00.0000000 36.7856 09 75898 Follow-up angiography A 1.65 1.61 1.61 NA 0.12 3.38 3.38 1XXX.00.00.0000000 36.7856 09 75898TCFollow-up angiography A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0000000 36.7856 03 7589826Follow-up angiography A 1.65 0.57 0.57 0.07 2.29 2.29 1XXX.00.00.0000000 36.7856 09 75900 Arterial catheter exchange A 0.49 21.05 21.05 NA 0.94 22.48 22.48 1XXX.00.00.0000000 36.7856 09 75900TCArterial catheter exchange A 0.00 20.88 20.88 NA 0.92 21.80 21.80 1XXX.00.00.0000000 36.7856 03 7590026Arterial catheter exchange A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 75901 Remove cva device obstruct A 0.49 1.47 1.47 NA 0.71 2.67 2.67 1XXX.00.00.0000000 36.7856 03 75901TCRemove cva device obstruct A 0.00 1.30 1.30 NA 0.69 1.99 1.99 1XXX.00.00.0000000 36.7856 03 7590126Remove cva device obstruct A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 75902 Remove cva lumen obstruct A 0.39 1.43 1.43 NA 0.71 2.53 2.53 1XXX.00.00.0000000 36.7856 03 75902TCRemove cva lumen obstruct A 0.00 1.30 1.30 NA 0.69 1.99 1.99 1XXX.00.00.0000000 36.7856 03 7590226Remove cva lumen obstruct A 0.39 0.13 0.13 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 09 75940 X-ray placement, vein filter A 0.54 12.73 12.73 NA 0.57 13.84 13.84 1XXX.00.00.0000000 36.7856 09 75940TCX-ray placement, vein filter A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1XXX.00.00.0000000 36.7856 03 7594026X-ray placement, vein filter A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0000000 36.7856 09 75945 Intravascular us A 0.40 4.70 4.70 NA 0.23 5.33 5.33 1XXX.00.00.0000000 36.7856 09 75945TCIntravascular us A 0.00 4.55 4.55 NA 0.20 4.75 4.75 1XXX.00.00.0000000 36.7856 03 7594526Intravascular us A 0.40 0.15 0.15 0.03 0.58 0.58 1XXX.00.00.0000000 36.7856 09 75946 Intravascular us add-on A 0.40 2.42 2.42 NA 0.14 2.96 2.96 1ZZZ.00.00.0000000 36.7856 09 75946TCIntravascular us add-on A 0.00 2.28 2.28 NA 0.11 2.39 2.39 1ZZZ.00.00.0000000 36.7856 03 7594626Intravascular us add-on A 0.40 0.14 0.14 0.03 0.57 0.57 1ZZZ.00.00.0000000 36.7856 09 75952 Endovasc repair abdom aorta C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 75952TCEndovasc repair abdom aorta C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 7595226Endovasc repair abdom aorta A 4.50 1.75 1.75 0.68 6.93 6.93 1XXX.00.00.0000000 36.7856 09 75953 Abdom aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 75953TCAbdom aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 7595326Abdom aneurysm endovas rpr A 1.36 0.53 0.53 0.68 2.57 2.57 1XXX.00.00.0000000 36.7856 09 75954 Iliac aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 75954TCIliac aneurysm endovas rpr C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 7595426Iliac aneurysm endovas rpr A 1.36 0.48 0.48 0.68 2.52 2.52 1XXX.00.00.0000000 36.7856 09 75960 Transcatheter intro, stent A 0.82 15.13 15.13 NA 0.68 16.63 16.63 1XXX.00.00.0000000 36.7856 09 75960TCTranscatheter intro, stent A 0.00 14.84 14.84 NA 0.64 15.48 15.48 1XXX.00.00.0000000 36.7856 03 7596026Transcatheter intro, stent A 0.82 0.29 0.29 0.04 1.15 1.15 1XXX.00.00.0000000 36.7856 09 75961 Retrieval, broken catheter A 4.25 11.90 11.90 NA 0.64 16.79 16.79 1XXX.00.00.0000000 36.7856 09 75961TCRetrieval, broken catheter A 0.00 10.46 10.46 NA 0.46 10.92 10.92 1XXX.00.00.0000000 36.7856 03 7596126Retrieval, broken catheter A 4.25 1.44 1.44 0.18 5.87 5.87 1XXX.00.00.0000000 36.7856 09 75962 Repair arterial blockage A 0.54 15.86 15.86 NA 0.72 17.12 17.12 1XXX.00.00.0000000 36.7856 09 75962TCRepair arterial blockage A 0.00 15.67 15.67 NA 0.69 16.36 16.36 1XXX.00.00.0000000 36.7856 03 7596226Repair arterial blockage A 0.54 0.19 0.19 0.03 0.76 0.76 1XXX.00.00.0000000 36.7856 09 75964 Repair artery blockage, each A 0.36 8.49 8.49 NA 0.38 9.23 9.23 1ZZZ.00.00.0000000 36.7856 09 75964TCRepair artery blockage, each A 0.00 8.36 8.36 NA 0.36 8.72 8.72 1ZZZ.00.00.0000000 36.7856 03 7596426Repair artery blockage, each A 0.36 0.13 0.13 0.02 0.51 0.51 1ZZZ.00.00.0000000 36.7856 09 75966 Repair arterial blockage A 1.31 16.15 16.15 NA 0.75 18.21 18.21 1XXX.00.00.0000000 36.7856 09 75966TCRepair arterial blockage A 0.00 15.67 15.67 NA 0.69 16.36 16.36 1XXX.00.00.0000000 36.7856 03 7596626Repair arterial blockage A 1.31 0.48 0.48 0.06 1.85 1.85 1XXX.00.00.0000000 36.7856 09 75968 Repair artery blockage, each A 0.36 8.49 8.49 NA 0.37 9.22 9.22 1ZZZ.00.00.0000000 36.7856 09 75968TCRepair artery blockage, each A 0.00 8.36 8.36 NA 0.36 8.72 8.72 1ZZZ.00.00.0000000 36.7856 03 7596826Repair artery blockage, each A 0.36 0.13 0.13 0.01 0.50 0.50 1ZZZ.00.00.0000000 36.7856 09 75970 Vascular biopsy A 0.83 11.78 11.78 NA 0.54 13.15 13.15 1XXX.00.00.0000000 36.7856 09 75970TCVascular biopsy A 0.00 11.49 11.49 NA 0.50 11.99 11.99 1XXX.00.00.0000000 36.7856 03 7597026Vascular biopsy A 0.83 0.29 0.29 0.04 1.16 1.16 1XXX.00.00.0000000 36.7856 09 75978 Repair venous blockage A 0.54 15.85 15.85 NA 0.71 17.10 17.10 1XXX.00.00.0000000 36.7856 09 75978TCRepair venous blockage A 0.00 15.67 15.67 NA 0.69 16.36 16.36 1XXX.00.00.0000000 36.7856 03 7597826Repair venous blockage A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 75980 Contrast xray exam bile duct A 1.44 5.88 5.88 NA 0.30 7.62 7.62 1XXX.00.00.0000000 36.7856 09 75980TCContrast xray exam bile duct A 0.00 5.39 5.39 NA 0.24 5.63 5.63 1XXX.00.00.0000000 36.7856 03 7598026Contrast xray exam bile duct A 1.44 0.49 0.49 0.06 1.99 1.99 1XXX.00.00.0000000 36.7856 09 75982 Contrast xray exam bile duct A 1.44 6.55 6.55 NA 0.33 8.32 8.32 1XXX.00.00.0000000 36.7856 09 75982TCContrast xray exam bile duct A 0.00 6.07 6.07 NA 0.27 6.34 6.34 1XXX.00.00.0000000 36.7856 03 7598226Contrast xray exam bile duct A 1.44 0.48 0.48 0.06 1.98 1.98 1XXX.00.00.0000000 36.7856 09 75984 Xray control catheter change A 0.72 2.18 2.18 NA 0.12 3.02 3.02 1XXX.00.00.0000000 36.7856 09 75984TCXray control catheter change A 0.00 1.94 1.94 NA 0.09 2.03 2.03 1XXX.00.00.0000000 36.7856 03 7598426Xray control catheter change A 0.72 0.24 0.24 0.03 0.99 0.99 1XXX.00.00.0000000 36.7856 09 75989 Abscess drainage under x-ray A 1.19 3.53 3.53 NA 0.19 4.91 4.91 1XXX.00.00.0000000 36.7856 09 75989TCAbscess drainage under x-ray A 0.00 3.13 3.13 NA 0.14 3.27 3.27 1XXX.00.00.0000000 36.7856 03 7598926Abscess drainage under x-ray A 1.19 0.40 0.40 0.05 1.64 1.64 1XXX.00.00.0000000 36.7856 09 75992 Atherectomy, x-ray exam A 0.54 15.87 15.87 NA 0.71 17.12 17.12 1XXX.00.00.0000000 36.7856 09 75992TCAtherectomy, x-ray exam A 0.00 15.67 15.67 NA 0.69 16.36 16.36 1XXX.00.00.0000000 36.7856 03 7599226Atherectomy, x-ray exam A 0.54 0.20 0.20 0.02 0.76 0.76 1XXX.00.00.0000000 36.7856 09 75993 Atherectomy, x-ray exam A 0.36 8.50 8.50 NA 0.37 9.23 9.23 1ZZZ.00.00.0000000 36.7856 09 75993TCAtherectomy, x-ray exam A 0.00 8.36 8.36 NA 0.36 8.72 8.72 1ZZZ.00.00.0000000 36.7856 03 7599326Atherectomy, x-ray exam A 0.36 0.14 0.14 0.01 0.51 0.51 1ZZZ.00.00.0000000 36.7856 09 75994 Atherectomy, x-ray exam A 1.31 16.15 16.15 NA 0.75 18.21 18.21 1XXX.00.00.0000000 36.7856 09 75994TCAtherectomy, x-ray exam A 0.00 15.67 15.67 NA 0.69 16.36 16.36 1XXX.00.00.0000000 36.7856 03 7599426Atherectomy, x-ray exam A 1.31 0.48 0.48 0.06 1.85 1.85 1XXX.00.00.0000000 36.7856 09 75995 Atherectomy, x-ray exam A 1.31 16.16 16.16 NA 0.75 18.22 18.22 1XXX.00.00.0000000 36.7856 09 75995TCAtherectomy, x-ray exam A 0.00 15.67 15.67 NA 0.69 16.36 16.36 1XXX.00.00.0000000 36.7856 03 7599526Atherectomy, x-ray exam A 1.31 0.49 0.49 0.06 1.86 1.86 1XXX.00.00.0000000 36.7856 09 75996 Atherectomy, x-ray exam A 0.36 8.48 8.48 NA 0.37 9.21 9.21 1ZZZ.00.00.0000000 36.7856 09 75996TCAtherectomy, x-ray exam A 0.00 8.36 8.36 NA 0.36 8.72 8.72 1ZZZ.00.00.0000000 36.7856 03 7599626Atherectomy, x-ray exam A 0.36 0.12 0.12 0.01 0.49 0.49 1ZZZ.00.00.0000000 36.7856 09 76000 Fluoroscope examination A 0.17 1.35 1.35 NA 0.07 1.59 1.59 1XXX.00.00.0000000 36.7856 09 76000TCFluoroscope examination A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7600026Fluoroscope examination A 0.17 0.05 0.05 0.01 0.23 0.23 1XXX.00.00.0000000 36.7856 09 76001 Fluoroscope exam, extensive A 0.67 2.84 2.84 NA 0.15 3.66 3.66 1XXX.00.00.0000000 36.7856 09 76001TCFluoroscope exam, extensive A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 03 7600126Fluoroscope exam, extensive A 0.67 0.23 0.23 0.03 0.93 0.93 1XXX.00.00.0000000 36.7856 09 76003 Needle localization by x-ray A 0.54 1.48 1.48 NA 0.09 2.11 2.11 1XXX.00.00.0000000 36.7856 09 76003TCNeedle localization by x-ray A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7600326Needle localization by x-ray A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0000000 36.7856 09 76005 Fluoroguide for spine inject A 0.60 1.46 1.46 NA 0.09 2.15 2.15 1XXX.00.00.0099999 36.7856 09 76005TCFluoroguide for spine inject A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0099999 36.7856 03 7600526Fluoroguide for spine inject A 0.60 0.16 0.16 0.03 0.79 0.79 1XXX.00.00.0099999 36.7856 09 76006 X-ray stress view A 0.41 0.19 0.19 0.04 0.64 0.64 2XXX.00.00.0003000 36.7856 03 76010 X-ray, nose to rectum A 0.18 0.58 0.58 NA 0.03 0.79 0.79 1XXX.00.00.0000000 36.7856 09 76010TCX-ray, nose to rectum A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7601026X-ray, nose to rectum A 0.18 0.06 0.06 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 76012 Percut vertebroplasty fluor C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76012TCPercut vertebroplasty fluor C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 7601226Percut vertebroplasty fluor A 1.31 0.51 0.51 0.23 2.05 2.05 1XXX.00.00.0000000 36.7856 09 76013 Percut vertebroplasty, ct C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76013TCPercut vertebroplasty, ct C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 7601326Percut vertebroplasty, ct A 1.38 0.54 0.54 0.48 2.40 2.40 1XXX.00.00.0000000 36.7856 09 76020 X-rays for bone age A 0.19 0.58 0.58 NA 0.03 0.80 0.80 1XXX.00.00.0000000 36.7856 09 76020TCX-rays for bone age A 0.00 0.52 0.52 NA 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 01 7602026X-rays for bone age A 0.19 0.06 0.06 0.01 0.26 0.26 1XXX.00.00.0000000 36.7856 09 76040 X-rays, bone evaluation A 0.27 0.87 0.87 NA 0.07 1.21 1.21 1XXX.00.00.0000000 36.7856 09 76040TCX-rays, bone evaluation A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1XXX.00.00.0000000 36.7856 01 7604026X-rays, bone evaluation A 0.27 0.09 0.09 0.03 0.39 0.39 1XXX.00.00.0000000 36.7856 09 76061 X-rays, bone survey A 0.45 1.15 1.15 NA 0.07 1.67 1.67 1XXX.00.00.0000000 36.7856 09 76061TCX-rays, bone survey A 0.00 1.00 1.00 NA 0.05 1.05 1.05 1XXX.00.00.0000000 36.7856 01 7606126X-rays, bone survey A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 36.7856 09 76062 X-rays, bone survey A 0.54 1.61 1.61 NA 0.09 2.24 2.24 1XXX.00.00.0000000 36.7856 09 76062TCX-rays, bone survey A 0.00 1.43 1.43 NA 0.07 1.50 1.50 1XXX.00.00.0000000 36.7856 01 7606226X-rays, bone survey A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 76065 X-rays, bone evaluation A 0.70 0.98 0.98 NA 0.05 1.73 1.73 1XXX.00.00.0000000 36.7856 09 76065TCX-rays, bone evaluation A 0.00 0.74 0.74 NA 0.04 0.78 0.78 1XXX.00.00.0000000 36.7856 01 7606526X-rays, bone evaluation A 0.70 0.24 0.24 0.01 0.95 0.95 1XXX.00.00.0000000 36.7856 09 76066 Joint survey, single view A 0.31 1.21 1.21 NA 0.07 1.59 1.59 1XXX.00.00.0000000 36.7856 09 76066TCJoint survey, single view A 0.00 1.10 1.10 NA 0.05 1.15 1.15 1XXX.00.00.0000000 36.7856 01 7606626Joint survey, single view A 0.31 0.11 0.11 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 09 76070 Ct bone density, axial A 0.25 3.02 3.02 NA 0.14 3.41 3.41 1XXX.00.00.0000000 36.7856 09 76070TCCt bone density, axial A 0.00 2.94 2.94 NA 0.13 3.07 3.07 1XXX.00.00.0000000 36.7856 01 7607026Ct bone density, axial A 0.25 0.08 0.08 0.01 0.34 0.34 1XXX.00.00.0000000 36.7856 09 76071 Ct bone density, peripheral A 0.22 3.01 3.01 NA 0.05 3.28 3.28 1XXX.00.00.0000000 36.7856 01 76071TCCt bone density, peripheral A 0.00 2.94 2.94 NA 0.04 2.98 2.98 1XXX.00.00.0000000 36.7856 01 7607126Ct bone density, peripheral A 0.22 0.07 0.07 0.01 0.30 0.30 1XXX.00.00.0000000 36.7856 09 76075 Dexa, axial skeleton study A 0.30 3.19 3.19 NA 0.15 3.64 3.64 1XXX.00.00.0000000 36.7856 09 76075TCDexa, axial skeleton study A 0.00 3.08 3.08 NA 0.14 3.22 3.22 1XXX.00.00.0000000 36.7856 01 7607526Dexa, axial skeleton study A 0.30 0.11 0.11 0.01 0.42 0.42 1XXX.00.00.0000000 36.7856 09 76076 Dexa, peripheral study A 0.22 0.83 0.83 NA 0.05 1.10 1.10 1XXX.00.00.0000000 36.7856 09 76076TCDexa, peripheral study A 0.00 0.75 0.75 NA 0.04 0.79 0.79 1XXX.00.00.0000000 36.7856 01 7607626Dexa, peripheral study A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 36.7856 09 76078 Radiographic absorptiometry A 0.20 0.82 0.82 NA 0.05 1.07 1.07 1XXX.00.00.0000000 36.7856 09 76078TCRadiographic absorptiometry A 0.00 0.75 0.75 NA 0.04 0.79 0.79 1XXX.00.00.0000000 36.7856 01 7607826Radiographic absorptiometry A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 36.7856 09 76080 X-ray exam of fistula A 0.54 1.22 1.22 NA 0.07 1.83 1.83 1XXX.00.00.0000000 36.7856 09 76080TCX-ray exam of fistula A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0000000 36.7856 03 7608026X-ray exam of fistula A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 76085 Computer mammogram add-on A 0.06 0.44 0.44 NA 0.02 0.52 0.52 1ZZZ.00.00.0000000 36.7856 09 76085TCComputer mammogram add-on A 0.00 0.42 0.42 NA 0.01 0.43 0.43 1ZZZ.00.00.0000000 36.7856 09 7608526Computer mammogram add-on A 0.06 0.02 0.02 0.01 0.09 0.09 1ZZZ.00.00.0000000 36.7856 09 76086 X-ray of mammary duct A 0.36 2.73 2.73 NA 0.14 3.23 3.23 1XXX.00.00.0000000 36.7856 09 76086TCX-ray of mammary duct A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 03 7608626X-ray of mammary duct A 0.36 0.12 0.12 0.02 0.50 0.50 1XXX.00.00.0000000 36.7856 09 76088 X-ray of mammary ducts A 0.45 3.80 3.80 NA 0.18 4.43 4.43 1XXX.00.00.0000000 36.7856 09 76088TCX-ray of mammary ducts A 0.00 3.65 3.65 NA 0.16 3.81 3.81 1XXX.00.00.0000000 36.7856 03 7608826X-ray of mammary ducts A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 36.7856 09 76090 Mammogram, one breast A 0.70 1.28 1.28 NA 0.08 2.06 2.06 1XXX.00.00.0000000 36.7856 09 76090TCMammogram, one breast A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0000000 36.7856 09 7609026Mammogram, one breast A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 76091 Mammogram, both breasts A 0.87 1.60 1.60 NA 0.09 2.56 2.56 1XXX.00.00.0002000 36.7856 09 76091TCMammogram, both breasts A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0002000 36.7856 09 7609126Mammogram, both breasts A 0.87 0.30 0.30 0.03 1.20 1.20 1XXX.00.00.0002000 36.7856 09 76092 Mammogram, screening A 0.70 1.46 1.46 NA 0.09 2.25 2.25 1XXX.00.00.0002000 36.7856 09 76092TCMammogram, screening A 0.00 1.21 1.21 NA 0.06 1.27 1.27 1XXX.00.00.0002000 36.7856 09 7609226Mammogram, screening A 0.70 0.25 0.25 0.03 0.98 0.98 1XXX.00.00.0002000 36.7856 09 76093 Magnetic image, breast A 1.63 18.11 18.11 NA 0.83 20.57 20.57 1XXX.00.00.0000000 36.7856 09 76093TCMagnetic image, breast A 0.00 17.55 17.55 NA 0.76 18.31 18.31 1XXX.00.00.0000000 36.7856 02 7609326Magnetic image, breast A 1.63 0.56 0.56 0.07 2.26 2.26 1XXX.00.00.0000000 36.7856 09 76094 Magnetic image, both breasts A 1.63 24.35 24.35 NA 1.10 27.08 27.08 1XXX.00.00.0002000 36.7856 09 76094TCMagnetic image, both breasts A 0.00 23.80 23.80 NA 1.03 24.83 24.83 1XXX.00.00.0002000 36.7856 02 7609426Magnetic image, both breasts A 1.63 0.55 0.55 0.07 2.25 2.25 1XXX.00.00.0002000 36.7856 09 76095 Stereotactic breast biopsy A 1.59 7.67 7.67 NA 0.40 9.66 9.66 1XXX.00.00.0000000 36.7856 09 76095TCStereotactic breast biopsy A 0.00 7.13 7.13 NA 0.31 7.44 7.44 1XXX.00.00.0000000 36.7856 03 7609526Stereotactic breast biopsy A 1.59 0.54 0.54 0.09 2.22 2.22 1XXX.00.00.0000000 36.7856 09 76096 X-ray of needle wire, breast A 0.56 1.49 1.49 NA 0.09 2.14 2.14 1XXX.00.00.0000000 36.7856 09 76096TCX-ray of needle wire, breast A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7609626X-ray of needle wire, breast A 0.56 0.19 0.19 0.03 0.78 0.78 1XXX.00.00.0000000 36.7856 09 76098 X-ray exam, breast specimen A 0.16 0.48 0.48 NA 0.03 0.67 0.67 1XXX.00.00.0000000 36.7856 09 76098TCX-ray exam, breast specimen A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 01 7609826X-ray exam, breast specimen A 0.16 0.06 0.06 0.01 0.23 0.23 1XXX.00.00.0000000 36.7856 09 76100 X-ray exam of body section A 0.58 1.44 1.44 NA 0.09 2.11 2.11 1XXX.00.00.0000000 36.7856 09 76100TCX-ray exam of body section A 0.00 1.24 1.24 NA 0.06 1.30 1.30 1XXX.00.00.0000000 36.7856 01 7610026X-ray exam of body section A 0.58 0.20 0.20 0.03 0.81 0.81 1XXX.00.00.0000000 36.7856 09 76101 Complex body section x-ray A 0.58 1.61 1.61 NA 0.10 2.29 2.29 1XXX.00.00.0000000 36.7856 09 76101TCComplex body section x-ray A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 02 7610126Complex body section x-ray A 0.58 0.20 0.20 0.03 0.81 0.81 1XXX.00.00.0000000 36.7856 09 76102 Complex body section x-rays A 0.58 1.92 1.92 NA 0.12 2.62 2.62 1XXX.00.00.0002000 36.7856 09 76102TCComplex body section x-rays A 0.00 1.72 1.72 NA 0.09 1.81 1.81 1XXX.00.00.0002000 36.7856 02 7610226Complex body section x-rays A 0.58 0.20 0.20 0.03 0.81 0.81 1XXX.00.00.0002000 36.7856 09 76120 Cine/video x-rays A 0.38 1.17 1.17 NA 0.07 1.62 1.62 1XXX.00.00.0000000 36.7856 09 76120TCCine/video x-rays A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0000000 36.7856 02 7612026Cine/video x-rays A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 36.7856 09 76125 Cine/video x-rays add-on A 0.27 0.88 0.88 NA 0.05 1.20 1.20 1ZZZ.00.00.0000000 36.7856 09 76125TCCine/video x-rays add-on A 0.00 0.78 0.78 NA 0.04 0.82 0.82 1ZZZ.00.00.0000000 36.7856 02 7612526Cine/video x-rays add-on A 0.27 0.10 0.10 0.01 0.38 0.38 1ZZZ.00.00.0000000 36.7856 09 76140 X-ray consultation I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 76150 X-ray exam, dry process A 0.00 0.42 0.42 NA 0.02 0.44 0.44 3XXX.00.00.0000000 36.7856 01 76350 Special x-ray contrast study C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 36.7856 02 76355 CAT scan for localization A 1.21 8.64 8.64 NA 0.41 10.26 10.26 1XXX.00.00.0000000 36.7856 09 76355TCCAT scan for localization A 0.00 8.22 8.22 NA 0.35 8.57 8.57 1XXX.00.00.0000000 36.7856 03 7635526CAT scan for localization A 1.21 0.42 0.42 0.06 1.69 1.69 1XXX.00.00.0000000 36.7856 09 76360 CAT scan for needle biopsy A 1.16 8.61 8.61 NA 0.40 10.17 10.17 1XXX.00.00.0000000 36.7856 09 76360TCCAT scan for needle biopsy A 0.00 8.22 8.22 NA 0.35 8.57 8.57 1XXX.00.00.0000000 36.7856 03 7636026CAT scan for needle biopsy A 1.16 0.39 0.39 0.05 1.60 1.60 1XXX.00.00.0000000 36.7856 09 76362 Cat scan for tissue ablation A 4.00 9.57 9.57 NA 1.39 14.96 14.96 1XXX.00.00.0000000 36.7856 09 76362TCCat scan for tissue ablation A 0.00 8.22 8.22 NA 1.21 9.43 9.43 1XXX.00.00.0000000 36.7856 09 7636226Cat scan for tissue ablation A 4.00 1.35 1.35 0.18 5.53 5.53 1XXX.00.00.0000000 36.7856 09 76370 CAT scan for therapy guide A 0.85 3.23 3.23 NA 0.17 4.25 4.25 1XXX.00.00.0000000 36.7856 09 76370TCCAT scan for therapy guide A 0.00 2.94 2.94 NA 0.13 3.07 3.07 1XXX.00.00.0000000 36.7856 02 7637026CAT scan for therapy guide A 0.85 0.29 0.29 0.04 1.18 1.18 1XXX.00.00.0000000 36.7856 09 76375 3d/holograph reconstr add-on A 0.16 3.57 3.57 NA 0.16 3.89 3.89 1XXX.00.00.0000000 36.7856 09 76375TC3d/holograph reconstr add-on A 0.00 3.52 3.52 NA 0.15 3.67 3.67 1XXX.00.00.0000000 36.7856 01 76375263d/holograph reconstr add-on A 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0000000 36.7856 09 76380 CAT scan follow-up study A 0.98 3.81 3.81 NA 0.19 4.98 4.98 1XXX.00.00.0000000 36.7856 09 76380TCCAT scan follow-up study A 0.00 3.48 3.48 NA 0.15 3.63 3.63 1XXX.00.00.0000000 36.7856 01 7638026CAT scan follow-up study A 0.98 0.33 0.33 0.04 1.35 1.35 1XXX.00.00.0000000 36.7856 09 76390 Mr spectroscopy N+ 1.40 11.64 11.64 NA 0.55 13.59 13.59 1XXX.00.00.0099999 36.7856 09 76390TCMr spectroscopy N+ 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0099999 36.7856 01 7639026Mr spectroscopy N+ 1.40 0.48 0.48 0.06 1.94 1.94 1XXX.00.00.0099999 36.7856 09 76393 Mr guidance for needle place A 1.50 11.68 11.68 NA 0.53 13.71 13.71 1XXX.00.00.0000000 36.7856 09 76393TCMr guidance for needle place A 0.00 11.16 11.16 NA 0.46 11.62 11.62 1XXX.00.00.0000000 36.7856 03 7639326Mr guidance for needle place A 1.50 0.52 0.52 0.07 2.09 2.09 1XXX.00.00.0000000 36.7856 09 76394 Mri for tissue ablation A 4.25 12.60 12.60 NA 1.48 18.33 18.33 1XXX.00.00.0000000 36.7856 09 76394TCMri for tissue ablation A 0.00 11.16 11.16 NA 1.29 12.45 12.45 1XXX.00.00.0000000 36.7856 09 7639426Mri for tissue ablation A 4.25 1.44 1.44 0.19 5.88 5.88 1XXX.00.00.0000000 36.7856 09 76400 Magnetic image, bone marrow A 1.60 11.70 11.70 NA 0.56 13.86 13.86 1XXX.00.00.0000000 36.7856 09 76400TCMagnetic image, bone marrow A 0.00 11.16 11.16 NA 0.49 11.65 11.65 1XXX.00.00.0000000 36.7856 01 7640026Magnetic image, bone marrow A 1.60 0.54 0.54 0.07 2.21 2.21 1XXX.00.00.0000000 36.7856 09 76490 Us for tissue ablation A 4.00 2.85 2.85 NA 0.35 7.20 7.20 1XXX.00.00.0000000 36.7856 09 76490TCUs for tissue ablation A 0.00 1.51 1.51 NA 0.24 1.75 1.75 1XXX.00.00.0000000 36.7856 09 7649026Us for tissue ablation A 4.00 1.34 1.34 0.11 5.45 5.45 1XXX.00.00.0000000 36.7856 09 76496 Fluoroscopic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 76496TCFluoroscopic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 7649626Fluoroscopic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76497 Ct procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 02 76497TCCt procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 02 7649726Ct procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76498 Mri procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 02 76498TCMri procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 02 7649826Mri procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76499 Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76499TCRadiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7649926Radiographic procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76506 Echo exam of head A 0.63 1.66 1.66 NA 0.10 2.39 2.39 1XXX.00.00.0000000 36.7856 09 76506TCEcho exam of head A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7650626Echo exam of head A 0.63 0.25 0.25 0.03 0.91 0.91 1XXX.00.00.0000000 36.7856 09 76511 Echo exam of eye A 0.94 2.59 2.59 NA 0.08 3.61 3.61 1XXX.00.00.0003000 36.7856 09 76511TCEcho exam of eye A 0.00 2.18 2.18 NA 0.06 2.24 2.24 1XXX.00.00.0003000 36.7856 02 7651126Echo exam of eye A 0.94 0.41 0.41 0.02 1.37 1.37 1XXX.00.00.0003000 36.7856 09 76512 Echo exam of eye A 0.66 2.54 2.54 NA 0.09 3.29 3.29 1XXX.00.00.0003000 36.7856 09 76512TCEcho exam of eye A 0.00 2.24 2.24 NA 0.08 2.32 2.32 1XXX.00.00.0003000 36.7856 02 7651226Echo exam of eye A 0.66 0.30 0.30 0.01 0.97 0.97 1XXX.00.00.0003000 36.7856 09 76513 Echo exam of eye, water bath A 0.66 2.80 2.80 NA 0.09 3.55 3.55 1XXX.00.00.0003000 36.7856 09 76513TCEcho exam of eye, water bath A 0.00 2.50 2.50 NA 0.08 2.58 2.58 1XXX.00.00.0003000 36.7856 02 7651326Echo exam of eye, water bath A 0.66 0.30 0.30 0.01 0.97 0.97 1XXX.00.00.0003000 36.7856 09 76516 Echo exam of eye A 0.54 2.13 2.13 NA 0.07 2.74 2.74 1XXX.00.00.0002000 36.7856 09 76516TCEcho exam of eye A 0.00 1.88 1.88 NA 0.06 1.94 1.94 1XXX.00.00.0002000 36.7856 01 7651626Echo exam of eye A 0.54 0.25 0.25 0.01 0.80 0.80 1XXX.00.00.0002000 36.7856 09 76519 Echo exam of eye A 0.54 1.93 1.93 NA 0.07 2.54 2.54 1XXX.00.00.0002000 36.7856 09 76519TCEcho exam of eye A 0.00 1.68 1.68 NA 0.06 1.74 1.74 1XXX.00.00.0002000 36.7856 01 7651926Echo exam of eye A 0.54 0.25 0.25 0.01 0.80 0.80 1XXX.00.00.0003000 36.7856 09 76529 Echo exam of eye A 0.57 2.42 2.42 NA 0.08 3.07 3.07 1XXX.00.00.0003000 36.7856 09 76529TCEcho exam of eye A 0.00 2.17 2.17 NA 0.07 2.24 2.24 1XXX.00.00.0003000 36.7856 01 7652926Echo exam of eye A 0.57 0.25 0.25 0.01 0.83 0.83 1XXX.00.00.0003000 36.7856 09 76536 Us exam of head and neck A 0.56 1.60 1.60 NA 0.09 2.25 2.25 1XXX.00.00.0000000 36.7856 09 76536TCUs exam of head and neck A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7653626Us exam of head and neck A 0.56 0.19 0.19 0.02 0.77 0.77 1XXX.00.00.0000000 36.7856 09 76604 Us exam, chest, b-scan A 0.55 1.49 1.49 NA 0.08 2.12 2.12 1XXX.00.00.0000000 36.7856 09 76604TCUs exam, chest, b-scan A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 01 7660426Us exam, chest, b-scan A 0.55 0.19 0.19 0.02 0.76 0.76 1XXX.00.00.0000000 36.7856 09 76645 Us exam, breast(s) A 0.54 1.22 1.22 NA 0.08 1.84 1.84 1XXX.00.00.0002000 36.7856 09 76645TCUs exam, breast(s) A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0002000 36.7856 01 7664526Us exam, breast(s) A 0.54 0.18 0.18 0.03 0.75 0.75 1XXX.00.00.0002000 36.7856 09 76700 Us exam, abdom, complete A 0.81 2.24 2.24 NA 0.13 3.18 3.18 1XXX.00.00.0000000 36.7856 09 76700TCUs exam, abdom, complete A 0.00 1.96 1.96 NA 0.09 2.05 2.05 1XXX.00.00.0000000 36.7856 01 7670026Us exam, abdom, complete A 0.81 0.28 0.28 0.04 1.13 1.13 1XXX.00.00.0000000 36.7856 09 76705 Echo exam of abdomen A 0.59 1.61 1.61 NA 0.10 2.30 2.30 1XXX.00.00.0000000 36.7856 09 76705TCEcho exam of abdomen A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7670526Echo exam of abdomen A 0.59 0.20 0.20 0.03 0.82 0.82 1XXX.00.00.0000000 36.7856 09 76770 Us exam abdo back wall, comp A 0.74 2.21 2.21 NA 0.12 3.07 3.07 1XXX.00.00.0000000 36.7856 09 76770TCUs exam abdo back wall, comp A 0.00 1.96 1.96 NA 0.09 2.05 2.05 1XXX.00.00.0000000 36.7856 01 7677026Us exam abdo back wall, comp A 0.74 0.25 0.25 0.03 1.02 1.02 1XXX.00.00.0000000 36.7856 09 76775 Us eam abdo back wall, lim A 0.58 1.61 1.61 NA 0.10 2.29 2.29 1XXX.00.00.0000000 36.7856 09 76775TCUs eam abdo back wall, lim A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7677526Us eam abdo back wall, lim A 0.58 0.20 0.20 0.03 0.81 0.81 1XXX.00.00.0000000 36.7856 09 76778 Us exam kidney transplant A 0.74 2.21 2.21 NA 0.12 3.07 3.07 1XXX.00.00.0000000 36.7856 09 76778TCUs exam kidney transplant A 0.00 1.96 1.96 NA 0.09 2.05 2.05 1XXX.00.00.0000000 36.7856 01 7677826Us exam kidney transplant A 0.74 0.25 0.25 0.03 1.02 1.02 1XXX.00.00.0000000 36.7856 09 76800 Us exam, spinal canal A 1.13 1.76 1.76 NA 0.11 3.00 3.00 1XXX.00.00.0000000 36.7856 09 76800TCUs exam, spinal canal A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7680026Us exam, spinal canal A 1.13 0.35 0.35 0.04 1.52 1.52 1XXX.00.00.0000000 36.7856 09 76801 Ob us < 14 wks, single fetus A 0.99 1.40 1.40 NA 0.14 2.53 2.53 1XXX.00.00.0000000 36.7856 03 76801TCOb us < 14 wks, single fetus A 0.00 1.04 1.04 NA 0.10 1.14 1.14 1XXX.00.00.0000000 36.7856 03 7680126Ob us < 14 wks, single fetus A 0.99 0.36 0.36 0.04 1.39 1.39 1XXX.00.00.0000000 36.7856 09 76802 Ob us < 14 wks, addl fetus A 0.83 1.01 1.01 NA 0.14 1.98 1.98 1ZZZ.00.00.0000000 36.7856 03 76802TCOb us < 14 wks, addl fetus A 0.00 0.71 0.71 NA 0.10 0.81 0.81 1ZZZ.00.00.0000000 36.7856 03 7680226Ob us < 14 wks, addl fetus A 0.83 0.30 0.30 0.04 1.17 1.17 1ZZZ.00.00.0000000 36.7856 09 76805 Ob us >/= 14 wks, sngl fetus A 0.99 2.44 2.44 NA 0.14 3.57 3.57 1XXX.00.00.0000000 36.7856 09 76805TCOb us >/= 14 wks, sngl fetus A 0.00 2.09 2.09 NA 0.10 2.19 2.19 1XXX.00.00.0000000 36.7856 01 7680526Ob us >/= 14 wks, sngl fetus A 0.99 0.35 0.35 0.04 1.38 1.38 1XXX.00.00.0000000 36.7856 09 76810 Ob us >/= 14 wks, addl fetus A 0.98 1.40 1.40 NA 0.25 2.63 2.63 1ZZZ.00.00.0000000 36.7856 09 76810TCOb us >/= 14 wks, addl fetus A 0.00 1.04 1.04 NA 0.18 1.22 1.22 1ZZZ.00.00.0000000 36.7856 01 7681026Ob us >/= 14 wks, addl fetus A 0.98 0.36 0.36 0.07 1.41 1.41 1ZZZ.00.00.0000000 36.7856 09 76811 Ob us, detailed, sngl fetus A 1.90 4.19 4.19 NA 0.51 6.60 6.60 1XXX.00.00.0000000 36.7856 03 76811TCOb us, detailed, sngl fetus A 0.00 3.51 3.51 NA 0.36 3.87 3.87 1XXX.00.00.0000000 36.7856 03 7681126Ob us, detailed, sngl fetus A 1.90 0.68 0.68 0.15 2.73 2.73 1XXX.00.00.0000000 36.7856 09 76812 Ob us, detailed, addl fetus A 1.78 1.69 1.69 NA 0.46 3.93 3.93 1ZZZ.00.00.0000000 36.7856 03 76812TCOb us, detailed, addl fetus A 0.00 1.04 1.04 NA 0.34 1.38 1.38 1ZZZ.00.00.0000000 36.7856 03 7681226Ob us, detailed, addl fetus A 1.78 0.65 0.65 0.12 2.55 2.55 1ZZZ.00.00.0000000 36.7856 09 76815 Ob us, limited, fetus(s) A 0.65 1.65 1.65 NA 0.09 2.39 2.39 1XXX.00.00.0000000 36.7856 09 76815TCOb us, limited, fetus(s) A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7681526Ob us, limited, fetus(s) A 0.65 0.24 0.24 0.02 0.91 0.91 1XXX.00.00.0000000 36.7856 09 76816 Ob us, follow-up, per fetus A 0.85 1.43 1.43 NA 0.07 2.35 2.35 1XXX.00.00.0000000 36.7856 09 76816TCOb us, follow-up, per fetus A 0.00 1.10 1.10 NA 0.05 1.15 1.15 1XXX.00.00.0000000 36.7856 01 7681626Ob us, follow-up, per fetus A 0.85 0.33 0.33 0.02 1.20 1.20 1XXX.00.00.0000000 36.7856 09 76817 Transvaginal us, obstetric A 0.75 1.79 1.79 NA 0.07 2.61 2.61 1XXX.00.00.0000000 36.7856 03 76817TCTransvaginal us, obstetric A 0.00 1.51 1.51 NA 0.05 1.56 1.56 1XXX.00.00.0000000 36.7856 03 7681726Transvaginal us, obstetric A 0.75 0.28 0.28 0.02 1.05 1.05 1XXX.00.00.0000000 36.7856 09 76818 Fetal biophys profile w/nst A 1.05 2.01 2.01 NA 0.12 3.18 3.18 1XXX.00.00.0000000 36.7856 09 76818TCFetal biophys profile w/nst A 0.00 1.61 1.61 NA 0.08 1.69 1.69 1XXX.00.00.0000000 36.7856 01 7681826Fetal biophys profile w/nst A 1.05 0.40 0.40 0.04 1.49 1.49 1XXX.00.00.0000000 36.7856 09 76819 Fetal biophys profil w/o nst A 0.77 1.90 1.90 NA 0.10 2.77 2.77 1XXX.00.00.0000000 36.7856 09 76819TCFetal biophys profil w/o nst A 0.00 1.61 1.61 NA 0.08 1.69 1.69 1XXX.00.00.0000000 36.7856 01 7681926Fetal biophys profil w/o nst A 0.77 0.29 0.29 0.02 1.08 1.08 1XXX.00.00.0000000 36.7856 09 76825 Echo exam of fetal heart A 1.67 2.58 2.58 NA 0.15 4.40 4.40 1XXX.00.00.0000000 36.7856 09 76825TCEcho exam of fetal heart A 0.00 1.96 1.96 NA 0.09 2.05 2.05 1XXX.00.00.0000000 36.7856 01 7682526Echo exam of fetal heart A 1.67 0.62 0.62 0.06 2.35 2.35 1XXX.00.00.0000000 36.7856 09 76826 Echo exam of fetal heart A 0.83 1.01 1.01 NA 0.07 1.91 1.91 1XXX.00.00.0000000 36.7856 09 76826TCEcho exam of fetal heart A 0.00 0.71 0.71 NA 0.04 0.75 0.75 1XXX.00.00.0000000 36.7856 01 7682626Echo exam of fetal heart A 0.83 0.30 0.30 0.03 1.16 1.16 1XXX.00.00.0000000 36.7856 09 76827 Echo exam of fetal heart A 0.58 1.93 1.93 NA 0.12 2.63 2.63 1XXX.00.00.0000000 36.7856 09 76827TCEcho exam of fetal heart A 0.00 1.71 1.71 NA 0.10 1.81 1.81 1XXX.00.00.0000000 36.7856 01 7682726Echo exam of fetal heart A 0.58 0.22 0.22 0.02 0.82 0.82 1XXX.00.00.0000000 36.7856 09 76828 Echo exam of fetal heart A 0.56 1.32 1.32 NA 0.09 1.97 1.97 1XXX.00.00.0000000 36.7856 09 76828TCEcho exam of fetal heart A 0.00 1.10 1.10 NA 0.07 1.17 1.17 1XXX.00.00.0000000 36.7856 01 7682826Echo exam of fetal heart A 0.56 0.22 0.22 0.02 0.80 0.80 1XXX.00.00.0000000 36.7856 09 76830 Transvaginal us, non-ob A 0.69 1.75 1.75 NA 0.11 2.55 2.55 1XXX.00.00.0000000 36.7856 09 76830TCTransvaginal us, non-ob A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 01 7683026Transvaginal us, non-ob A 0.69 0.24 0.24 0.03 0.96 0.96 1XXX.00.00.0000000 36.7856 09 76831 Echo exam, uterus A 0.72 1.77 1.77 NA 0.10 2.59 2.59 1XXX.00.00.0000000 36.7856 09 76831TCEcho exam, uterus A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7683126Echo exam, uterus A 0.72 0.26 0.26 0.02 1.00 1.00 1XXX.00.00.0000000 36.7856 09 76856 Us exam, pelvic, complete A 0.69 1.75 1.75 NA 0.11 2.55 2.55 1XXX.00.00.0000000 36.7856 09 76856TCUs exam, pelvic, complete A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 01 7685626Us exam, pelvic, complete A 0.69 0.24 0.24 0.03 0.96 0.96 1XXX.00.00.0000000 36.7856 09 76857 Us exam, pelvic, limited A 0.38 2.09 2.09 NA 0.07 2.54 2.54 1XXX.00.00.0000000 36.7856 09 76857TCUs exam, pelvic, limited A 0.00 1.96 1.96 NA 0.05 2.01 2.01 1XXX.00.00.0000000 36.7856 01 7685726Us exam, pelvic, limited A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 36.7856 09 76870 Us exam, scrotum A 0.64 1.73 1.73 NA 0.11 2.48 2.48 1XXX.00.00.0000000 36.7856 09 76870TCUs exam, scrotum A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 01 7687026Us exam, scrotum A 0.64 0.22 0.22 0.03 0.89 0.89 1XXX.00.00.0000000 36.7856 09 76872 Echo exam, transrectal A 0.69 1.81 1.81 NA 0.12 2.62 2.62 1XXX.00.00.0000000 36.7856 09 76872TCEcho exam, transrectal A 0.00 1.58 1.58 NA 0.08 1.66 1.66 1XXX.00.00.0000000 36.7856 01 7687226Echo exam, transrectal A 0.69 0.23 0.23 0.04 0.96 0.96 1XXX.00.00.0000000 36.7856 09 76873 Echograp trans r, pros study A 1.55 2.61 2.61 NA 0.21 4.37 4.37 1XXX.00.00.0099999 36.7856 09 76873TCEchograp trans r, pros study A 0.00 2.09 2.09 NA 0.13 2.22 2.22 1XXX.00.00.0099999 36.7856 02 7687326Echograp trans r, pros study A 1.55 0.52 0.52 0.08 2.15 2.15 1XXX.00.00.0099999 36.7856 09 76880 Us exam, extremity A 0.59 1.61 1.61 NA 0.10 2.30 2.30 1XXX.00.00.0000000 36.7856 09 76880TCUs exam, extremity A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7688026Us exam, extremity A 0.59 0.20 0.20 0.03 0.82 0.82 1XXX.00.00.0000000 36.7856 09 76885 Us exam infant hips, dynamic A 0.74 1.76 1.76 NA 0.11 2.61 2.61 1XXX.00.00.0000000 36.7856 09 76885TCUs exam infant hips, dynamic A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 01 7688526Us exam infant hips, dynamic A 0.74 0.25 0.25 0.03 1.02 1.02 1XXX.00.00.0000000 36.7856 09 76886 Us exam infant hips, static A 0.62 1.62 1.62 NA 0.10 2.34 2.34 1XXX.00.00.0000000 36.7856 09 76886TCUs exam infant hips, static A 0.00 1.41 1.41 NA 0.07 1.48 1.48 1XXX.00.00.0000000 36.7856 01 7688626Us exam infant hips, static A 0.62 0.21 0.21 0.03 0.86 0.86 1XXX.00.00.0000000 36.7856 09 76930 Echo guide, cardiocentesis A 0.67 1.77 1.77 NA 0.10 2.54 2.54 1XXX.00.00.0000000 36.7856 09 76930TCEcho guide, cardiocentesis A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7693026Echo guide, cardiocentesis A 0.67 0.26 0.26 0.02 0.95 0.95 1XXX.00.00.0000000 36.7856 09 76932 Echo guide for heart biopsy A 0.67 1.77 1.77 NA 0.10 2.54 2.54 1XXX.00.00.0000000 36.7856 09 76932TCEcho guide for heart biopsy A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7693226Echo guide for heart biopsy A 0.67 0.26 0.26 0.02 0.95 0.95 1XXX.00.00.0000000 36.7856 09 76936 Echo guide for artery repair A 1.99 6.95 6.95 NA 0.39 9.33 9.33 1XXX.00.00.0000000 36.7856 09 76936TCEcho guide for artery repair A 0.00 6.27 6.27 NA 0.28 6.55 6.55 1XXX.00.00.0000000 36.7856 03 7693626Echo guide for artery repair A 1.99 0.68 0.68 0.11 2.78 2.78 1XXX.00.00.0000000 36.7856 09 76941 Echo guide for transfusion A 1.34 2.01 2.01 NA 0.13 3.48 3.48 1XXX.00.00.0000000 36.7856 09 76941TCEcho guide for transfusion A 0.00 1.52 1.52 NA 0.07 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7694126Echo guide for transfusion A 1.34 0.49 0.49 0.06 1.89 1.89 1XXX.00.00.0000000 36.7856 09 76942 Echo guide for biopsy A 0.67 3.18 3.18 NA 0.12 3.97 3.97 1XXX.00.00.0000000 36.7856 09 76942TCEcho guide for biopsy A 0.00 2.95 2.95 NA 0.08 3.03 3.03 1XXX.00.00.0000000 36.7856 03 7694226Echo guide for biopsy A 0.67 0.23 0.23 0.04 0.94 0.94 1XXX.00.00.0000000 36.7856 09 76945 Echo guide, villus sampling A 0.67 1.75 1.75 NA 0.10 2.52 2.52 1XXX.00.00.0000000 36.7856 09 76945TCEcho guide, villus sampling A 0.00 1.52 1.52 NA 0.07 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7694526Echo guide, villus sampling A 0.67 0.23 0.23 0.03 0.93 0.93 1XXX.00.00.0000000 36.7856 09 76946 Echo guide for amniocentesis A 0.38 1.65 1.65 NA 0.09 2.12 2.12 1XXX.00.00.0000000 36.7856 09 76946TCEcho guide for amniocentesis A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7694626Echo guide for amniocentesis A 0.38 0.14 0.14 0.01 0.53 0.53 1XXX.00.00.0000000 36.7856 09 76948 Echo guide, ova aspiration A 0.38 1.64 1.64 NA 0.10 2.12 2.12 1XXX.00.00.0000000 36.7856 09 76948TCEcho guide, ova aspiration A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7694826Echo guide, ova aspiration A 0.38 0.13 0.13 0.02 0.53 0.53 1XXX.00.00.0000000 36.7856 09 76950 Echo guidance radiotherapy A 0.58 1.50 1.50 NA 0.09 2.17 2.17 1XXX.00.00.0000000 36.7856 09 76950TCEcho guidance radiotherapy A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 7695026Echo guidance radiotherapy A 0.58 0.20 0.20 0.03 0.81 0.81 1XXX.00.00.0000000 36.7856 09 76965 Echo guidance radiotherapy A 1.34 5.99 5.99 NA 0.31 7.64 7.64 1XXX.00.00.0000000 36.7856 09 76965TCEcho guidance radiotherapy A 0.00 5.54 5.54 NA 0.24 5.78 5.78 1XXX.00.00.0000000 36.7856 03 7696526Echo guidance radiotherapy A 1.34 0.45 0.45 0.07 1.86 1.86 1XXX.00.00.0000000 36.7856 09 76970 Ultrasound exam follow-up A 0.40 1.18 1.18 NA 0.07 1.65 1.65 1XXX.00.00.0000000 36.7856 09 76970TCUltrasound exam follow-up A 0.00 1.04 1.04 NA 0.05 1.09 1.09 1XXX.00.00.0000000 36.7856 01 7697026Ultrasound exam follow-up A 0.40 0.14 0.14 0.02 0.56 0.56 1XXX.00.00.0000000 36.7856 09 76975 GI endoscopic ultrasound A 0.81 1.80 1.80 NA 0.11 2.72 2.72 1XXX.00.00.0000000 36.7856 09 76975TCGI endoscopic ultrasound A 0.00 1.51 1.51 NA 0.08 1.59 1.59 1XXX.00.00.0000000 36.7856 03 7697526GI endoscopic ultrasound A 0.81 0.29 0.29 0.03 1.13 1.13 1XXX.00.00.0000000 36.7856 09 76977 Us bone density measure A 0.05 0.84 0.84 NA 0.05 0.94 0.94 1XXX.00.00.0000000 36.7856 09 76977TCUs bone density measure A 0.00 0.82 0.82 NA 0.04 0.86 0.86 1XXX.00.00.0000000 36.7856 01 7697726Us bone density measure A 0.05 0.02 0.02 0.01 0.08 0.08 1XXX.00.00.0000000 36.7856 09 76986 Ultrasound guide intraoper A 1.20 3.02 3.02 NA 0.19 4.41 4.41 1XXX.00.00.0000000 36.7856 09 76986TCUltrasound guide intraoper A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 03 7698626Ultrasound guide intraoper A 1.20 0.41 0.41 0.07 1.68 1.68 1XXX.00.00.0000000 36.7856 09 76999 Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 76999TCEcho examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7699926Echo examination procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77261 Radiation therapy planning A 1.39 0.54 0.54 0.06 1.99 1.99 2XXX.00.00.0000000 36.7856 09 77262 Radiation therapy planning A 2.11 0.80 0.80 0.09 3.00 3.00 2XXX.00.00.0000000 36.7856 09 77263 Radiation therapy planning A 3.14 1.17 1.17 0.13 4.44 4.44 2XXX.00.00.0000000 36.7856 09 77280 Set radiation therapy field A 0.70 3.69 3.69 NA 0.18 4.57 4.57 1XXX.00.00.0000000 36.7856 09 77280TCSet radiation therapy field A 0.00 3.45 3.45 NA 0.15 3.60 3.60 1XXX.00.00.0000000 36.7856 09 7728026Set radiation therapy field A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 77285 Set radiation therapy field A 1.05 5.90 5.90 NA 0.29 7.24 7.24 1XXX.00.00.0000000 36.7856 09 77285TCSet radiation therapy field A 0.00 5.54 5.54 NA 0.25 5.79 5.79 1XXX.00.00.0000000 36.7856 09 7728526Set radiation therapy field A 1.05 0.36 0.36 0.04 1.45 1.45 1XXX.00.00.0000000 36.7856 09 77290 Set radiation therapy field A 1.56 7.01 7.01 NA 0.35 8.92 8.92 1XXX.00.00.0000000 36.7856 09 77290TCSet radiation therapy field A 0.00 6.48 6.48 NA 0.29 6.77 6.77 1XXX.00.00.0000000 36.7856 09 7729026Set radiation therapy field A 1.56 0.53 0.53 0.06 2.15 2.15 1XXX.00.00.0000000 36.7856 09 77295 Set radiation therapy field A 4.57 29.35 29.35 NA 1.41 35.33 35.33 1XXX.00.00.0000000 36.7856 09 77295TCSet radiation therapy field A 0.00 27.81 27.81 NA 1.23 29.04 29.04 1XXX.00.00.0000000 36.7856 09 7729526Set radiation therapy field A 4.57 1.54 1.54 0.18 6.29 6.29 1XXX.00.00.0000000 36.7856 09 77299 Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77299TCRadiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7729926Radiation therapy planning C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77300 Radiation therapy dose plan A 0.62 1.54 1.54 NA 0.09 2.25 2.25 1XXX.00.00.0000000 36.7856 09 77300TCRadiation therapy dose plan A 0.00 1.33 1.33 NA 0.06 1.39 1.39 1XXX.00.00.0000000 36.7856 09 7730026Radiation therapy dose plan A 0.62 0.21 0.21 0.03 0.86 0.86 1XXX.00.00.0000000 36.7856 09 77301 Radiotherapy dose plan, imrt A 8.00 30.92 30.92 NA 1.41 40.33 40.33 1XXX.00.00.0000000 36.7856 09 77301TCRadiotherapy dose plan, imrt A 0.00 27.81 27.81 NA 1.23 29.04 29.04 1XXX.00.00.0000000 36.7856 09 7730126Radiotherapy dose plan, imrt A 8.00 3.11 3.11 0.18 11.29 11.29 1XXX.00.00.0000000 36.7856 09 77305 Teletx isodose plan simple A 0.70 2.09 2.09 NA 0.12 2.91 2.91 1XXX.00.00.0000000 36.7856 09 77305TCTeletx isodose plan simple A 0.00 1.85 1.85 NA 0.09 1.94 1.94 1XXX.00.00.0000000 36.7856 09 7730526Teletx isodose plan simple A 0.70 0.24 0.24 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 77310 Teletx isodose plan intermed A 1.05 2.68 2.68 NA 0.15 3.88 3.88 1XXX.00.00.0000000 36.7856 09 77310TCTeletx isodose plan intermed A 0.00 2.32 2.32 NA 0.11 2.43 2.43 1XXX.00.00.0000000 36.7856 09 7731026Teletx isodose plan intermed A 1.05 0.36 0.36 0.04 1.45 1.45 1XXX.00.00.0000000 36.7856 09 77315 Teletx isodose plan complex A 1.56 3.18 3.18 NA 0.18 4.92 4.92 1XXX.00.00.0000000 36.7856 09 77315TCTeletx isodose plan complex A 0.00 2.65 2.65 NA 0.12 2.77 2.77 1XXX.00.00.0000000 36.7856 09 7731526Teletx isodose plan complex A 1.56 0.53 0.53 0.06 2.15 2.15 1XXX.00.00.0000000 36.7856 09 77321 Special teletx port plan A 0.95 4.34 4.34 NA 0.21 5.50 5.50 1XXX.00.00.0000000 36.7856 09 77321TCSpecial teletx port plan A 0.00 4.02 4.02 NA 0.17 4.19 4.19 1XXX.00.00.0000000 36.7856 09 7732126Special teletx port plan A 0.95 0.32 0.32 0.04 1.31 1.31 1XXX.00.00.0000000 36.7856 09 77326 Brachytx isodose calc simp A 0.93 2.66 2.66 NA 0.15 3.74 3.74 1XXX.00.00.0000000 36.7856 09 77326TCBrachytx isodose calc simp A 0.00 2.35 2.35 NA 0.11 2.46 2.46 1XXX.00.00.0000000 36.7856 09 7732626Brachytx isodose calc simp A 0.93 0.31 0.31 0.04 1.28 1.28 1XXX.00.00.0000000 36.7856 09 77327 Brachytx isodose calc interm A 1.39 3.92 3.92 NA 0.21 5.52 5.52 1XXX.00.00.0000000 36.7856 09 77327TCBrachytx isodose calc interm A 0.00 3.45 3.45 NA 0.15 3.60 3.60 1XXX.00.00.0000000 36.7856 09 7732726Brachytx isodose calc interm A 1.39 0.47 0.47 0.06 1.92 1.92 1XXX.00.00.0000000 36.7856 09 77328 Brachytx isodose plan compl A 2.09 5.65 5.65 NA 0.30 8.04 8.04 1XXX.00.00.0000000 36.7856 09 77328TCBrachytx isodose plan compl A 0.00 4.94 4.94 NA 0.21 5.15 5.15 1XXX.00.00.0000000 36.7856 09 7732826Brachytx isodose plan compl A 2.09 0.71 0.71 0.09 2.89 2.89 1XXX.00.00.0000000 36.7856 09 77331 Special radiation dosimetry A 0.87 0.80 0.80 NA 0.06 1.73 1.73 1XXX.00.00.0000000 36.7856 09 77331TCSpecial radiation dosimetry A 0.00 0.50 0.50 NA 0.02 0.52 0.52 1XXX.00.00.0000000 36.7856 09 7733126Special radiation dosimetry A 0.87 0.30 0.30 0.04 1.21 1.21 1XXX.00.00.0000000 36.7856 09 77332 Radiation treatment aid(s) A 0.54 1.51 1.51 NA 0.08 2.13 2.13 1XXX.00.00.0000000 36.7856 09 77332TCRadiation treatment aid(s) A 0.00 1.33 1.33 NA 0.06 1.39 1.39 1XXX.00.00.0000000 36.7856 09 7733226Radiation treatment aid(s) A 0.54 0.18 0.18 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 77333 Radiation treatment aid(s) A 0.84 2.18 2.18 NA 0.13 3.15 3.15 1XXX.00.00.0000000 36.7856 09 77333TCRadiation treatment aid(s) A 0.00 1.89 1.89 NA 0.09 1.98 1.98 1XXX.00.00.0000000 36.7856 09 7733326Radiation treatment aid(s) A 0.84 0.29 0.29 0.04 1.17 1.17 1XXX.00.00.0000000 36.7856 09 77334 Radiation treatment aid(s) A 1.24 3.65 3.65 NA 0.19 5.08 5.08 1XXX.00.00.0000000 36.7856 09 77334TCRadiation treatment aid(s) A 0.00 3.23 3.23 NA 0.14 3.37 3.37 1XXX.00.00.0000000 36.7856 09 7733426Radiation treatment aid(s) A 1.24 0.42 0.42 0.05 1.71 1.71 1XXX.00.00.0000000 36.7856 09 77336 Radiation physics consult A 0.00 2.97 2.97 NA 0.13 3.10 3.10 3XXX.00.00.0000000 36.7856 09 77370 Radiation physics consult A 0.00 3.47 3.47 NA 0.15 3.62 3.62 3XXX.00.00.0000000 36.7856 09 77399 External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77399TCExternal radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7739926External radiation dosimetry C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77401 Radiation treatment delivery A 0.00 1.76 1.76 NA 0.09 1.85 1.85 3XXX.00.00.0000000 36.7856 09 77402 Radiation treatment delivery A 0.00 1.76 1.76 NA 0.09 1.85 1.85 3XXX.00.00.0000000 36.7856 09 77403 Radiation treatment delivery A 0.00 1.76 1.76 NA 0.09 1.85 1.85 3XXX.00.00.0000000 36.7856 09 77404 Radiation treatment delivery A 0.00 1.76 1.76 NA 0.09 1.85 1.85 3XXX.00.00.0000000 36.7856 09 77406 Radiation treatment delivery A 0.00 1.76 1.76 NA 0.09 1.85 1.85 3XXX.00.00.0000000 36.7856 09 77407 Radiation treatment delivery A 0.00 2.08 2.08 NA 0.10 2.18 2.18 3XXX.00.00.0000000 36.7856 09 77408 Radiation treatment delivery A 0.00 2.08 2.08 NA 0.10 2.18 2.18 3XXX.00.00.0000000 36.7856 09 77409 Radiation treatment delivery A 0.00 2.08 2.08 NA 0.10 2.18 2.18 3XXX.00.00.0000000 36.7856 09 77411 Radiation treatment delivery A 0.00 2.08 2.08 NA 0.10 2.18 2.18 3XXX.00.00.0000000 36.7856 09 77412 Radiation treatment delivery A 0.00 2.32 2.32 NA 0.11 2.43 2.43 3XXX.00.00.0000000 36.7856 09 77413 Radiation treatment delivery A 0.00 2.32 2.32 NA 0.11 2.43 2.43 3XXX.00.00.0000000 36.7856 09 77414 Radiation treatment delivery A 0.00 2.32 2.32 NA 0.11 2.43 2.43 3XXX.00.00.0000000 36.7856 09 77416 Radiation treatment delivery A 0.00 2.32 2.32 NA 0.11 2.43 2.43 3XXX.00.00.0000000 36.7856 09 77417 Radiology port film(s) A 0.00 0.59 0.59 NA 0.03 0.62 0.62 3XXX.00.00.0000000 36.7856 01 77418 Radiation tx delivery, imrt A 0.00 17.97 17.97 NA 0.11 18.08 18.08 3XXX.00.00.0000000 36.7856 09 77427 Radiation tx management, x5 A 3.31 1.12 1.12 0.14 4.57 4.57 2XXX.00.00.0099999 36.7856 09 77431 Radiation therapy management A 1.81 0.71 0.71 0.07 2.59 2.59 2XXX.00.00.0000000 36.7856 09 77432 Stereotactic radiation trmt A 7.93 3.06 3.06 0.33 11.32 11.32 2XXX.00.00.0000000 36.7856 09 77470 Special radiation treatment A 2.09 11.81 11.81 NA 0.58 14.48 14.48 1XXX.00.00.0000000 36.7856 09 77470TCSpecial radiation treatment A 0.00 11.10 11.10 NA 0.49 11.59 11.59 1XXX.00.00.0000000 36.7856 09 7747026Special radiation treatment A 2.09 0.71 0.71 0.09 2.89 2.89 1XXX.00.00.0000000 36.7856 09 77499 Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77499TCRadiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7749926Radiation therapy management C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77520 Proton trmt, simple w/o comp C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 36.7856 09 77522 Proton trmt, simple w/comp C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 36.7856 09 77523 Proton trmt, intermediate C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 36.7856 09 77525 Proton treatment, complex C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0099999 36.7856 09 77600 Hyperthermia treatment R 1.56 3.57 3.57 NA 0.21 5.34 5.34 1XXX.00.00.0000000 36.7856 09 77600TCHyperthermia treatment R 0.00 3.04 3.04 NA 0.13 3.17 3.17 1XXX.00.00.0000000 36.7856 09 7760026Hyperthermia treatment R 1.56 0.53 0.53 0.08 2.17 2.17 1XXX.00.00.0000000 36.7856 09 77605 Hyperthermia treatment R 2.09 4.75 4.75 NA 0.31 7.15 7.15 1XXX.00.00.0000000 36.7856 09 77605TCHyperthermia treatment R 0.00 4.04 4.04 NA 0.18 4.22 4.22 1XXX.00.00.0000000 36.7856 09 7760526Hyperthermia treatment R 2.09 0.71 0.71 0.13 2.93 2.93 1XXX.00.00.0000000 36.7856 09 77610 Hyperthermia treatment R 1.56 3.57 3.57 NA 0.20 5.33 5.33 1XXX.00.00.0000000 36.7856 09 77610TCHyperthermia treatment R 0.00 3.04 3.04 NA 0.13 3.17 3.17 1XXX.00.00.0000000 36.7856 09 7761026Hyperthermia treatment R 1.56 0.53 0.53 0.07 2.16 2.16 1XXX.00.00.0000000 36.7856 09 77615 Hyperthermia treatment R 2.09 4.75 4.75 NA 0.27 7.11 7.11 1XXX.00.00.0000000 36.7856 09 77615TCHyperthermia treatment R 0.00 4.04 4.04 NA 0.18 4.22 4.22 1XXX.00.00.0000000 36.7856 09 7761526Hyperthermia treatment R 2.09 0.71 0.71 0.09 2.89 2.89 1XXX.00.00.0000000 36.7856 09 77620 Hyperthermia treatment R 1.56 3.58 3.58 NA 0.19 5.33 5.33 1XXX.00.00.0000000 36.7856 09 77620TCHyperthermia treatment R 0.00 3.04 3.04 NA 0.13 3.17 3.17 1XXX.00.00.0000000 36.7856 09 7762026Hyperthermia treatment R 1.56 0.54 0.54 0.06 2.16 2.16 1XXX.00.00.0000000 36.7856 09 77750 Infuse radioactive materials A 4.91 3.00 3.00 NA 0.23 8.14 8.14 1090.00.00.0000000 36.7856 09 77750TCInfuse radioactive materials A 0.00 1.33 1.33 NA 0.06 1.39 1.39 1090.00.00.0000000 36.7856 09 7775026Infuse radioactive materials A 4.91 1.67 1.67 0.17 6.75 6.75 1090.00.00.0000000 36.7856 09 77761 Apply intrcav radiat simple A 3.81 3.64 3.64 NA 0.28 7.73 7.73 1090.00.00.0000000 36.7856 09 77761TCApply intrcav radiat simple A 0.00 2.50 2.50 NA 0.12 2.62 2.62 1090.00.00.0000000 36.7856 09 7776126Apply intrcav radiat simple A 3.81 1.14 1.14 0.16 5.11 5.11 1090.00.00.0000000 36.7856 09 77762 Apply intrcav radiat interm A 5.72 5.51 5.51 NA 0.38 11.61 11.61 1090.00.00.0000000 36.7856 09 77762TCApply intrcav radiat interm A 0.00 3.59 3.59 NA 0.16 3.75 3.75 1090.00.00.0000000 36.7856 09 7776226Apply intrcav radiat interm A 5.72 1.92 1.92 0.22 7.86 7.86 1090.00.00.0000000 36.7856 09 77763 Apply intrcav radiat compl A 8.57 7.35 7.35 NA 0.53 16.45 16.45 1090.00.00.0000000 36.7856 09 77763TCApply intrcav radiat compl A 0.00 4.47 4.47 NA 0.19 4.66 4.66 1090.00.00.0000000 36.7856 09 7776326Apply intrcav radiat compl A 8.57 2.88 2.88 0.34 11.79 11.79 1090.00.00.0000000 36.7856 09 77776 Apply interstit radiat simpl A 4.66 3.15 3.15 NA 0.35 8.16 8.16 1090.00.00.0000000 36.7856 09 77776TCApply interstit radiat simpl A 0.00 2.17 2.17 NA 0.11 2.28 2.28 1090.00.00.0000000 36.7856 09 7777626Apply interstit radiat simpl A 4.66 0.98 0.98 0.24 5.88 5.88 1090.00.00.0000020 36.7856 09 77777 Apply interstit radiat inter A 7.48 6.70 6.70 NA 0.50 14.68 14.68 1090.00.00.0000000 36.7856 09 77777TCApply interstit radiat inter A 0.00 4.22 4.22 NA 0.18 4.40 4.40 1090.00.00.0000000 36.7856 09 7777726Apply interstit radiat inter A 7.48 2.48 2.48 0.32 10.28 10.28 1090.00.00.0000020 36.7856 09 77778 Apply interstit radiat compl A 11.19 8.88 8.88 NA 0.69 20.76 20.76 1090.00.00.0000000 36.7856 09 77778TCApply interstit radiat compl A 0.00 5.11 5.11 NA 0.22 5.33 5.33 1090.00.00.0000000 36.7856 09 7777826Apply interstit radiat compl A 11.19 3.77 3.77 0.47 15.43 15.43 1090.00.00.0000020 36.7856 09 77781 High intensity brachytherapy A 1.66 20.79 20.79 NA 0.95 23.40 23.40 1090.00.00.0000000 36.7856 09 77781TCHigh intensity brachytherapy A 0.00 20.22 20.22 NA 0.88 21.10 21.10 1090.00.00.0000000 36.7856 09 7778126High intensity brachytherapy A 1.66 0.57 0.57 0.07 2.30 2.30 1090.00.00.0000000 36.7856 09 77782 High intensity brachytherapy A 2.49 21.07 21.07 NA 0.98 24.54 24.54 1090.00.00.0000000 36.7856 09 77782TCHigh intensity brachytherapy A 0.00 20.22 20.22 NA 0.88 21.10 21.10 1090.00.00.0000000 36.7856 09 7778226High intensity brachytherapy A 2.49 0.85 0.85 0.10 3.44 3.44 1090.00.00.0000000 36.7856 09 77783 High intensity brachytherapy A 3.73 21.48 21.48 NA 1.03 26.24 26.24 1090.00.00.0000000 36.7856 09 77783TCHigh intensity brachytherapy A 0.00 20.22 20.22 NA 0.88 21.10 21.10 1090.00.00.0000000 36.7856 09 7778326High intensity brachytherapy A 3.73 1.26 1.26 0.15 5.14 5.14 1090.00.00.0000000 36.7856 09 77784 High intensity brachytherapy A 5.61 22.11 22.11 NA 1.10 28.82 28.82 1090.00.00.0000000 36.7856 09 77784TCHigh intensity brachytherapy A 0.00 20.22 20.22 NA 0.88 21.10 21.10 1090.00.00.0000000 36.7856 09 7778426High intensity brachytherapy A 5.61 1.89 1.89 0.22 7.72 7.72 1090.00.00.0000000 36.7856 09 77789 Apply surface radiation A 1.12 0.84 0.84 NA 0.05 2.01 2.01 1000.00.00.0000000 36.7856 09 77789TCApply surface radiation A 0.00 0.45 0.45 NA 0.02 0.47 0.47 1000.00.00.0000000 36.7856 09 7778926Apply surface radiation A 1.12 0.39 0.39 0.03 1.54 1.54 1000.00.00.0000000 36.7856 09 77790 Radiation handling A 1.05 0.86 0.86 NA 0.06 1.97 1.97 1XXX.00.00.0000000 36.7856 09 77790TCRadiation handling A 0.00 0.50 0.50 NA 0.02 0.52 0.52 1XXX.00.00.0000000 36.7856 09 7779026Radiation handling A 1.05 0.36 0.36 0.04 1.45 1.45 1XXX.00.00.0000000 36.7856 09 77799 Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 77799TCRadium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7779926Radium/radioisotope therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78000 Thyroid, single uptake A 0.19 1.04 1.04 NA 0.06 1.29 1.29 1XXX.00.00.0000000 36.7856 09 78000TCThyroid, single uptake A 0.00 0.97 0.97 NA 0.05 1.02 1.02 1XXX.00.00.0000000 36.7856 01 7800026Thyroid, single uptake A 0.19 0.07 0.07 0.01 0.27 0.27 1XXX.00.00.0000000 36.7856 09 78001 Thyroid, multiple uptakes A 0.26 1.39 1.39 NA 0.07 1.72 1.72 1XXX.00.00.0000000 36.7856 09 78001TCThyroid, multiple uptakes A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 01 7800126Thyroid, multiple uptakes A 0.26 0.09 0.09 0.01 0.36 0.36 1XXX.00.00.0000000 36.7856 09 78003 Thyroid suppress/stimul A 0.33 1.08 1.08 NA 0.06 1.47 1.47 1XXX.00.00.0000000 36.7856 09 78003TCThyroid suppress/stimul A 0.00 0.97 0.97 NA 0.05 1.02 1.02 1XXX.00.00.0000000 36.7856 01 7800326Thyroid suppress/stimul A 0.33 0.11 0.11 0.01 0.45 0.45 1XXX.00.00.0000000 36.7856 09 78006 Thyroid imaging with uptake A 0.49 2.54 2.54 NA 0.13 3.16 3.16 1XXX.00.00.0000000 36.7856 09 78006TCThyroid imaging with uptake A 0.00 2.37 2.37 NA 0.11 2.48 2.48 1XXX.00.00.0000000 36.7856 01 7800626Thyroid imaging with uptake A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 78007 Thyroid image, mult uptakes A 0.50 2.73 2.73 NA 0.14 3.37 3.37 1XXX.00.00.0000000 36.7856 09 78007TCThyroid image, mult uptakes A 0.00 2.56 2.56 NA 0.12 2.68 2.68 1XXX.00.00.0000000 36.7856 01 7800726Thyroid image, mult uptakes A 0.50 0.17 0.17 0.02 0.69 0.69 1XXX.00.00.0000000 36.7856 09 78010 Thyroid imaging A 0.39 1.95 1.95 NA 0.11 2.45 2.45 1XXX.00.00.0000000 36.7856 09 78010TCThyroid imaging A 0.00 1.81 1.81 NA 0.09 1.90 1.90 1XXX.00.00.0000000 36.7856 01 7801026Thyroid imaging A 0.39 0.14 0.14 0.02 0.55 0.55 1XXX.00.00.0000000 36.7856 09 78011 Thyroid imaging with flow A 0.45 2.56 2.56 NA 0.13 3.14 3.14 1XXX.00.00.0000000 36.7856 09 78011TCThyroid imaging with flow A 0.00 2.40 2.40 NA 0.11 2.51 2.51 1XXX.00.00.0000000 36.7856 01 7801126Thyroid imaging with flow A 0.45 0.16 0.16 0.02 0.63 0.63 1XXX.00.00.0000000 36.7856 09 78015 Thyroid met imaging A 0.67 2.79 2.79 NA 0.15 3.61 3.61 1XXX.00.00.0000000 36.7856 09 78015TCThyroid met imaging A 0.00 2.56 2.56 NA 0.12 2.68 2.68 1XXX.00.00.0000000 36.7856 01 7801526Thyroid met imaging A 0.67 0.23 0.23 0.03 0.93 0.93 1XXX.00.00.0000000 36.7856 09 78016 Thyroid met imaging/studies A 0.82 3.76 3.76 NA 0.18 4.76 4.76 1XXX.00.00.0000000 36.7856 09 78016TCThyroid met imaging/studies A 0.00 3.46 3.46 NA 0.15 3.61 3.61 1XXX.00.00.0000000 36.7856 01 7801626Thyroid met imaging/studies A 0.82 0.30 0.30 0.03 1.15 1.15 1XXX.00.00.0000000 36.7856 09 78018 Thyroid met imaging, body A 0.86 5.71 5.71 NA 0.27 6.84 6.84 1XXX.00.00.0000000 36.7856 09 78018TCThyroid met imaging, body A 0.00 5.40 5.40 NA 0.24 5.64 5.64 1XXX.00.00.0000000 36.7856 01 7801826Thyroid met imaging, body A 0.86 0.31 0.31 0.03 1.20 1.20 1XXX.00.00.0000000 36.7856 09 78020 Thyroid met uptake A 0.60 1.52 1.52 NA 0.14 2.26 2.26 1ZZZ.00.00.0000000 36.7856 09 78020TCThyroid met uptake A 0.00 1.30 1.30 NA 0.12 1.42 1.42 1ZZZ.00.00.0000000 36.7856 09 7802026Thyroid met uptake A 0.60 0.22 0.22 0.02 0.84 0.84 1ZZZ.00.00.0000000 36.7856 09 78070 Parathyroid nuclear imaging A 0.82 2.10 2.10 NA 0.12 3.04 3.04 1XXX.00.00.0000000 36.7856 09 78070TCParathyroid nuclear imaging A 0.00 1.81 1.81 NA 0.09 1.90 1.90 1XXX.00.00.0000000 36.7856 01 7807026Parathyroid nuclear imaging A 0.82 0.29 0.29 0.03 1.14 1.14 1XXX.00.00.0000000 36.7856 09 78075 Adrenal nuclear imaging A 0.74 5.67 5.67 NA 0.27 6.68 6.68 1XXX.00.00.0000000 36.7856 09 78075TCAdrenal nuclear imaging A 0.00 5.40 5.40 NA 0.24 5.64 5.64 1XXX.00.00.0000000 36.7856 01 7807526Adrenal nuclear imaging A 0.74 0.27 0.27 0.03 1.04 1.04 1XXX.00.00.0000000 36.7856 09 78099 Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78099TCEndocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7809926Endocrine nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78102 Bone marrow imaging, ltd A 0.55 2.23 2.23 NA 0.12 2.90 2.90 1XXX.00.00.0000000 36.7856 09 78102TCBone marrow imaging, ltd A 0.00 2.03 2.03 NA 0.10 2.13 2.13 1XXX.00.00.0000000 36.7856 01 7810226Bone marrow imaging, ltd A 0.55 0.20 0.20 0.02 0.77 0.77 1XXX.00.00.0000000 36.7856 09 78103 Bone marrow imaging, mult A 0.75 3.42 3.42 NA 0.17 4.34 4.34 1XXX.00.00.0000000 36.7856 09 78103TCBone marrow imaging, mult A 0.00 3.15 3.15 NA 0.14 3.29 3.29 1XXX.00.00.0000000 36.7856 01 7810326Bone marrow imaging, mult A 0.75 0.27 0.27 0.03 1.05 1.05 1XXX.00.00.0000000 36.7856 09 78104 Bone marrow imaging, body A 0.80 4.33 4.33 NA 0.21 5.34 5.34 1XXX.00.00.0000000 36.7856 09 78104TCBone marrow imaging, body A 0.00 4.05 4.05 NA 0.18 4.23 4.23 1XXX.00.00.0000000 36.7856 01 7810426Bone marrow imaging, body A 0.80 0.28 0.28 0.03 1.11 1.11 1XXX.00.00.0000000 36.7856 09 78110 Plasma volume, single A 0.19 1.02 1.02 NA 0.06 1.27 1.27 1XXX.00.00.0000000 36.7856 09 78110TCPlasma volume, single A 0.00 0.95 0.95 NA 0.05 1.00 1.00 1XXX.00.00.0000000 36.7856 01 7811026Plasma volume, single A 0.19 0.07 0.07 0.01 0.27 0.27 1XXX.00.00.0000000 36.7856 09 78111 Plasma volume, multiple A 0.22 2.64 2.64 NA 0.13 2.99 2.99 1XXX.00.00.0000000 36.7856 09 78111TCPlasma volume, multiple A 0.00 2.56 2.56 NA 0.12 2.68 2.68 1XXX.00.00.0000000 36.7856 01 7811126Plasma volume, multiple A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 36.7856 09 78120 Red cell mass, single A 0.23 1.80 1.80 NA 0.10 2.13 2.13 1XXX.00.00.0000000 36.7856 09 78120TCRed cell mass, single A 0.00 1.72 1.72 NA 0.09 1.81 1.81 1XXX.00.00.0000000 36.7856 01 7812026Red cell mass, single A 0.23 0.08 0.08 0.01 0.32 0.32 1XXX.00.00.0000000 36.7856 09 78121 Red cell mass, multiple A 0.32 3.02 3.02 NA 0.13 3.47 3.47 1XXX.00.00.0000000 36.7856 09 78121TCRed cell mass, multiple A 0.00 2.90 2.90 NA 0.12 3.02 3.02 1XXX.00.00.0000000 36.7856 01 7812126Red cell mass, multiple A 0.32 0.12 0.12 0.01 0.45 0.45 1XXX.00.00.0000000 36.7856 09 78122 Blood volume A 0.45 4.74 4.74 NA 0.22 5.41 5.41 1XXX.00.00.0000000 36.7856 09 78122TCBlood volume A 0.00 4.58 4.58 NA 0.20 4.78 4.78 1XXX.00.00.0000000 36.7856 01 7812226Blood volume A 0.45 0.16 0.16 0.02 0.63 0.63 1XXX.00.00.0000000 36.7856 09 78130 Red cell survival study A 0.61 3.06 3.06 NA 0.15 3.82 3.82 1XXX.00.00.0000000 36.7856 09 78130TCRed cell survival study A 0.00 2.84 2.84 NA 0.12 2.96 2.96 1XXX.00.00.0000000 36.7856 01 7813026Red cell survival study A 0.61 0.22 0.22 0.03 0.86 0.86 1XXX.00.00.0000000 36.7856 09 78135 Red cell survival kinetics A 0.64 5.09 5.09 NA 0.24 5.97 5.97 1XXX.00.00.0000000 36.7856 09 78135TCRed cell survival kinetics A 0.00 4.86 4.86 NA 0.21 5.07 5.07 1XXX.00.00.0000000 36.7856 01 7813526Red cell survival kinetics A 0.64 0.23 0.23 0.03 0.90 0.90 1XXX.00.00.0000000 36.7856 09 78140 Red cell sequestration A 0.61 4.13 4.13 NA 0.20 4.94 4.94 1XXX.00.00.0000000 36.7856 09 78140TCRed cell sequestration A 0.00 3.92 3.92 NA 0.17 4.09 4.09 1XXX.00.00.0000000 36.7856 01 7814026Red cell sequestration A 0.61 0.21 0.21 0.03 0.85 0.85 1XXX.00.00.0000000 36.7856 09 78160 Plasma iron turnover A 0.33 3.77 3.77 NA 0.19 4.29 4.29 1XXX.00.00.0000000 36.7856 09 78160TCPlasma iron turnover A 0.00 3.65 3.65 NA 0.16 3.81 3.81 1XXX.00.00.0000000 36.7856 01 7816026Plasma iron turnover A 0.33 0.12 0.12 0.03 0.48 0.48 1XXX.00.00.0000000 36.7856 09 78162 Radioiron absorption exam A 0.45 3.37 3.37 NA 0.15 3.97 3.97 1XXX.00.00.0000000 36.7856 09 78162TCRadioiron absorption exam A 0.00 3.18 3.18 NA 0.14 3.32 3.32 1XXX.00.00.0000000 36.7856 01 7816226Radioiron absorption exam A 0.45 0.19 0.19 0.01 0.65 0.65 1XXX.00.00.0000000 36.7856 09 78170 Red cell iron utilization A 0.41 5.42 5.42 NA 0.27 6.10 6.10 1XXX.00.00.0000000 36.7856 09 78170TCRed cell iron utilization A 0.00 5.28 5.28 NA 0.23 5.51 5.51 1XXX.00.00.0000000 36.7856 01 7817026Red cell iron utilization A 0.41 0.14 0.14 0.04 0.59 0.59 1XXX.00.00.0000000 36.7856 09 78172 Total body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78172TCTotal body iron estimation C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 7817226Total body iron estimation A 0.53 0.18 0.18 0.02 0.73 0.73 1XXX.00.00.0000000 36.7856 09 78185 Spleen imaging A 0.40 2.49 2.49 NA 0.13 3.02 3.02 1XXX.00.00.0000000 36.7856 09 78185TCSpleen imaging A 0.00 2.35 2.35 NA 0.11 2.46 2.46 1XXX.00.00.0000000 36.7856 01 7818526Spleen imaging A 0.40 0.14 0.14 0.02 0.56 0.56 1XXX.00.00.0000000 36.7856 09 78190 Platelet survival, kinetics A 1.09 6.09 6.09 NA 0.31 7.49 7.49 1XXX.00.00.0000000 36.7856 09 78190TCPlatelet survival, kinetics A 0.00 5.69 5.69 NA 0.25 5.94 5.94 1XXX.00.00.0000000 36.7856 01 7819026Platelet survival, kinetics A 1.09 0.40 0.40 0.06 1.55 1.55 1XXX.00.00.0000000 36.7856 09 78191 Platelet survival A 0.61 7.51 7.51 NA 0.34 8.46 8.46 1XXX.00.00.0000000 36.7856 09 78191TCPlatelet survival A 0.00 7.30 7.30 NA 0.31 7.61 7.61 1XXX.00.00.0000000 36.7856 01 7819126Platelet survival A 0.61 0.21 0.21 0.03 0.85 0.85 1XXX.00.00.0000000 36.7856 09 78195 Lymph system imaging A 1.20 4.48 4.48 NA 0.23 5.91 5.91 1XXX.00.00.0000000 36.7856 09 78195TCLymph system imaging A 0.00 4.05 4.05 NA 0.18 4.23 4.23 1XXX.00.00.0000000 36.7856 01 7819526Lymph system imaging A 1.20 0.43 0.43 0.05 1.68 1.68 1XXX.00.00.0000000 36.7856 09 78199 Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78199TCBlood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7819926Blood/lymph nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78201 Liver imaging A 0.44 2.50 2.50 NA 0.13 3.07 3.07 1XXX.00.00.0000000 36.7856 09 78201TCLiver imaging A 0.00 2.35 2.35 NA 0.11 2.46 2.46 1XXX.00.00.0000000 36.7856 01 7820126Liver imaging A 0.44 0.15 0.15 0.02 0.61 0.61 1XXX.00.00.0000000 36.7856 09 78202 Liver imaging with flow A 0.51 3.05 3.05 NA 0.14 3.70 3.70 1XXX.00.00.0000000 36.7856 09 78202TCLiver imaging with flow A 0.00 2.87 2.87 NA 0.12 2.99 2.99 1XXX.00.00.0000000 36.7856 01 7820226Liver imaging with flow A 0.51 0.18 0.18 0.02 0.71 0.71 1XXX.00.00.0000000 36.7856 09 78205 Liver imaging (3D) A 0.71 6.13 6.13 NA 0.29 7.13 7.13 1XXX.00.00.0000000 36.7856 09 78205TCLiver imaging (3D) A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7820526Liver imaging (3D) A 0.71 0.25 0.25 0.03 0.99 0.99 1XXX.00.00.0000000 36.7856 09 78206 Liver image (3d) with flow A 0.96 6.22 6.22 NA 0.13 7.31 7.31 1XXX.00.00.0000000 36.7856 09 78206TCLiver image (3d) with flow A 0.00 5.88 5.88 NA 0.09 5.97 5.97 1XXX.00.00.0000000 36.7856 01 7820626Liver image (3d) with flow A 0.96 0.34 0.34 0.04 1.34 1.34 1XXX.00.00.0000000 36.7856 09 78215 Liver and spleen imaging A 0.49 3.10 3.10 NA 0.14 3.73 3.73 1XXX.00.00.0000000 36.7856 09 78215TCLiver and spleen imaging A 0.00 2.93 2.93 NA 0.12 3.05 3.05 1XXX.00.00.0000000 36.7856 01 7821526Liver and spleen imaging A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 78216 Liver & spleen image/flow A 0.57 3.66 3.66 NA 0.17 4.40 4.40 1XXX.00.00.0000000 36.7856 09 78216TCLiver & spleen image/flow A 0.00 3.46 3.46 NA 0.15 3.61 3.61 1XXX.00.00.0000000 36.7856 01 7821626Liver & spleen image/flow A 0.57 0.20 0.20 0.02 0.79 0.79 1XXX.00.00.0000000 36.7856 09 78220 Liver function study A 0.49 3.87 3.87 NA 0.18 4.54 4.54 1XXX.00.00.0000000 36.7856 09 78220TCLiver function study A 0.00 3.70 3.70 NA 0.16 3.86 3.86 1XXX.00.00.0000000 36.7856 01 7822026Liver function study A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 78223 Hepatobiliary imaging A 0.84 3.94 3.94 NA 0.20 4.98 4.98 1XXX.00.00.0000000 36.7856 09 78223TCHepatobiliary imaging A 0.00 3.65 3.65 NA 0.16 3.81 3.81 1XXX.00.00.0000000 36.7856 01 7822326Hepatobiliary imaging A 0.84 0.29 0.29 0.04 1.17 1.17 1XXX.00.00.0000000 36.7856 09 78230 Salivary gland imaging A 0.45 2.32 2.32 NA 0.13 2.90 2.90 1XXX.00.00.0000000 36.7856 09 78230TCSalivary gland imaging A 0.00 2.17 2.17 NA 0.11 2.28 2.28 1XXX.00.00.0000000 36.7856 01 7823026Salivary gland imaging A 0.45 0.15 0.15 0.02 0.62 0.62 1XXX.00.00.0000000 36.7856 09 78231 Serial salivary imaging A 0.52 3.34 3.34 NA 0.16 4.02 4.02 1XXX.00.00.0000000 36.7856 09 78231TCSerial salivary imaging A 0.00 3.15 3.15 NA 0.14 3.29 3.29 1XXX.00.00.0000000 36.7856 01 7823126Serial salivary imaging A 0.52 0.19 0.19 0.02 0.73 0.73 1XXX.00.00.0000000 36.7856 09 78232 Salivary gland function exam A 0.47 3.69 3.69 NA 0.16 4.32 4.32 1XXX.00.00.0000000 36.7856 09 78232TCSalivary gland function exam A 0.00 3.52 3.52 NA 0.15 3.67 3.67 1XXX.00.00.0000000 36.7856 01 7823226Salivary gland function exam A 0.47 0.17 0.17 0.01 0.65 0.65 1XXX.00.00.0000000 36.7856 09 78258 Esophageal motility study A 0.74 3.13 3.13 NA 0.15 4.02 4.02 1XXX.00.00.0000000 36.7856 09 78258TCEsophageal motility study A 0.00 2.87 2.87 NA 0.12 2.99 2.99 1XXX.00.00.0000000 36.7856 01 7825826Esophageal motility study A 0.74 0.26 0.26 0.03 1.03 1.03 1XXX.00.00.0000000 36.7856 09 78261 Gastric mucosa imaging A 0.69 4.33 4.33 NA 0.21 5.23 5.23 1XXX.00.00.0000000 36.7856 09 78261TCGastric mucosa imaging A 0.00 4.08 4.08 NA 0.18 4.26 4.26 1XXX.00.00.0000000 36.7856 01 7826126Gastric mucosa imaging A 0.69 0.25 0.25 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 78262 Gastroesophageal reflux exam A 0.68 4.48 4.48 NA 0.21 5.37 5.37 1XXX.00.00.0000000 36.7856 09 78262TCGastroesophageal reflux exam A 0.00 4.24 4.24 NA 0.18 4.42 4.42 1XXX.00.00.0000000 36.7856 01 7826226Gastroesophageal reflux exam A 0.68 0.24 0.24 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 78264 Gastric emptying study A 0.78 4.38 4.38 NA 0.21 5.37 5.37 1XXX.00.00.0000000 36.7856 09 78264TCGastric emptying study A 0.00 4.11 4.11 NA 0.18 4.29 4.29 1XXX.00.00.0000000 36.7856 01 7826426Gastric emptying study A 0.78 0.27 0.27 0.03 1.08 1.08 1XXX.00.00.0000000 36.7856 09 78267 Breath tst attain/anal c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 78268 Breath test analysis, c-14 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 78270 Vit B-12 absorption exam A 0.20 1.61 1.61 NA 0.09 1.90 1.90 1XXX.00.00.0000000 36.7856 09 78270TCVit B-12 absorption exam A 0.00 1.54 1.54 NA 0.08 1.62 1.62 1XXX.00.00.0000000 36.7856 01 7827026Vit B-12 absorption exam A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 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 1XXX.00.00.0000000 36.7856 09 78271TCVit b-12 absrp exam, int fac A 0.00 1.63 1.63 NA 0.08 1.71 1.71 1XXX.00.00.0000000 36.7856 01 7827126Vit b-12 absrp exam, int fac A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 36.7856 09 78272 Vit B-12 absorp, combined A 0.27 2.41 2.41 NA 0.12 2.80 2.80 1XXX.00.00.0000000 36.7856 09 78272TCVit B-12 absorp, combined A 0.00 2.31 2.31 NA 0.11 2.42 2.42 1XXX.00.00.0000000 36.7856 01 7827226Vit B-12 absorp, combined A 0.27 0.10 0.10 0.01 0.38 0.38 1XXX.00.00.0000000 36.7856 09 78278 Acute GI blood loss imaging A 0.99 5.20 5.20 NA 0.25 6.44 6.44 1XXX.00.00.0000000 36.7856 09 78278TCAcute GI blood loss imaging A 0.00 4.86 4.86 NA 0.21 5.07 5.07 1XXX.00.00.0000000 36.7856 01 7827826Acute GI blood loss imaging A 0.99 0.34 0.34 0.04 1.37 1.37 1XXX.00.00.0000000 36.7856 09 78282 GI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78282TCGI protein loss exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 7828226GI protein loss exam A 0.38 0.14 0.14 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 09 78290 Meckel’s divert exam A 0.68 3.28 3.28 NA 0.16 4.12 4.12 1XXX.00.00.0000000 36.7856 09 78290TCMeckel’s divert exam A 0.00 3.04 3.04 NA 0.13 3.17 3.17 1XXX.00.00.0000000 36.7856 01 7829026Meckel’s divert exam A 0.68 0.24 0.24 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 78291 Leveen/shunt patency exam A 0.88 3.36 3.36 NA 0.17 4.41 4.41 1XXX.00.00.0000000 36.7856 09 78291TCLeveen/shunt patency exam A 0.00 3.05 3.05 NA 0.13 3.18 3.18 1XXX.00.00.0000000 36.7856 01 7829126Leveen/shunt patency exam A 0.88 0.31 0.31 0.04 1.23 1.23 1XXX.00.00.0000000 36.7856 09 78299 GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78299TCGI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7829926GI nuclear procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78300 Bone imaging, limited area A 0.62 2.69 2.69 NA 0.15 3.46 3.46 1XXX.00.00.0000000 36.7856 09 78300TCBone imaging, limited area A 0.00 2.48 2.48 NA 0.12 2.60 2.60 1XXX.00.00.0000000 36.7856 01 7830026Bone imaging, limited area A 0.62 0.21 0.21 0.03 0.86 0.86 1XXX.00.00.0000000 36.7856 09 78305 Bone imaging, multiple areas A 0.83 3.94 3.94 NA 0.19 4.96 4.96 1XXX.00.00.0000000 36.7856 09 78305TCBone imaging, multiple areas A 0.00 3.65 3.65 NA 0.16 3.81 3.81 1XXX.00.00.0000000 36.7856 01 7830526Bone imaging, multiple areas A 0.83 0.29 0.29 0.03 1.15 1.15 1XXX.00.00.0000000 36.7856 09 78306 Bone imaging, whole body A 0.86 4.56 4.56 NA 0.22 5.64 5.64 1XXX.00.00.0000000 36.7856 09 78306TCBone imaging, whole body A 0.00 4.26 4.26 NA 0.18 4.44 4.44 1XXX.00.00.0000000 36.7856 01 7830626Bone imaging, whole body A 0.86 0.30 0.30 0.04 1.20 1.20 1XXX.00.00.0000000 36.7856 09 78315 Bone imaging, 3 phase A 1.02 5.12 5.12 NA 0.25 6.39 6.39 1XXX.00.00.0000000 36.7856 09 78315TCBone imaging, 3 phase A 0.00 4.76 4.76 NA 0.21 4.97 4.97 1XXX.00.00.0000000 36.7856 01 7831526Bone imaging, 3 phase A 1.02 0.36 0.36 0.04 1.42 1.42 1XXX.00.00.0000000 36.7856 09 78320 Bone imaging (3D) A 1.04 6.25 6.25 NA 0.30 7.59 7.59 1XXX.00.00.0000000 36.7856 09 78320TCBone imaging (3D) A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7832026Bone imaging (3D) A 1.04 0.37 0.37 0.04 1.45 1.45 1XXX.00.00.0000000 36.7856 09 78350 Bone mineral, single photon A 0.22 0.83 0.83 NA 0.05 1.10 1.10 1XXX.00.00.0000000 36.7856 09 78350TCBone mineral, single photon A 0.00 0.75 0.75 NA 0.04 0.79 0.79 1XXX.00.00.0000000 36.7856 01 7835026Bone mineral, single photon A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0000000 36.7856 09 78351 Bone mineral, dual photon N+ 0.30 1.74 0.12 0.01 2.05 0.43 9XXX.00.00.0099999 36.7856 09 78399 Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78399TCMusculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7839926Musculoskeletal nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78414 Non-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78414TCNon-imaging heart function C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 7841426Non-imaging heart function A 0.45 0.16 0.16 0.02 0.63 0.63 1XXX.00.00.0000000 36.7856 09 78428 Cardiac shunt imaging A 0.78 2.54 2.54 NA 0.14 3.46 3.46 1XXX.00.00.0000000 36.7856 09 78428TCCardiac shunt imaging A 0.00 2.24 2.24 NA 0.11 2.35 2.35 1XXX.00.00.0000000 36.7856 01 7842826Cardiac shunt imaging A 0.78 0.30 0.30 0.03 1.11 1.11 1XXX.00.00.0000000 36.7856 09 78445 Vascular flow imaging A 0.49 2.03 2.03 NA 0.11 2.63 2.63 1XXX.00.00.0000000 36.7856 09 78445TCVascular flow imaging A 0.00 1.85 1.85 NA 0.09 1.94 1.94 1XXX.00.00.0000000 36.7856 01 7844526Vascular flow imaging A 0.49 0.18 0.18 0.02 0.69 0.69 1XXX.00.00.0000000 36.7856 09 78455 Venous thrombosis study A 0.73 4.23 4.23 NA 0.20 5.16 5.16 1XXX.00.00.0000000 36.7856 09 78455TCVenous thrombosis study A 0.00 3.97 3.97 NA 0.17 4.14 4.14 1XXX.00.00.0000000 36.7856 01 7845526Venous thrombosis study A 0.73 0.26 0.26 0.03 1.02 1.02 1XXX.00.00.0000000 36.7856 09 78456 Acute venous thrombus image A 1.00 4.33 4.33 NA 0.28 5.61 5.61 1XXX.00.00.0099999 36.7856 09 78456TCAcute venous thrombus image A 0.00 3.97 3.97 NA 0.24 4.21 4.21 1XXX.00.00.0099999 36.7856 09 7845626Acute venous thrombus image A 1.00 0.36 0.36 0.04 1.40 1.40 1XXX.00.00.0099999 36.7856 09 78457 Venous thrombosis imaging A 0.77 2.92 2.92 NA 0.15 3.84 3.84 1XXX.00.00.0000000 36.7856 09 78457TCVenous thrombosis imaging A 0.00 2.65 2.65 NA 0.12 2.77 2.77 1XXX.00.00.0000000 36.7856 01 7845726Venous thrombosis imaging A 0.77 0.27 0.27 0.03 1.07 1.07 1XXX.00.00.0000000 36.7856 09 78458 Ven thrombosis images, bilat A 0.90 4.33 4.33 NA 0.20 5.43 5.43 1XXX.00.00.0002000 36.7856 09 78458TCVen thrombosis images, bilat A 0.00 4.00 4.00 NA 0.17 4.17 4.17 1XXX.00.00.0002000 36.7856 01 7845826Ven thrombosis images, bilat A 0.90 0.33 0.33 0.03 1.26 1.26 1XXX.00.00.0002000 36.7856 09 78459 Heart muscle imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78459TCHeart muscle imaging (PET) C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 7845926Heart muscle imaging (PET) R 1.50 0.59 0.59 0.04 2.13 2.13 1XXX.00.00.0000000 36.7856 09 78460 Heart muscle blood, single A 0.86 2.65 2.65 NA 0.14 3.65 3.65 1XXX.00.00.0000000 36.7856 09 78460TCHeart muscle blood, single A 0.00 2.35 2.35 NA 0.11 2.46 2.46 1XXX.00.00.0000000 36.7856 01 7846026Heart muscle blood, single A 0.86 0.30 0.30 0.03 1.19 1.19 1XXX.00.00.0000000 36.7856 09 78461 Heart muscle blood, multiple A 1.23 5.15 5.15 NA 0.26 6.64 6.64 1XXX.00.00.0000000 36.7856 09 78461TCHeart muscle blood, multiple A 0.00 4.70 4.70 NA 0.21 4.91 4.91 1XXX.00.00.0000000 36.7856 01 7846126Heart muscle blood, multiple A 1.23 0.45 0.45 0.05 1.73 1.73 1XXX.00.00.0000000 36.7856 09 78464 Heart image (3d), single A 1.09 7.43 7.43 NA 0.35 8.87 8.87 1XXX.00.00.0000000 36.7856 09 78464TCHeart image (3d), single A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 01 7846426Heart image (3d), single A 1.09 0.39 0.39 0.04 1.52 1.52 1XXX.00.00.0000000 36.7856 09 78465 Heart image (3d), multiple A 1.46 12.28 12.28 NA 0.56 14.30 14.30 1XXX.00.00.0000000 36.7856 09 78465TCHeart image (3d), multiple A 0.00 11.74 11.74 NA 0.51 12.25 12.25 1XXX.00.00.0000000 36.7856 01 7846526Heart image (3d), multiple A 1.46 0.54 0.54 0.05 2.05 2.05 1XXX.00.00.0000000 36.7856 09 78466 Heart infarct image A 0.69 2.86 2.86 NA 0.15 3.70 3.70 1XXX.00.00.0000000 36.7856 09 78466TCHeart infarct image A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 01 7846626Heart infarct image A 0.69 0.25 0.25 0.03 0.97 0.97 1XXX.00.00.0000000 36.7856 09 78468 Heart infarct image (ef) A 0.80 3.93 3.93 NA 0.19 4.92 4.92 1XXX.00.00.0000000 36.7856 09 78468TCHeart infarct image (ef) A 0.00 3.65 3.65 NA 0.16 3.81 3.81 1XXX.00.00.0000000 36.7856 01 7846826Heart infarct image (ef) A 0.80 0.28 0.28 0.03 1.11 1.11 1XXX.00.00.0000000 36.7856 09 78469 Heart infarct image (3D) A 0.92 5.51 5.51 NA 0.26 6.69 6.69 1XXX.00.00.0000000 36.7856 09 78469TCHeart infarct image (3D) A 0.00 5.19 5.19 NA 0.23 5.42 5.42 1XXX.00.00.0000000 36.7856 01 7846926Heart infarct image (3D) A 0.92 0.32 0.32 0.03 1.27 1.27 1XXX.00.00.0000000 36.7856 09 78472 Gated heart, planar, single A 0.98 5.83 5.83 NA 0.29 7.10 7.10 1XXX.00.00.0000000 36.7856 09 78472TCGated heart, planar, single A 0.00 5.48 5.48 NA 0.25 5.73 5.73 1XXX.00.00.0000000 36.7856 01 7847226Gated heart, planar, single A 0.98 0.35 0.35 0.04 1.37 1.37 1XXX.00.00.0000000 36.7856 09 78473 Gated heart, multiple A 1.47 8.75 8.75 NA 0.40 10.62 10.62 1XXX.00.00.0000000 36.7856 09 78473TCGated heart, multiple A 0.00 8.22 8.22 NA 0.35 8.57 8.57 1XXX.00.00.0000000 36.7856 01 7847326Gated heart, multiple A 1.47 0.53 0.53 0.05 2.05 2.05 1XXX.00.00.0000000 36.7856 09 78478 Heart wall motion add-on A 0.62 1.78 1.78 NA 0.10 2.50 2.50 1XXX.00.00.0000000 36.7856 09 78478TCHeart wall motion add-on A 0.00 1.55 1.55 NA 0.08 1.63 1.63 1XXX.00.00.0000000 36.7856 01 7847826Heart wall motion add-on A 0.62 0.23 0.23 0.02 0.87 0.87 1XXX.00.00.0000000 36.7856 09 78480 Heart function add-on A 0.62 1.78 1.78 NA 0.10 2.50 2.50 1XXX.00.00.0000000 36.7856 09 78480TCHeart function add-on A 0.00 1.55 1.55 NA 0.08 1.63 1.63 1XXX.00.00.0000000 36.7856 01 7848026Heart function add-on A 0.62 0.23 0.23 0.02 0.87 0.87 1XXX.00.00.0000000 36.7856 09 78481 Heart first pass, single A 0.98 5.56 5.56 NA 0.26 6.80 6.80 1XXX.00.00.0000000 36.7856 09 78481TCHeart first pass, single A 0.00 5.19 5.19 NA 0.23 5.42 5.42 1XXX.00.00.0000000 36.7856 01 7848126Heart first pass, single A 0.98 0.37 0.37 0.03 1.38 1.38 1XXX.00.00.0000000 36.7856 09 78483 Heart first pass, multiple A 1.47 8.39 8.39 NA 0.39 10.25 10.25 1XXX.00.00.0000000 36.7856 09 78483TCHeart first pass, multiple A 0.00 7.83 7.83 NA 0.34 8.17 8.17 1XXX.00.00.0000000 36.7856 01 7848326Heart first pass, multiple A 1.47 0.56 0.56 0.05 2.08 2.08 1XXX.00.00.0000000 36.7856 09 78491 Heart image (pet), single I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 78491TCHeart image (pet), single I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 7849126Heart image (pet), single I+ 1.50 0.60 0.60 0.05 2.15 2.15 1XXX.00.00.0099999 36.7856 09 78492 Heart image (pet), multiple I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 78492TCHeart image (pet), multiple I 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 7849226Heart image (pet), multiple I+ 1.87 0.75 0.75 0.06 2.68 2.68 1XXX.00.00.0099999 36.7856 09 78494 Heart image, spect A 1.19 7.47 7.47 NA 0.29 8.95 8.95 1XXX.00.00.0000000 36.7856 09 78494TCHeart image, spect A 0.00 7.04 7.04 NA 0.25 7.29 7.29 1XXX.00.00.0000000 36.7856 01 7849426Heart image, spect A 1.19 0.43 0.43 0.04 1.66 1.66 1XXX.00.00.0000000 36.7856 09 78496 Heart first pass add-on A 0.50 7.23 7.23 NA 0.27 8.00 8.00 1ZZZ.00.00.0000000 36.7856 09 78496TCHeart first pass add-on A 0.00 7.04 7.04 NA 0.25 7.29 7.29 1ZZZ.00.00.0000000 36.7856 01 7849626Heart first pass add-on A 0.50 0.19 0.19 0.02 0.71 0.71 1ZZZ.00.00.0000000 36.7856 09 78499 Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78499TCCardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7849926Cardiovascular nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78580 Lung perfusion imaging A 0.74 3.67 3.67 NA 0.18 4.59 4.59 1XXX.00.00.0000000 36.7856 09 78580TCLung perfusion imaging A 0.00 3.41 3.41 NA 0.15 3.56 3.56 1XXX.00.00.0000000 36.7856 01 7858026Lung perfusion imaging A 0.74 0.26 0.26 0.03 1.03 1.03 1XXX.00.00.0000000 36.7856 09 78584 Lung V/Q image single breath A 0.99 3.52 3.52 NA 0.18 4.69 4.69 1XXX.00.00.0000000 36.7856 09 78584TCLung V/Q image single breath A 0.00 3.18 3.18 NA 0.14 3.32 3.32 1XXX.00.00.0000000 36.7856 01 7858426Lung V/Q image single breath A 0.99 0.34 0.34 0.04 1.37 1.37 1XXX.00.00.0000000 36.7856 09 78585 Lung V/Q imaging A 1.09 5.99 5.99 NA 0.30 7.38 7.38 1XXX.00.00.0000000 36.7856 09 78585TCLung V/Q imaging A 0.00 5.61 5.61 NA 0.25 5.86 5.86 1XXX.00.00.0000000 36.7856 01 7858526Lung V/Q imaging A 1.09 0.38 0.38 0.05 1.52 1.52 1XXX.00.00.0000000 36.7856 09 78586 Aerosol lung image, single A 0.40 2.72 2.72 NA 0.14 3.26 3.26 1XXX.00.00.0000000 36.7856 09 78586TCAerosol lung image, single A 0.00 2.58 2.58 NA 0.12 2.70 2.70 1XXX.00.00.0000000 36.7856 01 7858626Aerosol lung image, single A 0.40 0.14 0.14 0.02 0.56 0.56 1XXX.00.00.0000000 36.7856 09 78587 Aerosol lung image, multiple A 0.49 2.97 2.97 NA 0.14 3.60 3.60 1XXX.00.00.0000000 36.7856 09 78587TCAerosol lung image, multiple A 0.00 2.80 2.80 NA 0.12 2.92 2.92 1XXX.00.00.0000000 36.7856 01 7858726Aerosol lung image, multiple A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 78588 Perfusion lung image A 1.09 3.56 3.56 NA 0.20 4.85 4.85 1XXX.00.00.0000000 36.7856 09 78588TCPerfusion lung image A 0.00 3.18 3.18 NA 0.15 3.33 3.33 1XXX.00.00.0000000 36.7856 01 7858826Perfusion lung image A 1.09 0.38 0.38 0.05 1.52 1.52 1XXX.00.00.0000000 36.7856 09 78591 Vent image, 1 breath, 1 proj A 0.40 2.98 2.98 NA 0.14 3.52 3.52 1XXX.00.00.0000000 36.7856 09 78591TCVent image, 1 breath, 1 proj A 0.00 2.84 2.84 NA 0.12 2.96 2.96 1XXX.00.00.0000000 36.7856 01 7859126Vent image, 1 breath, 1 proj A 0.40 0.14 0.14 0.02 0.56 0.56 1XXX.00.00.0000000 36.7856 09 78593 Vent image, 1 proj, gas A 0.49 3.60 3.60 NA 0.17 4.26 4.26 1XXX.00.00.0000000 36.7856 09 78593TCVent image, 1 proj, gas A 0.00 3.43 3.43 NA 0.15 3.58 3.58 1XXX.00.00.0000000 36.7856 01 7859326Vent image, 1 proj, gas A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 78594 Vent image, mult proj, gas A 0.53 5.15 5.15 NA 0.23 5.91 5.91 1XXX.00.00.0000000 36.7856 09 78594TCVent image, mult proj, gas A 0.00 4.96 4.96 NA 0.21 5.17 5.17 1XXX.00.00.0000000 36.7856 01 7859426Vent image, mult proj, gas A 0.53 0.19 0.19 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 78596 Lung differential function A 1.27 7.48 7.48 NA 0.36 9.11 9.11 1XXX.00.00.0000000 36.7856 09 78596TCLung differential function A 0.00 7.04 7.04 NA 0.31 7.35 7.35 1XXX.00.00.0000000 36.7856 01 7859626Lung differential function A 1.27 0.44 0.44 0.05 1.76 1.76 1XXX.00.00.0000000 36.7856 09 78599 Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78599TCRespiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7859926Respiratory nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78600 Brain imaging, ltd static A 0.44 3.03 3.03 NA 0.14 3.61 3.61 1XXX.00.00.0000000 36.7856 09 78600TCBrain imaging, ltd static A 0.00 2.87 2.87 NA 0.12 2.99 2.99 1XXX.00.00.0000000 36.7856 01 7860026Brain imaging, ltd static A 0.44 0.16 0.16 0.02 0.62 0.62 1XXX.00.00.0000000 36.7856 09 78601 Brain imaging, ltd w/ flow A 0.51 3.57 3.57 NA 0.17 4.25 4.25 1XXX.00.00.0000000 36.7856 09 78601TCBrain imaging, ltd w/ flow A 0.00 3.39 3.39 NA 0.15 3.54 3.54 1XXX.00.00.0000000 36.7856 01 7860126Brain imaging, ltd w/ flow A 0.51 0.18 0.18 0.02 0.71 0.71 1XXX.00.00.0000000 36.7856 09 78605 Brain imaging, complete A 0.53 3.58 3.58 NA 0.17 4.28 4.28 1XXX.00.00.0000000 36.7856 09 78605TCBrain imaging, complete A 0.00 3.39 3.39 NA 0.15 3.54 3.54 1XXX.00.00.0000000 36.7856 01 7860526Brain imaging, complete A 0.53 0.19 0.19 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 78606 Brain imaging, compl w/flow A 0.64 4.07 4.07 NA 0.20 4.91 4.91 1XXX.00.00.0000000 36.7856 09 78606TCBrain imaging, compl w/flow A 0.00 3.85 3.85 NA 0.17 4.02 4.02 1XXX.00.00.0000000 36.7856 01 7860626Brain imaging, compl w/flow A 0.64 0.22 0.22 0.03 0.89 0.89 1XXX.00.00.0000000 36.7856 09 78607 Brain imaging (3D) A 1.23 6.98 6.98 NA 0.34 8.55 8.55 1XXX.00.00.0000000 36.7856 09 78607TCBrain imaging (3D) A 0.00 6.53 6.53 NA 0.29 6.82 6.82 1XXX.00.00.0000000 36.7856 01 7860726Brain imaging (3D) A 1.23 0.45 0.45 0.05 1.73 1.73 1XXX.00.00.0000000 36.7856 09 78608 Brain imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 78609 Brain imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 78610 Brain flow imaging only A 0.30 1.68 1.68 NA 0.09 2.07 2.07 1XXX.00.00.0000000 36.7856 09 78610TCBrain flow imaging only A 0.00 1.57 1.57 NA 0.08 1.65 1.65 1XXX.00.00.0000000 36.7856 01 7861026Brain flow imaging only A 0.30 0.11 0.11 0.01 0.42 0.42 1XXX.00.00.0000000 36.7856 09 78615 Cerebral vascular flow image A 0.42 3.99 3.99 NA 0.19 4.60 4.60 1XXX.00.00.0000000 36.7856 09 78615TCCerebral vascular flow image A 0.00 3.83 3.83 NA 0.17 4.00 4.00 1XXX.00.00.0000000 36.7856 01 7861526Cerebral vascular flow image A 0.42 0.16 0.16 0.02 0.60 0.60 1XXX.00.00.0000000 36.7856 09 78630 Cerebrospinal fluid scan A 0.68 5.26 5.26 NA 0.25 6.19 6.19 1XXX.00.00.0000000 36.7856 09 78630TCCerebrospinal fluid scan A 0.00 5.02 5.02 NA 0.22 5.24 5.24 1XXX.00.00.0000000 36.7856 01 7863026Cerebrospinal fluid scan A 0.68 0.24 0.24 0.03 0.95 0.95 1XXX.00.00.0000000 36.7856 09 78635 CSF ventriculography A 0.61 2.77 2.77 NA 0.14 3.52 3.52 1XXX.00.00.0000000 36.7856 09 78635TCCSF ventriculography A 0.00 2.53 2.53 NA 0.12 2.65 2.65 1XXX.00.00.0000000 36.7856 01 7863526CSF ventriculography A 0.61 0.24 0.24 0.02 0.87 0.87 1XXX.00.00.0000000 36.7856 09 78645 CSF shunt evaluation A 0.57 3.61 3.61 NA 0.17 4.35 4.35 1XXX.00.00.0000000 36.7856 09 78645TCCSF shunt evaluation A 0.00 3.41 3.41 NA 0.15 3.56 3.56 1XXX.00.00.0000000 36.7856 01 7864526CSF shunt evaluation A 0.57 0.20 0.20 0.02 0.79 0.79 1XXX.00.00.0000000 36.7856 09 78647 Cerebrospinal fluid scan A 0.90 6.21 6.21 NA 0.29 7.40 7.40 1XXX.00.00.0000000 36.7856 09 78647TCCerebrospinal fluid scan A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7864726Cerebrospinal fluid scan A 0.90 0.33 0.33 0.03 1.26 1.26 1XXX.00.00.0000000 36.7856 09 78650 CSF leakage imaging A 0.61 4.84 4.84 NA 0.22 5.67 5.67 1XXX.00.00.0000000 36.7856 09 78650TCCSF leakage imaging A 0.00 4.62 4.62 NA 0.20 4.82 4.82 1XXX.00.00.0000000 36.7856 01 7865026CSF leakage imaging A 0.61 0.22 0.22 0.02 0.85 0.85 1XXX.00.00.0000000 36.7856 09 78660 Nuclear exam of tear flow A 0.53 2.30 2.30 NA 0.12 2.95 2.95 1XXX.00.00.0000000 36.7856 09 78660TCNuclear exam of tear flow A 0.00 2.11 2.11 NA 0.10 2.21 2.21 1XXX.00.00.0000000 36.7856 01 7866026Nuclear exam of tear flow A 0.53 0.19 0.19 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 78699 Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78699TCNervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7869926Nervous system nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78700 Kidney imaging, static A 0.45 3.20 3.20 NA 0.15 3.80 3.80 1XXX.00.00.0000000 36.7856 09 78700TCKidney imaging, static A 0.00 3.04 3.04 NA 0.13 3.17 3.17 1XXX.00.00.0000000 36.7856 01 7870026Kidney imaging, static A 0.45 0.16 0.16 0.02 0.63 0.63 1XXX.00.00.0000000 36.7856 09 78701 Kidney imaging with flow A 0.49 3.71 3.71 NA 0.17 4.37 4.37 1XXX.00.00.0000000 36.7856 09 78701TCKidney imaging with flow A 0.00 3.54 3.54 NA 0.15 3.69 3.69 1XXX.00.00.0000000 36.7856 01 7870126Kidney imaging with flow A 0.49 0.17 0.17 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 78704 Imaging renogram A 0.74 4.20 4.20 NA 0.20 5.14 5.14 1XXX.00.00.0000000 36.7856 09 78704TCImaging renogram A 0.00 3.94 3.94 NA 0.17 4.11 4.11 1XXX.00.00.0000000 36.7856 01 7870426Imaging renogram A 0.74 0.26 0.26 0.03 1.03 1.03 1XXX.00.00.0000000 36.7856 09 78707 Kidney flow/function image A 0.96 4.79 4.79 NA 0.23 5.98 5.98 1XXX.00.00.0000000 36.7856 09 78707TCKidney flow/function image A 0.00 4.45 4.45 NA 0.19 4.64 4.64 1XXX.00.00.0000000 36.7856 01 7870726Kidney flow/function image A 0.96 0.34 0.34 0.04 1.34 1.34 1XXX.00.00.0000000 36.7856 09 78708 Kidney flow/function image A 1.21 4.88 4.88 NA 0.24 6.33 6.33 1XXX.00.00.0000000 36.7856 09 78708TCKidney flow/function image A 0.00 4.45 4.45 NA 0.19 4.64 4.64 1XXX.00.00.0000000 36.7856 01 7870826Kidney flow/function image A 1.21 0.43 0.43 0.05 1.69 1.69 1XXX.00.00.0000000 36.7856 09 78709 Kidney flow/function image A 1.41 4.94 4.94 NA 0.25 6.60 6.60 1XXX.00.00.0000000 36.7856 09 78709TCKidney flow/function image A 0.00 4.45 4.45 NA 0.19 4.64 4.64 1XXX.00.00.0000000 36.7856 01 7870926Kidney flow/function image A 1.41 0.49 0.49 0.06 1.96 1.96 1XXX.00.00.0000000 36.7856 09 78710 Kidney imaging (3D) A 0.66 6.11 6.11 NA 0.29 7.06 7.06 1XXX.00.00.0000000 36.7856 09 78710TCKidney imaging (3D) A 0.00 5.88 5.88 NA 0.26 6.14 6.14 1XXX.00.00.0000000 36.7856 01 7871026Kidney imaging (3D) A 0.66 0.23 0.23 0.03 0.92 0.92 1XXX.00.00.0000000 36.7856 09 78715 Renal vascular flow exam A 0.30 1.68 1.68 NA 0.09 2.07 2.07 1XXX.00.00.0000000 36.7856 09 78715TCRenal vascular flow exam A 0.00 1.57 1.57 NA 0.08 1.65 1.65 1XXX.00.00.0000000 36.7856 01 7871526Renal vascular flow exam A 0.30 0.11 0.11 0.01 0.42 0.42 1XXX.00.00.0000000 36.7856 09 78725 Kidney function study A 0.38 1.90 1.90 NA 0.10 2.38 2.38 1XXX.00.00.0000000 36.7856 09 78725TCKidney function study A 0.00 1.77 1.77 NA 0.09 1.86 1.86 1XXX.00.00.0000000 36.7856 01 7872526Kidney function study A 0.38 0.13 0.13 0.01 0.52 0.52 1XXX.00.00.0000000 36.7856 09 78730 Urinary bladder retention A 0.36 1.58 1.58 NA 0.09 2.03 2.03 1XXX.00.00.0000000 36.7856 09 78730TCUrinary bladder retention A 0.00 1.45 1.45 NA 0.07 1.52 1.52 1XXX.00.00.0000000 36.7856 01 7873026Urinary bladder retention A 0.36 0.13 0.13 0.02 0.51 0.51 1XXX.00.00.0000000 36.7856 09 78740 Ureteral reflux study A 0.57 2.30 2.30 NA 0.12 2.99 2.99 1XXX.00.00.0000000 36.7856 09 78740TCUreteral reflux study A 0.00 2.11 2.11 NA 0.10 2.21 2.21 1XXX.00.00.0000000 36.7856 01 7874026Ureteral reflux study A 0.57 0.19 0.19 0.02 0.78 0.78 1XXX.00.00.0000000 36.7856 09 78760 Testicular imaging A 0.66 2.90 2.90 NA 0.15 3.71 3.71 1XXX.00.00.0000000 36.7856 09 78760TCTesticular imaging A 0.00 2.67 2.67 NA 0.12 2.79 2.79 1XXX.00.00.0000000 36.7856 01 7876026Testicular imaging A 0.66 0.23 0.23 0.03 0.92 0.92 1XXX.00.00.0000000 36.7856 09 78761 Testicular imaging/flow A 0.71 3.43 3.43 NA 0.17 4.31 4.31 1XXX.00.00.0000000 36.7856 09 78761TCTesticular imaging/flow A 0.00 3.18 3.18 NA 0.14 3.32 3.32 1XXX.00.00.0000000 36.7856 01 7876126Testicular imaging/flow A 0.71 0.25 0.25 0.03 0.99 0.99 1XXX.00.00.0000000 36.7856 09 78799 Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78799TCGenitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7879926Genitourinary nuclear exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78800 Tumor imaging, limited area A 0.66 3.62 3.62 NA 0.18 4.46 4.46 1XXX.00.00.0000000 36.7856 09 78800TCTumor imaging, limited area A 0.00 3.39 3.39 NA 0.15 3.54 3.54 1XXX.00.00.0000000 36.7856 01 7880026Tumor imaging, limited area A 0.66 0.23 0.23 0.03 0.92 0.92 1XXX.00.00.0000000 36.7856 09 78801 Tumor imaging, mult areas A 0.79 4.49 4.49 NA 0.21 5.49 5.49 1XXX.00.00.0000000 36.7856 09 78801TCTumor imaging, mult areas A 0.00 4.21 4.21 NA 0.18 4.39 4.39 1XXX.00.00.0000000 36.7856 01 7880126Tumor imaging, mult areas A 0.79 0.28 0.28 0.03 1.10 1.10 1XXX.00.00.0000000 36.7856 09 78802 Tumor imaging, whole body A 0.86 5.81 5.81 NA 0.28 6.95 6.95 1XXX.00.00.0020000 36.7856 09 78802TCTumor imaging, whole body A 0.00 5.50 5.50 NA 0.25 5.75 5.75 1XXX.00.00.0020000 36.7856 01 7880226Tumor imaging, whole body A 0.86 0.31 0.31 0.03 1.20 1.20 1XXX.00.00.0020000 36.7856 09 78803 Tumor imaging (3D) A 1.09 6.93 6.93 NA 0.33 8.35 8.35 1XXX.00.00.0020000 36.7856 09 78803TCTumor imaging (3D) A 0.00 6.53 6.53 NA 0.29 6.82 6.82 1XXX.00.00.0020000 36.7856 01 7880326Tumor imaging (3D) A 1.09 0.40 0.40 0.04 1.53 1.53 1XXX.00.00.0020000 36.7856 09 78805 Abscess imaging, ltd area A 0.73 3.65 3.65 NA 0.18 4.56 4.56 1XXX.00.00.0000000 36.7856 09 78805TCAbscess imaging, ltd area A 0.00 3.39 3.39 NA 0.15 3.54 3.54 1XXX.00.00.0000000 36.7856 01 7880526Abscess imaging, ltd area A 0.73 0.26 0.26 0.03 1.02 1.02 1XXX.00.00.0000000 36.7856 09 78806 Abscess imaging, whole body A 0.86 6.71 6.71 NA 0.32 7.89 7.89 1XXX.00.00.0020000 36.7856 09 78806TCAbscess imaging, whole body A 0.00 6.40 6.40 NA 0.29 6.69 6.69 1XXX.00.00.0020000 36.7856 01 7880626Abscess imaging, whole body A 0.86 0.31 0.31 0.03 1.20 1.20 1XXX.00.00.0020000 36.7856 09 78807 Nuclear localization/abscess A 1.09 6.94 6.94 NA 0.33 8.36 8.36 1XXX.00.00.0020000 36.7856 09 78807TCNuclear localization/abscess A 0.00 6.53 6.53 NA 0.29 6.82 6.82 1XXX.00.00.0020000 36.7856 01 7880726Nuclear localization/abscess A 1.09 0.41 0.41 0.04 1.54 1.54 1XXX.00.00.0020000 36.7856 09 78810 Tumor imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 09 78810TCTumor imaging (PET) N 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0099999 36.7856 01 7881026Tumor imaging (PET) N+ 1.93 0.75 0.75 0.09 2.77 2.77 1XXX.00.00.0099999 36.7856 09 78890 Nuclear medicine data proc B+ 0.05 1.32 1.32 NA 0.06 1.43 1.43 1XXX.00.00.0099999 36.7856 09 78890TCNuclear medicine data proc B+ 0.00 1.30 1.30 NA 0.05 1.35 1.35 1XXX.00.00.0099999 36.7856 09 7889026Nuclear medicine data proc B+ 0.05 0.02 0.02 0.01 0.08 0.08 1XXX.00.00.0099999 36.7856 09 78891 Nuclear med data proc B+ 0.10 2.65 2.65 NA 0.12 2.87 2.87 1XXX.00.00.0099999 36.7856 09 78891TCNuclear med data proc B+ 0.00 2.61 2.61 NA 0.11 2.72 2.72 1XXX.00.00.0099999 36.7856 09 7889126Nuclear med data proc B+ 0.10 0.04 0.04 0.01 0.15 0.15 1XXX.00.00.0099999 36.7856 09 78990 Provide diag radionuclide(s) I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 01 78999 Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 78999TCNuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7899926Nuclear diagnostic exam C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 79000 Init hyperthyroid therapy A 1.80 3.24 3.24 NA 0.19 5.23 5.23 1XXX.00.00.0000000 36.7856 09 79000TCInit hyperthyroid therapy A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7900026Init hyperthyroid therapy A 1.80 0.63 0.63 0.07 2.50 2.50 1XXX.00.00.0000000 36.7856 09 79001 Repeat hyperthyroid therapy A 1.05 1.67 1.67 NA 0.10 2.82 2.82 1XXX.00.00.0000000 36.7856 09 79001TCRepeat hyperthyroid therapy A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 09 7900126Repeat hyperthyroid therapy A 1.05 0.37 0.37 0.04 1.46 1.46 1XXX.00.00.0000000 36.7856 09 79020 Thyroid ablation A 1.81 3.23 3.23 NA 0.19 5.23 5.23 1XXX.00.00.0000000 36.7856 09 79020TCThyroid ablation A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7902026Thyroid ablation A 1.81 0.62 0.62 0.07 2.50 2.50 1XXX.00.00.0000000 36.7856 09 79030 Thyroid ablation, carcinoma A 2.10 3.35 3.35 NA 0.20 5.65 5.65 1XXX.00.00.0000000 36.7856 09 79030TCThyroid ablation, carcinoma A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7903026Thyroid ablation, carcinoma A 2.10 0.74 0.74 0.08 2.92 2.92 1XXX.00.00.0000000 36.7856 09 79035 Thyroid metastatic therapy A 2.52 3.52 3.52 NA 0.21 6.25 6.25 1XXX.00.00.0000000 36.7856 09 79035TCThyroid metastatic therapy A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7903526Thyroid metastatic therapy A 2.52 0.91 0.91 0.09 3.52 3.52 1XXX.00.00.0000000 36.7856 09 79100 Hematopoetic nuclear therapy A 1.32 3.09 3.09 NA 0.17 4.58 4.58 1XXX.00.00.0000000 36.7856 09 79100TCHematopoetic nuclear therapy A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7910026Hematopoetic nuclear therapy A 1.32 0.48 0.48 0.05 1.85 1.85 1XXX.00.00.0000000 36.7856 09 79200 Intracavitary nuclear trmt A 1.99 3.33 3.33 NA 0.19 5.51 5.51 1XXX.00.00.0000000 36.7856 09 79200TCIntracavitary nuclear trmt A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7920026Intracavitary nuclear trmt A 1.99 0.72 0.72 0.07 2.78 2.78 1XXX.00.00.0000000 36.7856 09 79300 Interstitial nuclear therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 79300TCInterstitial nuclear therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7930026Interstitial nuclear therapy A 1.60 0.59 0.59 0.07 2.26 2.26 1XXX.00.00.0000000 36.7856 09 79400 Nonhemato nuclear therapy A 1.96 3.31 3.31 NA 0.20 5.47 5.47 1XXX.00.00.0000000 36.7856 09 79400TCNonhemato nuclear therapy A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7940026Nonhemato nuclear therapy A 1.96 0.70 0.70 0.08 2.74 2.74 1XXX.00.00.0000000 36.7856 09 79420 Intravascular nuclear ther C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 79420TCIntravascular nuclear ther C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7942026Intravascular nuclear ther A 1.51 0.52 0.52 0.06 2.09 2.09 1XXX.00.00.0000000 36.7856 09 79440 Nuclear joint therapy A 1.99 3.36 3.36 NA 0.20 5.55 5.55 1XXX.00.00.0000000 36.7856 09 79440TCNuclear joint therapy A 0.00 2.61 2.61 NA 0.12 2.73 2.73 1XXX.00.00.0000000 36.7856 09 7944026Nuclear joint therapy A 1.99 0.75 0.75 0.08 2.82 2.82 1XXX.00.00.0000000 36.7856 09 79900 Provide ther radiopharm(s) C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 36.7856 09 79999 Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 79999TCNuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 7999926Nuclear medicine therapy C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 80048 Basic metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80050 General health panel N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80051 Electrolyte panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80053 Comprehen metabolic panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80055 Obstetric panel I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80061 Lipid panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80069 Renal function panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80074 Acute hepatitis panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80076 Hepatic function panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80090 Torch antibody panel D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80100 Drug screen, qualitate/multi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80101 Drug screen, single X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80102 Drug confirmation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80103 Drug analysis, tissue prep X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80150 Assay of amikacin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80152 Assay of amitriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80154 Assay of benzodiazepines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80156 Assay, carbamazepine, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80157 Assay, carbamazepine, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80158 Assay of cyclosporine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80160 Assay of desipramine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80162 Assay of digoxin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80164 Assay, dipropylacetic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80166 Assay of doxepin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80168 Assay of ethosuximide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80170 Assay of gentamicin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80172 Assay of gold X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80173 Assay of haloperidol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80174 Assay of imipramine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80176 Assay of lidocaine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80178 Assay of lithium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80182 Assay of nortriptyline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80184 Assay of phenobarbital X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80185 Assay of phenytoin, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80186 Assay of phenytoin, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80188 Assay of primidone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80190 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80192 Assay of procainamide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80194 Assay of quinidine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80196 Assay of salicylate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80197 Assay of tacrolimus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80198 Assay of theophylline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80200 Assay of tobramycin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80201 Assay of topiramate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80202 Assay of vancomycin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80299 Quantitative assay, drug X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80400 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80402 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80406 Acth stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80408 Aldosterone suppression eval X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80410 Calcitonin stimul panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80412 CRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80414 Testosterone response X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80415 Estradiol response panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80416 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80417 Renin stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80418 Pituitary evaluation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80420 Dexamethasone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80422 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80424 Glucagon tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80426 Gonadotropin hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80428 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80430 Growth hormone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80432 Insulin suppression panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80434 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80435 Insulin tolerance panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80436 Metyrapone panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80438 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80439 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80440 TRH stimulation panel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 80500 Lab pathology consultation A 0.37 0.22 0.17 0.01 0.60 0.55 0XXX.00.00.0000000 36.7856 09 80502 Lab pathology consultation A 1.33 0.65 0.60 0.05 2.03 1.98 0XXX.00.00.0000000 36.7856 09 81000 Urinalysis, nonauto w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81001 Urinalysis, auto w/scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81002 Urinalysis nonauto w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81003 Urinalysis, auto, w/o scope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81005 Urinalysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81007 Urine screen for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81015 Microscopic exam of urine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81020 Urinalysis, glass test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81025 Urine pregnancy test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81050 Urinalysis, volume measure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 81099 Urinalysis test procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82000 Assay of blood acetaldehyde X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82003 Assay of acetaminophen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82009 Test for acetone/ketones X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82010 Acetone assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82013 Acetylcholinesterase assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82016 Acylcarnitines, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82017 Acylcarnitines, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82024 Assay of acth X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82030 Assay of adp & amp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82040 Assay of serum albumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82042 Assay of urine albumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82043 Microalbumin, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82044 Microalbumin, semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82055 Assay of ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82075 Assay of breath ethanol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82085 Assay of aldolase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82088 Assay of aldosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82101 Assay of urine alkaloids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82103 Alpha-1-antitrypsin, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82104 Alpha-1-antitrypsin, pheno X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82105 Alpha-fetoprotein, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82106 Alpha-fetoprotein, amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82108 Assay of aluminum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82120 Amines, vaginal fluid qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82127 Amino acid, single qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82128 Amino acids, mult qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82131 Amino acids, single quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82135 Assay, aminolevulinic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82136 Amino acids, quant, 2-5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82139 Amino acids, quan, 6 or more X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82140 Assay of ammonia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82143 Amniotic fluid scan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82145 Assay of amphetamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82150 Assay of amylase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82154 Androstanediol glucuronide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82157 Assay of androstenedione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82160 Assay of androsterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82163 Assay of angiotensin II X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82164 Angiotensin I enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82172 Assay of apolipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82175 Assay of arsenic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82180 Assay of ascorbic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82190 Atomic absorption X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82205 Assay of barbiturates X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82232 Assay of beta-2 protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82239 Bile acids, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82240 Bile acids, cholylglycine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82247 Bilirubin, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82248 Bilirubin, direct X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82252 Fecal bilirubin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82261 Assay of biotinidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82270 Test for blood, feces X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82273 Test for blood, other source X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82274 Assay test for blood, fecal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82286 Assay of bradykinin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82300 Assay of cadmium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82306 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82307 Assay of vitamin D X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82308 Assay of calcitonin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82310 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82330 Assay of calcium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82331 Calcium infusion test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82340 Assay of calcium in urine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82355 Calculus analysis, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82360 Calculus assay, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82365 Calculus spectroscopy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82370 X-ray assay, calculus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82373 Assay, c-d transfer measure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82374 Assay, blood carbon dioxide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82375 Assay, blood carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82376 Test for carbon monoxide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82378 Carcinoembryonic antigen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82379 Assay of carnitine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82380 Assay of carotene X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82382 Assay, urine catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82383 Assay, blood catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82384 Assay, three catecholamines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82387 Assay of cathepsin-d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82390 Assay of ceruloplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82397 Chemiluminescent assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82415 Assay of chloramphenicol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82435 Assay of blood chloride X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82436 Assay of urine chloride X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82438 Assay, other fluid chlorides X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82441 Test for chlorohydrocarbons X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82465 Assay, bld/serum cholesterol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82480 Assay, serum cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82482 Assay, rbc cholinesterase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82485 Assay, chondroitin sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82486 Gas/liquid chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82487 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82488 Paper chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82489 Thin layer chromatography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82491 Chromotography, quant, sing X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82492 Chromotography, quant, mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82495 Assay of chromium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82507 Assay of citrate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82520 Assay of cocaine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82523 Collagen crosslinks X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82525 Assay of copper X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82528 Assay of corticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82530 Cortisol, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82533 Total cortisol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82540 Assay of creatine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82541 Column chromotography, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82542 Column chromotography, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82543 Column chromotograph/isotope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82544 Column chromotograph/isotope X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82550 Assay of ck (cpk) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82552 Assay of cpk in blood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82553 Creatine, MB fraction X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82554 Creatine, isoforms X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82565 Assay of creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82570 Assay of urine creatinine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82575 Creatinine clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82585 Assay of cryofibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82595 Assay of cryoglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82600 Assay of cyanide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82607 Vitamin B-12 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82608 B-12 binding capacity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82615 Test for urine cystines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82626 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82627 Dehydroepiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82633 Desoxycorticosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82634 Deoxycortisol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82638 Assay of dibucaine number X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82646 Assay of dihydrocodeinone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82649 Assay of dihydromorphinone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82651 Assay of dihydrotestosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82652 Assay of dihydroxyvitamin d X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82654 Assay of dimethadione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82657 Enzyme cell activity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82658 Enzyme cell activity, ra X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82664 Electrophoretic test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82666 Assay of epiandrosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82668 Assay of erythropoietin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82670 Assay of estradiol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82671 Assay of estrogens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82672 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82677 Assay of estriol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82679 Assay of estrone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82690 Assay of ethchlorvynol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82693 Assay of ethylene glycol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82696 Assay of etiocholanolone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82705 Fats/lipids, feces, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82710 Fats/lipids, feces, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82715 Assay of fecal fat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82725 Assay of blood fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82726 Long chain fatty acids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82728 Assay of ferritin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82731 Assay of fetal fibronectin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82735 Assay of fluoride X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82742 Assay of flurazepam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82746 Blood folic acid serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82747 Assay of folic acid, rbc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82757 Assay of semen fructose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82759 Assay of rbc galactokinase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82760 Assay of galactose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82775 Assay galactose transferase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82776 Galactose transferase test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82784 Assay of gammaglobulin igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82785 Assay of gammaglobulin ige X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82787 Igg 1, 2, 3 or 4, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82800 Blood pH X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82803 Blood gases: pH, pO2 & pCO2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82805 Blood gases W/02 saturation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82810 Blood gases, O2 sat only X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82820 Hemoglobin-oxygen affinity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82926 Assay of gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82928 Assay of gastric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82938 Gastrin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82941 Assay of gastrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82943 Assay of glucagon X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82945 Glucose other fluid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82946 Glucagon tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82947 Assay, glucose, blood quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82948 Reagent strip/blood glucose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82950 Glucose test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82951 Glucose tolerance test (GTT) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82952 GTT-added samples X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82953 Glucose-tolbutamide test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82955 Assay of g6pd enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82960 Test for G6PD enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82962 Glucose blood test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82963 Assay of glucosidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82965 Assay of gdh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82975 Assay of glutamine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82977 Assay of GGT X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82978 Assay of glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82979 Assay, rbc glutathione X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82980 Assay of glutethimide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 82985 Glycated protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83001 Gonadotropin (FSH) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83002 Gonadotropin (LH) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83003 Assay, growth hormone (hgh) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83008 Assay of guanosine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83010 Assay of haptoglobin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83012 Assay of haptoglobins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83013 H pylori analysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83014 H pylori drug admin/collect X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83015 Heavy metal screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83018 Quantitative screen, metals X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83020 Hemoglobin electrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8302026Hemoglobin electrophoresis A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 36.7856 09 83021 Hemoglobin chromotography X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83026 Hemoglobin, copper sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83030 Fetal hemoglobin, chemical X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83033 Fetal hemoglobin assay, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83036 Glycated hemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83045 Blood methemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83050 Blood methemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83051 Assay of plasma hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83055 Blood sulfhemoglobin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83060 Blood sulfhemoglobin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83065 Assay of hemoglobin heat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83068 Hemoglobin stability screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83069 Assay of urine hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83070 Assay of hemosiderin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83071 Assay of hemosiderin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83080 Assay of b hexosaminidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83088 Assay of histamine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83090 Assay of homocystine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83150 Assay of for hva X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83491 Assay of corticosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83497 Assay of 5-hiaa X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83498 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83499 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83500 Assay, free hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83505 Assay, total hydroxyproline X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83516 Immunoassay, nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83518 Immunoassay, dipstick X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83519 Immunoassay, nonantibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83520 Immunoassay, RIA X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83525 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83527 Assay of insulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83528 Assay of intrinsic factor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83540 Assay of iron X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83550 Iron binding test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83570 Assay of idh enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83582 Assay of ketogenic steroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83586 Assay 17- ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83593 Fractionation, ketosteroids X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83605 Assay of lactic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83615 Lactate (LD) (LDH) enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83625 Assay of ldh enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83632 Placental lactogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83633 Test urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83634 Assay of urine for lactose X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83655 Assay of lead X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83661 L/s ratio, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83662 Foam stability, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83663 Fluoro polarize, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83664 Lamellar bdy, fetal lung X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83670 Assay of lap enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83690 Assay of lipase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83715 Assay of blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83716 Assay of blood lipoproteins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83718 Assay of lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83719 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83721 Assay of blood lipoprotein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83727 Assay of lrh hormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83735 Assay of magnesium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83775 Assay of md enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83785 Assay of manganese X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83788 Mass spectrometry qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83789 Mass spectrometry quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83805 Assay of meprobamate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83825 Assay of mercury X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83835 Assay of metanephrines X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83840 Assay of methadone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83857 Assay of methemalbumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83858 Assay of methsuximide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83864 Mucopolysaccharides X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83866 Mucopolysaccharides screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83872 Assay synovial fluid mucin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83873 Assay of csf protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83874 Assay of myoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83880 Natriuretic peptide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83883 Assay, nephelometry not spec X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83885 Assay of nickel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83887 Assay of nicotine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83890 Molecule isolate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83891 Molecule isolate nucleic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83892 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83893 Molecule dot/slot/blot X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83894 Molecule gel electrophor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83896 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83897 Molecule nucleic transfer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83898 Molecule nucleic ampli X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83901 Molecule nucleic ampli X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83902 Molecular diagnostics X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83903 Molecule mutation scan X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83904 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83905 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83906 Molecule mutation identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83912 Genetic examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8391226Genetic examination A 0.37 0.15 0.15 0.01 0.53 0.53 6XXX.00.00.0000000 36.7856 09 83915 Assay of nucleotidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83916 Oligoclonal bands X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83918 Organic acids, total, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83919 Organic acids, qual, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83921 Organic acid, single, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83925 Assay of opiates X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83930 Assay of blood osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83935 Assay of urine osmolality X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83937 Assay of osteocalcin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83945 Assay of oxalate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83950 Oncoprotein, her-2/neu X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83970 Assay of parathormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83986 Assay of body fluid acidity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 83992 Assay for phencyclidine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84022 Assay of phenothiazine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84030 Assay of blood pku X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84035 Assay of phenylketones X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84060 Assay acid phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84061 Phosphatase, forensic exam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84066 Assay prostate phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84075 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84078 Assay alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84080 Assay alkaline phosphatases X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84081 Amniotic fluid enzyme test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84085 Assay of rbc pg6d enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84087 Assay phosphohexose enzymes X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84100 Assay of phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84105 Assay of urine phosphorus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84106 Test for porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84110 Assay of porphobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84119 Test urine for porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84120 Assay of urine porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84126 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84127 Assay of feces porphyrins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84132 Assay of serum potassium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84133 Assay of urine potassium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84134 Assay of prealbumin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84135 Assay of pregnanediol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84138 Assay of pregnanetriol X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84140 Assay of pregnenolone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84143 Assay of 17-hydroxypregneno X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84144 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84146 Assay of prolactin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84150 Assay of prostaglandin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84152 Assay of psa, complexed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84153 Assay of psa, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84154 Assay of psa, free X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84155 Assay of protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84160 Assay of serum protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84165 Assay of serum proteins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8416526Assay of serum proteins A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 36.7856 09 84181 Western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8418126Western blot test A 0.37 0.14 0.14 0.01 0.52 0.52 6XXX.00.00.0000000 36.7856 09 84182 Protein, western blot test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8418226Protein, western blot test A 0.37 0.17 0.17 0.01 0.55 0.55 6XXX.00.00.0000000 36.7856 09 84202 Assay RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84203 Test RBC protoporphyrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84206 Assay of proinsulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84207 Assay of vitamin b-6 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84210 Assay of pyruvate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84220 Assay of pyruvate kinase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84228 Assay of quinine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84233 Assay of estrogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84234 Assay of progesterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84235 Assay of endocrine hormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84238 Assay, nonendocrine receptor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84244 Assay of renin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84252 Assay of vitamin b-2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84255 Assay of selenium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84260 Assay of serotonin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84270 Assay of sex hormone globul X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84275 Assay of sialic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84285 Assay of silica X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84295 Assay of serum sodium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84300 Assay of urine sodium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84302 Assay of sweat sodium X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84305 Assay of somatomedin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84307 Assay of somatostatin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84311 Spectrophotometry X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84315 Body fluid specific gravity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84375 Chromatogram assay, sugars X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84376 Sugars, single, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84377 Sugars, multiple, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84378 Sugars single quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84379 Sugars multiple quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84392 Assay of urine sulfate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84402 Assay of testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84403 Assay of total testosterone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84425 Assay of vitamin b-1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84430 Assay of thiocyanate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84432 Assay of thyroglobulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84436 Assay of total thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84437 Assay of neonatal thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84439 Assay of free thyroxine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84442 Assay of thyroid activity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84443 Assay thyroid stim hormone X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84445 Assay of tsi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84446 Assay of vitamin e X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84449 Assay of transcortin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84450 Transferase (AST) (SGOT) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84460 Alanine amino (ALT) (SGPT) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84466 Assay of transferrin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84478 Assay of triglycerides X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84479 Assay of thyroid (t3 or t4) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84480 Assay, triiodothyronine (t3) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84481 Free assay (FT-3) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84482 T3 reverse X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84484 Assay of troponin, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84485 Assay duodenal fluid trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84488 Test feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84490 Assay of feces for trypsin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84510 Assay of tyrosine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84512 Assay of troponin, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84520 Assay of urea nitrogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84525 Urea nitrogen semi-quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84540 Assay of urine/urea-n X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84545 Urea-N clearance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84550 Assay of blood/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84560 Assay of urine/uric acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84577 Assay of feces/urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84578 Test urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84580 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84583 Assay of urine urobilinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84585 Assay of urine vma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84586 Assay of vip X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84588 Assay of vasopressin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84590 Assay of vitamin a X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84591 Assay of nos vitamin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84597 Assay of vitamin k X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84600 Assay of volatiles X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84620 Xylose tolerance test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84630 Assay of zinc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84681 Assay of c-peptide X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84702 Chorionic gonadotropin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84703 Chorionic gonadotropin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84830 Ovulation tests X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 84999 Clinical chemistry test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85002 Bleeding time test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85004 Automated diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85007 Bl smear w/diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85008 Bl smear w/o diff wbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85009 Manual diff wbc count b-coat X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85013 Spun microhematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85014 Hematocrit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85018 Hemoglobin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85021 Automated hemogram D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85022 Automated hemogram D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85023 Automated hemogram D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85024 Automated hemogram D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85025 Complete cbc w/auto diff wbc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85027 Complete cbc, automated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85031 Manual hemogram, cbc D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85032 Manual cell count, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85041 Automated rbc count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85044 Manual reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85045 Automated reticulocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85046 Reticyte/hgb concentrate X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85048 Automated leukocyte count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85049 Automated platelet count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85060 Blood smear interpretation A 0.45 0.19 0.19 0.02 0.66 0.66 8XXX.00.00.0000000 36.7856 09 85097 Bone marrow interpretation A 0.94 1.81 0.41 0.03 2.78 1.38 0XXX.00.00.0000000 36.7856 09 85130 Chromogenic substrate assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85170 Blood clot retraction X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85175 Blood clot lysis time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85210 Blood clot factor II test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85220 Blood clot factor V test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85230 Blood clot factor VII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85240 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85244 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85245 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85246 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85247 Blood clot factor VIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85250 Blood clot factor IX test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85260 Blood clot factor X test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85270 Blood clot factor XI test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85280 Blood clot factor XII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85290 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85291 Blood clot factor XIII test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85292 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85293 Blood clot factor assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85300 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85301 Antithrombin III test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85302 Blood clot inhibitor antigen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85303 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85305 Blood clot inhibitor assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85306 Blood clot inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85307 Assay activated protein c X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85335 Factor inhibitor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85337 Thrombomodulin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85345 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85347 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85348 Coagulation time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85360 Euglobulin lysis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85362 Fibrin degradation products X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85366 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85370 Fibrinogen test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85378 Fibrin degrade, semiquant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85379 Fibrin degradation, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85380 Fibrin degradation, vte X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85384 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85385 Fibrinogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85390 Fibrinolysins screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8539026Fibrinolysins screen A 0.37 0.13 0.13 0.01 0.51 0.51 6XXX.00.00.0000000 36.7856 09 85400 Fibrinolytic plasmin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85410 Fibrinolytic antiplasmin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85415 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85420 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85421 Fibrinolytic plasminogen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85441 Heinz bodies, direct X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85445 Heinz bodies, induced X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85460 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85461 Hemoglobin, fetal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85475 Hemolysin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85520 Heparin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85525 Heparin neutralization X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85530 Heparin-protamine tolerance X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85536 Iron stain peripheral blood X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85540 Wbc alkaline phosphatase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85547 RBC mechanical fragility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85549 Muramidase X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85555 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85557 RBC osmotic fragility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85576 Blood platelet aggregation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8557626Blood platelet aggregation A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 36.7856 09 85585 Blood platelet estimation D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85590 Platelet count, manual D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85595 Platelet count, automated D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85597 Platelet neutralization X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85610 Prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85611 Prothrombin test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85612 Viper venom prothrombin time X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85613 Russell viper venom, diluted X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85635 Reptilase test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85651 Rbc sed rate, nonautomated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85652 Rbc sed rate, automated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85660 RBC sickle cell test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85670 Thrombin time, plasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85675 Thrombin time, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85705 Thromboplastin inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85730 Thromboplastin time, partial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85732 Thromboplastin time, partial X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85810 Blood viscosity examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 85999 Hematology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86000 Agglutinins, febrile X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86001 Allergen specific igg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86003 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86005 Allergen specific IgE X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86021 WBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86022 Platelet antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86023 Immunoglobulin assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86038 Antinuclear antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86039 Antinuclear antibodies (ANA) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86060 Antistreptolysin o, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86063 Antistreptolysin o, screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86077 Physician blood bank service A 0.94 0.47 0.42 0.03 1.44 1.39 0XXX.00.00.0000000 36.7856 09 86078 Physician blood bank service A 0.94 0.51 0.42 0.03 1.48 1.39 0XXX.00.00.0000000 36.7856 09 86079 Physician blood bank service A 0.94 0.50 0.42 0.03 1.47 1.39 0XXX.00.00.0000000 36.7856 09 86140 C-reactive protein X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86141 C-reactive protein, hs X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86146 Glycoprotein antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86147 Cardiolipin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86148 Phospholipid antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86155 Chemotaxis assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86156 Cold agglutinin, screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86157 Cold agglutinin, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86160 Complement, antigen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86161 Complement/function activity X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86162 Complement, total (CH50) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86171 Complement fixation, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86185 Counterimmunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86215 Deoxyribonuclease, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86225 DNA antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86226 DNA antibody, single strand X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86235 Nuclear antigen antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86243 Fc receptor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86255 Fluorescent antibody, screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8625526Fluorescent antibody, screen A 0.37 0.17 0.17 0.01 0.55 0.55 6XXX.00.00.0000000 36.7856 09 86256 Fluorescent antibody, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8625626Fluorescent antibody, titer A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 36.7856 09 86277 Growth hormone antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86280 Hemagglutination inhibition X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86294 Immunoassay, tumor qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86300 Immunoassay, tumor ca 15-3 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86301 Immunoassay, tumor ca 19-9 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86304 Immunoassay, tumor, ca 125 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86308 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86309 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86310 Heterophile antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86316 Immunoassay, tumor other X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86317 Immunoassay,infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86318 Immunoassay,infectious agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86320 Serum immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8632026Serum immunoelectrophoresis A 0.37 0.17 0.16 0.01 0.55 0.54 6XXX.00.00.0000000 36.7856 09 86325 Other immunoelectrophoresis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8632526Other immunoelectrophoresis A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 36.7856 09 86327 Immunoelectrophoresis assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8632726Immunoelectrophoresis assay A 0.42 0.19 0.19 0.01 0.62 0.62 6XXX.00.00.0000000 36.7856 09 86329 Immunodiffusion X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86331 Immunodiffusion ouchterlony X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86332 Immune complex assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86334 Immunofixation procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8633426Immunofixation procedure A 0.37 0.16 0.16 0.01 0.54 0.54 6XXX.00.00.0000000 36.7856 09 86336 Inhibin A X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86337 Insulin antibodies X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86340 Intrinsic factor antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86341 Islet cell antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86343 Leukocyte histamine release X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86344 Leukocyte phagocytosis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86353 Lymphocyte transformation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86359 T cells, total count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86360 T cell, absolute count/ratio X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86361 T cell, absolute count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86376 Microsomal antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86378 Migration inhibitory factor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86382 Neutralization test, viral X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86384 Nitroblue tetrazolium dye X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86403 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86406 Particle agglutination test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86430 Rheumatoid factor test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86431 Rheumatoid factor, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86485 Skin test, candida C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 36.7856 09 86490 Coccidioidomycosis skin test A 0.00 0.29 0.29 NA 0.02 0.31 0.31 3XXX.00.00.0000000 36.7856 09 86510 Histoplasmosis skin test A 0.00 0.32 0.32 NA 0.02 0.34 0.34 3XXX.00.00.0000000 36.7856 09 86580 TB intradermal test A 0.00 0.25 0.25 NA 0.02 0.27 0.27 3XXX.00.00.0000000 36.7856 09 86585 TB tine test A 0.00 0.20 0.20 NA 0.01 0.21 0.21 3XXX.00.00.0000000 36.7856 09 86586 Skin test, unlisted C 0.00 0.00 0.00 0.00 0.00 0.00 3XXX.00.00.0000000 36.7856 09 86590 Streptokinase, antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86592 Blood serology, qualitative X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86593 Blood serology, quantitative X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86602 Antinomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86603 Adenovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86606 Aspergillus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86609 Bacterium antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86611 Bartonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86612 Blastomyces antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86615 Bordetella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86617 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86618 Lyme disease antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86619 Borrelia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86622 Brucella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86625 Campylobacter antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86628 Candida antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86631 Chlamydia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86632 Chlamydia igm antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86635 Coccidioides antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86638 Q fever antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86641 Cryptococcus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86644 CMV antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86645 CMV antibody, IgM X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86648 Diphtheria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86651 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86652 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86653 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86654 Encephalitis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86658 Enterovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86663 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86664 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86665 Epstein-barr antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86666 Ehrlichia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86668 Francisella tularensis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86671 Fungus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86674 Giardia lamblia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86677 Helicobacter pylori X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86682 Helminth antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86684 Hemophilus influenza X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86687 Htlv-i antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86688 Htlv-ii antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86689 HTLV/HIV confirmatory test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86692 Hepatitis, delta agent X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86694 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86695 Herpes simplex test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86696 Herpes simplex type 2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86698 Histoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86701 HIV-1 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86702 HIV-2 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86703 HIV-1/HIV-2, single assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86704 Hep b core antibody, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86705 Hep b core antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86706 Hep b surface antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86707 Hep be antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86708 Hep a antibody, total X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86709 Hep a antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86710 Influenza virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86713 Legionella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86717 Leishmania antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86720 Leptospira antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86723 Listeria monocytogenes ab X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86727 Lymph choriomeningitis ab X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86729 Lympho venereum antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86732 Mucormycosis antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86735 Mumps antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86738 Mycoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86741 Neisseria meningitidis X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86744 Nocardia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86747 Parvovirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86750 Malaria antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86753 Protozoa antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86756 Respiratory virus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86757 Rickettsia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86759 Rotavirus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86762 Rubella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86765 Rubeola antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86768 Salmonella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86771 Shigella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86774 Tetanus antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86777 Toxoplasma antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86778 Toxoplasma antibody, igm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86781 Treponema pallidum, confirm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86784 Trichinella antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86787 Varicella-zoster antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86790 Virus antibody nos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86793 Yersinia antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86800 Thyroglobulin antibody X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86803 Hepatitis c ab test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86804 Hep c ab test, confirm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86805 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86806 Lymphocytotoxicity assay X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86807 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86808 Cytotoxic antibody screening X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86812 HLA typing, A, B, or C X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86813 HLA typing, A, B, or C X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86816 HLA typing, DR/DQ X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86817 HLA typing, DR/DQ X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86821 Lymphocyte culture, mixed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86822 Lymphocyte culture, primed X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86849 Immunology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86850 RBC antibody screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86860 RBC antibody elution X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86870 RBC antibody identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86880 Coombs test, direct X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86885 Coombs test, indirect, qual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86886 Coombs test, indirect, titer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86890 Autologous blood process X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86891 Autologous blood, op salvage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86900 Blood typing, ABO X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86901 Blood typing, Rh (D) X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86903 Blood typing, antigen screen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86904 Blood typing, patient serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86905 Blood typing, RBC antigens X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86906 Blood typing, Rh phenotype X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86910 Blood typing, paternity test N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86911 Blood typing, antigen system N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86915 Bone marrow/stem cell prep D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86920 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86921 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86922 Compatibility test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86927 Plasma, fresh frozen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86930 Frozen blood prep X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86931 Frozen blood thaw X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86932 Frozen blood freeze/thaw X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86940 Hemolysins/agglutinins, auto X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86941 Hemolysins/agglutinins X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86945 Blood product/irradiation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86950 Leukacyte transfusion X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86965 Pooling blood platelets X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86970 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86971 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86972 RBC pretreatment X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86975 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86976 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86977 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86978 RBC pretreatment, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86985 Split blood or products X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 86999 Transfusion procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87001 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87003 Small animal inoculation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87015 Specimen concentration X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87040 Blood culture for bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87045 Feces culture, bacteria X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87046 Stool cultr, bacteria, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87070 Culture, bacteria, other X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87071 Culture bacteri aerobic othr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87073 Culture bacteria anaerobic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87075 Culture bacteria anaerobic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87076 Culture anaerobe ident, each X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87077 Culture aerobic identify X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87081 Culture screen only X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87084 Culture of specimen by kit X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87086 Urine culture/colony count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87088 Urine bacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87101 Skin fungi culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87102 Fungus isolation culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87103 Blood fungus culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87106 Fungi identification, yeast X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87107 Fungi identification, mold X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87109 Mycoplasma X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87110 Chlamydia culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87116 Mycobacteria culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87118 Mycobacteric identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87140 Culture type immunofluoresc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87143 Culture typing, glc/hplc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87147 Culture type, immunologic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87149 Culture type, nucleic acid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87152 Culture type pulse field gel X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87158 Culture typing, added method X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87164 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8716426Dark field examination A 0.37 0.12 0.12 0.01 0.50 0.50 6XXX.00.00.0000000 36.7856 09 87166 Dark field examination X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87168 Macroscopic exam arthropod X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87169 Macroscopic exam parasite X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87172 Pinworm exam X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87176 Tissue homogenization, cultr X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87177 Ova and parasites smears X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87181 Microbe susceptible, diffuse X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87184 Microbe susceptible, disk X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87185 Microbe susceptible, enzyme X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87186 Microbe susceptible, mic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87187 Microbe susceptible, mlc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87188 Microbe suscept, macrobroth X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87190 Microbe suscept, mycobacteri X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87197 Bactericidal level, serum X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87198 Cytomegalovirus antibody dfa D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87199 Enterovirus antibody, dfa D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87205 Smear, gram stain X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87206 Smear, fluorescent/acid stai X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87207 Smear, special stain X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8720726Smear, special stain A 0.37 0.17 0.17 0.01 0.55 0.55 6XXX.00.00.0000000 36.7856 09 87210 Smear, wet mount, saline/ink X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87220 Tissue exam for fungi X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87230 Assay, toxin or antitoxin X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87250 Virus inoculate, eggs/animal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87252 Virus inoculation, tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87253 Virus inoculate tissue, addl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87254 Virus inoculation, shell via X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87255 Genet virus isolate, hsv X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87260 Adenovirus ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87265 Pertussis ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87267 Enterovirus antibody, dfa X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87270 Chlamydia trachomatis ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87271 Cytomegalovirus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87272 Cryptosporidum/gardia ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87273 Herpes simplex 2, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87274 Herpes simplex 1, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87275 Influenza b, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87276 Influenza a, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87277 Legionella micdadei, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87278 Legion pneumophilia ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87279 Parainfluenza, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87280 Respiratory syncytial ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87281 Pneumocystis carinii, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87283 Rubeola, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87285 Treponema pallidum, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87290 Varicella zoster, ag, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87299 Antibody detection, nos, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87300 Ag detection, polyval, if X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87301 Adenovirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87320 Chylmd trach ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87324 Clostridium ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87327 Cryptococcus neoform ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87328 Cryptospor ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87332 Cytomegalovirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87335 E coli 0157 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87336 Entamoeb hist dispr, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87337 Entamoeb hist group, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87338 Hpylori, stool, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87339 H pylori ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87340 Hepatitis b surface ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87341 Hepatitis b surface, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87350 Hepatitis be ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87380 Hepatitis delta ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87385 Histoplasma capsul ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87390 Hiv-1 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87391 Hiv-2 ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87400 Influenza a/b, ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87420 Resp syncytial ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87425 Rotavirus ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87427 Shiga-like toxin ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87430 Strep a ag, eia X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87449 Ag detect nos, eia, mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87450 Ag detect nos, eia, single X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87451 Ag detect polyval, eia, mult X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87470 Bartonella, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87471 Bartonella, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87472 Bartonella, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87475 Lyme dis, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87476 Lyme dis, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87477 Lyme dis, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87480 Candida, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87481 Candida, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87482 Candida, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87485 Chylmd pneum, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87486 Chylmd pneum, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87487 Chylmd pneum, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87490 Chylmd trach, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87491 Chylmd trach, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87492 Chylmd trach, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87495 Cytomeg, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87496 Cytomeg, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87497 Cytomeg, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87510 Gardner vag, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87511 Gardner vag, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87512 Gardner vag, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87515 Hepatitis b, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87516 Hepatitis b, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87517 Hepatitis b, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87520 Hepatitis c, rna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87521 Hepatitis c, rna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87522 Hepatitis c, rna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87525 Hepatitis g, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87526 Hepatitis g, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87527 Hepatitis g, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87528 Hsv, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87529 Hsv, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87530 Hsv, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87531 Hhv-6, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87532 Hhv-6, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87533 Hhv-6, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87534 Hiv-1, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87535 Hiv-1, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87536 Hiv-1, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87537 Hiv-2, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87538 Hiv-2, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87539 Hiv-2, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87540 Legion pneumo, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87541 Legion pneumo, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87542 Legion pneumo, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87550 Mycobacteria, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87551 Mycobacteria, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87552 Mycobacteria, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87555 M.tuberculo, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87556 M.tuberculo, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87557 M.tuberculo, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87560 M.avium-intra, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87561 M.avium-intra, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87562 M.avium-intra, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87580 M.pneumon, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87581 M.pneumon, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87582 M.pneumon, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87590 N.gonorrhoeae, dna, dir prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87591 N.gonorrhoeae, dna, amp prob X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87592 N.gonorrhoeae, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87620 Hpv, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87621 Hpv, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87622 Hpv, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87650 Strep a, dna, dir probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87651 Strep a, dna, amp probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87652 Strep a, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87797 Detect agent nos, dna, dir X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87798 Detect agent nos, dna, amp X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87799 Detect agent nos, dna, quant X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87800 Detect agnt mult, dna, direc X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87801 Detect agnt mult, dna, ampli X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87802 Strep b assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87803 Clostridium toxin a w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87804 Influenza assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87810 Chylmd trach assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87850 N. gonorrhoeae assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87880 Strep a assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87899 Agent nos assay w/optic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87901 Genotype, dna, hiv reverse t X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87902 Genotype, dna, hepatitis C X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87903 Phenotype, dna hiv w/culture X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87904 Phenotype, dna hiv w/clt add X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 87999 Microbiology procedure X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88000 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88005 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88007 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88012 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88014 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88016 Autopsy (necropsy), gross N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88020 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88025 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88027 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88028 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88029 Autopsy (necropsy), complete N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88036 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88037 Limited autopsy N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88040 Forensic autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88045 Coroner’s autopsy (necropsy) N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88099 Necropsy (autopsy) procedure N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88104 Cytopathology, fluids A 0.56 0.79 0.79 NA 0.04 1.39 1.39 1XXX.00.00.0000000 36.7856 09 88104TCCytopathology, fluids A 0.00 0.54 0.54 NA 0.02 0.56 0.56 1XXX.00.00.0000000 36.7856 09 8810426Cytopathology, fluids A 0.56 0.25 0.25 0.02 0.83 0.83 1XXX.00.00.0000000 36.7856 09 88106 Cytopathology, fluids A 0.56 0.62 0.62 NA 0.04 1.22 1.22 1XXX.00.00.0000000 36.7856 09 88106TCCytopathology, fluids A 0.00 0.37 0.37 NA 0.02 0.39 0.39 1XXX.00.00.0000000 36.7856 09 8810626Cytopathology, fluids A 0.56 0.25 0.25 0.02 0.83 0.83 1XXX.00.00.0000000 36.7856 09 88107 Cytopathology, fluids A 0.76 1.00 1.00 NA 0.05 1.81 1.81 1XXX.00.00.0000000 36.7856 09 88107TCCytopathology, fluids A 0.00 0.66 0.66 NA 0.02 0.68 0.68 1XXX.00.00.0000000 36.7856 09 8810726Cytopathology, fluids A 0.76 0.34 0.34 0.03 1.13 1.13 1XXX.00.00.0000000 36.7856 09 88108 Cytopath, concentrate tech A 0.56 0.83 0.83 NA 0.04 1.43 1.43 1XXX.00.00.0000000 36.7856 09 88108TCCytopath, concentrate tech A 0.00 0.58 0.58 NA 0.02 0.60 0.60 1XXX.00.00.0000000 36.7856 09 8810826Cytopath, concentrate tech A 0.56 0.25 0.25 0.02 0.83 0.83 1XXX.00.00.0000000 36.7856 09 88125 Forensic cytopathology A 0.26 0.30 0.30 NA 0.02 0.58 0.58 1XXX.00.00.0000000 36.7856 09 88125TCForensic cytopathology A 0.00 0.18 0.18 NA 0.01 0.19 0.19 1XXX.00.00.0000000 36.7856 09 8812526Forensic cytopathology A 0.26 0.12 0.12 0.01 0.39 0.39 1XXX.00.00.0000000 36.7856 09 88130 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88140 Sex chromatin identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88141 Cytopath, c/v, interpret A 0.42 0.19 0.19 0.01 0.62 0.62 2XXX.00.00.0000000 36.7856 09 88142 Cytopath, c/v, thin layer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88143 Cytopath c/v thin layer redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88144 Cytopath, c/v, thin lyr redo D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88145 Cytopath, c/v, thin lyr sel D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88147 Cytopath, c/v, automated X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88148 Cytopath, c/v, auto rescreen X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88150 Cytopath, c/v, manual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88152 Cytopath, c/v, auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88153 Cytopath, c/v, redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88154 Cytopath, c/v, select X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88155 Cytopath, c/v, index add-on X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88160 Cytopath smear, other source A 0.50 0.98 0.98 NA 0.04 1.52 1.52 1XXX.00.00.0000000 36.7856 09 88160TCCytopath smear, other source A 0.00 0.76 0.76 NA 0.02 0.78 0.78 1XXX.00.00.0000000 36.7856 09 8816026Cytopath smear, other source A 0.50 0.22 0.22 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 88161 Cytopath smear, other source A 0.50 0.93 0.93 NA 0.04 1.47 1.47 1XXX.00.00.0000000 36.7856 09 88161TCCytopath smear, other source A 0.00 0.71 0.71 NA 0.02 0.73 0.73 1XXX.00.00.0000000 36.7856 09 8816126Cytopath smear, other source A 0.50 0.22 0.22 0.02 0.74 0.74 1XXX.00.00.0000000 36.7856 09 88162 Cytopath smear, other source A 0.76 0.71 0.71 NA 0.05 1.52 1.52 1XXX.00.00.0000000 36.7856 09 88162TCCytopath smear, other source A 0.00 0.37 0.37 NA 0.02 0.39 0.39 1XXX.00.00.0000000 36.7856 09 8816226Cytopath smear, other source A 0.76 0.34 0.34 0.03 1.13 1.13 1XXX.00.00.0000000 36.7856 09 88164 Cytopath tbs, c/v, manual X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88165 Cytopath tbs, c/v, redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88166 Cytopath tbs, c/v, auto redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88167 Cytopath tbs, c/v, select X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88172 Cytopathology eval of fna A 0.60 0.69 0.69 NA 0.04 1.33 1.33 1XXX.00.00.0000000 36.7856 09 88172TCCytopathology eval of fna A 0.00 0.42 0.42 NA 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 09 8817226Cytopathology eval of fna A 0.60 0.27 0.27 0.02 0.89 0.89 1XXX.00.00.0000000 36.7856 09 88173 Cytopath eval, fna, report A 1.39 1.83 1.83 NA 0.07 3.29 3.29 1XXX.00.00.0000000 36.7856 09 88173TCCytopath eval, fna, report A 0.00 1.21 1.21 NA 0.02 1.23 1.23 1XXX.00.00.0000000 36.7856 09 8817326Cytopath eval, fna, report A 1.39 0.62 0.62 0.05 2.06 2.06 1XXX.00.00.0000000 36.7856 09 88174 Cytopath, c/v auto, in fluid X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88175 Cytopath c/v auto fluid redo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88180 Cell marker study A 0.36 1.20 1.20 NA 0.03 1.59 1.59 1XXX.00.00.0000000 36.7856 09 88180TCCell marker study A 0.00 1.04 1.04 NA 0.02 1.06 1.06 1XXX.00.00.0000000 36.7856 09 8818026Cell marker study A 0.36 0.16 0.16 0.01 0.53 0.53 1XXX.00.00.0000000 36.7856 09 88182 Cell marker study A 0.77 1.56 1.56 NA 0.06 2.39 2.39 1XXX.00.00.0000000 36.7856 09 88182TCCell marker study A 0.00 1.21 1.21 NA 0.03 1.24 1.24 1XXX.00.00.0000000 36.7856 09 8818226Cell marker study A 0.77 0.35 0.35 0.03 1.15 1.15 1XXX.00.00.0000000 36.7856 09 88199 Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 88199TCCytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 8819926Cytopathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 88230 Tissue culture, lymphocyte X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88233 Tissue culture, skin/biopsy X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88235 Tissue culture, placenta X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88237 Tissue culture, bone marrow X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88239 Tissue culture, tumor X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88240 Cell cryopreserve/storage X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88241 Frozen cell preparation X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88245 Chromosome analysis, 20-25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88248 Chromosome analysis, 50-100 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88249 Chromosome analysis, 100 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88261 Chromosome analysis, 5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88262 Chromosome analysis, 15-20 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88263 Chromosome analysis, 45 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88264 Chromosome analysis, 20-25 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88267 Chromosome analys, placenta X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88269 Chromosome analys, amniotic X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88271 Cytogenetics, dna probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88272 Cytogenetics, 3-5 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88273 Cytogenetics, 10-30 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88274 Cytogenetics, 25-99 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88275 Cytogenetics, 100-300 X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88280 Chromosome karyotype study X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88283 Chromosome banding study X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88285 Chromosome count, additional X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88289 Chromosome study, additional X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 88291 Cyto/molecular report A 0.52 0.30 0.30 0.02 0.84 0.84 2XXX.00.00.0000000 36.7856 09 88299 Cytogenetic study C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 88300 Surgical path, gross A 0.08 0.30 0.30 NA 0.02 0.40 0.40 1XXX.00.00.0000000 36.7856 09 88300TCSurgical path, gross A 0.00 0.26 0.26 NA 0.01 0.27 0.27 1XXX.00.00.0000000 36.7856 09 8830026Surgical path, gross A 0.08 0.04 0.04 0.01 0.13 0.13 1XXX.00.00.0000000 36.7856 09 88302 Tissue exam by pathologist A 0.13 0.73 0.73 NA 0.03 0.89 0.89 1XXX.00.00.0000000 36.7856 09 88302TCTissue exam by pathologist A 0.00 0.67 0.67 NA 0.02 0.69 0.69 1XXX.00.00.0000000 36.7856 09 8830226Tissue exam by pathologist A 0.13 0.06 0.06 0.01 0.20 0.20 1XXX.00.00.0000000 36.7856 09 88304 Tissue exam by pathologist A 0.22 0.90 0.90 NA 0.03 1.15 1.15 1XXX.00.00.0000000 36.7856 09 88304TCTissue exam by pathologist A 0.00 0.80 0.80 NA 0.02 0.82 0.82 1XXX.00.00.0000000 36.7856 09 8830426Tissue exam by pathologist A 0.22 0.10 0.10 0.01 0.33 0.33 1XXX.00.00.0000000 36.7856 09 88305 Tissue exam by pathologist A 0.75 1.77 1.77 NA 0.05 2.57 2.57 1XXX.00.00.0000000 36.7856 09 88305TCTissue exam by pathologist A 0.00 1.43 1.43 NA 0.03 1.46 1.46 1XXX.00.00.0000000 36.7856 09 8830526Tissue exam by pathologist A 0.75 0.34 0.34 0.02 1.11 1.11 1XXX.00.00.0000000 36.7856 09 88307 Tissue exam by pathologist A 1.59 2.72 2.72 NA 0.11 4.42 4.42 1XXX.00.00.0000000 36.7856 09 88307TCTissue exam by pathologist A 0.00 2.01 2.01 NA 0.05 2.06 2.06 1XXX.00.00.0000000 36.7856 09 8830726Tissue exam by pathologist A 1.59 0.71 0.71 0.06 2.36 2.36 1XXX.00.00.0000000 36.7856 09 88309 Tissue exam by pathologist A 2.28 3.33 3.33 NA 0.13 5.74 5.74 1XXX.00.00.0000000 36.7856 09 88309TCTissue exam by pathologist A 0.00 2.31 2.31 NA 0.05 2.36 2.36 1XXX.00.00.0000000 36.7856 09 8830926Tissue exam by pathologist A 2.28 1.02 1.02 0.08 3.38 3.38 1XXX.00.00.0000000 36.7856 09 88311 Decalcify tissue A 0.24 0.20 0.20 NA 0.02 0.46 0.46 1XXX.00.00.0000000 36.7856 09 88311TCDecalcify tissue A 0.00 0.09 0.09 NA 0.01 0.10 0.10 1XXX.00.00.0000000 36.7856 09 8831126Decalcify tissue A 0.24 0.11 0.11 0.01 0.36 0.36 1XXX.00.00.0000000 36.7856 09 88312 Special stains A 0.54 1.61 1.61 NA 0.03 2.18 2.18 1XXX.00.00.0000000 36.7856 09 88312TCSpecial stains A 0.00 1.37 1.37 NA 0.01 1.38 1.38 1XXX.00.00.0000000 36.7856 09 8831226Special stains A 0.54 0.24 0.24 0.02 0.80 0.80 1XXX.00.00.0000000 36.7856 09 88313 Special stains A 0.24 1.19 1.19 NA 0.02 1.45 1.45 1XXX.00.00.0000000 36.7856 09 88313TCSpecial stains A 0.00 1.08 1.08 NA 0.01 1.09 1.09 1XXX.00.00.0000000 36.7856 09 8831326Special stains A 0.24 0.11 0.11 0.01 0.36 0.36 1XXX.00.00.0000000 36.7856 09 88314 Histochemical stain A 0.45 0.84 0.84 NA 0.04 1.33 1.33 1XXX.00.00.0000000 36.7856 09 88314TCHistochemical stain A 0.00 0.64 0.64 NA 0.02 0.66 0.66 1XXX.00.00.0000000 36.7856 09 8831426Histochemical stain A 0.45 0.20 0.20 0.02 0.67 0.67 1XXX.00.00.0000000 36.7856 09 88318 Chemical histochemistry A 0.42 0.74 0.74 NA 0.02 1.18 1.18 1XXX.00.00.0000000 36.7856 09 88318TCChemical histochemistry A 0.00 0.55 0.55 NA 0.01 0.56 0.56 1XXX.00.00.0000000 36.7856 09 8831826Chemical histochemistry A 0.42 0.19 0.19 0.01 0.62 0.62 1XXX.00.00.0000000 36.7856 09 88319 Enzyme histochemistry A 0.53 2.18 2.18 NA 0.04 2.75 2.75 1XXX.00.00.0000000 36.7856 09 88319TCEnzyme histochemistry A 0.00 1.94 1.94 NA 0.02 1.96 1.96 1XXX.00.00.0000000 36.7856 09 8831926Enzyme histochemistry A 0.53 0.24 0.24 0.02 0.79 0.79 1XXX.00.00.0000000 36.7856 09 88321 Microslide consultation A 1.30 0.83 0.58 0.04 2.17 1.92 0XXX.00.00.0000000 36.7856 09 88323 Microslide consultation A 1.35 1.42 1.42 NA 0.07 2.84 2.84 1XXX.00.00.0000000 36.7856 09 88323TCMicroslide consultation A 0.00 0.81 0.81 NA 0.02 0.83 0.83 1XXX.00.00.0000000 36.7856 09 8832326Microslide consultation A 1.35 0.61 0.61 0.05 2.01 2.01 1XXX.00.00.0000000 36.7856 09 88325 Comprehensive review of data A 2.22 2.93 0.99 0.08 5.23 3.29 0XXX.00.00.0000000 36.7856 09 88329 Path consult introp A 0.67 0.66 0.30 0.02 1.35 0.99 0XXX.00.00.0000000 36.7856 09 88331 Path consult intraop, 1 bloc A 1.19 1.03 1.03 NA 0.07 2.29 2.29 1XXX.00.00.0000000 36.7856 09 88331TCPath consult intraop, 1 bloc A 0.00 0.49 0.49 NA 0.03 0.52 0.52 1XXX.00.00.0000000 36.7856 09 8833126Path consult intraop, 1 bloc A 1.19 0.54 0.54 0.04 1.77 1.77 1XXX.00.00.0000000 36.7856 09 88332 Path consult intraop, addl A 0.59 0.52 0.52 NA 0.04 1.15 1.15 1XXX.00.00.0000000 36.7856 09 88332TCPath consult intraop, addl A 0.00 0.25 0.25 NA 0.02 0.27 0.27 1XXX.00.00.0000000 36.7856 09 8833226Path consult intraop, addl A 0.59 0.27 0.27 0.02 0.88 0.88 1XXX.00.00.0000000 36.7856 09 88342 Immunocytochemistry A 0.85 1.31 1.31 NA 0.05 2.21 2.21 1XXX.00.00.0000000 36.7856 09 88342TCImmunocytochemistry A 0.00 0.93 0.93 NA 0.02 0.95 0.95 1XXX.00.00.0000000 36.7856 09 8834226Immunocytochemistry A 0.85 0.38 0.38 0.03 1.26 1.26 1XXX.00.00.0000000 36.7856 09 88346 Immunofluorescent study A 0.86 1.46 1.46 NA 0.05 2.37 2.37 1XXX.00.00.0000000 36.7856 09 88346TCImmunofluorescent study A 0.00 1.08 1.08 NA 0.02 1.10 1.10 1XXX.00.00.0000000 36.7856 09 8834626Immunofluorescent study A 0.86 0.38 0.38 0.03 1.27 1.27 1XXX.00.00.0000000 36.7856 09 88347 Immunofluorescent study A 0.86 1.86 1.86 NA 0.05 2.77 2.77 1XXX.00.00.0000000 36.7856 09 88347TCImmunofluorescent study A 0.00 1.50 1.50 NA 0.02 1.52 1.52 1XXX.00.00.0000000 36.7856 09 8834726Immunofluorescent study A 0.86 0.36 0.36 0.03 1.25 1.25 1XXX.00.00.0000000 36.7856 09 88348 Electron microscopy A 1.51 8.09 8.09 NA 0.11 9.71 9.71 1XXX.00.00.0000000 36.7856 09 88348TCElectron microscopy A 0.00 7.42 7.42 NA 0.06 7.48 7.48 1XXX.00.00.0000000 36.7856 09 8834826Electron microscopy A 1.51 0.67 0.67 0.05 2.23 2.23 1XXX.00.00.0000000 36.7856 09 88349 Scanning electron microscopy A 0.76 9.38 9.38 NA 0.08 10.22 10.22 1XXX.00.00.0000000 36.7856 09 88349TCScanning electron microscopy A 0.00 9.04 9.04 NA 0.05 9.09 9.09 1XXX.00.00.0000000 36.7856 09 8834926Scanning electron microscopy A 0.76 0.34 0.34 0.03 1.13 1.13 1XXX.00.00.0000000 36.7856 09 88355 Analysis, skeletal muscle A 1.85 2.55 2.55 NA 0.12 4.52 4.52 1XXX.00.00.0000000 36.7856 09 88355TCAnalysis, skeletal muscle A 0.00 1.72 1.72 NA 0.05 1.77 1.77 1XXX.00.00.0000000 36.7856 09 8835526Analysis, skeletal muscle A 1.85 0.83 0.83 0.07 2.75 2.75 1XXX.00.00.0000000 36.7856 09 88356 Analysis, nerve A 3.02 2.83 2.83 NA 0.16 6.01 6.01 1XXX.00.00.0000000 36.7856 09 88356TCAnalysis, nerve A 0.00 1.53 1.53 NA 0.06 1.59 1.59 1XXX.00.00.0000000 36.7856 09 8835626Analysis, nerve A 3.02 1.30 1.30 0.10 4.42 4.42 1XXX.00.00.0000000 36.7856 09 88358 Analysis, tumor A 2.82 1.72 1.72 NA 0.16 4.70 4.70 1XXX.00.00.0000000 36.7856 09 88358TCAnalysis, tumor A 0.00 0.47 0.47 NA 0.06 0.53 0.53 1XXX.00.00.0000000 36.7856 09 8835826Analysis, tumor A 2.82 1.25 1.25 0.10 4.17 4.17 1XXX.00.00.0000000 36.7856 09 88362 Nerve teasing preparations A 2.17 4.54 4.54 NA 0.12 6.83 6.83 1XXX.00.00.0000000 36.7856 09 88362TCNerve teasing preparations A 0.00 3.59 3.59 NA 0.05 3.64 3.64 1XXX.00.00.0000000 36.7856 09 8836226Nerve teasing preparations A 2.17 0.95 0.95 0.07 3.19 3.19 1XXX.00.00.0000000 36.7856 09 88365 Tissue hybridization A 0.93 2.03 2.03 NA 0.05 3.01 3.01 1XXX.00.00.0000000 36.7856 09 88365TCTissue hybridization A 0.00 1.62 1.62 NA 0.02 1.64 1.64 1XXX.00.00.0000000 36.7856 09 8836526Tissue hybridization A 0.93 0.41 0.41 0.03 1.37 1.37 1XXX.00.00.0000000 36.7856 09 88371 Protein, western blot tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8837126Protein, western blot tissue A 0.37 0.13 0.13 0.01 0.51 0.51 6XXX.00.00.0000000 36.7856 09 88372 Protein analysis w/probe X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8837226Protein analysis w/probe A 0.37 0.17 0.17 0.01 0.55 0.55 6XXX.00.00.0000000 36.7856 09 88380 Microdissection C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 88380TCMicrodissection C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 8838026Microdissection C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 88399 Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 88399TCSurgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 8839926Surgical pathology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 88400 Bilirubin total transcut X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89050 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89051 Body fluid cell count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89055 Leukocyte count, fecal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89060 Exam,synovial fluid crystals X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 8906026Exam,synovial fluid crystals A 0.37 0.17 0.17 0.01 0.55 0.55 6XXX.00.00.0000000 36.7856 09 89100 Sample intestinal contents A 0.60 1.72 0.22 0.02 2.34 0.84 0XXX.00.00.0000000 36.7856 09 89105 Sample intestinal contents A 0.50 2.28 0.18 0.02 2.80 0.70 0XXX.00.00.0000000 36.7856 09 89125 Specimen fat stain X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89130 Sample stomach contents A 0.45 1.97 0.13 0.02 2.44 0.60 0XXX.00.00.0000000 36.7856 09 89132 Sample stomach contents A 0.19 1.76 0.07 0.01 1.96 0.27 0XXX.00.00.0000000 36.7856 09 89135 Sample stomach contents A 0.79 1.75 0.26 0.03 2.57 1.08 0XXX.00.00.0000000 36.7856 09 89136 Sample stomach contents A 0.21 1.77 0.08 0.01 1.99 0.30 0XXX.00.00.0000000 36.7856 09 89140 Sample stomach contents A 0.94 2.22 0.28 0.03 3.19 1.25 0XXX.00.00.0000000 36.7856 09 89141 Sample stomach contents A 0.85 2.80 0.35 0.03 3.68 1.23 0XXX.00.00.0000000 36.7856 09 89160 Exam feces for meat fibers X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89190 Nasal smear for eosinophils X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89250 Fertilization of oocyte X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89251 Culture oocyte w/embryos X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89252 Assist oocyte fertilization X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89253 Embryo hatching X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89254 Oocyte identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89255 Prepare embryo for transfer X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89256 Prepare cryopreserved embryo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89257 Sperm identification X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89258 Cryopreservation, embryo X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89259 Cryopreservation, sperm X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89260 Sperm isolation, simple X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89261 Sperm isolation, complex X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89264 Identify sperm tissue X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89300 Semen analysis w/huhner X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89310 Semen analysis w/count X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89320 Semen analysis, complete X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89321 Semen analysis & motility X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89325 Sperm antibody test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89329 Sperm evaluation test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89330 Evaluation, cervical mucus X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89350 Sputum specimen collection A 0.00 0.41 0.41 NA 0.02 0.43 0.43 3XXX.00.00.0000000 36.7856 09 89355 Exam feces for starch X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89360 Collect sweat for test A 0.00 0.45 0.45 NA 0.02 0.47 0.47 3XXX.00.00.0000000 36.7856 09 89365 Water load test X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 89399 Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 89399TCPathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 8939926Pathology lab procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 90281 Human ig, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90283 Human ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90287 Botulinum antitoxin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90288 Botulism ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90291 Cmv ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90296 Diphtheria antitoxin E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90371 Hep b ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90375 Rabies ig, im/sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90376 Rabies ig, heat treated E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90378 Rsv ig, im, 50mg X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90379 Rsv ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90384 Rh ig, full-dose, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90385 Rh ig, minidose, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90386 Rh ig, iv I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90389 Tetanus ig, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90393 Vaccina ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90396 Varicella-zoster ig, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90399 Immune globulin I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90471 Immunization admin A 0.00 0.20 0.20 NA 0.01 0.21 0.21 5XXX.00.00.0000000 36.7856 09 90472 Immunization admin, each add A 0.00 0.14 0.14 NA 0.01 0.15 0.15 5ZZZ.00.00.0000000 36.7856 09 90473 Immune admin oral/nasal N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90474 Immune admin oral/nasal addl N 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 36.7856 09 90476 Adenovirus vaccine, type 4 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90477 Adenovirus vaccine, type 7 E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90581 Anthrax vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90585 Bcg vaccine, percut E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90586 Bcg vaccine, intravesical E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90632 Hep a vaccine, adult im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90633 Hep a vacc, ped/adol, 2 dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90634 Hep a vacc, ped/adol, 3 dose E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90636 Hep a/hep b vacc, adult im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90645 Hib vaccine, hboc, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90646 Hib vaccine, prp-d, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90647 Hib vaccine, prp-omp, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90648 Hib vaccine, prp-t, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90657 Flu vaccine, 6-35 mo, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90658 Flu vaccine, 3 yrs, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90659 Flu vaccine, whole, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90660 Flu vaccine, nasal X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90665 Lyme disease vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90669 Pneumococcal vacc, ped <5 N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90675 Rabies vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90676 Rabies vaccine, id E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90680 Rotovirus vaccine, oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90690 Typhoid vaccine, oral E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90691 Typhoid vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90692 Typhoid vaccine, h-p, sc/id E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90693 Typhoid vaccine, akd, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90700 Dtap vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90701 Dtp vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90702 Dt vaccine < 7, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90703 Tetanus vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90704 Mumps vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90705 Measles vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90706 Rubella vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90707 Mmr vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90708 Measles-rubella vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90709 Rubella & mumps vaccine, sc D 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90710 Mmrv vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90712 Oral poliovirus vaccine E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90713 Poliovirus, ipv, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90716 Chicken pox vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90717 Yellow fever vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90718 Td vaccine > 7, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90719 Diphtheria vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90720 Dtp/hib vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90721 Dtap/hib vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90723 Dtap-hep b-ipv vaccine, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90725 Cholera vaccine, injectable E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90727 Plague vaccine, im E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90732 Pneumococcal vaccine X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90733 Meningococcal vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90735 Encephalitis vaccine, sc E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90740 Hepb vacc, ill pat 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90743 Hep b vacc, adol, 2 dose, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90744 Hepb vacc ped/adol 3 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90746 Hep b vaccine, adult, im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90747 Hepb vacc, ill pat 4 dose im X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90748 Hep b/hib vaccine, im I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90749 Vaccine toxoid E 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90780 IV infusion therapy, 1 hour A 0.00 1.10 1.10 NA 0.06 1.16 1.16 5XXX.00.00.0000000 36.7856 09 90781 IV infusion, additional hour A 0.00 0.56 0.56 NA 0.03 0.59 0.59 5ZZZ.00.00.0000000 36.7856 09 90782 Injection, sc/im T 0.00 0.11 0.11 NA 0.01 0.12 0.12 5XXX.00.00.0000000 36.7856 09 90783 Injection, ia T 0.00 0.41 0.41 NA 0.02 0.43 0.43 5XXX.00.00.0000000 36.7856 09 90784 Injection, iv T 0.00 0.47 0.47 NA 0.03 0.50 0.50 5XXX.00.00.0000000 36.7856 09 90788 Injection of antibiotic T 0.00 0.12 0.12 NA 0.01 0.13 0.13 5XXX.00.00.0000000 36.7856 09 90799 Ther/prophylactic/dx inject C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 90801 Psy dx interview A 2.80 1.19 0.96 0.06 4.05 3.82 0XXX.00.00.0000000 36.7856 09 90802 Intac psy dx interview A 3.01 1.23 1.01 0.07 4.31 4.09 0XXX.00.00.0000000 36.7856 09 90804 Psytx, office, 20-30 min A 1.21 0.51 0.39 0.03 1.75 1.63 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90806 Psytx, off, 45-50 min A 1.86 0.72 0.62 0.04 2.62 2.52 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90808 Psytx, office, 75-80 min A 2.79 1.05 0.93 0.07 3.91 3.79 0XXX.00.00.0000000 36.7856 09 90809 Psytx, off, 75-80, w/e&m A 2.95 1.02 0.95 0.07 4.04 3.97 0XXX.00.00.0000000 36.7856 09 90810 Intac psytx, off, 20-30 min A 1.32 0.53 0.43 0.03 1.88 1.78 0XXX.00.00.0000000 36.7856 09 90811 Intac psytx, 20-30, w/e&m A 1.48 0.59 0.48 0.03 2.10 1.99 0XXX.00.00.0000000 36.7856 09 90812 Intac psytx, off, 45-50 min A 1.97 0.82 0.66 0.05 2.84 2.68 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90814 Intac psytx, off, 75-80 min A 2.90 1.13 1.01 0.07 4.10 3.98 0XXX.00.00.0000000 36.7856 09 90815 Intac psytx, 75-80 w/e&m A 3.06 1.08 0.98 0.07 4.21 4.11 0XXX.00.00.0000000 36.7856 09 90816 Psytx, hosp, 20-30 min A 1.25 0.48 NA 0.48 0.03 1.76 1.76 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90818 Psytx, hosp, 45-50 min A 1.89 0.71 NA 0.71 0.04 2.64 2.64 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90821 Psytx, hosp, 75-80 min A 2.83 1.03 NA 1.03 0.06 3.92 3.92 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90823 Intac psytx, hosp, 20-30 min A 1.36 0.49 NA 0.49 0.03 1.88 1.88 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90826 Intac psytx, hosp, 45-50 min A 2.01 0.75 NA 0.75 0.04 2.80 2.80 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90828 Intac psytx, hosp, 75-80 min A 2.94 1.09 NA 1.09 0.07 4.10 4.10 0XXX.00.00.0000000 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 0XXX.00.00.0000000 36.7856 09 90845 Psychoanalysis A 1.79 0.60 0.57 0.04 2.43 2.40 0XXX.00.00.0000000 36.7856 09 90846 Family psytx w/o patient R 1.83 0.67 0.66 0.04 2.54 2.53 0XXX.00.00.0000000 36.7856 09 90847 Family psytx w/patient R 2.21 0.84 0.78 0.05 3.10 3.04 0XXX.00.00.0000000 36.7856 09 90849 Multiple family group psytx R 0.59 0.28 0.25 0.01 0.88 0.85 0XXX.00.00.0000000 36.7856 09 90853 Group psychotherapy A 0.59 0.26 0.24 0.01 0.86 0.84 0XXX.00.00.0000000 36.7856 09 90857 Intac group psytx A 0.63 0.31 0.26 0.02 0.96 0.91 0XXX.00.00.0000000 36.7856 09 90862 Medication management A 0.95 0.41 0.33 0.02 1.38 1.30 0XXX.00.00.0000000 36.7856 09 90865 Narcosynthesis A 2.84 1.62 0.91 0.07 4.53 3.82 0XXX.00.00.0000000 36.7856 09 90870 Electroconvulsive therapy A 1.88 0.81 0.81 0.04 2.73 2.73 0000.00.00.0000000 36.7856 09 90871 Electroconvulsive therapy N+ 2.72 1.08 NA 1.08 0.06 3.86 3.86 9000.00.00.0099999 0.0000 09 90875 Psychophysiological therapy N+ 1.20 0.91 0.47 0.03 2.14 1.70 9XXX.00.00.0099999 36.7856 09 90876 Psychophysiological therapy N+ 1.90 1.18 0.74 0.04 3.12 2.68 9XXX.00.00.0099999 36.7856 09 90880 Hypnotherapy A 2.19 1.06 0.71 0.05 3.30 2.95 0XXX.00.00.0000000 36.7856 09 90882 Environmental manipulation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90885 Psy evaluation of records B+ 0.97 0.38 0.38 0.02 1.37 1.37 9XXX.00.00.0099999 36.7856 09 90887 Consultation with family B+ 1.48 0.83 0.58 0.03 2.34 2.09 9XXX.00.00.0099999 36.7856 09 90889 Preparation of report B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90899 Psychiatric service/therapy C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 90901 Biofeedback train, any meth A 0.41 0.86 0.19 0.02 1.29 0.62 0000.00.00.0000000 36.7856 09 90911 Biofeedback peri/uro/rectal A 0.89 0.88 0.36 0.04 1.81 1.29 0000.00.00.0000000 36.7856 09 90918 ESRD related services, month A 11.18 7.56 7.56 0.30 19.04 19.04 0XXX.00.00.0000000 36.7856 09 90919 ESRD related services, month A 8.54 4.18 4.18 0.24 12.96 12.96 0XXX.00.00.0000000 36.7856 09 90920 ESRD related services, month A 7.27 3.92 3.92 0.19 11.38 11.38 0XXX.00.00.0000000 36.7856 09 90921 ESRD related services, month A 4.47 2.54 2.54 0.12 7.13 7.13 0XXX.00.00.0000000 36.7856 09 90922 ESRD related services, day A 0.37 0.22 0.22 0.01 0.60 0.60 0XXX.00.00.0000000 36.7856 09 90923 Esrd related services, day A 0.28 0.13 0.13 0.01 0.42 0.42 0XXX.00.00.0000000 36.7856 09 90924 Esrd related services, day A 0.24 0.12 0.12 0.01 0.37 0.37 0XXX.00.00.0000000 36.7856 09 90925 Esrd related services, day A 0.15 0.08 0.08 0.01 0.24 0.24 0XXX.00.00.0000000 36.7856 09 90935 Hemodialysis, one evaluation A 1.22 0.69 NA 0.69 0.03 1.94 1.94 0000.00.00.0000000 36.7856 09 90937 Hemodialysis, repeated eval A 2.11 1.00 NA 1.00 0.06 3.17 3.17 0000.00.00.0000000 36.7856 09 90939 Hemodialysis study, transcut X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90940 Hemodialysis access study X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90945 Dialysis, one evaluation A 1.28 0.72 NA 0.72 0.04 2.04 2.04 0000.00.00.0000000 36.7856 09 90947 Dialysis, repeated eval A 2.16 1.02 NA 1.02 0.06 3.24 3.24 0000.00.00.0000000 36.7856 09 90989 Dialysis training, complete X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90993 Dialysis training, incompl X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 90997 Hemoperfusion A 1.84 1.43 NA 1.43 0.05 3.32 3.32 0000.00.00.0000000 36.7856 09 90999 Dialysis procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 91000 Esophageal intubation A 0.73 0.33 0.33 NA 0.04 1.10 1.10 1000.00.00.0000000 36.7856 09 91000TCEsophageal intubation A 0.00 0.08 0.08 NA 0.01 0.09 0.09 1000.00.00.0000000 36.7856 02 9100026Esophageal intubation A 0.73 0.25 0.25 0.03 1.01 1.01 1000.00.00.0000000 36.7856 09 91010 Esophagus motility study A 1.25 2.75 2.75 NA 0.10 4.10 4.10 1000.00.00.0000000 36.7856 09 91010TCEsophagus motility study A 0.00 2.30 2.30 NA 0.05 2.35 2.35 1000.00.00.0000000 36.7856 02 9101026Esophagus motility study A 1.25 0.45 0.45 0.05 1.75 1.75 1000.00.00.0000000 36.7856 09 91011 Esophagus motility study A 1.50 3.18 3.18 NA 0.10 4.78 4.78 1000.00.00.0000000 36.7856 09 91011TCEsophagus motility study A 0.00 2.64 2.64 NA 0.05 2.69 2.69 1000.00.00.0000000 36.7856 02 9101126Esophagus motility study A 1.50 0.54 0.54 0.05 2.09 2.09 1000.00.00.0000000 36.7856 09 91012 Esophagus motility study A 1.46 3.31 3.31 NA 0.12 4.89 4.89 1000.00.00.0000000 36.7856 09 91012TCEsophagus motility study A 0.00 2.78 2.78 NA 0.06 2.84 2.84 1000.00.00.0000000 36.7856 02 9101226Esophagus motility study A 1.46 0.53 0.53 0.06 2.05 2.05 1000.00.00.0000000 36.7856 09 91020 Gastric motility A 1.44 3.05 3.05 NA 0.11 4.60 4.60 1000.00.00.0000000 36.7856 09 91020TCGastric motility A 0.00 2.55 2.55 NA 0.05 2.60 2.60 1000.00.00.0000000 36.7856 02 9102026Gastric motility A 1.44 0.50 0.50 0.06 2.00 2.00 1000.00.00.0000000 36.7856 09 91030 Acid perfusion of esophagus A 0.91 2.57 2.57 NA 0.05 3.53 3.53 1000.00.00.0000000 36.7856 09 91030TCAcid perfusion of esophagus A 0.00 2.24 2.24 NA 0.02 2.26 2.26 1000.00.00.0000000 36.7856 02 9103026Acid perfusion of esophagus A 0.91 0.33 0.33 0.03 1.27 1.27 1000.00.00.0000000 36.7856 09 91032 Esophagus, acid reflux test A 1.21 2.43 2.43 NA 0.10 3.74 3.74 1000.00.00.0000000 36.7856 09 91032TCEsophagus, acid reflux test A 0.00 2.00 2.00 NA 0.05 2.05 2.05 1000.00.00.0000000 36.7856 02 9103226Esophagus, acid reflux test A 1.21 0.43 0.43 0.05 1.69 1.69 1000.00.00.0000000 36.7856 09 91033 Prolonged acid reflux test A 1.30 2.64 2.64 NA 0.14 4.08 4.08 1000.00.00.0000000 36.7856 09 91033TCProlonged acid reflux test A 0.00 2.17 2.17 NA 0.09 2.26 2.26 1000.00.00.0000000 36.7856 02 9103326Prolonged acid reflux test A 1.30 0.47 0.47 0.05 1.82 1.82 1000.00.00.0000000 36.7856 09 91052 Gastric analysis test A 0.79 2.38 2.38 NA 0.05 3.22 3.22 1000.00.00.0000000 36.7856 09 91052TCGastric analysis test A 0.00 2.10 2.10 NA 0.02 2.12 2.12 1000.00.00.0000000 36.7856 02 9105226Gastric analysis test A 0.79 0.28 0.28 0.03 1.10 1.10 1000.00.00.0000000 36.7856 09 91055 Gastric intubation for smear A 0.94 2.17 2.17 NA 0.06 3.17 3.17 1000.00.00.0000000 36.7856 09 91055TCGastric intubation for smear A 0.00 1.90 1.90 NA 0.02 1.92 1.92 1000.00.00.0000000 36.7856 02 9105526Gastric intubation for smear A 0.94 0.27 0.27 0.04 1.25 1.25 1000.00.00.0000000 36.7856 09 91060 Gastric saline load test A 0.45 0.30 0.30 NA 0.04 0.79 0.79 1000.00.00.0000000 36.7856 09 91060TCGastric saline load test A 0.00 0.16 0.16 NA 0.02 0.18 0.18 1000.00.00.0000000 36.7856 02 9106026Gastric saline load test A 0.45 0.14 0.14 0.02 0.61 0.61 1000.00.00.0000000 36.7856 09 91065 Breath hydrogen test A 0.20 3.88 3.88 NA 0.03 4.11 4.11 1000.00.00.0000000 36.7856 09 91065TCBreath hydrogen test A 0.00 3.81 3.81 NA 0.02 3.83 3.83 1000.00.00.0000000 36.7856 02 9106526Breath hydrogen test A 0.20 0.07 0.07 0.01 0.28 0.28 1000.00.00.0000000 36.7856 09 91100 Pass intestine bleeding tube A 1.08 0.29 NA 0.29 0.06 1.43 1.43 0000.00.00.0000000 36.7856 09 91105 Gastric intubation treatment A 0.37 0.10 NA 0.10 0.02 0.49 0.49 0000.00.00.0000000 36.7856 09 91122 Anal pressure record A 1.77 4.55 4.55 NA 0.17 6.49 6.49 1000.00.00.0000000 36.7856 09 91122TCAnal pressure record A 0.00 3.93 3.93 NA 0.07 4.00 4.00 1000.00.00.0000000 36.7856 02 9112226Anal pressure record A 1.77 0.62 0.62 0.10 2.49 2.49 1000.00.00.0000000 36.7856 09 91123 Irrigate fecal impaction B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 91132 Electrogastrography C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 91132TCElectrogastrography C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 9113226Electrogastrography A 0.52 0.19 0.19 NA 0.03 0.74 0.74 1XXX.00.00.0000000 36.7856 09 91133 Electrogastrography w/test C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 91133TCElectrogastrography w/test C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 9113326Electrogastrography w/test A 0.66 0.24 0.24 NA 0.03 0.93 0.93 1XXX.00.00.0000000 36.7856 09 91299 Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 91299TCGastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9129926Gastroenterology procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 92002 Eye exam, new patient A 0.88 0.94 0.35 0.02 1.84 1.25 0XXX.00.00.0002000 36.7856 09 92004 Eye exam, new patient A 1.67 1.66 0.70 0.03 3.36 2.40 0XXX.00.00.0002000 36.7856 09 92012 Eye exam established pat A 0.67 0.99 0.30 0.01 1.67 0.98 0XXX.00.00.0002000 36.7856 09 92014 Eye exam & treatment A 1.10 1.37 0.48 0.02 2.49 1.60 0XXX.00.00.0002000 36.7856 09 92015 Refraction N+ 0.38 1.51 0.15 0.01 1.90 0.54 9XXX.00.00.0099999 36.7856 09 92018 New eye exam & treatment A 2.50 1.10 NA 1.10 0.03 3.63 3.63 0XXX.00.00.0000000 36.7856 09 92019 Eye exam & treatment A 1.31 0.58 NA 0.58 0.03 1.92 1.92 0XXX.00.00.0000000 36.7856 09 92020 Special eye evaluation A 0.37 0.92 0.16 0.01 1.30 0.54 0XXX.00.00.0002000 36.7856 09 92060 Special eye evaluation A 0.69 0.74 0.74 NA 0.02 1.45 1.45 1XXX.00.00.0002000 36.7856 09 92060TCSpecial eye evaluation A 0.00 0.44 0.44 NA 0.01 0.45 0.45 1XXX.00.00.0002000 36.7856 01 9206026Special eye evaluation A 0.69 0.30 0.30 0.01 1.00 1.00 1XXX.00.00.0002000 36.7856 09 92065 Orthoptic/pleoptic training A 0.37 0.56 0.56 NA 0.02 0.95 0.95 1XXX.00.00.0002000 36.7856 09 92065TCOrthoptic/pleoptic training A 0.00 0.40 0.40 NA 0.01 0.41 0.41 1XXX.00.00.0002000 36.7856 01 9206526Orthoptic/pleoptic training A 0.37 0.16 0.16 0.01 0.54 0.54 1XXX.00.00.0002000 36.7856 09 92070 Fitting of contact lens A 0.70 1.04 0.33 0.01 1.75 1.04 0XXX.00.00.0003000 36.7856 09 92081 Visual field examination(s) A 0.36 0.89 0.89 NA 0.02 1.27 1.27 1XXX.00.00.0002000 36.7856 09 92081TCVisual field examination(s) A 0.00 0.73 0.73 NA 0.01 0.74 0.74 1XXX.00.00.0002000 36.7856 01 9208126Visual field examination(s) A 0.36 0.16 0.16 0.01 0.53 0.53 1XXX.00.00.0002000 36.7856 09 92082 Visual field examination(s) A 0.44 1.06 1.06 NA 0.02 1.52 1.52 1XXX.00.00.0002000 36.7856 09 92082TCVisual field examination(s) A 0.00 0.87 0.87 NA 0.01 0.88 0.88 1XXX.00.00.0002000 36.7856 01 9208226Visual field examination(s) A 0.44 0.19 0.19 0.01 0.64 0.64 1XXX.00.00.0002000 36.7856 09 92083 Visual field examination(s) A 0.50 1.37 1.37 NA 0.02 1.89 1.89 1XXX.00.00.0002000 36.7856 09 92083TCVisual field examination(s) A 0.00 1.14 1.14 NA 0.01 1.15 1.15 1XXX.00.00.0002000 36.7856 01 9208326Visual field examination(s) A 0.50 0.23 0.23 0.01 0.74 0.74 1XXX.00.00.0002000 36.7856 09 92100 Serial tonometry exam(s) A 0.92 0.73 0.38 0.02 1.67 1.32 0XXX.00.00.0002000 36.7856 09 92120 Tonography & eye evaluation A 0.81 0.80 0.33 0.02 1.63 1.16 0XXX.00.00.0002000 36.7856 09 92130 Water provocation tonography A 0.81 0.91 0.38 0.02 1.74 1.21 0XXX.00.00.0002000 36.7856 09 92135 Opthalmic dx imaging A 0.35 1.32 1.32 NA 0.02 1.69 1.69 1XXX.00.00.0003100 36.7856 09 92135TCOpthalmic dx imaging A 0.00 1.16 1.16 NA 0.01 1.17 1.17 1XXX.00.00.0003100 36.7856 01 9213526Opthalmic dx imaging A 0.35 0.16 0.16 0.01 0.52 0.52 1XXX.00.00.0003100 36.7856 09 92136 Ophthalmic biometry A 0.54 1.88 1.88 NA 0.07 2.49 2.49 1XXX.00.00.0002000 36.7856 09 92136TCOphthalmic biometry A 0.00 1.63 1.63 NA 0.06 1.69 1.69 1XXX.00.00.0002000 36.7856 09 9213626Ophthalmic biometry A 0.54 0.25 0.25 0.01 0.80 0.80 1XXX.00.00.0002000 36.7856 09 92140 Glaucoma provocative tests A 0.50 0.99 0.22 0.01 1.50 0.73 0XXX.00.00.0002000 36.7856 09 92225 Special eye exam, initial A 0.38 0.22 0.16 0.01 0.61 0.55 0XXX.00.00.0003000 36.7856 09 92226 Special eye exam, subsequent A 0.33 0.21 0.15 0.01 0.55 0.49 0XXX.00.00.0003000 36.7856 09 92230 Eye exam with photos A 0.60 1.69 0.20 0.02 2.31 0.82 0XXX.00.00.0003000 36.7856 09 92235 Eye exam with photos A 0.81 2.69 2.69 NA 0.07 3.57 3.57 1XXX.00.00.0003000 36.7856 09 92235TCEye exam with photos A 0.00 2.31 2.31 NA 0.05 2.36 2.36 1XXX.00.00.0003000 36.7856 02 9223526Eye exam with photos A 0.81 0.38 0.38 0.02 1.21 1.21 1XXX.00.00.0003000 36.7856 09 92240 Icg angiography A 1.10 5.09 5.09 NA 0.07 6.26 6.26 1XXX.00.00.0003000 36.7856 09 92240TCIcg angiography A 0.00 4.58 4.58 NA 0.05 4.63 4.63 1XXX.00.00.0003000 36.7856 02 9224026Icg angiography A 1.10 0.51 0.51 0.02 1.63 1.63 1XXX.00.00.0003000 36.7856 09 92250 Eye exam with photos A 0.44 1.55 1.55 NA 0.02 2.01 2.01 1XXX.00.00.0002000 36.7856 09 92250TCEye exam with photos A 0.00 1.35 1.35 NA 0.01 1.36 1.36 1XXX.00.00.0002000 36.7856 01 9225026Eye exam with photos A 0.44 0.20 0.20 0.01 0.65 0.65 1XXX.00.00.0002000 36.7856 09 92260 Ophthalmoscopy/dynamometry A 0.20 0.24 0.09 0.01 0.45 0.30 0XXX.00.00.0002000 36.7856 09 92265 Eye muscle evaluation A 0.81 1.89 1.89 NA 0.04 2.74 2.74 1XXX.00.00.0002000 36.7856 09 92265TCEye muscle evaluation A 0.00 1.60 1.60 NA 0.02 1.62 1.62 1XXX.00.00.0002000 36.7856 03 9226526Eye muscle evaluation A 0.81 0.29 0.29 0.02 1.12 1.12 1XXX.00.00.0002000 36.7856 09 92270 Electro-oculography A 0.81 1.76 1.76 NA 0.05 2.62 2.62 1XXX.00.00.0002000 36.7856 01 92270TCElectro-oculography A 0.00 1.41 1.41 NA 0.02 1.43 1.43 1XXX.00.00.0002000 36.7856 01 9227026Electro-oculography A 0.81 0.35 0.35 0.03 1.19 1.19 1XXX.00.00.0002000 36.7856 09 92275 Electroretinography A 1.01 1.98 1.98 NA 0.04 3.03 3.03 1XXX.00.00.0002000 36.7856 01 92275TCElectroretinography A 0.00 1.54 1.54 NA 0.02 1.56 1.56 1XXX.00.00.0002000 36.7856 01 9227526Electroretinography A 1.01 0.44 0.44 0.02 1.47 1.47 1XXX.00.00.0002000 36.7856 09 92283 Color vision examination A 0.17 0.86 0.86 NA 0.02 1.05 1.05 1XXX.00.00.0002000 36.7856 09 92283TCColor vision examination A 0.00 0.79 0.79 NA 0.01 0.80 0.80 1XXX.00.00.0002000 36.7856 01 9228326Color vision examination A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0002000 36.7856 09 92284 Dark adaptation eye exam A 0.24 2.28 2.28 NA 0.02 2.54 2.54 1XXX.00.00.0002000 36.7856 09 92284TCDark adaptation eye exam A 0.00 2.19 2.19 NA 0.01 2.20 2.20 1XXX.00.00.0002000 36.7856 01 9228426Dark adaptation eye exam A 0.24 0.09 0.09 0.01 0.34 0.34 1XXX.00.00.0002000 36.7856 09 92285 Eye photography A 0.20 0.85 0.85 NA 0.02 1.07 1.07 1XXX.00.00.0002000 36.7856 01 92285TCEye photography A 0.00 0.76 0.76 NA 0.01 0.77 0.77 1XXX.00.00.0002000 36.7856 01 9228526Eye photography A 0.20 0.09 0.09 0.01 0.30 0.30 1XXX.00.00.0002000 36.7856 09 92286 Internal eye photography A 0.66 2.86 2.86 NA 0.03 3.55 3.55 1XXX.00.00.0002000 36.7856 01 92286TCInternal eye photography A 0.00 2.56 2.56 NA 0.02 2.58 2.58 1XXX.00.00.0002000 36.7856 01 9228626Internal eye photography A 0.66 0.30 0.30 0.01 0.97 0.97 1XXX.00.00.0002000 36.7856 09 92287 Internal eye photography A 0.81 2.70 0.32 0.02 3.53 1.15 0XXX.00.00.0002000 36.7856 09 92310 Contact lens fitting N+ 1.17 1.13 0.46 0.03 2.33 1.66 9XXX.00.00.0099999 36.7856 09 92311 Contact lens fitting A 1.08 1.14 0.36 0.03 2.25 1.47 0XXX.00.00.0000000 36.7856 09 92312 Contact lens fitting A 1.26 1.13 0.51 0.03 2.42 1.80 0XXX.00.00.0002000 36.7856 09 92313 Contact lens fitting A 0.92 1.11 0.29 0.02 2.05 1.23 0XXX.00.00.0000000 36.7856 09 92314 Prescription of contact lens N+ 0.69 0.95 0.27 0.01 1.65 0.97 9XXX.00.00.0099999 36.7856 09 92315 Prescription of contact lens A 0.45 0.90 0.17 0.01 1.36 0.63 0XXX.00.00.0000000 36.7856 09 92316 Prescription of contact lens A 0.68 0.96 0.30 0.01 1.65 0.99 0XXX.00.00.0002000 36.7856 09 92317 Prescription of contact lens A 0.45 0.99 0.14 0.01 1.45 0.60 0XXX.00.00.0000000 36.7856 09 92325 Modification of contact lens A 0.00 0.40 0.40 NA 0.01 0.41 0.41 5XXX.00.00.0000000 36.7856 09 92326 Replacement of contact lens A 0.00 1.62 1.62 NA 0.05 1.67 1.67 5XXX.00.00.0000000 36.7856 09 92330 Fitting of artificial eye A 1.08 1.03 0.33 0.04 2.15 1.45 0XXX.00.00.0000000 36.7856 09 92335 Fitting of artificial eye A 0.45 0.96 0.17 0.01 1.42 0.63 0XXX.00.00.0000000 36.7856 09 92340 Fitting of spectacles N+ 0.37 0.71 0.14 0.01 1.09 0.52 9XXX.00.00.0099999 36.7856 09 92341 Fitting of spectacles N+ 0.47 0.75 0.18 0.01 1.23 0.66 9XXX.00.00.0099999 36.7856 09 92342 Fitting of spectacles N+ 0.53 0.77 0.21 0.01 1.31 0.75 9XXX.00.00.0099999 36.7856 09 92352 Special spectacles fitting B+ 0.37 0.71 0.14 0.01 1.09 0.52 9XXX.00.00.0099999 36.7856 09 92353 Special spectacles fitting B+ 0.50 0.76 0.20 0.02 1.28 0.72 9XXX.00.00.0099999 36.7856 09 92354 Special spectacles fitting B+ 0.00 8.82 8.82 NA 0.08 8.90 8.90 9XXX.00.00.0099999 36.7856 09 92355 Special spectacles fitting B+ 0.00 4.31 4.31 NA 0.01 4.32 4.32 9XXX.00.00.0099999 36.7856 09 92358 Eye prosthesis service B+ 0.00 0.97 0.97 NA 0.04 1.01 1.01 9XXX.00.00.0099999 36.7856 09 92370 Repair & adjust spectacles N+ 0.32 0.56 0.13 0.02 0.90 0.47 9XXX.00.00.0099999 36.7856 09 92371 Repair & adjust spectacles B+ 0.00 0.62 0.62 NA 0.02 0.64 0.64 9XXX.00.00.0099999 36.7856 09 92390 Supply of spectacles N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92391 Supply of contact lenses N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92392 Supply of low vision aids I+ 0.00 3.84 3.84 0.02 3.86 3.86 9XXX.00.00.0099999 36.7856 09 92393 Supply of artificial eye I+ 0.00 11.92 11.92 0.47 12.39 12.39 9XXX.00.00.0099999 36.7856 09 92395 Supply of spectacles I+ 0.00 1.30 1.30 0.08 1.38 1.38 9XXX.00.00.0099999 36.7856 09 92396 Supply of contact lenses I+ 0.00 2.19 2.19 0.06 2.25 2.25 9XXX.00.00.0099999 36.7856 09 92499 Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 92499TCEye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9249926Eye service or procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 92502 Ear and throat examination A 1.51 1.24 NA 1.24 0.06 2.81 2.81 0000.00.00.0000000 36.7856 09 92504 Ear microscopy examination A 0.18 0.51 0.09 0.01 0.70 0.28 0XXX.00.00.0000000 36.7856 09 92506 Speech/hearing evaluation A 0.86 1.63 0.41 0.04 2.53 1.31 0XXX.00.00.0000000 36.7856 09 92507 Speech/hearing therapy A 0.52 1.56 0.24 0.02 2.10 0.78 0XXX.00.00.0000000 36.7856 09 92508 Speech/hearing therapy A 0.26 1.45 0.12 0.01 1.72 0.39 0XXX.00.00.0000000 36.7856 09 92510 Rehab for ear implant I+ 1.50 2.11 0.83 0.06 3.67 2.39 9XXX.00.00.0099999 36.7856 09 92511 Nasopharyngoscopy A 0.84 1.38 0.42 0.03 2.25 1.29 0000.00.00.0000000 36.7856 09 92512 Nasal function studies A 0.55 1.10 0.18 0.02 1.67 0.75 0XXX.00.00.0000000 36.7856 09 92516 Facial nerve function test A 0.43 0.97 0.22 0.02 1.42 0.67 0XXX.00.00.0000000 36.7856 09 92520 Laryngeal function studies A 0.76 0.55 0.40 0.03 1.34 1.19 0XXX.00.00.0000000 36.7856 09 92525 Oral function evaluation F+ 1.50 1.69 0.60 0.07 3.26 2.17 9XXX.00.00.0099999 36.7856 09 92526 Oral function therapy A 0.55 1.62 0.21 0.02 2.19 0.78 0XXX.00.00.0000000 36.7856 09 92531 Spontaneous nystagmus study B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92532 Positional nystagmus test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92533 Caloric vestibular test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92534 Optokinetic nystagmus test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92541 Spontaneous nystagmus test A 0.40 1.11 1.11 NA 0.04 1.55 1.55 1XXX.00.00.0000000 36.7856 09 92541TCSpontaneous nystagmus test A 0.00 0.91 0.91 NA 0.02 0.93 0.93 1XXX.00.00.0000000 36.7856 05 9254126Spontaneous nystagmus test A 0.40 0.20 0.20 0.02 0.62 0.62 1XXX.00.00.0000000 36.7856 09 92542 Positional nystagmus test A 0.33 1.20 1.20 NA 0.03 1.56 1.56 1XXX.00.00.0000000 36.7856 09 92542TCPositional nystagmus test A 0.00 1.04 1.04 NA 0.02 1.06 1.06 1XXX.00.00.0000000 36.7856 05 9254226Positional nystagmus test A 0.33 0.16 0.16 0.01 0.50 0.50 1XXX.00.00.0000000 36.7856 09 92543 Caloric vestibular test A 0.10 0.63 0.63 NA 0.02 0.75 0.75 1XXX.00.00.0000000 36.7856 09 92543TCCaloric vestibular test A 0.00 0.58 0.58 NA 0.01 0.59 0.59 1XXX.00.00.0000000 36.7856 05 9254326Caloric vestibular test A 0.10 0.05 0.05 0.01 0.16 0.16 1XXX.00.00.0000000 36.7856 09 92544 Optokinetic nystagmus test A 0.26 0.97 0.97 NA 0.03 1.26 1.26 1XXX.00.00.0000000 36.7856 09 92544TCOptokinetic nystagmus test A 0.00 0.84 0.84 NA 0.02 0.86 0.86 1XXX.00.00.0000000 36.7856 05 9254426Optokinetic nystagmus test A 0.26 0.13 0.13 0.01 0.40 0.40 1XXX.00.00.0000000 36.7856 09 92545 Oscillating tracking test A 0.23 0.90 0.90 NA 0.03 1.16 1.16 1XXX.00.00.0000000 36.7856 09 92545TCOscillating tracking test A 0.00 0.79 0.79 NA 0.02 0.81 0.81 1XXX.00.00.0000000 36.7856 05 9254526Oscillating tracking test A 0.23 0.11 0.11 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 92546 Sinusoidal rotational test A 0.29 2.25 2.25 NA 0.03 2.57 2.57 1XXX.00.00.0000000 36.7856 09 92546TCSinusoidal rotational test A 0.00 2.11 2.11 NA 0.02 2.13 2.13 1XXX.00.00.0000000 36.7856 05 9254626Sinusoidal rotational test A 0.29 0.14 0.14 0.01 0.44 0.44 1XXX.00.00.0000000 36.7856 09 92547 Supplemental electrical test A 0.00 1.34 1.34 NA 0.05 1.39 1.39 3ZZZ.00.00.0000000 36.7856 05 92548 Posturography A 0.50 3.98 3.98 NA 0.13 4.61 4.61 1XXX.00.00.0000000 36.7856 09 92548TCPosturography A 0.00 3.71 3.71 NA 0.11 3.82 3.82 1XXX.00.00.0000000 36.7856 05 9254826Posturography A 0.50 0.27 0.27 0.02 0.79 0.79 1XXX.00.00.0000000 36.7856 09 92551 Pure tone hearing test, air N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92552 Pure tone audiometry, air A 0.00 0.45 0.45 NA 0.03 0.48 0.48 3XXX.00.00.0002000 36.7856 05 92553 Audiometry, air & bone A 0.00 0.66 0.66 NA 0.05 0.71 0.71 3XXX.00.00.0002000 36.7856 05 92555 Speech threshold audiometry A 0.00 0.38 0.38 NA 0.03 0.41 0.41 3XXX.00.00.0002000 36.7856 05 92556 Speech audiometry, complete A 0.00 0.57 0.57 NA 0.05 0.62 0.62 3XXX.00.00.0002000 36.7856 05 92557 Comprehensive hearing test A 0.00 1.18 1.18 NA 0.10 1.28 1.28 3XXX.00.00.0002000 36.7856 05 92559 Group audiometric testing N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92560 Bekesy audiometry, screen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92561 Bekesy audiometry, diagnosis A 0.00 0.72 0.72 NA 0.05 0.77 0.77 3XXX.00.00.0002000 36.7856 05 92562 Loudness balance test A 0.00 0.41 0.41 NA 0.03 0.44 0.44 3XXX.00.00.0002000 36.7856 05 92563 Tone decay hearing test A 0.00 0.38 0.38 NA 0.03 0.41 0.41 3XXX.00.00.0002000 36.7856 05 92564 Sisi hearing test A 0.00 0.47 0.47 NA 0.04 0.51 0.51 3XXX.00.00.0002000 36.7856 05 92565 Stenger test, pure tone A 0.00 0.40 0.40 NA 0.03 0.43 0.43 3XXX.00.00.0002000 36.7856 05 92567 Tympanometry A 0.00 0.52 0.52 NA 0.05 0.57 0.57 3XXX.00.00.0002000 36.7856 05 92568 Acoustic reflex testing A 0.00 0.38 0.38 NA 0.03 0.41 0.41 3XXX.00.00.0002000 36.7856 05 92569 Acoustic reflex decay test A 0.00 0.41 0.41 NA 0.03 0.44 0.44 3XXX.00.00.0002000 36.7856 05 92571 Filtered speech hearing test A 0.00 0.39 0.39 NA 0.03 0.42 0.42 3XXX.00.00.0002000 36.7856 05 92572 Staggered spondaic word test A 0.00 0.09 0.09 NA 0.01 0.10 0.10 3XXX.00.00.0002000 36.7856 05 92573 Lombard test A 0.00 0.35 0.35 NA 0.03 0.38 0.38 3XXX.00.00.0002000 36.7856 05 92575 Sensorineural acuity test A 0.00 0.30 0.30 NA 0.02 0.32 0.32 3XXX.00.00.0002000 36.7856 05 92576 Synthetic sentence test A 0.00 0.45 0.45 NA 0.04 0.49 0.49 3XXX.00.00.0002000 36.7856 05 92577 Stenger test, speech A 0.00 0.72 0.72 NA 0.06 0.78 0.78 3XXX.00.00.0002000 36.7856 05 92579 Visual audiometry (vra) A 0.00 0.73 0.73 NA 0.05 0.78 0.78 3XXX.00.00.0002000 36.7856 05 92582 Conditioning play audiometry A 0.00 0.73 0.73 NA 0.05 0.78 0.78 3XXX.00.00.0002000 36.7856 05 92583 Select picture audiometry A 0.00 0.89 0.89 NA 0.07 0.96 0.96 3XXX.00.00.0002000 36.7856 05 92584 Electrocochleography A 0.00 2.47 2.47 NA 0.17 2.64 2.64 3XXX.00.00.0002000 36.7856 05 92585 Auditor evoke potent, compre A 0.50 2.06 2.06 NA 0.14 2.70 2.70 1XXX.00.00.0002000 36.7856 09 92585TCAuditor evoke potent, compre A 0.00 1.84 1.84 NA 0.12 1.96 1.96 1XXX.00.00.0002000 36.7856 05 9258526Auditor evoke potent, compre A 0.50 0.22 0.22 0.02 0.74 0.74 1XXX.00.00.0002000 36.7856 09 92586 Auditor evoke potent, limit A 0.00 1.84 1.84 NA 0.12 1.96 1.96 3XXX.00.00.0002000 36.7856 09 92587 Evoked auditory test A 0.13 1.37 1.37 NA 0.10 1.60 1.60 1XXX.00.00.0002000 36.7856 09 92587TCEvoked auditory test A 0.00 1.30 1.30 NA 0.09 1.39 1.39 1XXX.00.00.0002000 36.7856 05 9258726Evoked auditory test A 0.13 0.07 0.07 0.01 0.21 0.21 1XXX.00.00.0002000 36.7856 09 92588 Evoked auditory test A 0.36 1.63 1.63 NA 0.12 2.11 2.11 1XXX.00.00.0002000 36.7856 09 92588TCEvoked auditory test A 0.00 1.46 1.46 NA 0.11 1.57 1.57 1XXX.00.00.0002000 36.7856 05 9258826Evoked auditory test A 0.36 0.17 0.17 0.01 0.54 0.54 1XXX.00.00.0002000 36.7856 09 92589 Auditory function test(s) A 0.00 0.53 0.53 NA 0.05 0.58 0.58 3XXX.00.00.0002000 36.7856 05 92590 Hearing aid exam, one ear N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92591 Hearing aid exam, both ears N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92592 Hearing aid check, one ear N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92593 Hearing aid check, both ears N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92594 Electro hearng aid test, one N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92595 Electro hearng aid tst, both N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92596 Ear protector evaluation A 0.00 0.59 0.59 NA 0.05 0.64 0.64 3XXX.00.00.0002000 36.7856 05 92597 Oral speech device eval A+ 0.86 1.63 0.41 0.04 2.53 1.31 0XXX.00.00.0000000 36.7856 09 92598 Modify oral speech device F+ 0.99 0.76 0.40 0.04 1.79 1.43 9XXX.00.00.0099999 36.7856 09 92599 ENT procedure/service D 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 92599TCENT procedure/service D 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9259926ENT procedure/service D 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 92601 Cochlear implt f/up exam < 7 A 0.00 3.50 3.50 NA 0.06 3.56 3.56 0XXX.00.00.0000000 36.7856 05 92602 Reprogram cochlear implt < 7 A 0.00 2.44 2.44 NA 0.06 2.50 2.50 0XXX.00.00.0000000 36.7856 05 92603 Cochlear implt f/up exam 7 > A 0.00 2.34 2.34 NA 0.06 2.40 2.40 0XXX.00.00.0000000 36.7856 05 92604 Reprogram cochlear implt 7 > A 0.00 1.58 1.58 NA 0.06 1.64 1.64 0XXX.00.00.0000000 36.7856 05 92605 Eval for nonspeech device rx B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92606 Non-speech device service B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92607 Ex for speech device rx, 1hr A 0.00 2.93 2.93 NA 0.04 2.97 2.97 0XXX.00.00.0000000 36.7856 09 92608 Ex for speech device rx addl A 0.00 0.55 0.55 NA 0.04 0.59 0.59 0XXX.00.00.0000000 36.7856 09 92609 Use of speech device service A 0.00 1.58 1.58 NA 0.03 1.61 1.61 0XXX.00.00.0000000 36.7856 09 92610 Evaluate swallowing function A 0.00 1.08 1.08 NA 0.07 1.15 1.15 0XXX.00.00.0000000 36.7856 09 92611 Motion fluoroscopy/swallow A 0.00 1.18 1.18 NA 0.07 1.25 1.25 0XXX.00.00.0000000 36.7856 09 92612 Endoscopy swallow tst (fees) A 1.27 3.36 0.50 0.07 4.70 1.84 0XXX.00.00.0000000 36.7856 09 92613 Endoscopy swallow tst (fees) B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92614 Laryngoscopic sensory test A 1.27 2.29 0.50 0.07 3.63 1.84 0XXX.00.00.0000000 36.7856 09 92615 Eval laryngoscopy sense tst B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92616 Fees w/laryngeal sense test A 1.88 3.02 0.73 0.07 4.97 2.68 0XXX.00.00.0000000 36.7856 09 92617 Interprt fees/laryngeal test B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 92700 Ent procedure/service C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 92950 Heart/lung resuscitation cpr A 3.80 1.01 NA 1.01 0.21 5.02 5.02 0000.00.00.0000000 36.7856 09 92953 Temporary external pacing A 0.23 0.23 NA 0.23 0.01 0.47 0.47 0000.00.00.0000000 36.7856 09 92960 Cardioversion electric, ext A 2.25 2.28 0.86 0.08 4.61 3.19 0000.00.00.0000000 36.7856 09 92961 Cardioversion, electric, int A 4.60 1.77 NA 1.77 0.17 6.54 6.54 0000.00.00.0099999 36.7856 09 92970 Cardioassist, internal A 3.52 1.08 NA 1.08 0.17 4.77 4.77 0000.00.00.0000000 36.7856 09 92971 Cardioassist, external A 1.77 0.88 NA 0.88 0.06 2.71 2.71 0000.00.00.0000000 36.7856 09 92973 Percut coronary thrombectomy A 3.28 1.32 NA 1.32 0.12 4.72 4.72 0ZZZ.00.00.0000000 36.7856 09 92974 Cath place, cardio brachytx A 3.00 1.20 NA 1.20 0.14 4.34 4.34 0ZZZ.00.00.0000000 36.7856 09 92975 Dissolve clot, heart vessel A 7.25 2.88 NA 2.88 0.22 10.35 10.35 0000.00.00.0020000 36.7856 09 92977 Dissolve clot, heart vessel A 0.00 8.02 8.02 NA 0.38 8.40 8.40 5XXX.00.00.0000000 36.7856 09 92978 Intravasc us, heart add-on A 1.80 5.28 5.28 NA 0.26 7.34 7.34 1ZZZ.00.00.0000000 36.7856 09 92978TCIntravasc us, heart add-on A 0.00 4.55 4.55 NA 0.20 4.75 4.75 1ZZZ.00.00.0000000 36.7856 03 9297826Intravasc us, heart add-on A 1.80 0.73 0.73 0.06 2.59 2.59 1ZZZ.00.00.0000000 36.7856 09 92979 Intravasc us, heart add-on A 1.44 2.86 2.86 NA 0.15 4.45 4.45 1ZZZ.00.00.0000000 36.7856 09 92979TCIntravasc us, heart add-on A 0.00 2.28 2.28 NA 0.11 2.39 2.39 1ZZZ.00.00.0000000 36.7856 03 9297926Intravasc us, heart add-on A 1.44 0.58 0.58 0.04 2.06 2.06 1ZZZ.00.00.0000000 36.7856 09 92980 Insert intracoronary stent A 14.84 6.21 NA 6.21 0.71 21.76 21.76 0000.00.00.0020000 36.7856 09 92981 Insert intracoronary stent A 4.17 1.68 NA 1.68 0.20 6.05 6.05 0ZZZ.00.00.0000000 36.7856 09 92982 Coronary artery dilation A 10.98 4.66 NA 4.66 0.52 16.16 16.16 0000.00.00.0020000 36.7856 09 92984 Coronary artery dilation A 2.97 1.19 NA 1.19 0.14 4.30 4.30 0ZZZ.00.00.0000000 36.7856 09 92986 Revision of aortic valve A 21.80 10.27 NA 10.27 1.14 33.21 33.21 0090.09.84.0720000 36.7856 09 92987 Revision of mitral valve A 22.70 10.66 NA 10.66 1.18 34.54 34.54 0090.09.84.0720000 36.7856 09 92990 Revision of pulmonary valve A 17.34 8.24 NA 8.24 0.90 26.48 26.48 0090.09.84.0720000 36.7856 09 92992 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200 36.7856 09 92993 Revision of heart chamber C 0.00 0.00 0.00 0.00 0.00 0.00 0090.09.84.0720200 36.7856 09 92995 Coronary atherectomy A 12.09 5.10 NA 5.10 0.58 17.77 17.77 0000.00.00.0020000 36.7856 09 92996 Coronary atherectomy add-on A 3.26 1.30 NA 1.30 0.16 4.72 4.72 0ZZZ.00.00.0000000 36.7856 09 92997 Pul art balloon repr, percut A 12.00 4.96 NA 4.96 0.63 17.59 17.59 0000.00.00.0020000 36.7856 09 92998 Pul art balloon repr, percut A 6.00 2.26 NA 2.26 0.31 8.57 8.57 0ZZZ.00.00.0000000 36.7856 09 93000 Electrocardiogram, complete A 0.17 0.51 0.51 NA 0.03 0.71 0.71 4XXX.00.00.0000000 36.7856 01 93005 Electrocardiogram, tracing A 0.00 0.45 0.45 NA 0.02 0.47 0.47 3XXX.00.00.0000000 36.7856 01 93010 Electrocardiogram report A 0.17 0.06 0.06 0.01 0.24 0.24 2XXX.00.00.0000000 36.7856 09 93012 Transmission of ecg A 0.00 5.99 5.99 NA 0.15 6.14 6.14 3XXX.00.00.0000000 36.7856 01 93014 Report on transmitted ecg A 0.52 0.19 0.19 0.02 0.73 0.73 2XXX.00.00.0000000 36.7856 09 93015 Cardiovascular stress test A 0.75 1.97 1.97 NA 0.11 2.83 2.83 4XXX.00.00.0000000 36.7856 02 93016 Cardiovascular stress test A 0.45 0.18 0.18 0.01 0.64 0.64 2XXX.00.00.0000000 36.7856 02 93017 Cardiovascular stress test A 0.00 1.67 1.67 NA 0.09 1.76 1.76 3XXX.00.00.0000000 36.7856 02 93018 Cardiovascular stress test A 0.30 0.12 0.12 0.01 0.43 0.43 2XXX.00.00.0000000 36.7856 09 93024 Cardiac drug stress test A 1.17 1.57 1.57 NA 0.11 2.85 2.85 1XXX.00.00.0000000 36.7856 09 93024TCCardiac drug stress test A 0.00 1.11 1.11 NA 0.07 1.18 1.18 1XXX.00.00.0000000 36.7856 03 9302426Cardiac drug stress test A 1.17 0.46 0.46 0.04 1.67 1.67 1XXX.00.00.0000000 36.7856 09 93025 Microvolt t-wave assess A 0.75 10.73 10.73 NA 0.11 11.59 11.59 1XXX.00.00.0000000 36.7856 02 93025TCMicrovolt t-wave assess A 0.00 10.42 10.42 NA 0.09 10.51 10.51 1XXX.00.00.0000000 36.7856 02 9302526Microvolt t-wave assess A 0.75 0.31 0.31 0.02 1.08 1.08 1XXX.00.00.0000000 36.7856 02 93040 Rhythm ECG with report A 0.16 0.20 0.20 NA 0.02 0.38 0.38 4XXX.00.00.0000000 36.7856 01 93041 Rhythm ECG, tracing A 0.00 0.15 0.15 NA 0.01 0.16 0.16 3XXX.00.00.0000000 36.7856 01 93042 Rhythm ECG, report A 0.16 0.05 0.05 0.01 0.22 0.22 2XXX.00.00.0000000 36.7856 09 93224 ECG monitor/report, 24 hrs A 0.52 3.61 3.61 NA 0.21 4.34 4.34 4XXX.00.00.0000000 36.7856 01 93225 ECG monitor/record, 24 hrs A 0.00 1.23 1.23 NA 0.07 1.30 1.30 3XXX.00.00.0000000 36.7856 01 93226 ECG monitor/report, 24 hrs A 0.00 2.18 2.18 NA 0.12 2.30 2.30 3XXX.00.00.0000000 36.7856 01 93227 ECG monitor/review, 24 hrs A 0.52 0.20 0.20 0.02 0.74 0.74 2XXX.00.00.0000000 36.7856 09 93230 ECG monitor/report, 24 hrs A 0.52 3.88 3.88 NA 0.22 4.62 4.62 4XXX.00.00.0000000 36.7856 01 93231 Ecg monitor/record, 24 hrs A 0.00 1.51 1.51 NA 0.09 1.60 1.60 3XXX.00.00.0000000 36.7856 01 93232 ECG monitor/report, 24 hrs A 0.00 2.17 2.17 NA 0.11 2.28 2.28 3XXX.00.00.0000000 36.7856 01 93233 ECG monitor/review, 24 hrs A 0.52 0.20 0.20 0.02 0.74 0.74 2XXX.00.00.0000000 36.7856 09 93235 ECG monitor/report, 24 hrs A 0.45 2.78 2.78 NA 0.13 3.36 3.36 4XXX.00.00.0000000 36.7856 01 93236 ECG monitor/report, 24 hrs A 0.00 2.61 2.61 NA 0.12 2.73 2.73 3XXX.00.00.0000000 36.7856 01 93237 ECG monitor/review, 24 hrs A 0.45 0.17 0.17 0.01 0.63 0.63 2XXX.00.00.0000000 36.7856 09 93268 ECG record/review A 0.52 7.41 7.41 NA 0.24 8.17 8.17 4XXX.00.00.0000000 36.7856 01 93270 ECG recording A 0.00 1.23 1.23 NA 0.07 1.30 1.30 3XXX.00.00.0000000 36.7856 01 93271 Ecg/monitoring and analysis A 0.00 5.99 5.99 NA 0.15 6.14 6.14 3XXX.00.00.0000000 36.7856 01 93272 Ecg/review, interpret only A 0.52 0.19 0.19 0.02 0.73 0.73 2XXX.00.00.0000000 36.7856 09 93278 ECG/signal-averaged A 0.25 1.24 1.24 NA 0.10 1.59 1.59 1XXX.00.00.0000000 36.7856 09 93278TCECG/signal-averaged A 0.00 1.14 1.14 NA 0.09 1.23 1.23 1XXX.00.00.0000000 36.7856 01 9327826ECG/signal-averaged A 0.25 0.10 0.10 0.01 0.36 0.36 1XXX.00.00.0000000 36.7856 09 93303 Echo transthoracic A 1.30 4.33 4.33 NA 0.23 5.86 5.86 1XXX.00.00.0000000 36.7856 09 93303TCEcho transthoracic A 0.00 3.84 3.84 NA 0.19 4.03 4.03 1XXX.00.00.0000000 36.7856 01 9330326Echo transthoracic A 1.30 0.49 0.49 0.04 1.83 1.83 1XXX.00.00.0000000 36.7856 09 93304 Echo transthoracic A 0.75 2.22 2.22 NA 0.13 3.10 3.10 1XXX.00.00.0000000 36.7856 09 93304TCEcho transthoracic A 0.00 1.93 1.93 NA 0.11 2.04 2.04 1XXX.00.00.0000000 36.7856 01 9330426Echo transthoracic A 0.75 0.29 0.29 0.02 1.06 1.06 1XXX.00.00.0000000 36.7856 09 93307 Echo exam of heart A 0.92 4.20 4.20 NA 0.22 5.34 5.34 1XXX.00.00.0000000 36.7856 09 93307TCEcho exam of heart A 0.00 3.84 3.84 NA 0.19 4.03 4.03 1XXX.00.00.0000000 36.7856 01 9330726Echo exam of heart A 0.92 0.36 0.36 0.03 1.31 1.31 1XXX.00.00.0000000 36.7856 09 93308 Echo exam of heart A 0.53 2.14 2.14 NA 0.13 2.80 2.80 1XXX.00.00.0000000 36.7856 09 93308TCEcho exam of heart A 0.00 1.93 1.93 NA 0.11 2.04 2.04 1XXX.00.00.0000000 36.7856 01 9330826Echo exam of heart A 0.53 0.21 0.21 0.02 0.76 0.76 1XXX.00.00.0000000 36.7856 09 93312 Echo transesophageal A 2.20 4.57 4.57 NA 0.32 7.09 7.09 1XXX.00.00.0000000 36.7856 09 93312TCEcho transesophageal A 0.00 3.76 3.76 NA 0.24 4.00 4.00 1XXX.00.00.0000000 36.7856 03 9331226Echo transesophageal A 2.20 0.81 0.81 0.08 3.09 3.09 1XXX.00.00.0000000 36.7856 09 93313 Echo transesophageal A 0.95 0.22 0.21 0.05 1.22 1.21 0XXX.00.00.0000000 36.7856 03 93314 Echo transesophageal A 1.25 4.24 4.24 NA 0.28 5.77 5.77 1XXX.00.00.0000000 36.7856 09 93314TCEcho transesophageal A 0.00 3.76 3.76 NA 0.24 4.00 4.00 1XXX.00.00.0000000 36.7856 03 9331426Echo transesophageal A 1.25 0.48 0.48 0.04 1.77 1.77 1XXX.00.00.0000000 36.7856 09 93315 Echo transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 93315TCEcho transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 9331526Echo transesophageal A 2.78 1.03 1.03 0.10 3.91 3.91 1XXX.00.00.0000000 36.7856 09 93316 Echo transesophageal A 0.95 0.24 NA 0.24 0.05 1.24 1.24 0XXX.00.00.0000000 36.7856 03 93317 Echo transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 93317TCEcho transesophageal C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 03 9331726Echo transesophageal A 1.83 0.69 0.69 0.06 2.58 2.58 1XXX.00.00.0000000 36.7856 09 93318 Echo transesophageal intraop C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 93318TCEcho transesophageal intraop C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9331826Echo transesophageal intraop A 2.20 0.49 0.49 NA 0.06 2.75 2.75 1XXX.00.00.0000000 36.7856 09 93320 Doppler echo exam, heart A 0.38 1.85 1.85 NA 0.11 2.34 2.34 1ZZZ.00.00.0000000 36.7856 09 93320TCDoppler echo exam, heart A 0.00 1.70 1.70 NA 0.10 1.80 1.80 1ZZZ.00.00.0000000 36.7856 01 9332026Doppler echo exam, heart A 0.38 0.15 0.15 0.01 0.54 0.54 1ZZZ.00.00.0000000 36.7856 09 93321 Doppler echo exam, heart A 0.15 1.16 1.16 NA 0.08 1.39 1.39 1ZZZ.00.00.0000000 36.7856 09 93321TCDoppler echo exam, heart A 0.00 1.10 1.10 NA 0.07 1.17 1.17 1ZZZ.00.00.0000000 36.7856 01 9332126Doppler echo exam, heart A 0.15 0.06 0.06 0.01 0.22 0.22 1ZZZ.00.00.0000000 36.7856 09 93325 Doppler color flow add-on A 0.07 2.92 2.92 NA 0.18 3.17 3.17 1ZZZ.00.00.0000000 36.7856 09 93325TCDoppler color flow add-on A 0.00 2.89 2.89 NA 0.17 3.06 3.06 1ZZZ.00.00.0000000 36.7856 01 9332526Doppler color flow add-on A 0.07 0.03 0.03 0.01 0.11 0.11 1ZZZ.00.00.0000000 36.7856 09 93350 Echo transthoracic A 1.48 2.33 2.33 NA 0.13 3.94 3.94 1XXX.00.00.0000000 36.7856 09 93350TCEcho transthoracic A 0.00 1.75 1.75 NA 0.11 1.86 1.86 1XXX.00.00.0000000 36.7856 02 9335026Echo transthoracic A 1.48 0.58 0.58 0.02 2.08 2.08 1XXX.00.00.0000000 36.7856 09 93501 Right heart catheterization A 3.02 18.01 18.01 NA 1.03 22.06 22.06 1000.00.00.0020000 36.7856 09 93501TCRight heart catheterization A 0.00 16.83 16.83 NA 0.87 17.70 17.70 1000.00.00.0000000 36.7856 03 9350126Right heart catheterization A 3.02 1.18 1.18 0.16 4.36 4.36 1000.00.00.0020000 36.7856 09 93503 Insert/place heart catheter A 2.91 0.69 NA 0.69 0.16 3.76 3.76 0000.00.00.0000000 36.7856 09 93505 Biopsy of heart lining A 4.38 3.69 3.69 NA 0.36 8.43 8.43 1000.00.00.0020000 36.7856 09 93505TCBiopsy of heart lining A 0.00 1.97 1.97 NA 0.13 2.10 2.10 1000.00.00.0000000 36.7856 03 9350526Biopsy of heart lining A 4.38 1.72 1.72 0.23 6.33 6.33 1000.00.00.0020000 36.7856 09 93508 Cath placement, angiography A 4.10 14.19 14.19 NA 0.75 19.04 19.04 1000.00.00.0020000 36.7856 09 93508TCCath placement, angiography A 0.00 12.55 12.55 NA 0.54 13.09 13.09 1000.00.00.0000000 36.7856 03 9350826Cath placement, angiography A 4.10 1.64 1.64 0.21 5.95 5.95 1000.00.00.0020000 36.7856 09 93510 Left heart catheterization A 4.33 38.53 38.53 NA 2.13 44.99 44.99 1000.00.00.0020000 36.7856 09 93510TCLeft heart catheterization A 0.00 36.79 36.79 NA 1.91 38.70 38.70 1000.00.00.0000000 36.7856 03 9351026Left heart catheterization A 4.33 1.74 1.74 0.22 6.29 6.29 1000.00.00.0020000 36.7856 09 93511 Left heart catheterization A 5.03 37.84 37.84 NA 2.11 44.98 44.98 1000.00.00.0020000 36.7856 09 93511TCLeft heart catheterization A 0.00 35.82 35.82 NA 1.85 37.67 37.67 1000.00.00.0000000 36.7856 03 9351126Left heart catheterization A 5.03 2.02 2.02 0.26 7.31 7.31 1000.00.00.0020000 36.7856 09 93514 Left heart catheterization A 7.05 38.58 38.58 NA 2.22 47.85 47.85 1000.00.00.0020000 36.7856 09 93514TCLeft heart catheterization A 0.00 35.82 35.82 NA 1.85 37.67 37.67 1000.00.00.0000000 36.7856 03 9351426Left heart catheterization A 7.05 2.76 2.76 0.37 10.18 10.18 1000.00.00.0020000 36.7856 09 93524 Left heart catheterization A 6.95 49.57 49.57 NA 2.79 59.31 59.31 1000.00.00.0020000 36.7856 09 93524TCLeft heart catheterization A 0.00 46.80 46.80 NA 2.43 49.23 49.23 1000.00.00.0000000 36.7856 03 9352426Left heart catheterization A 6.95 2.77 2.77 0.36 10.08 10.08 1000.00.00.0020000 36.7856 09 93526 Rt & Lt heart catheters A 5.99 50.48 50.48 NA 2.81 59.28 59.28 1000.00.00.0020000 36.7856 09 93526TCRt & Lt heart catheters A 0.00 48.08 48.08 NA 2.50 50.58 50.58 1000.00.00.0000000 36.7856 03 9352626Rt & Lt heart catheters A 5.99 2.40 2.40 0.31 8.70 8.70 1000.00.00.0020000 36.7856 09 93527 Rt & Lt heart catheters A 7.28 49.72 49.72 NA 2.81 59.81 59.81 1000.00.00.0020000 36.7856 09 93527TCRt & Lt heart catheters A 0.00 46.80 46.80 NA 2.43 49.23 49.23 1000.00.00.0000000 36.7856 03 9352726Rt & Lt heart catheters A 7.28 2.92 2.92 0.38 10.58 10.58 1000.00.00.0020000 36.7856 09 93528 Rt & Lt heart catheters A 9.00 50.44 50.44 NA 2.90 62.34 62.34 1000.00.00.0020000 36.7856 09 93528TCRt & Lt heart catheters A 0.00 46.80 46.80 NA 2.43 49.23 49.23 1000.00.00.0000000 36.7856 03 9352826Rt & Lt heart catheters A 9.00 3.64 3.64 0.47 13.11 13.11 1000.00.00.0020000 36.7856 09 93529 Rt, lt heart catheterization A 4.80 48.67 48.67 NA 2.68 56.15 56.15 1000.00.00.0020000 36.7856 09 93529TCRt, lt heart catheterization A 0.00 46.80 46.80 NA 2.43 49.23 49.23 1000.00.00.0000000 36.7856 03 9352926Rt, lt heart catheterization A 4.80 1.87 1.87 0.25 6.92 6.92 1000.00.00.0020000 36.7856 09 93530 Rt heart cath, congenital A 4.23 18.37 18.37 NA 1.11 23.71 23.71 1000.00.00.0020000 36.7856 09 93530TCRt heart cath, congenital A 0.00 16.83 16.83 NA 0.87 17.70 17.70 1000.00.00.0000000 36.7856 03 9353026Rt heart cath, congenital A 4.23 1.54 1.54 0.24 6.01 6.01 1000.00.00.0020000 36.7856 09 93531 R & l heart cath, congenital A 8.35 51.30 51.30 NA 2.96 62.61 62.61 1000.00.00.0020000 36.7856 09 93531TCR & l heart cath, congenital A 0.00 48.08 48.08 NA 2.50 50.58 50.58 1000.00.00.0000000 36.7856 03 9353126R & l heart cath, congenital A 8.35 3.22 3.22 0.46 12.03 12.03 1000.00.00.0020000 36.7856 09 93532 R & l heart cath, congenital A 10.00 50.70 50.70 NA 2.95 63.65 63.65 1000.00.00.0020000 36.7856 09 93532TCR & l heart cath, congenital A 0.00 46.80 46.80 NA 2.43 49.23 49.23 1000.00.00.0000000 36.7856 03 9353226R & l heart cath, congenital A 10.00 3.90 3.90 0.52 14.42 14.42 1000.00.00.0020000 36.7856 09 93533 R & l heart cath, congenital A 6.70 49.24 49.24 NA 2.86 58.80 58.80 1000.00.00.0020000 36.7856 09 93533TCR & l heart cath, congenital A 0.00 46.80 46.80 NA 2.43 49.23 49.23 1000.00.00.0000000 36.7856 03 9353326R & l heart cath, congenital A 6.70 2.44 2.44 0.43 9.57 9.57 1000.00.00.0020000 36.7856 09 93539 Injection, cardiac cath A 0.40 0.16 0.16 0.01 0.57 0.57 0000.00.00.0000000 36.7856 09 93540 Injection, cardiac cath A 0.43 0.17 0.17 0.01 0.61 0.61 0000.00.00.0000000 36.7856 09 93541 Injection for lung angiogram A 0.29 0.12 NA 0.12 0.01 0.42 0.42 0000.00.00.0000000 36.7856 09 93542 Injection for heart x-rays A 0.29 0.12 NA 0.12 0.01 0.42 0.42 0000.00.00.0000000 36.7856 09 93543 Injection for heart x-rays A 0.29 0.12 0.12 0.01 0.42 0.42 0000.00.00.0000000 36.7856 09 93544 Injection for aortography A 0.25 0.10 0.10 0.01 0.36 0.36 0000.00.00.0000000 36.7856 09 93545 Inject for coronary x-rays A 0.40 0.16 0.16 0.01 0.57 0.57 0000.00.00.0000000 36.7856 09 93555 Imaging, cardiac cath A 0.81 6.58 6.58 NA 0.31 7.70 7.70 1XXX.00.00.0000000 36.7856 09 93555TCImaging, cardiac cath A 0.00 6.25 6.25 NA 0.28 6.53 6.53 1XXX.00.00.0000000 36.7856 03 9355526Imaging, cardiac cath A 0.81 0.33 0.33 0.03 1.17 1.17 1XXX.00.00.0000000 36.7856 09 93556 Imaging, cardiac cath A 0.83 10.18 10.18 NA 0.45 11.46 11.46 1XXX.00.00.0000000 36.7856 09 93556TCImaging, cardiac cath A 0.00 9.85 9.85 NA 0.42 10.27 10.27 1XXX.00.00.0000000 36.7856 03 9355626Imaging, cardiac cath A 0.83 0.33 0.33 0.03 1.19 1.19 1XXX.00.00.0000000 36.7856 09 93561 Cardiac output measurement A 0.50 0.68 0.68 NA 0.07 1.25 1.25 1000.00.00.0000000 36.7856 09 93561TCCardiac output measurement A 0.00 0.52 0.52 NA 0.05 0.57 0.57 1000.00.00.0000000 36.7856 03 9356126Cardiac output measurement A 0.50 0.16 0.16 0.02 0.68 0.68 1000.00.00.0000000 36.7856 09 93562 Cardiac output measurement A 0.16 0.37 0.37 NA 0.04 0.57 0.57 1000.00.00.0000000 36.7856 09 93562TCCardiac output measurement A 0.00 0.32 0.32 NA 0.03 0.35 0.35 1000.00.00.0000000 36.7856 03 9356226Cardiac output measurement A 0.16 0.05 0.05 0.01 0.22 0.22 1000.00.00.0000000 36.7856 09 93571 Heart flow reserve measure A 1.80 5.25 5.25 NA 0.31 7.36 7.36 1ZZZ.00.00.0000000 36.7856 09 93571TCHeart flow reserve measure A 0.00 4.55 4.55 NA 0.20 4.75 4.75 1ZZZ.00.00.0000000 36.7856 03 9357126Heart flow reserve measure A 1.80 0.70 0.70 0.11 2.61 2.61 1ZZZ.00.00.0000000 36.7856 09 93572 Heart flow reserve measure A 1.44 2.78 2.78 NA 0.28 4.50 4.50 1ZZZ.00.00.0000000 36.7856 09 93572TCHeart flow reserve measure A 0.00 2.28 2.28 NA 0.11 2.39 2.39 1ZZZ.00.00.0000000 36.7856 03 9357226Heart flow reserve measure A 1.44 0.50 0.50 0.17 2.11 2.11 1ZZZ.00.00.0000000 36.7856 09 93580 Transcath closure of asd A 18.00 7.34 NA 7.34 1.14 26.48 26.48 0000.00.00.0020000 36.7856 09 93581 Transcath closure of vsd A 24.43 9.84 NA 9.84 1.14 35.41 35.41 0000.00.00.0020000 36.7856 09 93600 Bundle of His recording A 2.12 2.79 2.79 NA 0.22 5.13 5.13 1000.00.00.0000000 36.7856 09 93600TCBundle of His recording A 0.00 1.94 1.94 NA 0.11 2.05 2.05 1000.00.00.0000000 36.7856 03 9360026Bundle of His recording A 2.12 0.85 0.85 0.11 3.08 3.08 1000.00.00.0000000 36.7856 09 93602 Intra-atrial recording A 2.12 1.94 1.94 NA 0.18 4.24 4.24 1000.00.00.0000000 36.7856 09 93602TCIntra-atrial recording A 0.00 1.10 1.10 NA 0.06 1.16 1.16 1000.00.00.0000000 36.7856 03 9360226Intra-atrial recording A 2.12 0.84 0.84 0.12 3.08 3.08 1000.00.00.0000000 36.7856 09 93603 Right ventricular recording A 2.12 2.51 2.51 NA 0.20 4.83 4.83 1000.00.00.0000000 36.7856 09 93603TCRight ventricular recording A 0.00 1.67 1.67 NA 0.09 1.76 1.76 1000.00.00.0000000 36.7856 03 9360326Right ventricular recording A 2.12 0.84 0.84 0.11 3.07 3.07 1000.00.00.0000000 36.7856 09 93609 Map tachycardia, add-on A 5.00 4.71 4.71 NA 0.66 10.37 10.37 1ZZZ.00.00.0000000 36.7856 09 93609TCMap tachycardia, add-on A 0.00 2.71 2.71 NA 0.14 2.85 2.85 1ZZZ.00.00.0000000 36.7856 03 9360926Map tachycardia, add-on A 5.00 2.00 2.00 0.52 7.52 7.52 1ZZZ.00.00.0000000 36.7856 09 93610 Intra-atrial pacing A 3.02 2.52 2.52 NA 0.25 5.79 5.79 1000.00.00.0000000 36.7856 09 93610TCIntra-atrial pacing A 0.00 1.34 1.34 NA 0.08 1.42 1.42 1000.00.00.0000000 36.7856 03 9361026Intra-atrial pacing A 3.02 1.18 1.18 0.17 4.37 4.37 1000.00.00.0000000 36.7856 09 93612 Intraventricular pacing A 3.02 2.79 2.79 NA 0.26 6.07 6.07 1000.00.00.0000000 36.7856 09 93612TCIntraventricular pacing A 0.00 1.61 1.61 NA 0.09 1.70 1.70 1000.00.00.0000000 36.7856 03 9361226Intraventricular pacing A 3.02 1.18 1.18 0.17 4.37 4.37 1000.00.00.0000000 36.7856 09 93613 Electrophys map 3d, add-on A 7.00 2.72 2.72 0.52 10.24 10.24 0ZZZ.00.00.0000000 36.7856 09 93615 Esophageal recording A 0.99 0.59 0.59 NA 0.05 1.63 1.63 1000.00.00.0000000 36.7856 09 93615TCEsophageal recording A 0.00 0.32 0.32 NA 0.02 0.34 0.34 1000.00.00.0000000 36.7856 03 9361526Esophageal recording A 0.99 0.27 0.27 0.03 1.29 1.29 1000.00.00.0000000 36.7856 09 93616 Esophageal recording A 1.49 0.76 0.76 NA 0.08 2.33 2.33 1000.00.00.0000000 36.7856 09 93616TCEsophageal recording A 0.00 0.32 0.32 NA 0.02 0.34 0.34 1000.00.00.0000000 36.7856 03 9361626Esophageal recording A 1.49 0.44 0.44 0.06 1.99 1.99 1000.00.00.0000000 36.7856 09 93618 Heart rhythm pacing A 4.26 5.66 5.66 NA 0.42 10.34 10.34 1000.00.00.0000000 36.7856 09 93618TCHeart rhythm pacing A 0.00 3.95 3.95 NA 0.20 4.15 4.15 1000.00.00.0000000 36.7856 03 9361826Heart rhythm pacing A 4.26 1.71 1.71 0.22 6.19 6.19 1000.00.00.0000000 36.7856 09 93619 Electrophysiology evaluation A 7.32 10.59 10.59 NA 0.77 18.68 18.68 1000.00.00.0000000 36.7856 09 93619TCElectrophysiology evaluation A 0.00 7.67 7.67 NA 0.39 8.06 8.06 1000.00.00.0000000 36.7856 03 9361926Electrophysiology evaluation A 7.32 2.92 2.92 0.38 10.62 10.62 1000.00.00.0000000 36.7856 09 93620 Electrophysiology evaluation C+ 0.00 0.00 0.00 NA 0.00 0.00 0.00 1000.00.00.0000000 36.7856 09 93620TCElectrophysiology evaluation C+ 0.00 0.00 0.00 NA 0.00 0.00 0.00 1000.00.00.0000000 36.7856 03 9362026Electrophysiology evaluation A 11.59 4.62 4.62 0.60 16.81 16.81 1000.00.00.0000000 36.7856 09 93621 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 09 93621TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 03 9362126Electrophysiology evaluation A 2.10 0.84 0.84 0.15 3.09 3.09 1ZZZ.00.00.0000000 36.7856 09 93622 Electrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 09 93622TCElectrophysiology evaluation C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 03 9362226Electrophysiology evaluation A 3.10 1.23 1.23 0.67 5.00 5.00 1ZZZ.00.00.0000000 36.7856 09 93623 Stimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 09 93623TCStimulation, pacing heart C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 03 9362326Stimulation, pacing heart A 2.85 1.13 1.13 0.15 4.13 4.13 1ZZZ.00.00.0000000 36.7856 09 93624 Electrophysiologic study A 4.81 3.88 3.88 NA 0.36 9.05 9.05 1000.00.00.0000000 36.7856 09 93624TCElectrophysiologic study A 0.00 1.97 1.97 NA 0.11 2.08 2.08 1000.00.00.0000000 36.7856 03 9362426Electrophysiologic study A 4.81 1.91 1.91 0.25 6.97 6.97 1000.00.00.0000000 36.7856 09 93631 Heart pacing, mapping A 7.60 8.93 8.93 NA 1.17 17.70 17.70 1000.00.00.0000000 36.7856 09 93631TCHeart pacing, mapping A 0.00 6.12 6.12 NA 0.51 6.63 6.63 1000.00.00.0000000 36.7856 03 9363126Heart pacing, mapping A 7.60 2.81 2.81 0.66 11.07 11.07 1000.00.00.0000000 36.7856 09 93640 Evaluation heart device A 3.52 8.53 8.53 NA 0.53 12.58 12.58 1000.00.00.0000000 36.7856 09 93640TCEvaluation heart device A 0.00 7.14 7.14 NA 0.35 7.49 7.49 1000.00.00.0000000 36.7856 03 9364026Evaluation heart device A 3.52 1.39 1.39 0.18 5.09 5.09 1000.00.00.0000000 36.7856 09 93641 Electrophysiology evaluation A 5.93 9.51 9.51 NA 0.66 16.10 16.10 1000.00.00.0000000 36.7856 09 93641TCElectrophysiology evaluation A 0.00 7.14 7.14 NA 0.35 7.49 7.49 1000.00.00.0000000 36.7856 03 9364126Electrophysiology evaluation A 5.93 2.37 2.37 0.31 8.61 8.61 1000.00.00.0000000 36.7856 09 93642 Electrophysiology evaluation A 4.89 9.07 9.07 NA 0.51 14.47 14.47 1000.00.00.0000000 36.7856 09 93642TCElectrophysiology evaluation A 0.00 7.14 7.14 NA 0.35 7.49 7.49 1000.00.00.0000000 36.7856 03 9364226Electrophysiology evaluation A 4.89 1.93 1.93 0.16 6.98 6.98 1000.00.00.0000000 36.7856 09 93650 Ablate heart dysrhythm focus A 10.51 4.19 NA 4.19 0.55 15.25 15.25 0000.00.00.0000000 36.7856 09 93651 Ablate heart dysrhythm focus A 16.25 6.49 NA 6.49 0.85 23.59 23.59 0000.00.00.0000000 36.7856 09 93652 Ablate heart dysrhythm focus A 17.68 7.07 NA 7.07 0.92 25.67 25.67 0000.00.00.0000000 36.7856 09 93660 Tilt table evaluation A 1.89 2.43 2.43 NA 0.08 4.40 4.40 1000.00.00.0000000 36.7856 09 93660TCTilt table evaluation A 0.00 1.67 1.67 NA 0.02 1.69 1.69 1000.00.00.0000000 36.7856 02 9366026Tilt table evaluation A 1.89 0.76 0.76 0.06 2.71 2.71 1000.00.00.0000000 36.7856 09 93662 Intracardiac ecg (ice) C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 09 93662TCIntracardiac ecg (ice) C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 03 9366226Intracardiac ecg (ice) A 2.80 1.08 1.08 0.41 4.29 4.29 1ZZZ.00.00.0000000 36.7856 09 93668 Peripheral vascular rehab N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 93701 Bioimpedance, thoracic A 0.17 1.14 1.14 NA 0.02 1.33 1.33 1XXX.00.00.0000000 36.7856 09 93701TCBioimpedance, thoracic A 0.00 1.07 1.07 NA 0.01 1.08 1.08 1XXX.00.00.0000000 36.7856 09 9370126Bioimpedance, thoracic A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 93720 Total body plethysmography A 0.17 0.76 0.76 NA 0.06 0.99 0.99 4XXX.00.00.0000000 36.7856 01 93721 Plethysmography tracing A 0.00 0.71 0.71 NA 0.05 0.76 0.76 3XXX.00.00.0000000 36.7856 01 93722 Plethysmography report A 0.17 0.05 0.05 0.01 0.23 0.23 2XXX.00.00.0000000 36.7856 09 93724 Analyze pacemaker system A 4.89 5.91 5.91 NA 0.38 11.18 11.18 1000.00.00.0000000 36.7856 09 93724TCAnalyze pacemaker system A 0.00 3.95 3.95 NA 0.20 4.15 4.15 1000.00.00.0000000 36.7856 03 9372426Analyze pacemaker system A 4.89 1.96 1.96 0.18 7.03 7.03 1000.00.00.0000000 36.7856 09 93727 Analyze ilr system A 0.52 0.20 0.20 0.05 0.77 0.77 2XXX.00.00.0099999 36.7856 03 93731 Analyze pacemaker system A 0.45 0.67 0.67 NA 0.05 1.17 1.17 1XXX.00.00.0000000 36.7856 09 93731TCAnalyze pacemaker system A 0.00 0.49 0.49 NA 0.03 0.52 0.52 1XXX.00.00.0000000 36.7856 02 9373126Analyze pacemaker system A 0.45 0.18 0.18 0.02 0.65 0.65 1XXX.00.00.0000000 36.7856 09 93732 Analyze pacemaker system A 0.92 0.87 0.87 NA 0.06 1.85 1.85 1XXX.00.00.0000000 36.7856 09 93732TCAnalyze pacemaker system A 0.00 0.51 0.51 NA 0.03 0.54 0.54 1XXX.00.00.0000000 36.7856 02 9373226Analyze pacemaker system A 0.92 0.36 0.36 0.03 1.31 1.31 1XXX.00.00.0000000 36.7856 09 93733 Telephone analy, pacemaker A 0.17 0.80 0.80 NA 0.06 1.03 1.03 1XXX.00.00.0000000 36.7856 09 93733TCTelephone analy, pacemaker A 0.00 0.73 0.73 NA 0.05 0.78 0.78 1XXX.00.00.0000000 36.7856 01 9373326Telephone analy, pacemaker A 0.17 0.07 0.07 0.01 0.25 0.25 1XXX.00.00.0000000 36.7856 09 93734 Analyze pacemaker system A 0.38 0.50 0.50 NA 0.03 0.91 0.91 1XXX.00.00.0000000 36.7856 09 93734TCAnalyze pacemaker system A 0.00 0.35 0.35 NA 0.02 0.37 0.37 1XXX.00.00.0000000 36.7856 02 9373426Analyze pacemaker system A 0.38 0.15 0.15 0.01 0.54 0.54 1XXX.00.00.0000000 36.7856 09 93735 Analyze pacemaker system A 0.74 0.74 0.74 NA 0.06 1.54 1.54 1XXX.00.00.0000000 36.7856 09 93735TCAnalyze pacemaker system A 0.00 0.45 0.45 NA 0.03 0.48 0.48 1XXX.00.00.0000000 36.7856 02 9373526Analyze pacemaker system A 0.74 0.29 0.29 0.03 1.06 1.06 1XXX.00.00.0000000 36.7856 09 93736 Telephone analy, pacemaker A 0.15 0.69 0.69 NA 0.06 0.90 0.90 1XXX.00.00.0000000 36.7856 09 93736TCTelephone analy, pacemaker A 0.00 0.63 0.63 NA 0.05 0.68 0.68 1XXX.00.00.0000000 36.7856 01 9373626Telephone analy, pacemaker A 0.15 0.06 0.06 0.01 0.22 0.22 1XXX.00.00.0000000 36.7856 09 93740 Temperature gradient studies B+ 0.16 0.19 0.19 NA 0.02 0.37 0.37 1XXX.00.00.0099999 36.7856 09 93740TCTemperature gradient studies B+ 0.00 0.15 0.15 NA 0.01 0.16 0.16 1XXX.00.00.0099999 36.7856 01 9374026Temperature gradient studies B+ 0.16 0.04 0.04 0.01 0.21 0.21 1XXX.00.00.0099999 36.7856 09 93741 Analyze ht pace device sngl A 0.80 0.99 0.99 NA 0.05 1.84 1.84 1XXX.00.00.0099999 36.7856 09 93741TCAnalyze ht pace device sngl A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0099999 36.7856 02 9374126Analyze ht pace device sngl A 0.80 0.32 0.32 0.02 1.14 1.14 1XXX.00.00.0099999 36.7856 09 93742 Analyze ht pace device sngl A 0.91 1.04 1.04 NA 0.05 2.00 2.00 1XXX.00.00.0099999 36.7856 09 93742TCAnalyze ht pace device sngl A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0099999 36.7856 02 9374226Analyze ht pace device sngl A 0.91 0.37 0.37 0.02 1.30 1.30 1XXX.00.00.0099999 36.7856 09 93743 Analyze ht pace device dual A 1.03 1.15 1.15 NA 0.06 2.24 2.24 1XXX.00.00.0099999 36.7856 09 93743TCAnalyze ht pace device dual A 0.00 0.74 0.74 NA 0.03 0.77 0.77 1XXX.00.00.0099999 36.7856 02 9374326Analyze ht pace device dual A 1.03 0.41 0.41 0.03 1.47 1.47 1XXX.00.00.0099999 36.7856 09 93744 Analyze ht pace device dual A 1.18 1.14 1.14 NA 0.06 2.38 2.38 1XXX.00.00.0099999 36.7856 09 93744TCAnalyze ht pace device dual A 0.00 0.67 0.67 NA 0.03 0.70 0.70 1XXX.00.00.0099999 36.7856 02 9374426Analyze ht pace device dual A 1.18 0.47 0.47 0.03 1.68 1.68 1XXX.00.00.0099999 36.7856 09 93760 Cephalic thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 93762 Peripheral thermogram N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 93770 Measure venous pressure B+ 0.16 0.08 0.08 NA 0.02 0.26 0.26 1XXX.00.00.0099999 36.7856 09 93770TCMeasure venous pressure B+ 0.00 0.03 0.03 NA 0.01 0.04 0.04 1XXX.00.00.0099999 36.7856 01 9377026Measure venous pressure B+ 0.16 0.05 0.05 0.01 0.22 0.22 1XXX.00.00.0099999 36.7856 09 93784 Ambulatory BP monitoring A 0.17 0.98 0.98 NA 0.02 1.17 1.17 4XXX.00.00.0000000 36.7856 01 93786 Ambulatory BP recording A 0.00 0.91 0.91 NA 0.01 0.92 0.92 3XXX.00.00.0000000 36.7856 01 93788 Ambulatory BP analysis N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 93790 Review/report BP recording A 0.17 0.07 0.07 0.01 0.25 0.25 2XXX.00.00.0000000 36.7856 09 93797 Cardiac rehab A 0.18 0.39 0.07 0.01 0.58 0.26 0000.00.00.0000000 36.7856 09 93798 Cardiac rehab/monitor A 0.28 0.50 0.11 0.01 0.79 0.40 0000.00.00.0000000 36.7856 09 93799 Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 93799TCCardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9379926Cardiovascular procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 93875 Extracranial study A 0.22 1.65 1.65 NA 0.10 1.97 1.97 1XXX.00.00.0002000 36.7856 09 93875TCExtracranial study A 0.00 1.57 1.57 NA 0.09 1.66 1.66 1XXX.00.00.0002000 36.7856 01 9387526Extracranial study A 0.22 0.08 0.08 0.01 0.31 0.31 1XXX.00.00.0002000 36.7856 09 93880 Extracranial study A 0.60 4.30 4.30 NA 0.33 5.23 5.23 1XXX.00.00.0002000 36.7856 09 93880TCExtracranial study A 0.00 4.09 4.09 NA 0.29 4.38 4.38 1XXX.00.00.0002000 36.7856 01 9388026Extracranial study A 0.60 0.21 0.21 0.04 0.85 0.85 1XXX.00.00.0002000 36.7856 09 93882 Extracranial study A 0.40 2.95 2.95 NA 0.22 3.57 3.57 1XXX.00.00.0000000 36.7856 09 93882TCExtracranial study A 0.00 2.81 2.81 NA 0.18 2.99 2.99 1XXX.00.00.0000000 36.7856 01 9388226Extracranial study A 0.40 0.14 0.14 0.04 0.58 0.58 1XXX.00.00.0000000 36.7856 09 93886 Intracranial study A 0.94 4.73 4.73 NA 0.37 6.04 6.04 1XXX.00.00.0000000 36.7856 09 93886TCIntracranial study A 0.00 4.35 4.35 NA 0.32 4.67 4.67 1XXX.00.00.0000000 36.7856 01 9388626Intracranial study A 0.94 0.38 0.38 0.05 1.37 1.37 1XXX.00.00.0000000 36.7856 09 93888 Intracranial study A 0.62 3.14 3.14 NA 0.26 4.02 4.02 1XXX.00.00.0000000 36.7856 09 93888TCIntracranial study A 0.00 2.91 2.91 NA 0.22 3.13 3.13 1XXX.00.00.0000000 36.7856 01 9388826Intracranial study A 0.62 0.23 0.23 0.04 0.89 0.89 1XXX.00.00.0000000 36.7856 09 93922 Extremity study A 0.25 1.88 1.88 NA 0.13 2.26 2.26 1XXX.00.00.0002000 36.7856 09 93922TCExtremity study A 0.00 1.79 1.79 NA 0.11 1.90 1.90 1XXX.00.00.0002000 36.7856 01 9392226Extremity study A 0.25 0.09 0.09 0.02 0.36 0.36 1XXX.00.00.0002000 36.7856 09 93923 Extremity study A 0.45 2.95 2.95 NA 0.22 3.62 3.62 1XXX.00.00.0002000 36.7856 09 93923TCExtremity study A 0.00 2.79 2.79 NA 0.18 2.97 2.97 1XXX.00.00.0002000 36.7856 01 9392326Extremity study A 0.45 0.16 0.16 0.04 0.65 0.65 1XXX.00.00.0002000 36.7856 09 93924 Extremity study A 0.50 3.67 3.67 NA 0.26 4.43 4.43 1XXX.00.00.0002000 36.7856 09 93924TCExtremity study A 0.00 3.50 3.50 NA 0.21 3.71 3.71 1XXX.00.00.0002000 36.7856 01 9392426Extremity study A 0.50 0.17 0.17 0.05 0.72 0.72 1XXX.00.00.0002000 36.7856 09 93925 Lower extremity study A 0.58 4.95 4.95 NA 0.33 5.86 5.86 1XXX.00.00.0002000 36.7856 09 93925TCLower extremity study A 0.00 4.75 4.75 NA 0.29 5.04 5.04 1XXX.00.00.0002000 36.7856 01 9392526Lower extremity study A 0.58 0.20 0.20 0.04 0.82 0.82 1XXX.00.00.0002000 36.7856 09 93926 Lower extremity study A 0.39 3.39 3.39 NA 0.22 4.00 4.00 1XXX.00.00.0000000 36.7856 09 93926TCLower extremity study A 0.00 3.26 3.26 NA 0.19 3.45 3.45 1XXX.00.00.0000000 36.7856 01 9392626Lower extremity study A 0.39 0.13 0.13 0.03 0.55 0.55 1XXX.00.00.0000000 36.7856 09 93930 Upper extremity study A 0.46 3.94 3.94 NA 0.34 4.74 4.74 1XXX.00.00.0002000 36.7856 09 93930TCUpper extremity study A 0.00 3.78 3.78 NA 0.31 4.09 4.09 1XXX.00.00.0002000 36.7856 01 9393026Upper extremity study A 0.46 0.16 0.16 0.03 0.65 0.65 1XXX.00.00.0002000 36.7856 09 93931 Upper extremity study A 0.31 2.83 2.83 NA 0.22 3.36 3.36 1XXX.00.00.0000000 36.7856 09 93931TCUpper extremity study A 0.00 2.72 2.72 NA 0.20 2.92 2.92 1XXX.00.00.0000000 36.7856 01 9393126Upper extremity study A 0.31 0.11 0.11 0.02 0.44 0.44 1XXX.00.00.0000000 36.7856 09 93965 Extremity study A 0.35 1.85 1.85 NA 0.12 2.32 2.32 1XXX.00.00.0002000 36.7856 09 93965TCExtremity study A 0.00 1.73 1.73 NA 0.10 1.83 1.83 1XXX.00.00.0002000 36.7856 01 9396526Extremity study A 0.35 0.12 0.12 0.02 0.49 0.49 1XXX.00.00.0002000 36.7856 09 93970 Extremity study A 0.68 4.05 4.05 NA 0.38 5.11 5.11 1XXX.00.00.0002000 36.7856 09 93970TCExtremity study A 0.00 3.81 3.81 NA 0.33 4.14 4.14 1XXX.00.00.0002000 36.7856 01 9397026Extremity study A 0.68 0.24 0.24 0.05 0.97 0.97 1XXX.00.00.0002000 36.7856 09 93971 Extremity study A 0.45 2.87 2.87 NA 0.25 3.57 3.57 1XXX.00.00.0000000 36.7856 09 93971TCExtremity study A 0.00 2.72 2.72 NA 0.22 2.94 2.94 1XXX.00.00.0000000 36.7856 01 9397126Extremity study A 0.45 0.15 0.15 0.03 0.63 0.63 1XXX.00.00.0000000 36.7856 09 93975 Vascular study A 1.80 5.92 5.92 NA 0.47 8.19 8.19 1XXX.00.00.0000000 36.7856 09 93975TCVascular study A 0.00 5.30 5.30 NA 0.36 5.66 5.66 1XXX.00.00.0000000 36.7856 01 9397526Vascular study A 1.80 0.62 0.62 0.11 2.53 2.53 1XXX.00.00.0000000 36.7856 09 93976 Vascular study A 1.21 3.49 3.49 NA 0.31 5.01 5.01 1XXX.00.00.0000000 36.7856 09 93976TCVascular study A 0.00 3.08 3.08 NA 0.25 3.33 3.33 1XXX.00.00.0000000 36.7856 01 9397626Vascular study A 1.21 0.41 0.41 0.06 1.68 1.68 1XXX.00.00.0000000 36.7856 09 93978 Vascular study A 0.65 3.63 3.63 NA 0.36 4.64 4.64 1XXX.00.00.0000000 36.7856 09 93978TCVascular study A 0.00 3.40 3.40 NA 0.31 3.71 3.71 1XXX.00.00.0000000 36.7856 01 9397826Vascular study A 0.65 0.23 0.23 0.05 0.93 0.93 1XXX.00.00.0000000 36.7856 09 93979 Vascular study A 0.44 2.63 2.63 NA 0.24 3.31 3.31 1XXX.00.00.0000000 36.7856 09 93979TCVascular study A 0.00 2.47 2.47 NA 0.20 2.67 2.67 1XXX.00.00.0000000 36.7856 01 9397926Vascular study A 0.44 0.16 0.16 0.04 0.64 0.64 1XXX.00.00.0000000 36.7856 09 93980 Penile vascular study A 1.25 4.50 4.50 NA 0.35 6.10 6.10 1XXX.00.00.0000000 36.7856 09 93980TCPenile vascular study A 0.00 4.08 4.08 NA 0.28 4.36 4.36 1XXX.00.00.0000000 36.7856 01 9398026Penile vascular study A 1.25 0.42 0.42 0.07 1.74 1.74 1XXX.00.00.0000000 36.7856 09 93981 Penile vascular study A 0.44 4.82 4.82 NA 0.28 5.54 5.54 1XXX.00.00.0000000 36.7856 09 93981TCPenile vascular study A 0.00 4.67 4.67 NA 0.26 4.93 4.93 1XXX.00.00.0000000 36.7856 01 9398126Penile vascular study A 0.44 0.15 0.15 0.02 0.61 0.61 1XXX.00.00.0000000 36.7856 09 93990 Doppler flow testing A 0.25 3.35 3.35 NA 0.21 3.81 3.81 1XXX.00.00.0000000 36.7856 09 93990TCDoppler flow testing A 0.00 3.26 3.26 NA 0.19 3.45 3.45 1XXX.00.00.0000000 36.7856 01 9399026Doppler flow testing A 0.25 0.09 0.09 0.02 0.36 0.36 1XXX.00.00.0000000 36.7856 09 94010 Breathing capacity test A 0.17 0.88 0.88 NA 0.03 1.08 1.08 1XXX.00.00.0000000 36.7856 09 94010TCBreathing capacity test A 0.00 0.83 0.83 NA 0.02 0.85 0.85 1XXX.00.00.0000000 36.7856 01 9401026Breathing capacity test A 0.17 0.05 0.05 0.01 0.23 0.23 1XXX.00.00.0000000 36.7856 09 94014 Patient recorded spirometry A 0.52 0.98 0.98 NA 0.03 1.53 1.53 4XXX.00.00.0000000 36.7856 01 94015 Patient recorded spirometry A 0.00 0.81 0.81 NA 0.01 0.82 0.82 3XXX.00.00.0000000 36.7856 01 94016 Review patient spirometry A 0.52 0.17 0.17 0.02 0.71 0.71 2XXX.00.00.0000000 36.7856 09 94060 Evaluation of wheezing A 0.31 1.52 1.52 NA 0.06 1.89 1.89 1XXX.00.00.0000000 36.7856 09 94060TCEvaluation of wheezing A 0.00 1.42 1.42 NA 0.05 1.47 1.47 1XXX.00.00.0000000 36.7856 02 9406026Evaluation of wheezing A 0.31 0.10 0.10 0.01 0.42 0.42 1XXX.00.00.0000000 36.7856 09 94070 Evaluation of wheezing A 0.60 4.34 4.34 NA 0.10 5.04 5.04 1XXX.00.00.0000000 36.7856 09 94070TCEvaluation of wheezing A 0.00 4.15 4.15 NA 0.08 4.23 4.23 1XXX.00.00.0000000 36.7856 02 9407026Evaluation of wheezing A 0.60 0.19 0.19 0.02 0.81 0.81 1XXX.00.00.0000000 36.7856 09 94150 Vital capacity test B+ 0.07 0.66 0.66 NA 0.02 0.75 0.75 1XXX.00.00.0099999 36.7856 09 94150TCVital capacity test B+ 0.00 0.63 0.63 NA 0.01 0.64 0.64 1XXX.00.00.0099999 36.7856 01 9415026Vital capacity test B+ 0.07 0.03 0.03 0.01 0.11 0.11 1XXX.00.00.0099999 36.7856 09 94200 Lung function test (MBC/MVV) A 0.11 0.63 0.63 NA 0.03 0.77 0.77 1XXX.00.00.0000000 36.7856 09 94200TCLung function test (MBC/MVV) A 0.00 0.60 0.60 NA 0.02 0.62 0.62 1XXX.00.00.0000000 36.7856 01 9420026Lung function test (MBC/MVV) A 0.11 0.03 0.03 0.01 0.15 0.15 1XXX.00.00.0000000 36.7856 09 94240 Residual lung capacity A 0.26 1.89 1.89 NA 0.05 2.20 2.20 1XXX.00.00.0000000 36.7856 09 94240TCResidual lung capacity A 0.00 1.81 1.81 NA 0.04 1.85 1.85 1XXX.00.00.0000000 36.7856 01 9424026Residual lung capacity A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 94250 Expired gas collection A 0.11 0.70 0.70 NA 0.02 0.83 0.83 1XXX.00.00.0000000 36.7856 09 94250TCExpired gas collection A 0.00 0.67 0.67 NA 0.01 0.68 0.68 1XXX.00.00.0000000 36.7856 01 9425026Expired gas collection A 0.11 0.03 0.03 0.01 0.15 0.15 1XXX.00.00.0000000 36.7856 09 94260 Thoracic gas volume A 0.13 0.55 0.55 NA 0.04 0.72 0.72 1XXX.00.00.0000000 36.7856 09 94260TCThoracic gas volume A 0.00 0.51 0.51 NA 0.03 0.54 0.54 1XXX.00.00.0000000 36.7856 01 9426026Thoracic gas volume A 0.13 0.04 0.04 0.01 0.18 0.18 1XXX.00.00.0000000 36.7856 09 94350 Lung nitrogen washout curve A 0.26 1.96 1.96 NA 0.04 2.26 2.26 1XXX.00.00.0000000 36.7856 09 94350TCLung nitrogen washout curve A 0.00 1.88 1.88 NA 0.03 1.91 1.91 1XXX.00.00.0000000 36.7856 01 9435026Lung nitrogen washout curve A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 94360 Measure airflow resistance A 0.26 0.57 0.57 NA 0.06 0.89 0.89 1XXX.00.00.0000000 36.7856 09 94360TCMeasure airflow resistance A 0.00 0.49 0.49 NA 0.05 0.54 0.54 1XXX.00.00.0000000 36.7856 01 9436026Measure airflow resistance A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 94370 Breath airway closing volume A 0.26 1.96 1.96 NA 0.03 2.25 2.25 1XXX.00.00.0000000 36.7856 09 94370TCBreath airway closing volume A 0.00 1.88 1.88 NA 0.02 1.90 1.90 1XXX.00.00.0000000 36.7856 01 9437026Breath airway closing volume A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 94375 Respiratory flow volume loop A 0.31 0.67 0.67 NA 0.03 1.01 1.01 1XXX.00.00.0000000 36.7856 09 94375TCRespiratory flow volume loop A 0.00 0.57 0.57 NA 0.02 0.59 0.59 1XXX.00.00.0000000 36.7856 01 9437526Respiratory flow volume loop A 0.31 0.10 0.10 0.01 0.42 0.42 1XXX.00.00.0000000 36.7856 09 94400 CO2 breathing response curve A 0.40 0.89 0.89 NA 0.06 1.35 1.35 1XXX.00.00.0000000 36.7856 09 94400TCCO2 breathing response curve A 0.00 0.76 0.76 NA 0.05 0.81 0.81 1XXX.00.00.0000000 36.7856 02 9440026CO2 breathing response curve A 0.40 0.13 0.13 0.01 0.54 0.54 1XXX.00.00.0000000 36.7856 09 94450 Hypoxia response curve A 0.40 0.68 0.68 NA 0.04 1.12 1.12 1XXX.00.00.0000000 36.7856 09 94450TCHypoxia response curve A 0.00 0.56 0.56 NA 0.02 0.58 0.58 1XXX.00.00.0000000 36.7856 02 9445026Hypoxia response curve A 0.40 0.12 0.12 0.02 0.54 0.54 1XXX.00.00.0000000 36.7856 09 94620 Pulmonary stress test/simple A 0.64 2.47 2.47 NA 0.10 3.21 3.21 1XXX.00.00.0000000 36.7856 09 94620TCPulmonary stress test/simple A 0.00 2.27 2.27 NA 0.08 2.35 2.35 1XXX.00.00.0000000 36.7856 01 9462026Pulmonary stress test/simple A 0.64 0.20 0.20 0.02 0.86 0.86 1XXX.00.00.0000000 36.7856 09 94621 Pulm stress test/complex A 1.42 2.12 2.12 NA 0.13 3.67 3.67 1XXX.00.00.0000000 36.7856 09 94621TCPulm stress test/complex A 0.00 1.67 1.67 NA 0.08 1.75 1.75 1XXX.00.00.0000000 36.7856 02 9462126Pulm stress test/complex A 1.42 0.45 0.45 0.05 1.92 1.92 1XXX.00.00.0000000 36.7856 09 94640 Airway inhalation treatment A 0.00 0.70 0.70 NA 0.02 0.72 0.72 5XXX.00.00.0000000 36.7856 09 94642 Aerosol inhalation treatment C 0.00 0.00 0.00 0.00 0.00 0.00 5XXX.00.00.0000000 36.7856 09 94650 Pressure breathing (IPPB) D 0.00 0.67 0.67 0.02 0.69 0.69 5XXX.00.00.0000000 36.7856 09 94651 Pressure breathing (IPPB) D 0.00 0.62 0.62 0.02 0.64 0.64 5XXX.00.00.0000000 36.7856 09 94652 Pressure breathing (IPPB) D 0.00 0.77 0.77 0.06 0.83 0.83 5XXX.00.00.0000000 36.7856 09 94656 Initial ventilator mgmt A 1.22 0.32 NA 0.32 0.06 1.60 1.60 0XXX.00.00.0000000 36.7856 09 94657 Continued ventilator mgmt A 0.83 0.26 NA 0.26 0.03 1.12 1.12 0XXX.00.00.0000000 36.7856 09 94660 Pos airway pressure, CPAP A 0.76 0.68 0.24 0.03 1.47 1.03 0XXX.00.00.0000000 36.7856 09 94662 Neg press ventilation, cnp A 0.76 0.24 NA 0.24 0.02 1.02 1.02 0XXX.00.00.0000000 36.7856 09 94664 Evaluate pt use of inhaler A 0.00 0.52 0.52 NA 0.03 0.55 0.55 5XXX.00.00.0000000 36.7856 02 94665 Aerosol or vapor inhalations D 0.00 0.53 0.53 0.04 0.57 0.57 5XXX.00.00.0000000 36.7856 02 94667 Chest wall manipulation A 0.00 0.81 0.81 NA 0.04 0.85 0.85 5XXX.00.00.0000000 36.7856 09 94668 Chest wall manipulation A 0.00 0.71 0.71 NA 0.02 0.73 0.73 5XXX.00.00.0000000 36.7856 09 94680 Exhaled air analysis, o2 A 0.26 1.91 1.91 NA 0.06 2.23 2.23 1XXX.00.00.0000000 36.7856 09 94680TCExhaled air analysis, o2 A 0.00 1.82 1.82 NA 0.05 1.87 1.87 1XXX.00.00.0000000 36.7856 02 9468026Exhaled air analysis, o2 A 0.26 0.09 0.09 0.01 0.36 0.36 1XXX.00.00.0000000 36.7856 09 94681 Exhaled air analysis, o2/co2 A 0.20 2.80 2.80 NA 0.11 3.11 3.11 1XXX.00.00.0000000 36.7856 09 94681TCExhaled air analysis, o2/co2 A 0.00 2.73 2.73 NA 0.10 2.83 2.83 1XXX.00.00.0000000 36.7856 02 9468126Exhaled air analysis, o2/co2 A 0.20 0.07 0.07 0.01 0.28 0.28 1XXX.00.00.0000000 36.7856 09 94690 Exhaled air analysis A 0.07 2.13 2.13 NA 0.04 2.24 2.24 1XXX.00.00.0000000 36.7856 09 94690TCExhaled air analysis A 0.00 2.11 2.11 NA 0.03 2.14 2.14 1XXX.00.00.0000000 36.7856 01 9469026Exhaled air analysis A 0.07 0.02 0.02 0.01 0.10 0.10 1XXX.00.00.0000000 36.7856 09 94720 Monoxide diffusing capacity A 0.26 1.55 1.55 NA 0.06 1.87 1.87 1XXX.00.00.0000000 36.7856 09 94720TCMonoxide diffusing capacity A 0.00 1.47 1.47 NA 0.05 1.52 1.52 1XXX.00.00.0000000 36.7856 01 9472026Monoxide diffusing capacity A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 94725 Membrane diffusion capacity A 0.26 2.56 2.56 NA 0.11 2.93 2.93 1XXX.00.00.0000000 36.7856 09 94725TCMembrane diffusion capacity A 0.00 2.48 2.48 NA 0.10 2.58 2.58 1XXX.00.00.0000000 36.7856 01 9472526Membrane diffusion capacity A 0.26 0.08 0.08 0.01 0.35 0.35 1XXX.00.00.0000000 36.7856 09 94750 Pulmonary compliance study A 0.23 2.07 2.07 NA 0.04 2.34 2.34 1XXX.00.00.0000000 36.7856 09 94750TCPulmonary compliance study A 0.00 2.00 2.00 NA 0.03 2.03 2.03 1XXX.00.00.0000000 36.7856 01 9475026Pulmonary compliance study A 0.23 0.07 0.07 0.01 0.31 0.31 1XXX.00.00.0000000 36.7856 09 94760 Measure blood oxygen level T 0.00 0.09 0.09 NA 0.02 0.11 0.11 3XXX.00.00.0000000 36.7856 01 94761 Measure blood oxygen level T 0.00 0.17 0.17 NA 0.05 0.22 0.22 3XXX.00.00.0000000 36.7856 01 94762 Measure blood oxygen level A 0.00 0.74 0.74 NA 0.08 0.82 0.82 3XXX.00.00.0000000 36.7856 01 94770 Exhaled carbon dioxide test A 0.15 1.68 1.68 NA 0.07 1.90 1.90 1XXX.00.00.0000000 36.7856 09 94770TCExhaled carbon dioxide test A 0.00 1.64 1.64 NA 0.06 1.70 1.70 1XXX.00.00.0000000 36.7856 01 9477026Exhaled carbon dioxide test A 0.15 0.04 0.04 0.01 0.20 0.20 1XXX.00.00.0000000 36.7856 09 94772 Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 94772TCBreath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 9477226Breath recording, infant C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 94799 Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 94799TCPulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9479926Pulmonary service/procedure C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 95004 Percut allergy skin tests A 0.00 0.10 0.10 NA 0.01 0.11 0.11 5XXX.00.00.0000000 36.7856 02 95010 Percut allergy titrate test A 0.15 0.44 0.06 0.01 0.60 0.22 0XXX.00.00.0000000 36.7856 09 95015 Id allergy titrate-drug/bug A 0.15 0.38 0.06 0.01 0.54 0.22 0XXX.00.00.0000000 36.7856 09 95024 Id allergy test, drug/bug A 0.00 0.15 0.15 NA 0.01 0.16 0.16 5XXX.00.00.0000000 36.7856 02 95027 Id allergy titrate-airborne A 0.00 0.15 0.15 NA 0.01 0.16 0.16 3XXX.00.00.0000000 36.7856 02 95028 Id allergy test-delayed type A 0.00 0.23 0.23 NA 0.01 0.24 0.24 3XXX.00.00.0000000 36.7856 02 95044 Allergy patch tests A 0.00 0.20 0.20 NA 0.01 0.21 0.21 5XXX.00.00.0000000 36.7856 02 95052 Photo patch test A 0.00 0.25 0.25 NA 0.01 0.26 0.26 5XXX.00.00.0000000 36.7856 02 95056 Photosensitivity tests A 0.00 0.17 0.17 NA 0.01 0.18 0.18 5XXX.00.00.0000000 36.7856 02 95060 Eye allergy tests A 0.00 0.35 0.35 NA 0.02 0.37 0.37 3XXX.00.00.0000000 36.7856 03 95065 Nose allergy test A 0.00 0.20 0.20 NA 0.01 0.21 0.21 3XXX.00.00.0000000 36.7856 03 95070 Bronchial allergy tests A 0.00 2.27 2.27 NA 0.02 2.29 2.29 3XXX.00.00.0000000 36.7856 02 95071 Bronchial allergy tests A 0.00 2.91 2.91 NA 0.02 2.93 2.93 3XXX.00.00.0000000 36.7856 02 95075 Ingestion challenge test A 0.95 0.84 0.40 0.03 1.82 1.38 0XXX.00.00.0000000 36.7856 09 95078 Provocative testing A 0.00 0.25 0.25 NA 0.02 0.27 0.27 3XXX.00.00.0000000 36.7856 03 95115 Immunotherapy, one injection A 0.00 0.39 0.39 NA 0.02 0.41 0.41 5000.00.00.0000000 36.7856 09 95117 Immunotherapy injections A 0.00 0.50 0.50 NA 0.02 0.52 0.52 5000.00.00.0000000 36.7856 09 95120 Immunotherapy, one injection I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 95125 Immunotherapy, many antigens I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 95130 Immunotherapy, insect venom I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 95131 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 95132 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 95133 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 95134 Immunotherapy, insect venoms I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 95144 Antigen therapy services A 0.06 0.25 0.02 0.01 0.32 0.09 0000.00.00.0000000 36.7856 09 95145 Antigen therapy services A 0.06 0.49 0.02 0.01 0.56 0.09 0000.00.00.0000000 36.7856 09 95146 Antigen therapy services A 0.06 0.61 0.03 0.01 0.68 0.10 0000.00.00.0000000 36.7856 09 95147 Antigen therapy services A 0.06 0.83 0.02 0.01 0.90 0.09 0000.00.00.0000000 36.7856 09 95148 Antigen therapy services A 0.06 0.81 0.03 0.01 0.88 0.10 0000.00.00.0000000 36.7856 09 95149 Antigen therapy services A 0.06 1.02 0.03 0.01 1.09 0.10 0000.00.00.0000000 36.7856 09 95165 Antigen therapy services A 0.06 0.20 0.02 0.01 0.27 0.09 0000.00.00.0000000 36.7856 09 95170 Antigen therapy services A 0.06 0.26 0.02 0.01 0.33 0.09 0000.00.00.0000000 36.7856 09 95180 Rapid desensitization A 2.01 1.60 0.84 0.04 3.65 2.89 0000.00.00.0000000 36.7856 09 95199 Allergy immunology services C 0.00 0.00 0.00 0.00 0.00 0.00 0000.00.00.0000000 36.7856 09 95250 Glucose monitoring, cont A 0.00 3.22 3.22 NA 0.01 3.23 3.23 3XXX.00.00.0000000 36.7856 09 95805 Multiple sleep latency test A 1.88 17.11 17.11 NA 0.34 19.33 19.33 1XXX.00.00.0000000 36.7856 09 95805TCMultiple sleep latency test A 0.00 16.43 16.43 NA 0.28 16.71 16.71 1XXX.00.00.0000000 36.7856 01 9580526Multiple sleep latency test A 1.88 0.68 0.68 0.06 2.62 2.62 1XXX.00.00.0000000 36.7856 09 95806 Sleep study, unattended A 1.66 4.10 4.10 NA 0.32 6.08 6.08 1XXX.00.00.0000000 36.7856 09 95806TCSleep study, unattended A 0.00 3.55 3.55 NA 0.26 3.81 3.81 1XXX.00.00.0000000 36.7856 01 9580626Sleep study, unattended A 1.66 0.55 0.55 0.06 2.27 2.27 1XXX.00.00.0000000 36.7856 09 95807 Sleep study, attended A 1.66 12.00 12.00 NA 0.40 14.06 14.06 1XXX.00.00.0000000 36.7856 09 95807TCSleep study, attended A 0.00 11.46 11.46 NA 0.35 11.81 11.81 1XXX.00.00.0000000 36.7856 01 9580726Sleep study, attended A 1.66 0.54 0.54 0.05 2.25 2.25 1XXX.00.00.0000000 36.7856 09 95808 Polysomnography, 1-3 A 2.65 13.10 13.10 NA 0.44 16.19 16.19 1XXX.00.00.0000000 36.7856 09 95808TCPolysomnography, 1-3 A 0.00 12.15 12.15 NA 0.35 12.50 12.50 1XXX.00.00.0000000 36.7856 01 9580826Polysomnography, 1-3 A 2.65 0.95 0.95 0.09 3.69 3.69 1XXX.00.00.0000000 36.7856 09 95810 Polysomnography, 4 or more A 3.53 17.29 17.29 NA 0.47 21.29 21.29 1XXX.00.00.0000000 36.7856 09 95810TCPolysomnography, 4 or more A 0.00 16.08 16.08 NA 0.35 16.43 16.43 1XXX.00.00.0000000 36.7856 01 9581026Polysomnography, 4 or more A 3.53 1.21 1.21 0.12 4.86 4.86 1XXX.00.00.0000000 36.7856 09 95811 Polysomnography w/cpap A 3.80 17.67 17.67 NA 0.49 21.96 21.96 1XXX.00.00.0000000 36.7856 09 95811TCPolysomnography w/cpap A 0.00 16.37 16.37 NA 0.36 16.73 16.73 1XXX.00.00.0000000 36.7856 01 9581126Polysomnography w/cpap A 3.80 1.30 1.30 0.13 5.23 5.23 1XXX.00.00.0000000 36.7856 09 95812 Eeg, 41-60 minutes A 1.08 4.72 4.72 NA 0.13 5.93 5.93 1XXX.00.00.0000000 36.7856 09 95812TCEeg, 41-60 minutes A 0.00 4.26 4.26 NA 0.09 4.35 4.35 1XXX.00.00.0000000 36.7856 01 9581226Eeg, 41-60 minutes A 1.08 0.46 0.46 0.04 1.58 1.58 1XXX.00.00.0000000 36.7856 09 95813 Eeg, over 1 hour A 1.73 5.80 5.80 NA 0.15 7.68 7.68 1XXX.00.00.0000000 36.7856 09 95813TCEeg, over 1 hour A 0.00 5.08 5.08 NA 0.09 5.17 5.17 1XXX.00.00.0000000 36.7856 01 9581326Eeg, over 1 hour A 1.73 0.72 0.72 0.06 2.51 2.51 1XXX.00.00.0000000 36.7856 09 95816 Eeg, awake and drowsy A 1.08 3.67 3.67 NA 0.12 4.87 4.87 1XXX.00.00.0000000 36.7856 09 95816TCEeg, awake and drowsy A 0.00 3.20 3.20 NA 0.08 3.28 3.28 1XXX.00.00.0000000 36.7856 01 9581626Eeg, awake and drowsy A 1.08 0.47 0.47 0.04 1.59 1.59 1XXX.00.00.0000000 36.7856 09 95819 Eeg, awake and asleep A 1.08 4.31 4.31 NA 0.12 5.51 5.51 1XXX.00.00.0000000 36.7856 09 95819TCEeg, awake and asleep A 0.00 3.84 3.84 NA 0.08 3.92 3.92 1XXX.00.00.0000000 36.7856 01 9581926Eeg, awake and asleep A 1.08 0.47 0.47 0.04 1.59 1.59 1XXX.00.00.0000000 36.7856 09 95822 Eeg, coma or sleep only A 1.08 5.11 5.11 NA 0.15 6.34 6.34 1XXX.00.00.0000000 36.7856 09 95822TCEeg, coma or sleep only A 0.00 4.64 4.64 NA 0.11 4.75 4.75 1XXX.00.00.0000000 36.7856 01 9582226Eeg, coma or sleep only A 1.08 0.47 0.47 0.04 1.59 1.59 1XXX.00.00.0000000 36.7856 09 95824 Eeg, cerebral death only C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 95824TCEeg, cerebral death only C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 9582426Eeg, cerebral death only A 0.74 0.32 0.32 0.05 1.11 1.11 1XXX.00.00.0000000 36.7856 09 95827 Eeg, all night recording A 1.08 2.70 2.70 NA 0.15 3.93 3.93 1XXX.00.00.0000000 36.7856 09 95827TCEeg, all night recording A 0.00 2.28 2.28 NA 0.12 2.40 2.40 1XXX.00.00.0000000 36.7856 01 9582726Eeg, all night recording A 1.08 0.42 0.42 0.03 1.53 1.53 1XXX.00.00.0000000 36.7856 09 95829 Surgery electrocorticogram A 6.21 40.12 40.12 NA 0.33 46.66 46.66 1XXX.00.00.0000000 36.7856 09 95829TCSurgery electrocorticogram A 0.00 37.74 37.74 NA 0.02 37.76 37.76 1XXX.00.00.0000000 36.7856 01 9582926Surgery electrocorticogram A 6.21 2.38 2.38 0.31 8.90 8.90 1XXX.00.00.0000000 36.7856 09 95830 Insert electrodes for EEG A 1.70 3.55 0.75 0.07 5.32 2.52 0XXX.00.00.0000000 36.7856 09 95831 Limb muscle testing, manual A 0.28 0.53 0.13 0.01 0.82 0.42 0XXX.00.00.0000000 36.7856 09 95832 Hand muscle testing, manual A 0.29 0.45 0.12 0.01 0.75 0.42 0XXX.00.00.0000000 36.7856 09 95833 Body muscle testing, manual A 0.47 0.61 0.23 0.01 1.09 0.71 0XXX.00.00.0000000 36.7856 09 95834 Body muscle testing, manual A 0.60 0.58 0.28 0.02 1.20 0.90 0XXX.00.00.0000000 36.7856 09 95851 Range of motion measurements A 0.16 0.57 0.08 0.01 0.74 0.25 0XXX.00.00.0000000 36.7856 09 95852 Range of motion measurements A 0.11 0.47 0.05 0.01 0.59 0.17 0XXX.00.00.0000000 36.7856 09 95857 Tensilon test A 0.53 0.65 0.23 0.02 1.20 0.78 0XXX.00.00.0000000 36.7856 09 95858 Tensilon test & myogram A 1.56 1.09 1.09 NA 0.07 2.72 2.72 1XXX.00.00.0000000 36.7856 09 95858TCTensilon test & myogram A 0.00 0.40 0.40 NA 0.03 0.43 0.43 1XXX.00.00.0000000 36.7856 03 9585826Tensilon test & myogram A 1.56 0.69 0.69 0.04 2.29 2.29 1XXX.00.00.0000000 36.7856 09 95860 Muscle test, one limb A 0.96 1.62 1.62 NA 0.05 2.63 2.63 1XXX.00.00.0000000 36.7856 09 95860TCMuscle test, one limb A 0.00 1.19 1.19 NA 0.02 1.21 1.21 1XXX.00.00.0000000 36.7856 6A 9586026Muscle test, one limb A 0.96 0.43 0.43 0.03 1.42 1.42 1XXX.00.00.0000000 36.7856 09 95861 Muscle test, 2 limbs A 1.54 1.44 1.44 NA 0.10 3.08 3.08 1XXX.00.00.0000000 36.7856 09 95861TCMuscle test, 2 limbs A 0.00 0.74 0.74 NA 0.05 0.79 0.79 1XXX.00.00.0000000 36.7856 6A 9586126Muscle test, 2 limbs A 1.54 0.70 0.70 0.05 2.29 2.29 1XXX.00.00.0000000 36.7856 09 95863 Muscle test, 3 limbs A 1.87 1.77 1.77 NA 0.11 3.75 3.75 1XXX.00.00.0000000 36.7856 09 95863TCMuscle test, 3 limbs A 0.00 0.94 0.94 NA 0.05 0.99 0.99 1XXX.00.00.0000000 36.7856 6A 9586326Muscle test, 3 limbs A 1.87 0.83 0.83 0.06 2.76 2.76 1XXX.00.00.0000000 36.7856 09 95864 Muscle test, 4 limbs A 1.99 2.66 2.66 NA 0.16 4.81 4.81 1XXX.00.00.0000000 36.7856 09 95864TCMuscle test, 4 limbs A 0.00 1.77 1.77 NA 0.10 1.87 1.87 1XXX.00.00.0000000 36.7856 6A 9586426Muscle test, 4 limbs A 1.99 0.89 0.89 0.06 2.94 2.94 1XXX.00.00.0000000 36.7856 09 95867 Muscle test cran nerv unilat A 0.79 0.94 0.94 NA 0.06 1.79 1.79 1XXX.00.00.0000000 36.7856 09 95867TCMuscle test cran nerv unilat A 0.00 0.58 0.58 NA 0.03 0.61 0.61 1XXX.00.00.0000000 36.7856 6A 9586726Muscle test cran nerv unilat A 0.79 0.36 0.36 0.03 1.18 1.18 1XXX.00.00.0000000 36.7856 09 95868 Muscle test cran nerve bilat A 1.18 1.23 1.23 NA 0.08 2.49 2.49 1XXX.00.00.0002000 36.7856 09 95868TCMuscle test cran nerve bilat A 0.00 0.70 0.70 NA 0.04 0.74 0.74 1XXX.00.00.0002000 36.7856 6A 9586826Muscle test cran nerve bilat A 1.18 0.53 0.53 0.04 1.75 1.75 1XXX.00.00.0002000 36.7856 09 95869 Muscle test, thor paraspinal A 0.37 0.38 0.38 NA 0.03 0.78 0.78 1XXX.00.00.0000000 36.7856 09 95869TCMuscle test, thor paraspinal A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0000000 36.7856 6A 9586926Muscle test, thor paraspinal A 0.37 0.17 0.17 0.01 0.55 0.55 1XXX.00.00.0000000 36.7856 09 95870 Muscle test, nonparaspinal A 0.37 0.37 0.37 NA 0.03 0.77 0.77 1XXX.00.00.0000000 36.7856 09 95870TCMuscle test, nonparaspinal A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0000000 36.7856 6A 9587026Muscle test, nonparaspinal A 0.37 0.16 0.16 0.01 0.54 0.54 1XXX.00.00.0000000 36.7856 09 95872 Muscle test, one fiber A 1.50 1.25 1.25 NA 0.08 2.83 2.83 1XXX.00.00.0000000 36.7856 09 95872TCMuscle test, one fiber A 0.00 0.60 0.60 NA 0.04 0.64 0.64 1XXX.00.00.0000000 36.7856 66 9587226Muscle test, one fiber A 1.50 0.65 0.65 0.04 2.19 2.19 1XXX.00.00.0000000 36.7856 09 95875 Limb exercise test A 1.10 1.72 1.72 NA 0.09 2.91 2.91 1XXX.00.00.0000000 36.7856 09 95875TCLimb exercise test A 0.00 1.24 1.24 NA 0.05 1.29 1.29 1XXX.00.00.0000000 36.7856 03 9587526Limb exercise test A 1.10 0.48 0.48 0.04 1.62 1.62 1XXX.00.00.0000000 36.7856 09 95900 Motor nerve conduction test A 0.42 1.12 1.12 NA 0.03 1.57 1.57 1XXX.00.00.0000000 36.7856 09 95900TCMotor nerve conduction test A 0.00 0.93 0.93 NA 0.02 0.95 0.95 1XXX.00.00.0000000 36.7856 7A 9590026Motor nerve conduction test A 0.42 0.19 0.19 0.01 0.62 0.62 1XXX.00.00.0000000 36.7856 09 95903 Motor nerve conduction test A 0.60 1.07 1.07 NA 0.04 1.71 1.71 1XXX.00.00.0000000 36.7856 09 95903TCMotor nerve conduction test A 0.00 0.80 0.80 NA 0.02 0.82 0.82 1XXX.00.00.0000000 36.7856 7A 9590326Motor nerve conduction test A 0.60 0.27 0.27 0.02 0.89 0.89 1XXX.00.00.0000000 36.7856 09 95904 Sense nerve conduction test A 0.34 0.95 0.95 NA 0.03 1.32 1.32 1XXX.00.00.0000000 36.7856 09 95904TCSense nerve conduction test A 0.00 0.80 0.80 NA 0.02 0.82 0.82 1XXX.00.00.0000000 36.7856 7A 9590426Sense nerve conduction test A 0.34 0.15 0.15 0.01 0.50 0.50 1XXX.00.00.0000000 36.7856 09 95920 Intraop nerve test add-on A 2.11 2.26 2.26 NA 0.20 4.57 4.57 1ZZZ.00.00.0000000 36.7856 09 95920TCIntraop nerve test add-on A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1ZZZ.00.00.0000000 36.7856 22 9592026Intraop nerve test add-on A 2.11 0.96 0.96 0.14 3.21 3.21 1ZZZ.00.00.0000000 36.7856 09 95921 Autonomic nerv function test A 0.90 0.72 0.72 NA 0.05 1.67 1.67 1XXX.00.00.0000000 36.7856 09 95921TCAutonomic nerv function test A 0.00 0.38 0.38 NA 0.02 0.40 0.40 1XXX.00.00.0000000 36.7856 02 9592126Autonomic nerv function test A 0.90 0.34 0.34 0.03 1.27 1.27 1XXX.00.00.0000000 36.7856 09 95922 Autonomic nerv function test A 0.96 0.79 0.79 NA 0.05 1.80 1.80 1XXX.00.00.0000000 36.7856 09 95922TCAutonomic nerv function test A 0.00 0.38 0.38 NA 0.02 0.40 0.40 1XXX.00.00.0000000 36.7856 03 9592226Autonomic nerv function test A 0.96 0.41 0.41 0.03 1.40 1.40 1XXX.00.00.0000000 36.7856 09 95923 Autonomic nerv function test A 0.90 2.92 2.92 NA 0.05 3.87 3.87 1XXX.00.00.0000000 36.7856 09 95923TCAutonomic nerv function test A 0.00 2.53 2.53 NA 0.02 2.55 2.55 1XXX.00.00.0000000 36.7856 03 9592326Autonomic nerv function test A 0.90 0.39 0.39 0.03 1.32 1.32 1XXX.00.00.0000000 36.7856 09 95925 Somatosensory testing A 0.54 1.14 1.14 NA 0.07 1.75 1.75 1XXX.00.00.0002000 36.7856 09 95925TCSomatosensory testing A 0.00 0.91 0.91 NA 0.05 0.96 0.96 1XXX.00.00.0002000 36.7856 21 9592526Somatosensory testing A 0.54 0.23 0.23 0.02 0.79 0.79 1XXX.00.00.0002000 36.7856 09 95926 Somatosensory testing A 0.54 1.15 1.15 NA 0.07 1.76 1.76 1XXX.00.00.0002000 36.7856 09 95926TCSomatosensory testing A 0.00 0.91 0.91 NA 0.05 0.96 0.96 1XXX.00.00.0002000 36.7856 21 9592626Somatosensory testing A 0.54 0.24 0.24 0.02 0.80 0.80 1XXX.00.00.0002000 36.7856 09 95927 Somatosensory testing A 0.54 1.17 1.17 NA 0.08 1.79 1.79 1XXX.00.00.0000000 36.7856 09 95927TCSomatosensory testing A 0.00 0.91 0.91 NA 0.05 0.96 0.96 1XXX.00.00.0000000 36.7856 21 9592726Somatosensory testing A 0.54 0.26 0.26 0.03 0.83 0.83 1XXX.00.00.0000000 36.7856 09 95930 Visual evoked potential test A 0.35 1.18 1.18 NA 0.02 1.55 1.55 1XXX.00.00.0002000 36.7856 09 95930TCVisual evoked potential test A 0.00 1.03 1.03 NA 0.01 1.04 1.04 1XXX.00.00.0002000 36.7856 21 9593026Visual evoked potential test A 0.35 0.15 0.15 0.01 0.51 0.51 1XXX.00.00.0002000 36.7856 09 95933 Blink reflex test A 0.59 1.03 1.03 NA 0.07 1.69 1.69 1XXX.00.00.0000000 36.7856 09 95933TCBlink reflex test A 0.00 0.78 0.78 NA 0.05 0.83 0.83 1XXX.00.00.0000000 36.7856 7A 9593326Blink reflex test A 0.59 0.25 0.25 0.02 0.86 0.86 1XXX.00.00.0000000 36.7856 09 95934 H-reflex test A 0.51 0.44 0.44 NA 0.04 0.99 0.99 1XXX.00.00.0001000 36.7856 09 95934TCH-reflex test A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0001000 36.7856 7A 9593426H-reflex test A 0.51 0.23 0.23 0.02 0.76 0.76 1XXX.00.00.0001000 36.7856 09 95936 H-reflex test A 0.55 0.46 0.46 NA 0.04 1.05 1.05 1XXX.00.00.0001000 36.7856 09 95936TCH-reflex test A 0.00 0.21 0.21 NA 0.02 0.23 0.23 1XXX.00.00.0001000 36.7856 7A 9593626H-reflex test A 0.55 0.25 0.25 0.02 0.82 0.82 1XXX.00.00.0001000 36.7856 09 95937 Neuromuscular junction test A 0.65 0.61 0.61 NA 0.04 1.30 1.30 1XXX.00.00.0000000 36.7856 09 95937TCNeuromuscular junction test A 0.00 0.34 0.34 NA 0.02 0.36 0.36 1XXX.00.00.0000000 36.7856 7A 9593726Neuromuscular junction test A 0.65 0.27 0.27 0.02 0.94 0.94 1XXX.00.00.0000000 36.7856 09 95950 Ambulatory eeg monitoring A 1.51 6.79 6.79 NA 0.44 8.74 8.74 1XXX.00.00.0000000 36.7856 09 95950TCAmbulatory eeg monitoring A 0.00 6.14 6.14 NA 0.36 6.50 6.50 1XXX.00.00.0000000 36.7856 01 9595026Ambulatory eeg monitoring A 1.51 0.65 0.65 0.08 2.24 2.24 1XXX.00.00.0000000 36.7856 09 95951 EEG monitoring/videorecord C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 95951TCEEG monitoring/videorecord C 0.00 0.00 0.00 NA 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 01 9595126EEG monitoring/videorecord A 6.00 2.62 2.62 0.20 8.82 8.82 1XXX.00.00.0000000 36.7856 09 95953 EEG monitoring/computer A 3.08 7.63 7.63 NA 0.46 11.17 11.17 1XXX.00.00.0000000 36.7856 09 95953TCEEG monitoring/computer A 0.00 6.31 6.31 NA 0.36 6.67 6.67 1XXX.00.00.0000000 36.7856 01 9595326EEG monitoring/computer A 3.08 1.32 1.32 0.10 4.50 4.50 1XXX.00.00.0000000 36.7856 09 95954 EEG monitoring/giving drugs A 2.45 5.04 5.04 NA 0.15 7.64 7.64 1XXX.00.00.0000000 36.7856 09 95954TCEEG monitoring/giving drugs A 0.00 3.98 3.98 NA 0.05 4.03 4.03 1XXX.00.00.0000000 36.7856 03 9595426EEG monitoring/giving drugs A 2.45 1.06 1.06 0.10 3.61 3.61 1XXX.00.00.0000000 36.7856 09 95955 EEG during surgery A 1.01 2.32 2.32 NA 0.19 3.52 3.52 1XXX.00.00.0000000 36.7856 09 95955TCEEG during surgery A 0.00 1.95 1.95 NA 0.14 2.09 2.09 1XXX.00.00.0000000 36.7856 02 9595526EEG during surgery A 1.01 0.37 0.37 0.05 1.43 1.43 1XXX.00.00.0000000 36.7856 09 95956 Eeg monitoring, cable/radio A 3.08 15.69 15.69 NA 0.47 19.24 19.24 1XXX.00.00.0000000 36.7856 09 95956TCEeg monitoring, cable/radio A 0.00 14.36 14.36 NA 0.36 14.72 14.72 1XXX.00.00.0000000 36.7856 01 9595626Eeg monitoring, cable/radio A 3.08 1.33 1.33 0.11 4.52 4.52 1XXX.00.00.0000000 36.7856 09 95957 EEG digital analysis A 1.98 2.56 2.56 NA 0.17 4.71 4.71 1XXX.00.00.0000000 36.7856 09 95957TCEEG digital analysis A 0.00 1.69 1.69 NA 0.10 1.79 1.79 1XXX.00.00.0000000 36.7856 01 9595726EEG digital analysis A 1.98 0.87 0.87 0.07 2.92 2.92 1XXX.00.00.0000000 36.7856 09 95958 EEG monitoring/function test A 4.25 3.51 3.51 NA 0.29 8.05 8.05 1XXX.00.00.0000000 36.7856 09 95958TCEEG monitoring/function test A 0.00 1.73 1.73 NA 0.11 1.84 1.84 1XXX.00.00.0000000 36.7856 03 9595826EEG monitoring/function test A 4.25 1.78 1.78 0.18 6.21 6.21 1XXX.00.00.0000000 36.7856 09 95961 Electrode stimulation, brain A 2.97 2.65 2.65 NA 0.24 5.86 5.86 1XXX.00.00.0000000 36.7856 09 95961TCElectrode stimulation, brain A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1XXX.00.00.0000000 36.7856 03 9596126Electrode stimulation, brain A 2.97 1.35 1.35 0.18 4.50 4.50 1XXX.00.00.0000000 36.7856 09 95962 Electrode stim, brain add-on A 3.21 2.72 2.72 NA 0.23 6.16 6.16 1ZZZ.00.00.0000000 36.7856 09 95962TCElectrode stim, brain add-on A 0.00 1.30 1.30 NA 0.06 1.36 1.36 1ZZZ.00.00.0000000 36.7856 03 9596226Electrode stim, brain add-on A 3.21 1.42 1.42 0.17 4.80 4.80 1ZZZ.00.00.0000000 36.7856 09 95965 Meg, spontaneous C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 95965TCMeg, spontaneous C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9596526Meg, spontaneous A 8.00 3.11 3.11 0.31 11.42 11.42 1XXX.00.00.0000000 36.7856 09 95966 Meg, evoked, single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 95966TCMeg, evoked, single C 0.00 0.00 0.00 0.00 0.00 0.00 1XXX.00.00.0000000 36.7856 09 9596626Meg, evoked, single A 4.00 1.55 1.55 0.15 5.70 5.70 1XXX.00.00.0000000 36.7856 09 95967 Meg, evoked, each addl C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 09 95967TCMeg, evoked, each addl C 0.00 0.00 0.00 0.00 0.00 0.00 1ZZZ.00.00.0000000 36.7856 09 9596726Meg, evoked, each addl A 3.50 1.36 1.36 0.13 4.99 4.99 1ZZZ.00.00.0000000 36.7856 09 95970 Analyze neurostim, no prog A 0.45 0.17 0.15 0.03 0.65 0.63 0XXX.00.00.0000000 36.7856 09 95971 Analyze neurostim, simple A 0.78 0.28 0.23 0.06 1.12 1.07 0XXX.00.00.0000000 36.7856 09 95972 Analyze neurostim, complex A 1.50 0.61 0.51 0.17 2.28 2.18 0XXX.00.00.0000000 36.7856 09 95973 Analyze neurostim, complex A 0.92 0.41 0.35 0.07 1.40 1.34 0ZZZ.00.00.0000000 36.7856 09 95974 Cranial neurostim, complex A 3.00 1.32 1.32 0.15 4.47 4.47 0XXX.00.00.0000000 36.7856 09 95975 Cranial neurostim, complex A 1.70 0.75 0.75 0.07 2.52 2.52 0ZZZ.00.00.0000000 36.7856 09 95990 Spin/brain pump refil & main A 0.00 1.49 1.49 NA 0.05 1.54 1.54 0XXX.00.00.0000000 36.7856 09 95999 Neurological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 96000 Motion analysis, video/3d A 1.80 0.70 NA 0.70 0.02 2.52 2.52 7XXX.00.00.0002000 36.7856 09 96001 Motion test w/ft press meas A 2.15 0.84 NA 0.84 0.02 3.01 3.01 7XXX.00.00.0002000 36.7856 09 96002 Dynamic surface emg A 0.41 0.16 NA 0.16 0.02 0.59 0.59 0XXX.00.00.0002000 36.7856 09 96003 Dynamic fine wire emg A 0.37 0.14 NA 0.14 0.03 0.54 0.54 0XXX.00.00.0002000 36.7856 09 96004 Phys review of motion tests A 2.14 0.84 0.84 0.08 3.06 3.06 2XXX.00.00.0002000 36.7856 09 96100 Psychological testing A 0.00 1.75 1.75 NA 0.15 1.90 1.90 0XXX.00.00.0000000 36.7856 04 96105 Assessment of aphasia A 0.00 1.75 1.75 NA 0.15 1.90 1.90 0XXX.00.00.0000000 36.7856 04 96110 Developmental test, lim C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 04 96111 Developmental test, extend A 0.00 1.75 1.75 NA 0.15 1.90 1.90 0XXX.00.00.0000000 36.7856 04 96115 Neurobehavior status exam A 0.00 1.75 1.75 NA 0.15 1.90 1.90 0XXX.00.00.0000000 36.7856 04 96117 Neuropsych test battery A 0.00 1.75 1.75 NA 0.15 1.90 1.90 0XXX.00.00.0000000 36.7856 04 96150 Assess lth/behave, init A 0.50 0.21 0.20 0.02 0.73 0.72 0XXX.00.00.0000000 36.7856 09 96151 Assess hlth/behave, subseq A 0.48 0.20 0.19 0.02 0.70 0.69 0XXX.00.00.0000000 36.7856 09 96152 Intervene hlth/behave, indiv A 0.46 0.19 0.18 0.02 0.67 0.66 0XXX.00.00.0000000 36.7856 09 96153 Intervene hlth/behave, group A 0.10 0.04 0.04 0.01 0.15 0.15 0XXX.00.00.0000000 36.7856 09 96154 Interv hlth/behav, fam w/pt A 0.45 0.19 0.18 0.02 0.66 0.65 0XXX.00.00.0000000 36.7856 09 96155 Interv hlth/behav fam no pt A 0.44 0.18 0.17 0.02 0.64 0.63 0XXX.00.00.0000000 36.7856 09 96400 Chemotherapy, sc/im A 0.00 1.01 1.01 NA 0.01 1.02 1.02 5XXX.00.00.0000000 36.7856 09 96405 Intralesional chemo admin A 0.52 1.68 0.23 0.02 2.22 0.77 0000.00.00.0020100 36.7856 09 96406 Intralesional chemo admin A 0.80 2.54 0.30 0.02 3.36 1.12 0000.00.00.0020100 36.7856 09 96408 Chemotherapy, push technique A 0.00 0.97 0.97 NA 0.05 1.02 1.02 5XXX.00.00.0000000 36.7856 09 96410 Chemotherapy,infusion method A 0.00 1.54 1.54 NA 0.07 1.61 1.61 5XXX.00.00.0000000 36.7856 09 96412 Chemo, infuse method add-on A 0.00 1.14 1.14 NA 0.06 1.20 1.20 5ZZZ.00.00.0000000 36.7856 09 96414 Chemo, infuse method add-on A 0.00 1.33 1.33 NA 0.07 1.40 1.40 5XXX.00.00.0000000 36.7856 09 96420 Chemotherapy, push technique A 0.00 1.24 1.24 NA 0.07 1.31 1.31 5XXX.00.00.0000000 36.7856 09 96422 Chemotherapy,infusion method A 0.00 1.22 1.22 NA 0.07 1.29 1.29 5XXX.00.00.0000000 36.7856 09 96423 Chemo, infuse method add-on A 0.00 0.48 0.48 NA 0.02 0.50 0.50 5ZZZ.00.00.0000000 36.7856 09 96425 Chemotherapy,infusion method A 0.00 1.42 1.42 NA 0.07 1.49 1.49 5XXX.00.00.0000000 36.7856 09 96440 Chemotherapy, intracavitary A 2.37 7.92 1.04 0.12 10.41 3.53 0000.00.00.0000000 36.7856 09 96445 Chemotherapy, intracavitary A 2.20 7.97 1.02 0.07 10.24 3.29 0000.00.00.0000000 36.7856 09 96450 Chemotherapy, into CNS A 1.89 6.30 0.93 0.06 8.25 2.88 0000.00.00.0000000 36.7856 09 96520 Port pump refill & main A 0.00 0.89 0.89 NA 0.05 0.94 0.94 5XXX.00.00.0000000 36.7856 09 96530 Syst pump refill & main A 0.00 1.05 1.05 NA 0.05 1.10 1.10 5XXX.00.00.0000000 36.7856 09 96542 Chemotherapy injection A 1.42 3.99 0.55 0.05 5.46 2.02 0XXX.00.00.0000000 36.7856 09 96545 Provide chemotherapy agent B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 96549 Chemotherapy, unspecified C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 96567 Photodynamic tx, skin A 0.00 5.10 5.10 NA 0.03 5.13 5.13 5XXX.00.00.0000000 36.7856 09 96570 Photodynamic tx, 30 min A 1.10 0.38 0.37 0.04 1.52 1.51 0ZZZ.00.00.0000100 36.7856 09 96571 Photodynamic tx, addl 15 min A 0.55 0.21 0.20 0.02 0.78 0.77 0ZZZ.00.00.0000100 36.7856 09 96900 Ultraviolet light therapy A 0.00 0.49 0.49 NA 0.02 0.51 0.51 5XXX.00.00.0000000 36.7856 09 96902 Trichogram B+ 0.41 0.25 0.16 0.01 0.67 0.58 9XXX.00.00.0099999 36.7856 09 96910 Photochemotherapy with UV-B A 0.00 1.57 1.57 NA 0.03 1.60 1.60 5XXX.00.00.0000000 36.7856 09 96912 Photochemotherapy with UV-A A 0.00 1.80 1.80 NA 0.04 1.84 1.84 5XXX.00.00.0000000 36.7856 09 96913 Photochemotherapy, UV-A or B A 0.00 2.71 2.71 NA 0.08 2.79 2.79 5XXX.00.00.0000000 36.7856 09 96920 Laser tx, skin < 250 sq cm A 1.15 2.88 0.45 0.09 4.12 1.69 0000.00.00.0020100 36.7856 09 96921 Laser tx, skin 250-500 sq cm A 1.17 2.96 0.46 0.09 4.22 1.72 0000.00.00.0020100 36.7856 09 96922 Laser tx, skin > 500 sq cm A 2.10 3.56 0.82 0.16 5.82 3.08 0000.00.00.0020100 36.7856 09 96999 Dermatological procedure C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 97001 Pt evaluation A 1.20 0.74 0.46 0.05 1.99 1.71 7XXX.00.00.0000000 36.7856 09 97002 Pt re-evaluation A 0.60 0.45 0.24 0.02 1.07 0.86 7XXX.00.00.0000000 36.7856 09 97003 Ot evaluation A 1.20 0.87 0.41 0.05 2.12 1.66 7XXX.00.00.0000000 36.7856 09 97004 Ot re-evaluation A 0.60 0.68 0.20 0.02 1.30 0.82 7XXX.00.00.0000000 36.7856 09 97005 Athletic train eval I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 97006 Athletic train reeval I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 97010 Hot or cold packs therapy B+ 0.06 0.05 0.05 NA 0.01 0.12 0.12 9XXX.00.00.0099999 36.7856 09 97012 Mechanical traction therapy A 0.25 0.14 0.14 NA 0.01 0.40 0.40 7XXX.00.00.0000000 36.7856 09 97014 Electric stimulation therapy I+ 0.18 0.19 0.19 0.01 0.38 0.38 9XXX.00.00.0099999 36.7856 09 97016 Vasopneumatic device therapy A 0.18 0.19 0.19 NA 0.01 0.38 0.38 7XXX.00.00.0000000 36.7856 09 97018 Paraffin bath therapy A 0.06 0.11 0.11 NA 0.01 0.18 0.18 7XXX.00.00.0000000 36.7856 09 97020 Microwave therapy A 0.06 0.06 0.06 NA 0.01 0.13 0.13 7XXX.00.00.0000000 36.7856 09 97022 Whirlpool therapy A 0.17 0.22 0.22 NA 0.01 0.40 0.40 7XXX.00.00.0000000 36.7856 09 97024 Diathermy treatment A 0.06 0.06 0.06 NA 0.01 0.13 0.13 7XXX.00.00.0000000 36.7856 09 97026 Infrared therapy A 0.06 0.06 0.06 NA 0.01 0.13 0.13 7XXX.00.00.0000000 36.7856 09 97028 Ultraviolet therapy A 0.08 0.07 0.07 NA 0.01 0.16 0.16 7XXX.00.00.0000000 36.7856 09 97032 Electrical stimulation A 0.25 0.18 0.18 NA 0.01 0.44 0.44 7XXX.00.00.0000000 36.7856 09 97033 Electric current therapy A 0.26 0.27 0.27 NA 0.02 0.55 0.55 7XXX.00.00.0000000 36.7856 09 97034 Contrast bath therapy A 0.21 0.16 0.16 NA 0.01 0.38 0.38 7XXX.00.00.0000000 36.7856 09 97035 Ultrasound therapy A 0.21 0.11 0.11 NA 0.01 0.33 0.33 7XXX.00.00.0000000 36.7856 09 97036 Hydrotherapy A 0.28 0.33 0.33 NA 0.01 0.62 0.62 7XXX.00.00.0000000 36.7856 09 97039 Physical therapy treatment A 0.20 0.11 0.11 NA 0.01 0.32 0.32 7XXX.00.00.0000000 36.7856 09 97110 Therapeutic exercises A 0.45 0.28 0.28 NA 0.03 0.76 0.76 7XXX.00.00.0000000 36.7856 09 97112 Neuromuscular reeducation A 0.45 0.31 0.31 NA 0.02 0.78 0.78 7XXX.00.00.0000000 36.7856 09 97113 Aquatic therapy/exercises A 0.44 0.34 0.34 NA 0.03 0.81 0.81 7XXX.00.00.0000000 36.7856 09 97116 Gait training therapy A 0.40 0.25 0.25 NA 0.02 0.67 0.67 7XXX.00.00.0000000 36.7856 09 97124 Massage therapy A 0.35 0.24 0.24 NA 0.01 0.60 0.60 7XXX.00.00.0000000 36.7856 09 97139 Physical medicine procedure A 0.21 0.21 0.21 NA 0.01 0.43 0.43 7XXX.00.00.0000000 36.7856 09 97140 Manual therapy A 0.43 0.27 0.27 NA 0.02 0.72 0.72 7XXX.00.00.0000000 36.7856 09 97150 Group therapeutic procedures A 0.27 0.21 0.21 NA 0.02 0.50 0.50 7XXX.00.00.0000000 36.7856 09 97504 Orthotic training A 0.45 0.29 0.29 NA 0.03 0.77 0.77 7XXX.00.00.0000000 36.7856 09 97520 Prosthetic training A 0.45 0.28 0.28 NA 0.02 0.75 0.75 7XXX.00.00.0000000 36.7856 09 97530 Therapeutic activities A 0.44 0.31 0.31 NA 0.02 0.77 0.77 7XXX.00.00.0000000 36.7856 09 97532 Cognitive skills development A 0.44 0.20 0.20 NA 0.01 0.65 0.65 7XXX.00.00.0000000 36.7856 09 97533 Sensory integration A 0.44 0.24 0.24 NA 0.01 0.69 0.69 7XXX.00.00.0000000 36.7856 09 97535 Self care mngment training A 0.45 0.36 0.36 NA 0.02 0.83 0.83 7XXX.00.00.0000000 36.7856 09 97537 Community/work reintegration A 0.45 0.27 0.27 NA 0.01 0.73 0.73 7XXX.00.00.0000000 36.7856 09 97542 Wheelchair mngment training A 0.45 0.29 0.29 NA 0.01 0.75 0.75 7XXX.00.00.0000000 36.7856 09 97545 Work hardening R 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 36.7856 09 97546 Work hardening add-on R 0.00 0.00 0.00 0.00 0.00 0.00 7ZZZ.00.00.0000000 36.7856 09 97601 Wound(s) care, selective A 0.50 0.53 0.53 NA 0.04 1.07 1.07 0XXX.00.00.0000000 36.7856 09 97602 Wound(s) care non-selective B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 97703 Prosthetic checkout A 0.25 0.33 0.33 NA 0.02 0.60 0.60 7XXX.00.00.0000000 36.7856 09 97750 Physical performance test A 0.45 0.31 0.31 NA 0.02 0.78 0.78 7XXX.00.00.0000000 36.7856 09 97780 Acupuncture w/o stimul N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 97781 Acupuncture w/stimul N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 97799 Physical medicine procedure C 0.00 0.00 0.00 0.00 0.00 0.00 7XXX.00.00.0000000 36.7856 09 97802 Medical nutrition, indiv, in A 0.00 0.47 0.47 NA 0.01 0.48 0.48 0XXX.00.00.0000000 36.7856 09 97803 Med nutrition, indiv, subseq A 0.00 0.47 0.47 NA 0.01 0.48 0.48 0XXX.00.00.0000000 36.7856 09 97804 Medical nutrition, group A 0.00 0.18 0.18 NA 0.01 0.19 0.19 0XXX.00.00.0000000 36.7856 09 98925 Osteopathic manipulation A 0.45 0.37 0.15 0.01 0.83 0.61 0000.00.00.0000000 36.7856 09 98926 Osteopathic manipulation A 0.65 0.44 0.26 0.02 1.11 0.93 0000.00.00.0000000 36.7856 09 98927 Osteopathic manipulation A 0.87 0.51 0.30 0.03 1.41 1.20 0000.00.00.0000000 36.7856 09 98928 Osteopathic manipulation A 1.03 0.59 0.35 0.03 1.65 1.41 0000.00.00.0000000 36.7856 09 98929 Osteopathic manipulation A 1.19 0.65 0.38 0.04 1.88 1.61 0000.00.00.0000000 36.7856 09 98940 Chiropractic manipulation A 0.45 0.24 0.13 0.01 0.70 0.59 0000.00.00.0000000 36.7856 09 98941 Chiropractic manipulation A 0.65 0.30 0.18 0.02 0.97 0.85 0000.00.00.0000000 36.7856 09 98942 Chiropractic manipulation A 0.87 0.37 0.24 0.03 1.27 1.14 0000.00.00.0000000 36.7856 09 98943 Chiropractic manipulation N+ 0.40 0.24 0.16 0.01 0.65 0.57 9XXX.00.00.0099999 36.7856 09 99000 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99001 Specimen handling B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99002 Device handling B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99024 Postop follow-up visit B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99025 Initial surgical evaluation B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99026 In-hospital on call service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99027 Out-of-hosp on call service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99050 Medical services after hrs B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99052 Medical services at night B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99054 Medical servcs, unusual hrs B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99056 Non-office medical services B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99058 Office emergency care B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99070 Special supplies B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99071 Patient education materials B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99075 Medical testimony N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99078 Group health education B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99080 Special reports or forms B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99082 Unusual physician travel C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 99090 Computer data analysis B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99091 Collect/review data from pt B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99100 Special anesthesia service B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 36.7856 09 99116 Anesthesia with hypothermia B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 36.7856 09 99135 Special anesthesia procedure B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 36.7856 09 99140 Emergency anesthesia B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 36.7856 09 99141 Sedation, iv/im or inhalant B+ 0.80 2.15 0.39 0.04 2.99 1.23 9XXX.00.00.0099999 36.7856 09 99142 Sedation, oral/rectal/nasal B+ 0.60 1.25 0.31 0.03 1.88 0.94 9XXX.00.00.0099999 36.7856 09 99170 Anogenital exam, child A 1.75 2.07 0.53 0.07 3.89 2.35 0000.00.00.0020100 36.7856 09 99172 Ocular function screen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99173 Visual acuity screen N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99175 Induction of vomiting A 0.00 1.38 1.38 NA 0.08 1.46 1.46 5XXX.00.00.0000000 36.7856 09 99183 Hyperbaric oxygen therapy A 2.34 0.75 NA 0.75 0.12 3.21 3.21 0XXX.00.00.0000000 36.7856 09 99185 Regional hypothermia A 0.00 0.64 0.64 NA 0.03 0.67 0.67 5XXX.00.00.0000000 36.7856 09 99186 Total body hypothermia A 0.00 1.77 1.77 NA 0.37 2.14 2.14 5XXX.00.00.0000000 36.7856 09 99190 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99191 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99192 Special pump services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99195 Phlebotomy A 0.00 0.45 0.45 NA 0.02 0.47 0.47 5XXX.00.00.0000000 36.7856 09 99199 Special service/proc/report C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 99201 Office/outpatient visit, new A 0.45 0.48 0.16 0.02 0.95 0.63 0XXX.00.00.0000000 36.7856 09 99202 Office/outpatient visit, new A 0.88 0.77 0.32 0.05 1.70 1.25 0XXX.00.00.0000000 36.7856 09 99203 Office/outpatient visit, new A 1.34 1.10 0.49 0.08 2.52 1.91 0XXX.00.00.0000000 36.7856 09 99204 Office/outpatient visit, new A 2.00 1.49 0.72 0.10 3.59 2.82 0XXX.00.00.0000000 36.7856 09 99205 Office/outpatient visit, new A 2.67 1.79 0.95 0.12 4.58 3.74 0XXX.00.00.0000000 36.7856 09 99211 Office/outpatient visit, est A 0.17 0.38 0.06 0.01 0.56 0.24 0XXX.00.00.0000000 36.7856 09 99212 Office/outpatient visit, est A 0.45 0.52 0.16 0.02 0.99 0.63 0XXX.00.00.0000000 36.7856 09 99213 Office/outpatient visit, est A 0.67 0.69 0.24 0.03 1.39 0.94 0XXX.00.00.0000000 36.7856 09 99214 Office/outpatient visit, est A 1.10 1.03 0.40 0.04 2.17 1.54 0XXX.00.00.0000000 36.7856 09 99215 Office/outpatient visit, est A 1.77 1.34 0.64 0.07 3.18 2.48 0XXX.00.00.0000000 36.7856 09 99217 Observation care discharge A 1.28 0.44 NA 0.44 0.05 1.77 1.77 0XXX.00.00.0000000 36.7856 09 99218 Observation care A 1.28 0.44 NA 0.44 0.05 1.77 1.77 0XXX.00.00.0000000 36.7856 09 99219 Observation care A 2.14 0.73 NA 0.73 0.08 2.95 2.95 0XXX.00.00.0000000 36.7856 09 99220 Observation care A 2.99 1.03 NA 1.03 0.11 4.13 4.13 0XXX.00.00.0000000 36.7856 09 99221 Initial hospital care A 1.28 0.46 NA 0.46 0.05 1.79 1.79 0XXX.00.00.0000000 36.7856 09 99222 Initial hospital care A 2.14 0.75 NA 0.75 0.08 2.97 2.97 0XXX.00.00.0000000 36.7856 09 99223 Initial hospital care A 2.99 1.04 NA 1.04 0.10 4.13 4.13 0XXX.00.00.0000000 36.7856 09 99231 Subsequent hospital care A 0.64 0.23 NA 0.23 0.02 0.89 0.89 0XXX.00.00.0000000 36.7856 09 99232 Subsequent hospital care A 1.06 0.38 NA 0.38 0.03 1.47 1.47 0XXX.00.00.0000000 36.7856 09 99233 Subsequent hospital care A 1.51 0.53 NA 0.53 0.05 2.09 2.09 0XXX.00.00.0000000 36.7856 09 99234 Observ/hosp same date A 2.56 0.89 NA 0.89 0.11 3.56 3.56 0XXX.00.00.0000000 36.7856 09 99235 Observ/hosp same date A 3.42 1.16 NA 1.16 0.13 4.71 4.71 0XXX.00.00.0000000 36.7856 09 99236 Observ/hosp same date A 4.27 1.45 NA 1.45 0.17 5.89 5.89 0XXX.00.00.0000000 36.7856 09 99238 Hospital discharge day A 1.28 0.56 NA 0.56 0.04 1.88 1.88 0XXX.00.00.0000000 36.7856 09 99239 Hospital discharge day A 1.75 0.75 NA 0.75 0.05 2.55 2.55 0XXX.00.00.0000000 36.7856 09 99241 Office consultation A 0.64 0.61 0.22 0.04 1.29 0.90 0XXX.00.00.0000000 36.7856 09 99242 Office consultation A 1.29 1.02 0.47 0.09 2.40 1.85 0XXX.00.00.0000000 36.7856 09 99243 Office consultation A 1.72 1.35 0.64 0.10 3.17 2.46 0XXX.00.00.0000000 36.7856 09 99244 Office consultation A 2.58 1.80 0.94 0.13 4.51 3.65 0XXX.00.00.0000000 36.7856 09 99245 Office consultation A 3.43 2.26 1.24 0.16 5.85 4.83 0XXX.00.00.0000000 36.7856 09 99251 Initial inpatient consult A 0.66 0.25 NA 0.25 0.04 0.95 0.95 0XXX.00.00.0000000 36.7856 09 99252 Initial inpatient consult A 1.32 0.51 NA 0.51 0.08 1.91 1.91 0XXX.00.00.0000000 36.7856 09 99253 Initial inpatient consult A 1.82 0.70 NA 0.70 0.09 2.61 2.61 0XXX.00.00.0000000 36.7856 09 99254 Initial inpatient consult A 2.64 1.00 NA 1.00 0.11 3.75 3.75 0XXX.00.00.0000000 36.7856 09 99255 Initial inpatient consult A 3.65 1.36 NA 1.36 0.15 5.16 5.16 0XXX.00.00.0000000 36.7856 09 99261 Follow-up inpatient consult A 0.42 0.16 NA 0.16 0.02 0.60 0.60 0XXX.00.00.0000000 36.7856 09 99262 Follow-up inpatient consult A 0.85 0.31 NA 0.31 0.03 1.19 1.19 0XXX.00.00.0000000 36.7856 09 99263 Follow-up inpatient consult A 1.27 0.46 NA 0.46 0.04 1.77 1.77 0XXX.00.00.0000000 36.7856 09 99271 Confirmatory consultation A 0.45 0.66 0.16 0.03 1.14 0.64 0XXX.00.00.0000000 36.7856 09 99272 Confirmatory consultation A 0.84 0.89 0.32 0.06 1.79 1.22 0XXX.00.00.0000000 36.7856 09 99273 Confirmatory consultation A 1.19 1.09 0.45 0.07 2.35 1.71 0XXX.00.00.0000000 36.7856 09 99274 Confirmatory consultation A 1.73 1.39 0.65 0.09 3.21 2.47 0XXX.00.00.0000000 36.7856 09 99275 Confirmatory consultation A 2.31 1.64 0.84 0.10 4.05 3.25 0XXX.00.00.0000000 36.7856 09 99281 Emergency dept visit A 0.33 0.09 NA 0.09 0.02 0.44 0.44 0XXX.00.00.0000000 36.7856 09 99282 Emergency dept visit A 0.55 0.15 NA 0.15 0.03 0.73 0.73 0XXX.00.00.0000000 36.7856 09 99283 Emergency dept visit A 1.24 0.32 NA 0.32 0.08 1.64 1.64 0XXX.00.00.0000000 36.7856 09 99284 Emergency dept visit A 1.95 0.49 NA 0.49 0.12 2.56 2.56 0XXX.00.00.0000000 36.7856 09 99285 Emergency dept visit A 3.06 0.74 NA 0.74 0.19 3.99 3.99 0XXX.00.00.0000000 36.7856 09 99288 Direct advanced life support B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99289 Ped crit care transport A 4.80 1.87 NA 1.87 0.14 6.81 6.81 0XXX.00.00.0000000 36.7856 09 99290 Ped crit care transport addl A 2.40 0.94 NA 0.94 0.07 3.41 3.41 0ZZZ.00.00.0000000 36.7856 09 99291 Critical care, first hour A 4.00 1.57 1.30 0.14 5.71 5.44 0XXX.00.00.0000000 36.7856 09 99292 Critical care, addl 30 min A 2.00 0.86 0.65 0.07 2.93 2.72 0ZZZ.00.00.0000000 36.7856 09 99293 Ped critical care, initial A 16.00 5.13 NA 5.13 0.70 21.83 21.83 0XXX.00.00.0000000 36.7856 09 99294 Ped critical care, subseq A 8.00 2.57 NA 2.57 0.23 10.80 10.80 0XXX.00.00.0000000 36.7856 09 99295 Neonate crit care, initial A 18.49 5.48 NA 5.48 0.70 24.67 24.67 0XXX.00.00.0000000 36.7856 09 99296 Neonate critical care subseq A 8.00 2.61 NA 2.61 0.23 10.84 10.84 0XXX.00.00.0000000 36.7856 09 99297 Neonatal critical care D 4.00 1.32 1.32 0.12 5.44 5.44 0XXX.00.00.0000000 36.7856 09 99298 Ic for lbw infant < 1500 gm A 2.75 0.96 NA 0.96 0.10 3.81 3.81 0XXX.00.00.0000000 36.7856 09 99299 Ic, lbw infant 1500-2500 gm A 2.50 0.98 NA 0.98 0.10 3.58 3.58 0XXX.00.00.0000000 36.7856 09 99301 Nursing facility care A 1.20 0.69 0.42 0.04 1.93 1.66 0XXX.00.00.0000000 36.7856 09 99302 Nursing facility care A 1.61 0.97 0.55 0.05 2.63 2.21 0XXX.00.00.0000000 36.7856 09 99303 Nursing facility care A 2.01 1.19 0.68 0.06 3.26 2.75 0XXX.00.00.0000000 36.7856 09 99311 Nursing fac care, subseq A 0.60 0.49 0.21 0.02 1.11 0.83 0XXX.00.00.0000000 36.7856 09 99312 Nursing fac care, subseq A 1.00 0.67 0.34 0.03 1.70 1.37 0XXX.00.00.0000000 36.7856 09 99313 Nursing fac care, subseq A 1.42 0.87 0.49 0.04 2.33 1.95 0XXX.00.00.0000000 36.7856 09 99315 Nursing fac discharge day A 1.13 0.73 0.38 0.04 1.90 1.55 0XXX.00.00.0000000 36.7856 09 99316 Nursing fac discharge day A 1.50 0.93 0.52 0.05 2.48 2.07 0XXX.00.00.0000000 36.7856 09 99321 Rest home visit, new patient A 0.71 0.45 0.45 NA 0.02 1.18 1.18 0XXX.00.00.0000000 36.7856 09 99322 Rest home visit, new patient A 1.01 0.70 0.70 NA 0.03 1.74 1.74 0XXX.00.00.0000000 36.7856 09 99323 Rest home visit, new patient A 1.28 0.92 0.92 NA 0.04 2.24 2.24 0XXX.00.00.0000000 36.7856 09 99331 Rest home visit, est pat A 0.60 0.47 0.47 NA 0.02 1.09 1.09 0XXX.00.00.0000000 36.7856 09 99332 Rest home visit, est pat A 0.80 0.58 0.58 NA 0.03 1.41 1.41 0XXX.00.00.0000000 36.7856 09 99333 Rest home visit, est pat A 1.00 0.71 0.71 NA 0.03 1.74 1.74 0XXX.00.00.0000000 36.7856 09 99341 Home visit, new patient A 1.01 0.55 0.55 NA 0.05 1.61 1.61 0XXX.00.00.0000000 36.7856 09 99342 Home visit, new patient A 1.52 0.85 0.85 NA 0.05 2.42 2.42 0XXX.00.00.0000000 36.7856 09 99343 Home visit, new patient A 2.27 1.26 1.26 NA 0.07 3.60 3.60 0XXX.00.00.0000000 36.7856 09 99344 Home visit, new patient A 3.03 1.55 1.55 NA 0.10 4.68 4.68 0XXX.00.00.0000000 36.7856 09 99345 Home visit, new patient A 3.79 1.81 1.81 NA 0.12 5.72 5.72 0XXX.00.00.0000000 36.7856 09 99347 Home visit, est patient A 0.76 0.48 0.48 NA 0.03 1.27 1.27 0XXX.00.00.0000000 36.7856 09 99348 Home visit, est patient A 1.26 0.72 0.72 NA 0.04 2.02 2.02 0XXX.00.00.0000000 36.7856 09 99349 Home visit, est patient A 2.02 1.05 1.05 NA 0.06 3.13 3.13 0XXX.00.00.0000000 36.7856 09 99350 Home visit, est patient A 3.03 1.43 1.43 NA 0.10 4.56 4.56 0XXX.00.00.0000000 36.7856 09 99354 Prolonged service, office A 1.77 1.46 0.61 0.06 3.29 2.44 0ZZZ.00.00.0000000 36.7856 09 99355 Prolonged service, office A 1.77 1.24 0.59 0.06 3.07 2.42 0ZZZ.00.00.0000000 36.7856 09 99356 Prolonged service, inpatient A 1.71 0.60 NA 0.60 0.06 2.37 2.37 0ZZZ.00.00.0000000 36.7856 09 99357 Prolonged service, inpatient A 1.71 0.61 NA 0.61 0.06 2.38 2.38 0ZZZ.00.00.0000000 36.7856 09 99358 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 36.7856 09 99359 Prolonged serv, w/o contact B 0.00 0.00 0.00 0.00 0.00 0.00 9ZZZ.00.00.0099999 36.7856 09 99360 Physician standby services X 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99361 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99362 Physician/team conference B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99371 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99372 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99373 Physician phone consultation B 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99374 Home health care supervision B+ 1.10 1.49 0.43 0.04 2.63 1.57 9XXX.00.00.0099999 36.7856 09 99375 Home health care supervision I+ 1.73 1.57 1.57 0.06 3.36 3.36 9XXX.00.00.0099999 36.7856 09 99377 Hospice care supervision B+ 1.10 1.49 0.43 0.04 2.63 1.57 9XXX.00.00.0099999 36.7856 09 99378 Hospice care supervision I+ 1.73 1.97 1.97 0.06 3.76 3.76 9XXX.00.00.0099999 36.7856 09 99379 Nursing fac care supervision B+ 1.10 1.49 0.43 0.03 2.62 1.56 9XXX.00.00.0099999 36.7856 09 99380 Nursing fac care supervision B+ 1.73 1.74 0.68 0.05 3.52 2.46 9XXX.00.00.0099999 36.7856 09 99381 Prev visit, new, infant N+ 1.19 1.52 0.46 0.04 2.75 1.69 9XXX.00.00.0099999 36.7856 09 99382 Prev visit, new, age 1-4 N+ 1.36 1.56 0.53 0.04 2.96 1.93 9XXX.00.00.0099999 36.7856 09 99383 Prev visit, new, age 5-11 N+ 1.36 1.50 0.53 0.04 2.90 1.93 9XXX.00.00.0099999 36.7856 09 99384 Prev visit, new, age 12-17 N+ 1.53 1.57 0.60 0.05 3.15 2.18 9XXX.00.00.0099999 36.7856 09 99385 Prev visit, new, age 18-39 N+ 1.53 1.57 0.60 0.05 3.15 2.18 9XXX.00.00.0099999 36.7856 09 99386 Prev visit, new, age 40-64 N+ 1.88 1.76 0.73 0.06 3.70 2.67 9XXX.00.00.0099999 36.7856 09 99387 Prev visit, new, 65 & over N+ 2.06 1.89 0.80 0.06 4.01 2.92 9XXX.00.00.0099999 36.7856 09 99391 Prev visit, est, infant N+ 1.02 1.03 0.40 0.03 2.08 1.45 9XXX.00.00.0099999 36.7856 09 99392 Prev visit, est, age 1-4 N+ 1.19 1.10 0.46 0.04 2.33 1.69 9XXX.00.00.0099999 36.7856 09 99393 Prev visit, est, age 5-11 N+ 1.19 1.07 0.46 0.04 2.30 1.69 9XXX.00.00.0099999 36.7856 09 99394 Prev visit, est, age 12-17 N+ 1.36 1.15 0.53 0.04 2.55 1.93 9XXX.00.00.0099999 36.7856 09 99395 Prev visit, est, age 18-39 N+ 1.36 1.18 0.53 0.04 2.58 1.93 9XXX.00.00.0099999 36.7856 09 99396 Prev visit, est, age 40-64 N+ 1.53 1.27 0.60 0.05 2.85 2.18 9XXX.00.00.0099999 36.7856 09 99397 Prev visit, est, 65 & over N+ 1.71 1.38 0.67 0.05 3.14 2.43 9XXX.00.00.0099999 36.7856 09 99401 Preventive counseling, indiv N+ 0.48 0.63 0.19 0.01 1.12 0.68 9XXX.00.00.0099999 36.7856 09 99402 Preventive counseling, indiv N+ 0.98 0.88 0.38 0.02 1.88 1.38 9XXX.00.00.0099999 36.7856 09 99403 Preventive counseling, indiv N+ 1.46 1.10 0.57 0.03 2.59 2.06 9XXX.00.00.0099999 36.7856 09 99404 Preventive counseling, indiv N+ 1.95 1.34 0.76 0.04 3.33 2.75 9XXX.00.00.0099999 36.7856 09 99411 Preventive counseling, group N+ 0.15 0.18 0.06 0.01 0.34 0.22 9XXX.00.00.0099999 36.7856 09 99412 Preventive counseling, group N+ 0.25 0.25 0.10 0.01 0.51 0.36 9XXX.00.00.0099999 36.7856 09 99420 Health risk assessment test N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99429 Unlisted preventive service N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99431 Initial care, normal newborn A 1.17 0.39 NA 0.39 0.04 1.60 1.60 0XXX.00.00.0000000 36.7856 09 99432 Newborn care, not in hosp A 1.26 0.84 0.41 0.06 2.16 1.73 0XXX.00.00.0000000 36.7856 09 99433 Normal newborn care/hospital A 0.62 0.20 NA 0.20 0.02 0.84 0.84 0XXX.00.00.0000000 36.7856 09 99435 Newborn discharge day hosp A 1.50 0.51 NA 0.51 0.05 2.06 2.06 0XXX.00.00.0000000 36.7856 09 99436 Attendance, birth A 1.50 0.49 0.48 0.05 2.04 2.03 0XXX.00.00.0000000 36.7856 09 99440 Newborn resuscitation A 2.93 0.95 NA 0.95 0.11 3.99 3.99 0XXX.00.00.0000000 36.7856 09 99450 Life/disability evaluation N 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99455 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 99456 Disability examination R 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 99499 Unlisted e&m service C 0.00 0.00 0.00 0.00 0.00 0.00 0XXX.00.00.0000000 36.7856 09 99500 Home visit, prenatal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99501 Home visit, postnatal I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99502 Home visit, nb care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99503 Home visit, resp therapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99504 Home visit mech ventilator I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99505 Home visit, stoma care I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99506 Home visit, im injection I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99507 Home visit, cath maintain I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99508 Home visit, sleep studies F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99509 Home visit day life activity I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99510 Home visit, sing/m/fam couns I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99511 Home visit, fecal/enema mgmt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99512 Home visit, hemodialysis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99539 Home visit, nos F 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99551 Home infus, pain mgmt, iv/sc I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99552 Hm infus pain mgmt, epid/ith I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99553 Home infuse, tocolytic tx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99554 Home infus, hormone/platelet I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99555 Home infuse, chemotheraphy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99556 Home infus, antibio/fung/vir I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99557 Home infuse, anticoagulant I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99558 Home infuse, immunotherapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99559 Home infus, periton dialysis I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99560 Home infus, entero nutrition I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99561 Home infuse, hydration tx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99562 Home infus, parent nutrition I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99563 Home admin, pentamidine I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99564 Hme infus, antihemophil agnt I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99565 Home infus, proteinase inhib I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99566 Home infuse, iv therapy I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99567 Home infuse, sympath agent I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99568 Home infus, misc drug, daily I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99569 Home infuse, each addl tx I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09 99600 Home visit nos I 0.00 0.00 0.00 0.00 0.00 0.00 9XXX.00.00.0099999 36.7856 09