Medicare Program; Prospective Payment System for Hospital Outpatient Services; Correction

Background

In FR Doc. 98-23383 of September 8, 1998 (63 FR 47551), we published a proposed rule that reflected a number of technical errors, resulting in inconsistencies between the proposed policies and the associated numerical values. Specifically, the numerical values in the proposed rule reflected incorrect data and data programming. This document sets forth corrected numerical values. The problems in the data and data programming are a direct result of the frequent modifications to our databases during the initial development of the model prospective payment system and the changes we made during the development of the proposed rule to reflect the final legislative provision enacted on August 5, 1997 in the Balanced Budget Act of 1997 (BBA 1997), Public Law 105-33. We have corrected our databases and our data programming, and this document corrects the numerical values published in the September 8, 1998 proposed rule. Correcting the data errors does not mean that the proposed policies themselves need to be revised. Correcting the data changes the impacts of the proposed policies to a very limited extent, but this document does not revise any of the policies reflected in the September 8, 1998 proposed rule. Accordingly, we have recalculated the current payment, total services (total units) and corrected relative weights, proposed payment rates, national unadjusted coinsurance, minimum unadjusted coinsurance, and service-mix index that were published on September 8, 1998. The service-mix indices previously published in the proposed rule are significantly different from the service-mix index published in this correction notice (in Addendum I) because the ambulatory payment classification (APC) relative weights used to calculate the service mix published in the proposed rule were scaled using a factor ``for a high- level clinic visit for cardiovascular services (that is, APC 91356) rather than a mid-level clinic visit for cardiovascular services, identified as APC 91336.'' In addition, the service-mix index published in this correction notice incorporates the discount policy applied to multiple surgeries. However, the relative differences among hospitals did not change substantially between the proposed and corrected service-mix indices. These data corrections required that we also correct our simulations of current payment, costs, and total units, leading to slight differences from the September 8, 1998 published version. Fully modeling proposed payment after accounting for data corrections, we calculated a new calendar year (CY) 1996 conversion factor of $46.87, which is slightly higher than the published CY 1996 conversion factor of $46.32. In addition to the data corrections mentioned above, we also made a correction in the computation of the conversion factor to appropriately account for wage index adjustments in proposed payments. The adjusted CY 1999 conversion factor is $51.42. Corrected simulations of costs and total units impacted the results of the regression analyses that we use in conjunction with payment simulations to determine whether the payment system should include adjustments for specific classes of hospitals. However, the results do not change our conclusion hat no adjustments be proposed at this time. These corrections require revisions to the impact tables and they also affect entries contained in Addendum A, Addendum B, Addendum C, Addendum D, and Addendum G. Addendum J, Addendum K, and Addendum L are revised to reflect the correct version of the wage index. Because of the many corrections to these ``materials, we are reprinting portions of the impact analysis and the entire impact tables and agenda, below, in this notice. The September 8, 1998 proposed rule also contained other technical and typographic errors. Errors related to the incorrect assignment of status indicators to certain CPT codes listed in Addendum B are corrected and reflected in the revised Addendum B printed in full below. In FR Doc. 98-23383 of September 8, 1998, make the following corrections to the preamble, regulations text and addenda:

Correction of Errors in the Preamble

1. On pages 47564 through 47565, the table titled ``Packaged Services by Revenue Center'' is corrected to read as follows:

Packaged Services by Revenue Center ------------------------------------------------------------------------ ------------------------------------------------------------------------ SURGERY ------------------------------------------------------------------------ 250............................... PHARMACY 251............................... GENERIC 252............................... NONGENERIC 257............................... NONPRESCRIPTION DRUGS 258............................... IV SOLUTIONS 259............................... OTHER PHARMACY 270............................... M&S SUPPLIES 271............................... NONSTERILE SUPPLIES 272............................... STERILE SUPPLIES 276............................... INTRAOCULAR LENS 279............................... OTHER M&S SUPPLIES 370............................... ANESTHESIA 379............................... OTHER ANESTHESIA 380............................... BLOOD, GENERAL CLASS 381............................... PACKED RED CELLS 382............................... WHOLE BLOOD 383............................... PLASMA 384............................... PLATELETS 385............................... LEUCOCYTES 386............................... OTHER COMPONENTS 387............................... OTHER DERIVATIVES 389............................... OTHER BLOOD 390............................... BLOOD STORAGE AND PROCESSING 391............................... BLOOD ADMINISTRATION 399............................... OTHER BLOOD PROC/STORAGE 700............................... CAST ROOM 709............................... OTHER CAST ROOM 710............................... RECOVERY ROOM 719............................... OTHER RECOVERY ROOM 720............................... LABOR ROOM 721............................... LABOR 723............................... CIRCUMCISION 762............................... OBSERVATION ROOM 810............................... ORGAN ACQUISITION

819............................... OTHER ORGAN ACQUISITION 890............................... OTHER DONOR BANK 891............................... BONE 892............................... ORGAN 893............................... SKIN 899............................... OTHER DONOR BANK, OTHER ------------------------------------------------------------------------ MEDICAL VISIT ------------------------------------------------------------------------ 250............................... PHARMACY 251............................... GENERIC 252............................... NONGENERIC 257............................... NONPRESCRIPTION DRUGS 258............................... IV SOLUTIONS 259............................... OTHER PHARMACY 270............................... M&S SUPPLIES 271............................... NONSTERILE SUPPLIES 272............................... STERILE SUPPLIES 279............................... OTHER M&S SUPPLIES 380............................... BLOOD, GENERAL CLASS 381............................... PACKED RED CELLS 382............................... WHOLE BLOOD 383............................... PLASMA 384............................... PLATELETS 385............................... LEUCOCYTES 386............................... OTHER COMPONENTS 387............................... OTHER DERIVATIVES 389............................... OTHER BLOOD 390............................... BLOOD STORAGE AND PROCESSING 391............................... BLOOD ADMINISTRATION 399............................... OTHER BLOOD PROC/STORAGE 700............................... CAST ROOM 709............................... OTHER CAST ROOM 762............................... OBSERVATION ROOM ------------------------------------------------------------------------ OTHER DIAGNOSTIC (BLENDED SERVICES) ------------------------------------------------------------------------ 254............................... PHARMACY INCIDENT TO OTHER DIAGNOSTIC 372............................... ANESTHESIA INCIDENT TO OTHER DIAGNOSTIC 380............................... BLOOD, GENERAL CLASS 381............................... PACKED RED CELLS 382............................... WHOLE BLOOD 383............................... PLASMA 384............................... PLATELETS 385............................... LEUCOCYTES 386............................... OTHER COMPONENTS 397............................... OTHER DERIVATIVES 389............................... OTHER BLOOD 390............................... BLOOD STORAGE AND PROCESSING 391............................... BLOOD ADMINISTRATION 399............................... OTHER BLOOD PROC/STORAGE 622............................... SUPPLIES INCIDENT TO OTHER DIAGNOSTIC 710............................... RECOVERY ROOM 719............................... OTHER RECOVERY ROOM 762............................... OBSERVATION ROOM ------------------------------------------------------------------------ RADIOLOGY ------------------------------------------------------------------------ 255............................... PHARMACY INCIDENT TO RADIOLOGY 371............................... ANESTHESIA INCIDENT TO RADIOLOGY 380............................... BLOOD, GENERAL CLASS 381............................... PACKED RED CELLS 382............................... WHOLE BLOOD 383............................... PLASMA 384............................... PLATELETS 385............................... LEUCOCYTES 386............................... OTHER COMPONENTS 387............................... OTHER DERIVATIVES 389............................... OTHER BLOOD 390............................... BLOOD STORAGE AND PROCESSING 391............................... BLOOD ADMINISTRATION 399............................... OTHER BLOOD PROC/STORAGE 621............................... SUPPLIES INCIDENT TO RADIOLOGY 710............................... RECOVERY ROOM 719............................... OTHER RECOVERY ROOM 762............................... OBSERVATION ROOM ------------------------------------------------------------------------ ALL OTHER APC GROUPS ------------------------------------------------------------------------ 250............................... PHARMACY 251............................... GENERIC 252............................... NONGENERIC 257............................... NONPRESCRIPTION DRUGS 258............................... IV SOLUTIONS 259............................... OTHER PHARMACY 270............................... M&S SUPPLIES 271............................... NONSTERILE SUPPLIES 272............................... STERILE SUPPLIES 279............................... OTHER M&S SUPPLIES 380............................... BLOOD, GENERAL CLASS 381............................... PACKED RED CELLS 382............................... WHOLE BLOOD 383............................... PLASMA 384............................... PLATELETS 385............................... LEUCOCYTES 386............................... OTHER COMPONENTS 387............................... OTHER DERIVATIVES 389............................... OTHER BLOOD 390............................... BLOOD STORAGE AND PROCESSING 391............................... BLOOD ADMINISTRATION 399............................... OTHER BLOOD PROC/STORAGE 762............................... OBSERVATION ROOM ------------------------------------------------------------------------

2. On page 47568, column two, line 16, the figure ``$208.25'' is corrected to read ``$206.71''. 3. On page 47572, column one, last paragraph, the date and Federal Register citation are corrected to read as follows: August 29, 1997 (62 FR 45984). 4. On page 47573, column three, line nine, ``$46.32'' is corrected to read ``$46.87''. 5. On page 47573, column three, line 12, ``1.0939'' is corrected to read ``1.097''. 6. On page 47573, column three, line 24, the text beginning with the sentence ``In estimating the update factor, HCFA's Office of the Actuary assumed * * *'' through the phrase ending ``Medicare absorbing this impact'' in line 44 is removed. 7. On page 47573, column three, line 46, ``$50.67'' is corrected to read ``$51.42''. 8. On page 47574, column two, in section 2(a)(ii), line four, ``29.2'' is corrected to read ``13.0''. 9. On page 47576, column two, line 26, ``1999'' is corrected to read ``1998''. 10. On page 47576, column two, line 28, the Federal Register title, date, and citation are corrected to read as follows: ``Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1998 Rates (BPD-878-FC) published in the Federal Register on August 29, 1997 (62 FR 45995)''. 11. On page 47577, column one, paragraph two, line 39, ``1996'' is corrected to read ``1998''. 12. On page 47577, column two, last paragraph, line nine, ``$105'' is corrected to read ``$120''. 13. On page 47578, column two, second full paragraph, line four, the following new sentence is added to read as follows: ``The edits referred to in this section were not used in the development of the weights or the impact analysis described in this proposed rule.'' 14. On page 47580, column one, First line, the words ``level 1'' are added after the words ``hospitals with'' and before the word ``trauma''. 15. On page 47580, column one, line two, the sentence beginning ``These costs were * * *'' is removed and is replaced with the following: ``These costs were 200 percent or more higher than the average cost per unit for all hospitals.'' 16. On page 47580, column one, last paragraph, line one, ``83'' is corrected to read ``96''. 17. On page 47580, column one, last paragraph, line three, ``51'' is corrected to read ``46''. 18. On page 47580, column one, last paragraph, line six, ``32'' is corrected to read ``50''. 19. On page 47580, column two, line five, ``5,419'' is corrected to read ``5,335''. 20. On page 47580, column two, second full paragraph, line 14, the words ``level 1'' are added before the words ``trauma unit''. 21. On page 47580, column two, last paragraph, line four, the sentence beginning ``We also calculated * * *'' is removed and is replaced with the following: ``This service mix is ``discounted'' to reflect the reduced weight for additional surgical procedures performed at the same time, which is consistent with the proposed payment system.'' 22. On page 47580, column two, last paragraph, line 10, the sentence beginning ``The national average * * *'' is removed and is replaced with the following: ``The national average service mix discounted for multiple procedures is 2.05.''

23. On page 47580, column two, last paragraph, last line, remove text from the sentence beginning ``The differences between * * *'' through line seven in column three. 24. On page 47580, column three, first full paragraph, line 13, ``0.68'' is corrected to read ``0.76''. 25. On page 47580, column three, first full paragraph, line 17, ``6.8 percent'' is corrected to read ``7.6 percent''. 26. On page 47580, column three, paragraph two, line 25, ``7.5 percent'' is corrected to read ``8.9 percent''. 27. On page 47580, column three, the third full paragraph through page 47581, column one, line 10, is removed and is replaced with the following: ``While the regression analysis shows less than a proportional relationship between the service mix and the cost per unit, the difference is relatively small. The coefficient of service mix ranged from 0.76 to 0.92 over the regression models we examined. We will continue to monitor the method of basing payments on median APC costs to ascertain whether it is representative of both high-weighted and low-weighted procedures.'' 28. On page 47581, column one, first full paragraph, line nine, ``0.51 to 0.68'' is corrected to read ``0.40 to 0.58.'' 29. On page 47581, column one, first full paragraph, lines 10 to 11, ``50 and 70 percent.'' is corrected to read ``40 and 60 percent.'' 30. On page 47581, column one, first full paragraph, line 29, the sentence beginning ``The explanatory regression * * *'' is removed. 31. On page 47581, column two, first full paragraph, line 10, the word ``not'' is added before ``significant''. 32. On page 47581, column two, first full paragraph, line 13, ``4.5 percent [calculated (eDSHP*0.11-1)*100]'' is corrected read ``1.6 percent [calculated (eDSHP*0.04-1)*100]''. 33. On page 47581, column two, first full paragraph, line 16, the text beginning with ``Teaching intensity * * *'' through line 21 ending with ``services.'' is removed and is replaced with the following: ``The extremely small percentage difference in costs reflects the lack of significance observed for the disproportionate share variable. In most regression specifications, the teaching intensity variables were positive, significant (p0.14-1)*100].'' 35. On page 47581, column three, first full paragraph, line eight, ``8 percent'' is corrected to read ``12 percent''. 36. On page 47581, column three, first full paragraph, line nine, ``other'' is added before ``urban''. 37. On page 47581, column three, second full paragraph, line two, ``(long-term care, children's, and psychiatric)'' is corrected to read ``(long-term care and children's)''. 38. On page 47581, column three, second full paragraph, line six, ``Cancer, children's and long-term care'' is removed and is replaced with ``These''. 39. On pages 47581 through 47582 and continued on page 47585, through line five of the first full paragraph in column two, the text in the section titled ``Estimated Payments'' is removed and is replaced with the following: The appropriateness of potential payment adjustments must be based on both cost effects estimated by regression analysis and other factors including simulated payment impacts. We simulated the impact of the proposed system on hospitals by calculating the percentage difference between payments made under current law and payments under the proposed system (column 3). Section X. contains a more complete table that considers the impact of proposed payments on additional classes of hospitals, including TEFRA and cancer hospitals. Although Column 3 represents the net effect of the new PPS on hospitals, we though it was necessary to show the impacts on hospitals of simply changing the payment system without including the effects of the overall reduced payment to hospitals because the PPS system is not budget neutral to current payment. To reiterate, the conversion factor is set by summing Medicare payments under the current system and beneficiary copayment under the new system and dividing by the sum of the relative weights. Beneficiary copayments under the new system will reduce overall payments to most hospitals because 20 percent of the median group charges is less than 20 percent of actual charges. Therefore, we simulated the impacts as though the conversion factor were set as if the system were to be budget neutral. Column 4 demonstrates the distributional impacts resulting from implementing the new system after eliminating the overall reduction in payment most hospitals will experience due to the effect of the methodology used to set the conversion factor. We believe the column 4 percentage differences are what we should examine since any adjustment we would consider should correct for inequities caused by moving to a PPS (not the legislated reduction in total payment). Therefore, we based our decision about adjustments on these percentage differences rather than percentages combining the PPS and the overall reduction in coinsurance amounts required by law. We also estimated payment-to-cost ratios associated with the new payment methods and the percent change in total Medicare payments. All simulations used a labor share of 60 percent. The table below shows the results of two simulations. The first contains only the wage index adjustment to the APC rates. The second also includes the threshold adjustment for teaching intensity discussed above. Based on our analyses, we are not proposing to make adjustments to the outpatient payment rates for disproportionate share patient percentage and teaching intensity and rural location for the following reasons. 1. Estimated effects of disproportionate share patient percentage on costs were small and most often not statistically significant. 2. After removing the copay effect, most teaching hospitals gain under the proposed system payments relative to current law. Although teaching hospitals with a large number of residents relative to outpatient and inpatient utilization demonstrate slightly higher costs, targeting these hospitals with a small adjustment does not greatly improve their payment

impacts. These impacts should also be evaluated in terms of the overall effect on Medicare payments because on average, outpatient services account for 10 percent of hospitals' Medicare payments. For example, the associated reduction of total Medicare payments for major teaching hospitals would be about 1 percent. 3. With the teaching adjustment we considered, estimated overall payment reductions for rural hospitals would be 7.9 percent under the proposed system, rather than 7.4 percent. These hospitals also receive a greater percent of their Medicare income (14.7 percent) from providing outpatient services. Similarly, payment reductions for low- volume rural hospitals would be 17.8 percent of current payments, rather than 17.4 percent, and these hospitals also earn a greater percentage of their Medicare income (18.4 percent) from providing outpatient services. Because of these potential shifts in payments, any adjustment should be based on stronger analytic results then those found with the current data. 4. We also believe the issue of payment adjustments should be reexamined using data from initial years of the implemented system because current cost calculations and relationships among key factors and costs probably are affected by variation in coding patterns. 5. HCFA is working towards standardizing payment across all sites of service. Fewer adjustments to the outpatient PPS would allow HCFA to move ahead more quickly with this approach. 6. We believe that we should monitor the impact of basing APC weight calculations on the median rather than the geometric mean because better correlation between costs and service mix would impact the size of adjustments. Although the payment simulations show potentially large percentage losses and low payment-to-cost ratios for low-volume hospitals, we are not proposing an adjustment for volume. The low-volume hospitals get a much greater percent of their Medicare income from the provision of outpatient services than the average, and total Medicare payments would drop by 3.2 percent for rural low-volume hospitals and 1.7 percent for urban low-volume hospitals. Low-volume hospitals have higher than average standardized unit costs, which may be attributable to economies of scale, undercoding, or cost allocations to the outpatient departments that are not volume related. However, an adjustment to the rates based on volume alone might reward inefficiency and create adverse incentives such as a reduction in services in order to increase payment rates. We are particularly concerned about the potential impact of the outpatient PPS on low-volume rural hospitals that are sole community hospitals or Medicare-dependent hospitals. 39a. On page 47585, column two, first full paragraph, line six, the sentence beginning ``Approximately 60 percent * * * is removed. 39b. On page 47585, the text in column three, first full paragraph, through the third full paragraph is removed and replaced with the following: We also are not proposing adjustments for cancer or TEFRA hospitals at this time. We believe that claims from cancer and TEFRA hospitals have been undercoded, due to the lack of payment incentives for proper coding of these services under the current system. Further analysis will be conducted to determine if current coding practices explain the negative impact. If we determine that cancer hospitals would be unduly harmed because of the new outpatient PPS, we will consider whether an adjustment or perhaps a transition period is needed to moderate the impact. By statute, any adjustment would have to be budget neutral. We do not believe that this action will restrict beneficiary access because other hospitals provide many of the same services provided at TEFRA hospitals. In addition, rehabilitation and long-term care hospitals are less dependent than other hospitals on Medicare outpatient revenues. We are not proposing adjustments for any eye and ear hospitals because payment simulations demonstrated an increase in payments under the proposed PPS. We also are not proposing an adjustment for trauma hospitals because these hospitals did not demonstrate significantly higher costs and only lose a modest percentage of their total Medicare payments, 0.8 percent, compared to all hospitals. We will assess the need for additional adjustments and make any appropriate changes as data become available under the new system.'' 40. On pages 47583 through 47584, the table ``Changes for 1999 Outpatient Prospective Payment System'' is retitled ``Changes for Outpatient Prospective Payment Systems'' and is corrected to read as follows:

Changes for Outpatient Prospective Payment System -------------------------------------------------------------------------------------------------------------------------------------------------------- No teaching adjustment Teaching adjustment --------------------------------------------------------------------------------------- Percent Percent change Percent change Percent Number of Outpatient in Copay Standardized change in Copay Standardized change hospitals percent Medicare Effect payment to is total Medicare Effect payment to in total out- removed cost ratio Medicare out- removed cost ratio Medicare patient payments patient payments payments payments (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) -------------------------------------------------------------------------------------------------------------------------------------------------------- ALL HOSPITALS............................ 5,335 9.9 -5.7 0.0 1.0000 -0.6 -5.7 0.0 1.0000 -0.6 NON-TEFRA HOSPITALS.................. 4,818 10.0 -5.7 0.0 1.0001 -0.6 -5.7 0.0 1.0001 -0.6 NON-TEFRA HOSPITALS GEOGRAPHIC LOCATION: URBAN HOSPITALS...................... 2,643 9.3 -5.3 0.4 1.0053 -0.5 -5.2 0.5 1.0065 -0.5 LARGE URBAN AREAS................ 1,492 9.1 -6.6 -0.9 0.9890 -0.6 -6.3 -0.6 0.9928 -0.6 OTHER URBAN AREAS................ 1,151 9.6 -3.5 2.4 1.0287 -0.3 -3.7 2.1 1.0262 -0.4 RURAL HOSPITALS...................... 2,173 14.7 -7.4 -1.8 0.9784 -1.1 -7.9 -2.3 0.9734 -1.2 VOLUME (URBAN): 0-4,999 UNITS........................ 357 12.2 -13.6 -8.3 0.8493 -1.7 -13.9 -8.7 0.8458 -1.7 5,000-10, 999 UNITS.................. 502 9.6 -6.6 -0.9 0.9577 -0.6 -7.0 -1.3 0.9535 -0.7 11,000-20,999 UNITS.................. 597 9.0 -5.7 0.0 0.9839 -0.5 -6.1 -0.4 0.9802 -0.5 21,000-42,999 UNITS.................. 756 8.8 -4.2 1.6 1.0202 -0.4 -4.4 1.4 1.0180 -0.4 43,000 OR MORE UNITS................. 431 9.7 -5.7 0.0 1.0133 -0.6 -5.1 0.7 1.0201 -0.5

VOLUME (RURAL): 0-4,999 UNITS........................ 1,047 18.4 -17.4 -12.4 0.8216 -3.2 -17.8 -12.8 0.8170 -3.3 5,000-10,999 UNITS................... 601 15.3 -10.1 -4.6 0.9384 -1.5 -10.6 -5.2 0.9332 -1.6 11,000- 20,999 UNITS................. 333 13.7 -6.5 -0.8 0.9962 -0.9 -7.0 -1.4 0.9910 -1.0 21,000- 42,999 UNITS................. 170 13.5 -3.2 2.7 1.0435 -0.4 -3.7 2.2 1.0376 -0.5 43,000 OR MORE UNITS................. 22 13.3 -2.6 +3.3 1.0674 -0.3 -2.6 3.3 1.0677 -0.3 TEACHING STATUS: NON-TEACHING......................... 3,814 11.2 -5.1 0.7 1.0029 -0.6 -5.6 0.1 0.9973 -0.6 FEWER THAN 100 RESIDENTS............. 758 9.1 -4.4 1.4 1.0256 -0.4 -4.9 0.9 1.0204 -0.4 100 OR MORE RESIDENTS................ 245 9.2 -10.6 -5.2 0.9414 -1.0 -7.9 -2.3 0.9697 -0.7 DISPROPORTIONATE SHARE PATIENT RATIO: 0.................................... 17 20.3 -20.0 -15.1 0.7376 -4.1 -20.0 -15.1 0.7377 -4.1 0.001-0.099.......................... 904 10.3 -6.6 -0.9 0.9860 -0.7 -6.9 -1.2 0.9825 -0.7 0.100-0.159.......................... 1,008 10.9 -3.7 2.2 1.0307 -0.4 -4.1 1.7 1.0261 -0.4 0.160-0.229.......................... 971 10.2 -4.8 1.0 1.0143 -0.5 -4.9 0.9 1.0132 -0.5 0.230-0.349.......................... 956 9.6 -6.2 -0.5 0.9977 -0.6 -6.0 -0.3 1.0001 -0.6 0.350 AND GREATER.................... 962 9.2 -8.4 -2.9 0.9579 -0.8 -7.5 -1.9 0.9675 -0.7 -------------------------------------------------------------------------------------------------------------------------------------------------------- Note: Urban and rural breakouts in this table are based on MSA status/location only.

41. On page 47596, in the table titled ``Estimated Annual Burden'', column one, line two, ``419.42(b) and (d)'' is corrected to read ``419.42(b) and (c)''. 42. On page 47596, in the table titled ``Estimated Annual Burden'', column one, line three, ``419.42(f)'' is corrected to read ``419.42(e)''. 42a. On page 47597, column one, first full paragraph, line 14, ``$300'' is corrected to read ``$600''. 42b. On page 47597, column two, the table is corrected to read as follows:

------------------------------------------------------------------------ Impact ($ Fiscal year millions) ------------------------------------------------------------------------ 1998.................................................... -940 1999.................................................... -1640 2000.................................................... -1320 2001.................................................... -1070 2002.................................................... -990 2003.................................................... -700 ------------------------------------------------------------------------

42c. On page 47597, column two, line five of text, ``6.9'' is corrected to read ``10.9''. 43. On pages 47597 through 47598, entire section F. is removed and replaced with the following:

F. Quantitative Impact Analysis of the Proposed Policy Changes Under the Prospective Payment System for Operating Costs and Capital Costs

Basis and Methodology of Estimates The data used in developing quantitative analyses presented below are taken from the CY 1996 cost and charge data and the most current provider-specific file that is used for payment purposes. Our analysis has several qualifications. First, we draw upon various sources for the data used to categorize hospitals in the tables. In some cases, there is a fair degree of variation in the data from different sources. We have attempted to construct these variables with the best available source overall. For individual hospitals, however, some miscategorizations are possible. Using CY 1996 cost and charge data, we simulated payments using the current and proposed payment methodologies. We used both single and multiple bills to calculate current and proposed Medicare and beneficiary hospital outpatient payment amounts. Both current and proposed payment estimates include operating and capital costs. We excluded Kaiser, New York Health and Hospital Corporation, and all- inclusive providers because reported charges on their cost reports are not actual charges. Cost-to-charge ratios for these hospitals are not comparable to all other hospitals. The exempted Maryland hospitals were also excluded from the simulations; however, we included the 10 cancer hospitals that will be paid under the proposed system. We also trimmed outlier hospitals from the impact analysis because we had indications that hospitals with extreme unit costs would not allow us to access the impacts among the various classes of hospitals accurately. First, we identified all the outlier hospitals by using an edit of three standard deviations from the mean of the logged unit costs. Trimming the data in this manner ensures that only the hospitals with extremely high and low costs are eliminated from the impacts. In doing this, we removed 96 hospitals of which 50 hospitals had extremely low unit costs and 46 hospitals had extremely high unit costs. We conducted a thorough analysis of these hospitals to ensure that we did not remove any particular type of hospital (for example, teaching hospitals) that would further harm the integrity of the data. We speculate many of these hospitals are not coding accurately, and we will continue to perform further analysis in this area after implementation of the new APC system. After removing the 54 exempted Maryland hospitals, the all- inclusive rate hospitals, the outlier hospitals, and hospitals for which we could not identify payment variables, we included 5,335 hospitals in our analysis. The impact analysis focuses on this set of hospitals. The table below demonstrates the results of our analysis. The table categorizes hospitals by various geographic and special payment consideration groups to illustrate the varying impacts on different types of hospitals. The first column represents the number of hospitals in each category. The second column is the hospitals' Medicate outpatient payments as a percentage of the hospitals' total Medicare payment. The third column shows the percentage change in Medicare outpatient payments comparing the current and proposed payment systems. The fourth column shows the change in total Medicare

payments, resulting from implementing the PPS for outpatient services. The top row of the table shows the overall impact on the 5,335 hospitals included in the analysis. We included as much of the data as possible to the extent that we were able to capture all the provider information necessary to determine payment. Further, our estimates include the same set of services for both current and proposed APC payments so that we could determine the impact as accurately as possible. Since payment under the proposed APC system can only be determined if bills are accurately coded, the data upon which the impacts were developed do not reflect all CY 1996 hospital outpatient services, but only those that were coded using valid HCPCS. The second row identifies the hospitals in our analysis with the exception of psychiatric, long-term care, children, and rehabilitation hospitals, which account for 4,818 hospitals. The next four rows of the table contain hospitals categorized according to their geographic location (all urban, which is further divided into large urban and other urban, or rural). There are 2,643 hospitals located in urban areas (MSAs or NECMAs) included in our analysis. Among these, there are 1,492 hospitals located in large urban areas (populations over 1 million), and 1,151 hospitals in other urban areas (populations of 1 million or fewer). In addition, there are 2,173 hospitals in rural areas. The next two groupings are by bed-size categories, shown separately for urban and rural hospitals. The next category includes the volume of outpatient services, also shown separately for urban and rural hospitals. The final groupings by geographic location are by census divisions, also shown separately for urban and rural hospitals. The next three groupings examine the impacts of the proposed changes on hospitals grouped by whether or not they have residency programs (teaching hospitals that receive an indirect medical education (IME) adjustment), receive disproportionate share hospital (DSH) payments, or some combination of these two adjustments. There are 3,814 non-teaching hospitals in our analysis, 758 teaching hospitals with fewer than 100 residents, and 245 teaching hospitals with 100 or more residents. In the DSH categories, hospitals are grouped according to their DSH payment status. The next category groups hospitals considered urban after geographic reclassification, in terms of whether they receive the IME adjustment, the DSH adjustment, both, or neither. The next five rows examine the impacts of the proposed changes on rural hospitals by special payment groups (rural referral centers (RRCs), sole community hospitals/essential access community hospitals (SCHs/EACHs), Medicare dependent hospitals (MDHs), and SCHs and RRCs), as well as rural hospitals not receiving a special payment designation. The RRCs (168), SCH/EACHs (626), MDHs (365), and SCH and RRCs (55) shown here were not reclassified for purposes of the standardized amount. The next grouping is based on type of ownership. These data are taken primarily from the FY 1995 Medicare cost report files, if available (otherwise, FY 1994 data are used). The next groupings are the specialty hospitals. The first set includes the categorizations of eye and ear hospitals and trauma hospitals (hospitals having a level one trauma center) and cancer hospitals. The final groupings are the TEFRA hospitals, specifically rehabilitation, psychiatric, long-term care, and children hospitals. 43a. On page 47598, the text in section G. Beginning in column two, first full paragraph, through page 47599, column three, line 16, is removed and replaced with the following:

G. Estimated Impact of the New APC System

Column 3 compares our estimate of payments, incorporating statutory and policy changes reflected in this proposed rule for CY 1996, to our estimate of payments in CY 1996 under the current payment system. Percent differences between current and proposed payment reflect the combined impact of a proportionally equal reduction in payments due to the calculation of the conversion factor and distributional differences attributable to variation in cost and charge structures among hospitals. The methodology described in section 1833(t)(3)(C) of the Act outlining the calculation of the conversion factor reduces payment to hospitals overall by 5.7 percent relative to current law. As noted, section 1833(t)(3)(C) of the Act requires us to set the conversion factor so that total 1999 payments to hospitals under the proposed PPS system equal Medicare payment amounts as calculated under the current payment system plus beneficiary copayments as calculated under the proposed system (20 percent of the APC median charge or, at minimum, 20 percent of the APC rate). The 5.7 percent loss implies that the difference between the median and charges higher than the median was proportionally larger than the difference between the median and charges lower than the median. Because this reduction is incorporated into the conversion factor, the 5.7 percent is distributed among hospitals proportional to their total payments. After removing the effect of the conversion factor calculation on total payments, the remaining percent differences demonstrate the redistribution of payments among hospitals and can be attributed to variation in both costs and charge structures. Variation in costs among hospitals results in differences between current and proposed Medicare payments, and variation in charge structures results in differences between current and proposed beneficiary copayment. Redistributions may also occur as a result of current payment methods. Total Medicare outpatient payments are less than reported total costs because (in addition to the 5.8 and 10 percent reductions for operating and capital costs) the blended payment methods applicable to many surgical and diagnostic services often result in payments that are less than reported costs. Other services such as medical visits, chemotherapy services, and non-ASC approved surgeries are paid based on hospital costs. The new system redistributes the current total Medicare payments, based in part on cost-based payments and in part on blended payment amounts, across all services. Hospitals, in the aggregate, will receive proportionately less for services that are currently paid based on costs and more for services that had been paid under blended payment methods. The impact on TEFRA hospitals is shown separately at the end of the table; however, these hospitals were not included in determining the impact on any of the other categories (for example, geographic location, bed size, volume, etc.). These hospitals demonstrated a very low service mix, but an average unit cost that approximates the national average. We believe that billing practices may account for this phenomenon. Some TEFRA hospitals appear to undercode HCPCS and units. This may be because correct coding is not required for payment or because they bill an all-inclusive rate. Undercoding or billing an all-inclusive rate could account for their low-volume, low-service mix, and average cost per unit. We expect that once these hospitals begin to code HCPCS according to the new payment system, new payments will better reflect current payments. In general, differences among hospital classifications for short- term acute care

hospitals were relatively small. This is, payments under the proposed outpatient system were within a few percentage points of payments made under current law. The following discussion highlights some of the variation in payments among hospital classifications. Based on comparing current and proposed payment estimates, minor teaching hospitals lose 4.4 percent, while major teaching hospitals experience a reduction of 10.6 percent. Non-teaching hospitals experience a decrease of 5.1 percent. However, major teaching hospitals gain less of their total Medicare income (9.2 percent) from outpatient services than the national average (10 percent). This results in a 1 percent loss in their total Medicare income. Hospitals with a high percentage of low-income patients (disproportionate share patient percentage greater than or equal to 0.35) appear to experience payment reductions of 8.4 percent relative to current law. These hospitals have lower than average volume, and like major teaching hospitals, they receive a smaller than average percent of their Medicare income from outpatient services. Rural hospitals would lose about 7.4 percent, large urban hospitals would lose about 6.6 percent, and other urban hospitals would lose 3.5 under the new system. Rural hospitals get a greater percentage of their Medicare income (14.7 percent) from outpatient services compared to the national average of 10 percent. Low-volume hospitals appear to lose a large percentage of their payments under the new payment system (17.4 percent for rural and 13.6 percent for urban hospitals with less than 5,000 units of service). We believe several factors are contributing to this outcome, including undercoding, lack of economies of scale, and underpayment due to the reliance on the median instead of the geometric mean in the calculation of APC weights. The majority of these hospitals (about 75 percent) are rural. For these small hospitals, some of the higher standardized unit costs could be attributed to economies of scale. These low-volume rural hospitals also receive a greater percentage of their Medicare income (18.4 percent) from outpatient services than the average. 43b. On page 47599, the table titled: Estimated Impact of a Transition Policy on Medicare Outpatient Payment for Medicare-Dependent and Sole Community Hospitals,'' is corrected to read as follows:

Estimated Impact of a Transition Policy on Medicare Outpatient Payments for Medicare-Dependent and Sole Community Hospitals [In percent] ------------------------------------------------------------------------ Year 1 Year 2 Year 3 Year 4 ------------------------------------------------------------------------ MDH......................... -2.8 -5.6 -8.5 -11.3 SCH......................... -3.2 -6.4 -9.7 -12.9 SCH/RRC..................... -1.9 -3.8 -5.8 -7.7 ------------------------------------------------------------------------

43c. On page 47599, the text in section G. beginning in column two, line seven from the bottom through page 47600, is corrected to read as follows: As noted above, rural hospitals lose a larger percent of their payments than urban hospitals. Among the census divisions, rural New England hospitals experience the largest negative payment impact of 12.2 percent. This could be attributed to higher nonlabor costs in New England. Urban census division breakouts reveal that Middle Atlantic urban hospitals have the largest negative payment impact of 9.7 percent. Hospitals located in Puerto Rico gain because of the change in the beneficiary copayment. Previously these hospitals received 20 percent of their charges from the beneficiary, whereas under the new PPS they would receive 20 percent of the APC median charge or, at minimum, they would receive 20 percent of the payment rate. Hospitals in Puerto Rico gain under the new proposed system because 20 percent of their charges are lower than 20 percent of the APC median charges or 20 percent of the rates Among special categories of rural hospitals, MDHs and SCHs/EACHs would experience decreases of 11.3 and 12.9 percent, respectively, Some of this decrease may be attributed to the impact on low-volume rural hospitals. Cancer hospitals experience a 32.4 percent loss. Several factors may contribute to this loss. Undercoding could be a factor contributing to the percentage loss. In addition, the current requirements for batch billing of services such as chemotherapy and radiation therapy and the fact that we used only single procedure bills to calculate group weights may also have contributed to the impact on these hospitals. Further analysis will be conducted to determine if current coding practices explain the negative impact. We will be verifying the accuracy of the rates for these types of procedures. Specifically, the APC weights were calculated using single bill procedures. Using single bill procedures to compute a weight for services that are not typically billed as a single procedure could result in rates that are not accurate for these services. We will verify the accuracy of the rates for these types of procedures by analyzing the costs from the multiple bills. If further analysis reveals that cancer hospitals would be unduly harmed because of the new outpatient PPS, we will consider whether an adjustment or perhaps a transition period is needed to moderate the impact. By statute, any adjustment would have to be budget neutral. Until further analysis can be conducted, we are not proposing an adjustment for cancer hospitals. In accordance with the provisions of Executive Order 12866, this regulation was reviewed by the Office of Management and Budget. 44. On pages 47601 through 47604, the table titled ``Changes for Outpatient Prospective Payment System'' is re-titled ``Impact of Outpatient Prospective Payment System'' and corrected to read as follows:

Impact of Outpatient Prospective Payment System ---------------------------------------------------------------------------------------------------------------- Percent Percent change in change in Number of Outpatient Medicare total hospitals percent outpatient Medicare payments payments (1) (2) (3) (4) ---------------------------------------------------------------------------------------------------------------- ALL HOSPITALS............................................... 5,335 9.9 -5.7 -0.6 NON-TEFRA HOSPITALS..................................... 4,819 10.0 -5.7 -0.6 NON-TEFRA HOSPITALS GEOGRAPHIC LOCATION: URBAN HOSPITALS......................................... 2,643 9.3 -5.3 -0.5 LARGE URBAN AREAS................................... 1,492 9.1 -6.6 -0.6 OTHER URBAN AREAS................................... 1,151 9.6 -3.5 -0.3 RURAL HOSPITALS......................................... 2,173 14.7 -7.4 -1.1 BED SIZE (URBAN): 0-99 BEDS............................................... 646 15.4 -7.3 -1.1 100-199 BEDS............................................ 910 10.4 -4.2 -0.4 200-299 BEDS............................................ 531 9.2 -3.8 -0.3 300-499 BEDS............................................ 418 8.6 -4.8 -0.4 500 OR MORE BEDS........................................ 138 8.3 -9.7 -0.8 BED SIZE (RURAL): 0-49 BEDS............................................... 1,138 19.6 -13.8 -2.7 50-99 BEDS.............................................. 641 15.5 -8.4 -1.3 100-149 BEDS............................................ 229 13.5 -6.0 -0.8 150-199 BEDS............................................ 91 13.0 -4.3 -0.6 200 OR MORE BEDS........................................ 74 11.4 -2.9 -0.3 VOLUME (URBAN): 0-4,999 UNITS........................................... 357 12.2 -13.6 -1.7 5,000-10,999 UNITS...................................... 502 9.6 -6.6 -0.6 11,000-20,999 UNITS..................................... 597 9.0 -5.7 -0.5 21,000-42,999 UNITS..................................... 756 8.8 -4.2 -0.4 43,000 OR MORE UNITS.................................... 431 9.7 -5.7 -0.6 VOLUME (RURAL): 0-4,999 UNITS........................................... 1,047 18.4 -17.4 -3.2 5,000-10,999 UNITS...................................... 601 15.3 -10.1 -1.5 11,000-20,999 UNITS..................................... 333 13.7 -6.5 -0.9 21,000-42,999 UNITS..................................... 170 13.5 -3.2 -0.4 43,000 OR MORE UNITS.................................... 22 13.3 -2.6 -0.3 URBAN BY CENSUS DIV.: NEW ENGLAND............................................. 148 10.8 -3.2 -0.3 MIDDLE ATLANTIC......................................... 391 8.3 -9.7 -0.8 SOUTH ATLANTIC.......................................... 393 8.6 -5.8 -0.5 EAST NORTH CENTRAL...................................... 446 10.6 -4.3 -0.5 EAST SOUTH CENTRAL...................................... 158 7.9 -1.8 -0.1 WEST NORTH CENTRAL...................................... 187 9.5 -6.5 -0.6 WEST SOUTH CENTRAL...................................... 337 9.7 -7.4 -0.7 MOUNTAIN................................................ 120 10.3 -2.2 -0.2 PACIFIC................................................. 428 9.3 -1.8 -0.2 PUERTO RICO............................................. 35 6.6 8.5 0.6 RURAL BY CENSUS DIV.: NEW ENGLAND............................................. 56 16.9 -12.2 -2.1 MIDDLE ATLANTIC......................................... 81 13.5 0.2 0.0 SOUTH ATLANTIC.......................................... 282 11.8 -7.7 -0.9 EAST NORTH CENTRAL...................................... 287 15.8 -6.1 -1.0 EAST SOUTH CENTRAL...................................... 266 11.2 -6.5 -0.7 WEST NORTH CENTRAL...................................... 516 19.6 -10.9 -2.1 WEST SOUTH CENTRAL...................................... 339 14.2 -10.6 -1.5 MOUNTAIN................................................ 207 16.7 -8.3 -1.4 PACIFIC................................................. 137 16.4 -3.4 -0.6 PUERTO RICO............................................. 2 6.6 28.5 1.9 TEACHING STATUS: NON-TEACHING............................................ 3,814 11.2 -5.1 -0.6 FEWER THAN 100 RESIDENTS................................ 758 9.1 -4.4 -0.4 100 OR MORE RESIDENTS................................... 245 9.2 -10.6 -1.0 DISPROPORTIONATE SHARE PATIENT RATIO: 0....................................................... 17 20.3 -20.0 -4.1 0.001-0.099............................................. 904 10.3 -6.6 -0.7 0.100-0.159............................................. 1,008 10.9 -3.7 -0.4 0.160-0.229............................................. 971 10.2 -4.8 -0.5 0.230-0.349............................................. 956 9.6 -6.2 -0.6 0.350 AND GREATER....................................... 962 9.2 -8.4 -0.8

URBAN TEACHING AND DSH: BOTH TEACHING AND DSH................................... 944 9.0 -6.6 -0.6 TEACHING AND NO DSH..................................... 2 19.8 -31.0 -6.1 NO TEACHING AND DSH..................................... 1,688 9.8 -3.7 -0.4 NO TEACHING AND NO DSH.................................. 9 30.4 7.2 2.2 RURAL HOSPITAL TYPES: NONSPECIAL STATUS HOSPITALS............................. 944 15.0 -6.8 -1.0 RRC..................................................... 168 12.4 -2.3 -0.3 SCH/EACH................................................ 626 16.4 -12.9 -2.1 MDH..................................................... 365 18.2 -11.3 -2.1 SCHM/EACH AND RRC....................................... 55 13.7 -7.7 -1.1 TYPE OF OWNERSHIP: VOLUNTARY............................................... 2,839 9.9 -5.6 -0.6 PROPRIETARY............................................. 671 7.9 -4.7 -0.4 GOVERNMENT.............................................. 1,308 12.3 -7.4 -0.9 SPECIALTY HOSPITALS: EYE AND EAR............................................. 10 31.1 10.4 3.2 TRAUMA.................................................. 157 9.1 -8.4 -0.8 CANCER.................................................. 10 22.0 -32.4 -7.1 TEFRA HOSPITALS: REHABILITATION.......................................... 138 3.7 -11.1 -0.4 PSYCHIATRIC............................................. 278 10.7 -0.5 -0.1 LONG-TERM CARE.......................................... 63 3.7 -19.6 -0.7 CHILDREN'S.............................................. 38 9.4 -23.9 -2.2 ---------------------------------------------------------------------------------------------------------------- Note: Urban and rural breakouts in this table are based on MSA status/location only.

Correction to the Regulations Text

Sec. 419.32 [Corrected]

45. On page 47613, in the regulations text, in column one, in paragraph (b)(1), in the second line, ``paragraph (c)(2)'' is corrected to read ``paragraph (b)(2)''; and in paragraph (b)(2), in the fourth line, ``paragraph (c)(1)'' is corrected to read ``paragraph (b)(1)''.

Corrections to the Addenda

46. On pages 47615 through 47620, Addendum A is corrected to read as follows:

Addendum A.--List of Proposed Hospital Outpatient Ambulatory Payment Classes with Status Indicators, Relative Weights, Payment Rates, and Coinsurance Amounts ---------------------------------------------------------------------------------------------------------------- \7\ Minimum APC Group title Status Relative Payment National unadjusted indicator weight rate unadjusted coinsurance ----------------------------------------------------------------------------------------coinsurance------------- \6\ 020 Partial ................... P 4.02 $206.71 $46.78 $41.34 Hospitalizaiton. 031 Dental procedures.. ................... S 1.37 $70.45 $14.09 $14.09 061 Level I ................... X 1.15 $59.13 $37.52 $11.83 Chemotherapeutic agents. 062 Level II ................... X 1.78 $91.53 $36.61 $18.31 Chemotherapeutic agents. 063 Level III ................... X 2.94 $151.17 $110.97 $30.24 Chemotherapeutic agents. 064 Level IV ................... X 4.15 $213.39 $138.99 $42.68 Chemotherapeutic agents. 089 Neuropsychological ................... X 4.06 $208.77 $46.10 $41.75 Testing. 090 Monitoring ................... X 0.85 $43.71 $12.20 $8.74 psychiatric drugs. \1\ 091 Brief Individual ................... S 1.09 $56.05 $14.01 $11.21 Psychotherapy. \2\ 092 Extended Individual ................... S 1.63 $83.81 $21.47 $16.76 Psychotherapy. 093 Family ................... S 1.56 $80.22 $20.11 $16.04 Psychotherapy. 094 Group Psychotherapy ................... S 1.31 $67.36 $19.89 $13.47 121 Level I needle ................... T 0.63 $32.39 $21.02 $6.48 biopsy/aspiration. 122 Level II needle ................... T 4.59 $236.02 $113.00 $47.20 biopsy/aspiration. 131 Level I incision & ................... T 1.93 $99.24 $36.61 $19.85 drainage. 132 Level II incision & ................... T 5.63 $289.49 $132.89 $57.90 drainage. 137 Nail procedures.... ................... T 0.60 $30.85 $9.27 $6.17 141 Level I Destruction ................... T 0.52 $26.74 $9.49 $5.35 of lesion. 142 Level II ................... T 2.94 $151.17 $54.24 $30.24 Destruction of lesion. 151 Level I debridement/ ................... T 1.63 $83.81 $33.22 $16.76 destruction. 152 Level II ................... T 10.07 $517.80 $251.54 $103.56 debridement/ destruction. 161 Level I excision/ ................... T 3.43 $176.37 $75.71 $35.27 biopsy. 162 Level II excision/ ................... T 5.59 $287.44 $125.66 $57.49 biopsy. 163 Level III excision/ ................... T 10.48 $538.88 $260.80 $107.78 biopsy. 181 Level I skin repair ................... T 2.17 $111.58 $44.07 $22.32 182 Level II skin ................... T 4.11 $211.34 $92.43 $42.27 repair. 183 Level III skin ................... T 11.04 $567.68 $283.18 $113.54 repair.

184 Level IV skin ................... T 14.85 $763.59 $397.99 $152.72 repair. 197 Incision/excision ................... T 11.94 $613.95 $308.26 $122.79 breast. 198 Breast ................... T 18.63 $957.95 $523.42 $191.59 reconstruction/ mastectomy. 200 Arthrocentesis & ................... T 1.76 $90.50 $39.10 $18.10 Ligament/Tendon Injection. 207 Closed treatment ................... T 1.70 $87.41 $32.32 $17.48 fracture finger/ toe/trunk. 209 Closed treatment ................... T 1.94 $99.75 $37.74 $19.95 fracture/ dislocation/except finger/toe/trunk. 210 Bone/joint ................... T 10.06 $517.29 $279.34 $103.46 manipulation under anesthesia. 216 Open/percutaneous ................... T 20.09 $1,033.03 $524.09 $206.61 treatment fracture or dislocation. 217 Arthroplasty....... ................... T 20.54 $1,056.17 $530.42 $211.23 218 Arthroplasty with ................... T 27.80 $1,429.48 $720.71 $285.90 prosthesis. 226 Maxillofacial ................... T 1.56 $80.22 $21.92 $16.04 prostheses. 231 Level I skull and ................... T 11.31 $581.56 $286.79 $116.31 facial bone procedures. 232 Level II skull and ................... T 23.82 $1,224.82 $636.87 $244.96 facial bone procedures. 251 Level I ................... T 13.88 $713.71 $365.89 $142.74 musculoskeletal procedures. 252 Level II ................... T 19.24 $989.32 $512.34 $197.86 Musculoskeletal Procedures. 253 Level III ................... T 25.74 $1,323.55 $684.55 $264.71 Musculoskeletal Procedures. 254 Level IV ................... T 32.70 $1,681.43 $922.98 $336.29 Musculoskeletal Procedures. 261 Level I Hand ................... T 10.41 $535.28 $259.00 $107.06 Musculoskeletal Procedures. 262 Level II Hand ................... T 18.07 $929.16 $475.96 $185.83 Musculoskeletal Procedures. 271 Level I Foot ................... T 14.12 $726.05 $365.44 $145.21 Musculoskeletal Procedures. 272 Level II Foot ................... T 16.11 $828.38 $411.09 $165.68 Musculoskeletal Procedures. 276 Bunion Procedures.. ................... T 19.00 $976.98 $495.39 $195.40 280 Diagnostic ................... T 22.15 $1,138.95 $581.72 $227.79 Arthroscopy. 281 Level I Surgical ................... T 22.37 $1,150.27 $589.18 $230.05 Arthroscopy. 282 Level II Surgical ................... T 23.65 $1,216.08 $609.97 $243.22 Arthroscopy. 286 Arthroscopically- ................... T 27.69 $1,423.82 $791.90 $284.76 Aided Procedures. 311 Level I ENT ................... T 1.41 $72.50 $20.57 $14.50 Procedures. 312 Level II ENT ................... T 7.07 $363.54 $170.86 $72.71 Procedures. 313 Level III ENT ................... T 15.46 $794.95 $407.70 $158.99 Procedures. 314 Level IV ENT ................... T 25.15 $1,293.21 $687.72 $258.64 Procedures. \5\ 317 Implantation of ................... T ......... ......... ........... ........... Cochlear Device. 318 Nasal Cauterization/ ................... T 2.07 $106.44 $38.87 $21.29 Packing. 319 Tonsil/Adenoid ................... T 16.20 $833.00 $463.53 $166.60 Procedures. 320 Thoracentesis/ ................... T 3.09 $158.89 $80.91 $31.78 Lavage Procedures. 331 Level I Endoscopy ................... T 0.57 $29.31 $14.01 $5.86 Upper Airway. 332 Level II Endoscopy ................... T 9.67 $497.23 $242.72 $99.45 Upper Airway. 333 Level III Endoscopy ................... T 16.81 $864.37 $461.04 $172.87 Upper Airway. 336 Endoscopy Lower ................... T 7.24 $372.28 $195.49 $74.46 Airway. 339 Injection of ................... T 0.98 $50.39 $19.66 $10.08 Sclerosing Solution. 341 Level I Needle and ................... T 0.09 $4.63 $2.49 $0.93 Catheter Placement. 342 Level II Needle and ................... T 2.61 $134.21 $68.70 $26.84 Catheter Placement. 343 Level III Needle ................... T 8.76 $450.44 $240.24 $90.09 and Catheter Placement. 346 Placement ................... T 4.63 $238.07 $121.59 $47.61 Transvenous Caths/ Cutdown. 347 Injection ................... T 2.57 $132.15 $62.38 $26.43 Procedures for Interventional Radiology. 360 Removal/Revision, ................... T 6.04 $310.58 $138.54 $62.12 Pacemaker/Vascular Device. 367 Vascular Ligation.. ................... T 17.02 $875.17 $441.15 $175.03 368 Vascular Repair/ ................... T 22.59 $1,161.58 $647.49 $232.32 Fistula Construction. 369 Blood and Blood ................... T 6.33 $325.49 $155.49 $65.10 Product Exchange. 396 Lymph Node ................... T 12.98 $667.43 $334.48 $133.49 Excisions. 397 Thyroid/ ................... T 19.12 $983.15 $542.17 $196.63 Lymphadenectomy Procedures. 406 Esophageal Dilation ................... T 4.17 $214.42 $106.67 $42.88 without Endoscopy. 407 Esophagoscopy...... ................... T 6.89 $354.28 $189.39 $70.86 417 Diagnostic Upper GI ................... T 6.35 $326.52 $179.22 $65.30 Endoscopy. 418 Therapeutic Upper ................... T 7.44 $382.56 $213.57 $76.51 GI Endoscopy. 419 Small Intestine ................... T 6.83 $351.20 $164.08 $70.24 Endoscopy. 426 Diagnostic Lower GI ................... T 6.74 $346.57 $185.32 $69.31 Endoscopy. 427 Therapeutic Lower ................... T 8.09 $415.99 $222.84 $83.20 GI Endoscopy. 437 Therapeutic ................... T 6.54 $336.29 $173.79 $67.26 Anoscopy. 446 Diagnostic ................... T 2.54 $130.61 $64.86 $26.12 Sigmoidoscopy. 447 Therapeutic ................... T 7.06 $363.03 $191.87 $72.61 Proctosigmoidoscop y. 448 Therapeutic ................... T 5.28 $271.50 $139.22 $54.30 Flexible Sigmoidoscopy. 449 Complex GI ................... T 7.63 $392.33 $213.57 $78.47 Endoscopy. 451 Level I Anal/Rectal ................... T 2.42 $124.44 $53.56 $24.89 Procedures. 452 Level II Anal/ ................... T 4.52 $232.42 $103.06 $46.48 Rectal Procedures. 453 Level III Anal/ ................... T 16.26 $836.09 $440.47 $167.22 Rectal Procedures. 456 Endoscopic ................... T 9.61 $494.15 $249.05 $98.83 Retrograde Cholangio- Pancreatography (ERCP). 458 Percutaneous ................... T 6.81 $350.17 $181.70 $70.03 Biliary Endoscopic Procedures. 459 Peritoneal and ................... T 17.85 $917.85 $497.88 $183.57 Abdominal Procedures. 466 Hernia/Hydrocele ................... T 20.67 $1,062.85 $556.64 $212.57 Procedures. 470 Tube Procedures.... ................... T 2.19 $112.61 $54.92 $22.52 521 Level I ................... T 4.89 $251.44 $110.06 $50.29 Cystourethroscopy and other Genitourinary Procedures.

522 Level II ................... T 10.15 $521.91 $259.45 $104.38 Cystourethroscopy and other Genitourinary Procedures. 523 Level III ................... T 16.35 $840.72 $438.89 $168.14 Cystourethroscopy and other Genitourinary Procedures. 524 Level IV ................... T 27.20 $1,398.62 $824.90 $279.72 Cystourethroscopy and other Genitourinary Procedures. 527 Lithotripsy........ ................... T 43.48 $2,235.74 $1,372.95 $447.15 529 Simple Urinary ................... T 2.33 $119.81 $59.66 $23.96 Studies and Procedures. 530 Genitourinary ................... T 2.46 $126.49 $53.34 $25.30 Procedures. 531 Level I Urethral ................... T 18.59 $955.90 $531.55 $191.18 Procedures. 532 Level II Urethral ................... T 23.02 $1,183.69 $588.50 $236.74 Procedures. 536 Circumcision....... ................... T 12.89 $662.80 $321.60 $132.56 537 Penile Procedures.. ................... T 28.65 $1,473.18 $872.36 $294.64 538 Insertion of Penile ................... T 48.41 $2,489.24 $1,563.47 $497.85 Prosthesis. 546 Testes/Epididymis ................... T 16.54 $850.49 $449.51 $170.10 Procedures. 547 Prostate Biopsy.... ................... T 4.39 $225.73 $125.20 $45.15 550 Surgical ................... T 16.46 $846.37 $445.22 $169.27 Hysteroscopy. 551 Level I Laparoscopy ................... T 24.61 $1,265.45 $701.73 $253.09 552 Level II ................... T 37.09 $1,907.17 $1,053.84 $381.43 Laparoscopy. 561 Level I Female ................... T 1.46 $75.07 $24.41 $15.01 Reproductive Procedures. 562 Level II Female ................... T 12.30 $632.47 $325.44 $126.49 Reproductive Procedures. 563 Level III Female ................... T 16.50 $848.43 $461.72 $169.69 Reproductive Procedures. 567 D & C.............. ................... T 13.18 $677.72 $360.70 $135.54 568 Infertility ................... T 2.79 $143.46 $55.60 $28.69 Procedures. 578 Pregnancy and ................... T 1.17 $60.16 $32.77 $12.03 Neonatal Care Procedures. 580 Vaginal Delivery... ................... T 4.31 $221.62 $44.32 $44.32 586 Therapeutic ................... T 11.98 $616.01 $409.29 $123.20 Abortion. 587 Spontaneous ................... T 12.96 $666.40 $347.14 $133.28 Abortion. 600 Spinal Tap......... ................... T 2.41 $123.92 $61.47 $24.78 601 Level I Nervous ................... T 3.00 $154.26 $74.13 $30.85 System Injections. 602 Level II Nervous ................... T 3.19 $164.03 $87.01 $32.81 System Injections. 616 Implantation of ................... T 11.85 $609.33 $329.06 $121.87 Neurostimulator Electrodes. 617 Revision/Removal ................... T 11.31 $581.56 $280.01 $116.31 Neurological Device. 618 Implantation of ................... T 24.78 $1,274.19 $808.18 $254.84 Neurological Device. 631 Level I Nerve ................... T 12.70 $653.03 $329.06 $130.61 Procedures. 632 Level II Nerve ................... T 16.48 $847.40 $453.58 $169.48 Procedures. 648 Laser Retinal ................... T 3.76 $193.34 $93.56 $38.67 Procedures. 649 Laser Eye ................... T 4.37 $224.71 $111.64 $44.94 Procedures except Retinal. 651 Level I Anterior ................... T 6.85 $352.23 $171.99 $70.45 Segment Eye Procedures. 652 Level II Anterior ................... T 16.35 $840.72 $433.92 $168.14 Segment Eye Procedures. 667 Cataract Procedures ................... T 20.35 $1,046.40 $538.11 $209.28 668 Cataract Procedures ................... T 22.02 $1,132.27 $617.21 $226.45 with IOL Insert. 670 Corneal Transplant. ................... T 30.78 $1,582.71 $885.92 $316.54 676 Posterior Segment ................... T 5.87 $301.84 $138.54 $60.37 Eye Procedures. 677 Strabismus/Muscle ................... T 16.11 $828.38 $428.95 $165.68 Procedures. 681 Level I Eye ................... T 1.65 $84.84 $30.51 $16.97 Procedures. 682 Level II Eye ................... T 3.41 $175.34 $80.68 $35.07 Procedures. 683 Level III Eye ................... T 9.56 $491.58 $252.44 $98.32 Procedures. 684 Level IV Eye ................... T 13.26 $681.83 $341.94 $136.37 Procedures. 690 Vitrectomy......... ................... T 30.39 $1,562.65 $845.69 $312.53 700 Plain Film......... ................... X 0.80 $41.14 $22.37 $8.23 706 Miscellaneous ................... X 1.43 $73.53 $39.10 $14.71 Radiological Procedures. 710 Computerized Axial ................... S 4.98 $256.07 $173.12 $51.21 Tomography. 716 Fluoroscopy........ ................... X 1.39 $71.47 $40.00 $14.29 720 Magnetic Resonance ................... S 6.37 $327.55 $204.98 $65.51 Angiography. 726 Magnetic Resonance ................... S 7.91 $406.73 $256.06 $81.35 Imaging. 728 Myelography........ ................... S 3.50 $179.97 $91.98 $35.99 730 Arthography........ ................... S 2.30 $118.27 $65.77 $23.65 736 Digestive Radiology ................... S 1.85 $95.13 $53.79 $19.03 737 Diagnostic ................... S 2.69 $138.32 $81.81 $27.66 Urography. 738 Therapeutic ................... S 3.74 $192.31 $104.86 $38.46 Radiologic Procedures. 739 Diagnostic ................... S 5.33 $274.07 $150.74 $54.81 Angiography and Venography. 746 Mammography........ ................... S 0.69 $35.48 $19.44 $7.10 747 Diagnostic ................... S 1.65 $84.84 $54.47 $16.97 Ultrasound Except Vascular. 749 Guidance under ................... X 2.22 $114.15 $70.06 $22.83 Ultrasound. 750 Therapeutic ................... X 0.96 $49.36 $25.99 $9.87 Radiation Treatment Planning. 751 Level I Therapeutic ................... X 1.15 $59.13 $33.22 $11.83 Radiation Treatment Preparation. 752 Level II ................... X 3.48 $178.94 $86.56 $35.79 Therapeutic Radiation Treatment Preparation. 757 Radiation Therapy.. ................... S 2.26 $116.21 $52.43 $23.24 758 Hyperthermic ................... S 5.08 $261.21 $137.18 $52.24 Therapies. 759 Brachytherapy and ................... S 7.98 $410.33 $157.97 $82.07 Complex Radioelement Applications. 760 PET Scans.......... ................... S 14.89 $765.64 $419.46 $153.13 761 Standard Non- ................... S 1.80 $92.56 $54.01 $18.51 Imaging Nuclear Medicine. 762 Complex Non-Imaging ................... S 2.02 $103.87 $55.82 $20.77 Nuclear Medicine. 771 Standard Planar ................... S 3.81 $195.91 $117.29 $39.18 Nuclear Medicine.

772 Complex Planar ................... S 4.26 $219.05 $128.37 $43.81 Nuclear Medicine. 781 Standard SPECT ................... S 5.43 $279.21 $155.04 $55.84 Nuclear Medicine. 782 Complex SPECT ................... S 9.00 $462.78 $267.13 $92.56 Nuclear Medicine. 791 Standard ................... S 14.74 $757.93 $539.91 $151.59 Therapeutic Nuclear Medicine. 792 Complex Therapeutic ................... S 4.81 $247.33 $143.06 $49.47 Nuclear Medicine. 861 Immunology Tests... ................... X 0.13 $6.68 $3.62 $1.34 881 Level I Pathology.. ................... X 0.22 $11.31 $6.78 $2.26 882 Level II Pathology. ................... X 0.39 $20.05 $11.75 $4.01 883 Level III Pathology ................... X 0.69 $35.48 $20.34 $7.10 900 Critical Care...... ................... S 7.54 $387.71 $145.09 $77.54 901 Level I ................... X 0.07 $3.60 $2.49 $0.72 Immunization. 902 Level II ................... X 1.31 $67.36 $38.19 $13.47 Immunization. 903 Level III ................... X 1.00 $51.42 $24.86 $10.28 Immunization. 906 Infusion Therapy ................... X 1.93 $99.24 $57.18 $19.85 except Chemotherapy. 907 Intramuscular ................... X 0.74 $38.05 $11.53 $7.61 Injections. \3\ 911 Low Level Clinic Well care and V 1.24 $63.76 $15.14 $12.75 11 Visits. administrative. 91118 Low Level Clinic Skin and breast V 0.83 $42.68 $9.27 $8.54 Visits. diseases. 91124 Low Level Clinic Musculoskeletal V 0.87 $44.74 $9.49 $8.95 Visits. diseases. 91131 Low Level Clinic Ear, nose, mouth V 0.81 $41.65 $9.04 $8.33 Visits. and throat diseases. 91133 Low Level Clinic Respiratory system V 0.83 $42.68 $8.59 $8.54 Visits. diseases. 91136 Low Level Clinic Cardiovascular V 0.87 $44.74 $8.95 $8.95 Visits. system diseases. 91141 Low Level Clinic Digestive system V 0.96 $49.36 $10.40 $9.87 Visits. diseases. 91153 Low Level Clinic Kidney, urinary V 0.91 $46.79 $9.49 $9.36 Visits. tract and male genital diseases. 91156 Low Level Clinic Female genital V 0.93 $47.82 $9.56 $9.56 Visits. system diseases. 91157 Low Level Clinic Pregnancy and V 1.37 $70.45 $17.85 $14.09 Visits. neonatal care. 91163 Low Level Clinic Nervous system V 0.98 $50.39 $10.17 $10.08 Visits. diseases. 91168 Low Level Clinic Eye diseases....... V 0.96 $49.36 $10.40 $9.87 Visits. 91172 Low Level Clinic Trauma and V 1.06 $54.51 $14.24 $10.90 Visits. poisoning. 91178 Low Level Clinic Major signs, V 1.52 $78.16 $21.47 $15.63 Visits. symptoms and findings. 91182 Low Level Clinic Endocrine, V 0.87 $44.74 $9.04 $8.95 Visits. nutritional and metabolic diseases. 91186 Low Level Clinic Immunologic and V 1.07 $55.02 $11.53 $11.00 Visits. hematologic diseases. 91188 Low Level Clinic Malignancy......... V 0.72 $37.02 $8.14 $7.40 Visits. \1\ 911 Low Level Clinic Psychiatric V 1.09 $56.05 $14.01 $11.21 91 Visits. disorders. 91197 Low Level Clinic Infectious disease. V 1.02 $52.45 $11.53 $10.49 Visits. \4\ 911 Low Level Clinic Unknown cause of V 1.41 $72.50 $24.86 $14.50 99 Visits. mortality. \3\ 913 Mid Level Clinic Well care and V 1.24 $63.76 $15.14 $12.75 11 Visits. administrative. 91318 Mid Level Clinic Skin and breast V 0.98 $50.39 $10.08 $10.08 Visits. diseases. 91324 Mid Level Clinic Musculoskeletal V 0.96 $49.36 $9.87 $9.87 Visits. diseases. 91331 Mid Level Clinic Ear, nose, mouth V 0.94 $48.33 $9.67 $9.67 Visits. and throat diseases. 91333 Mid Level Clinic Respiratory system V 0.93 $47.82 $9.56 $9.56 Visits. diseases. 91336 Mid Level Clinic Cardiovascular V 1.00 $51.42 $10.28 $10.28 Visits. system diseases. 91341 Mid Level Clinic Digestive system V 1.00 $51.42 $10.28 $10.28 Visits. diseases. 91353 Mid Level Clinic Kidney, urinary V 1.00 $51.42 $10.28 $10.28 Visits. tract and male genital diseases. 91356 Mid Level Clinic Female genital V 1.04 $53.48 $10.70 $10.70 Visits. system diseases. 91357 Mid Level Clinic Pregnancy and V 1.33 $68.39 $13.68 $13.68 Visits. neonatal care. 91363 Mid Level Clinic Nervous system V 1.04 $53.48 $10.70 $10.70 Visits. diseases. 91368 Mid Level Clinic Eye diseases....... V 0.85 $43.71 $8.74 $8.74 Visits. 91372 Mid Level Clinic Trauma and V 1.06 $54.51 $10.90 $10.90 Visits. poisoning. 91378 Mid Level Clinic Major signs, V 1.13 $58.10 $11.62 $11.62 Visits. symptoms and findings. 91382 Mid Level Clinic Endocrine, V 1.00 $51.42 $10.28 $10.28 Visits. nutritional and metabolic diseases. 91386 Mid Level Clinic Immunologic and V 1.04 $53.48 $10.70 $10.70 Visits. hematologic diseases. 91388 Mid Level Clinic Malignancy......... V 0.83 $42.68 $8.54 $8.54 Visits. \1\ 913 Mid Level Clinic Psychiatric V 1.09 $56.05 $14.01 $11.21 91 Visits. disorders. 91397 Mid Level Clinic Infectious disease. V 1.04 $53.48 $10.70 $10.70 Visits. \4\ 913 Mid Level Clinic Unknown cause of V 1.41 $72.50 $24.86 $14.50 99 Visits. mortality. \3\ 915 High Level Clinic Well care and V 1.24 $63.76 $15.14 $12.75 11 Visits. administrative. 91518 High Level Clinic Skin and breast V 1.72 $88.44 $19.21 $17.69 Visits. diseases. 91524 High Level Clinic Musculoskeletal V 1.46 $75.07 $15.37 $15.01 Visits. diseases. 91531 High Level Clinic Ear, nose, mouth V 1.35 $69.42 $14.24 $13.88 Visits. and throat diseases. 91533 High Level Clinic Respiratory system V 1.44 $74.04 $14.81 $14.81 Visits. diseases. 91536 High Level Clinic Cardiovascular V 1.46 $75.07 $15.37 $15.01 Visits. system diseases. 91541 High Level Clinic Digestive system V 1.54 $79.19 $15.84 $15.84 Visits. diseases. 91553 High Level Clinic Kidney, urinary V 1.44 $74.04 $14.81 $14.81 Visits. tract and male genital diseases. 91556 High Level Clinic Female genital V 1.44 $74.04 $15.14 $14.81 Visits. system diseases. 91557 High Level Clinic Pregnancy and V 1.76 $90.50 $22.83 $18.10 Visits. neonatal care. 91563 High Level Clinic Nervous system V 1.50 $77.13 $16.05 $15.43 Visits. diseases. 91568 High Level Clinic Eye diseases....... V 1.33 $68.39 $13.79 $13.68 Visits. 91572 High Level Clinic Trauma and V 1.72 $88.44 $22.15 $17.69 Visits. poisoning. 91578 High Level Clinic Major signs, V 1.89 $97.18 $29.15 $19.44 Visits. symptoms and findings. 91582 High Level Clinic Endocrine, V 1.46 $75.07 $15.14 $15.01 Visits. nutritional and metabolic diseases. 91586 High Level Clinic Immunologic and V 1.76 $90.50 $19.21 $18.10 Visits. hematologic diseases. 91588 High Level Clinic Malignancy......... V 1.19 $61.19 $12.88 $12.24 Visits.

\2\ 915 High Level Clinic Psychiatric V 1.63 $83.81 $21.47 $16.76 91 Visits. disorders. 91597 High Level Clinic Infectious disease. V 1.76 $90.50 $19.66 $18.10 Visits. \4\ 915 High Level Clinic Unknown cause of V 1.41 $72.50 $24.86 $14.50 99 Visits. mortality. 919 Electroconvulsive ................... S 3.09 $158.89 $80.00 $31.78 Therapy. 920 Biofeedback and ................... S 1.17 $60.16 $29.61 $12.03 other Training. \5\ 921 Diabetes Education. ................... S ......... ......... ........... ........... 926 Dialysis for other ................... S 4.22 $216.99 $69.83 $43.40 than ESRD patients. 928 Alimentary Tests... ................... X 2.91 $149.63 $79.78 $29.93 930 Minor Eye ................... X 1.04 $53.48 $22.83 $10.70 Examinations. 931 Level I Eye Tests.. ................... X 0.74 $38.05 $21.47 $7.61 932 Level II Eye Tests. ................... X 2.41 $123.92 $63.73 $24.78 936 Fitting of Vision ................... X 0.48 $24.68 $9.49 $4.94 Aids. 940 Otorhinolaryngologi ................... X 3.13 $160.94 $52.21 $32.19 c Function Tests. 941 Level I Audiometry. ................... X 0.74 $38.05 $13.33 $7.61 942 Level II Audiometry ................... X 1.46 $75.07 $22.15 $15.01 947 Resuscitation and ................... S 4.11 $211.34 $106.22 $42.27 Cardioversion. 948 Cardiac ................... X 0.81 $41.65 $16.95 $8.33 Rehabilitation. 949 Cardiovascular ................... X 1.43 $73.53 $61.92 $14.71 Stress Test. 950 Electrocardiogram ................... X 0.35 $18.00 $15.82 $3.60 (ECG). \3\ 951 Low Level ER Visits Well care and V 1.24 $63.76 $15.14 $12.75 11 administrative. 95118 Low Level ER Visits Skin and breast V 1.17 $60.16 $19.21 $12.03 diseases. 95124 Low Level ER Visits Musculoskeletal V 1.17 $60.16 $20.11 $12.03 diseases. 95131 Low Level ER Visits Ear, nose, mouth V 1.11 $57.08 $17.63 $11.42 and throat diseases. 95133 Low Level ER Visits Respiratory system V 1.15 $59.13 $18.53 $11.83 diseases. 95136 Low Level ER Visits Cardiovascular V 1.26 $64.79 $19.89 $12.96 system diseases. 95141 Low Level ER Visits Digestive system V 1.30 $66.85 $21.02 $13.37 diseases. 95153 Low Level ER Visits Kidney, urinary V 1.43 $73.53 $24.86 $14.71 tract and male genital diseases. 95156 Low Level ER Visits Female genital V 1.41 $72.50 $23.96 $14.50 system diseases. 95157 Low Level ER Visits Pregnancy and V 1.46 $75.07 $24.63 $15.01 neonatal care. 95163 Low Level ER Visits Nervous system V 1.30 $66.85 $22.60 $13.37 diseases. 95168 Low Level ER Visits Eye diseases....... V 1.20 $61.70 $20.79 $12.34 95172 Low Level ER Visits Trauma and V 1.28 $65.82 $22.15 $13.16 poisoning. 95178 Low Level ER Visits Major signs, V 1.94 $99.75 $36.39 $19.95 symptoms and findings. 95182 Low Level ER Visits Endocrine, V 1.50 $77.13 $24.63 $15.43 nutritional and metabolic diseases. 95186 Low Level ER Visits Immunologic and V 1.46 $75.07 $26.89 $15.01 hematologic diseases. 95188 Low Level ER Visits Malignancy......... V 1.57 $80.73 $27.35 $16.15 \1\ 951 Low Level ER Visits Psychiatric V 1.09 $56.05 $14.01 $11.21 91 Disorders. 95197 Low Level ER Visits Infectious disease. V 1.24 $63.76 $20.57 $12.75 \4\ 951 Low Level ER Visits Unknown cause of V 1.41 $72.50 $24.86 $14.50 99 mortality. \3\ 953 Mid Level ER Visits Well care and V 1.24 $63.76 $15.14 $12.75 11 administrative. 95318 Mid Level ER Visits Skin and breast V 1.89 $97.18 $34.80 $19.44 diseases. 95324 Mid Level ER Visits Musculoskeletal V 1.78 $91.53 $32.32 $18.31 diseases. 95331 Mid Level ER Visits Ear, nose, mouth V 1.80 $92.56 $31.64 $18.51 and throat diseases. 95333 Mid Level ER Visits Respiratory system V 1.91 $98.21 $33.67 $19.64 diseases. 95336 Mid Level ER Visits Cardiovascular V 2.02 $103.87 $36.16 $20.77 system diseases. 95341 Mid Level ER Visits Digestive system V 2.02 $103.87 $36.61 $20.77 diseases. 95353 Mid Level ER Visits Kidney, urinary V 2.06 $105.93 $38.65 $21.19 tract and male genital diseases. 95356 Mid Level ER Visits Female genital V 2.06 $105.93 $36.84 $21.19 system diseases. 95357 Mid Level ER Visits Pregnancy and V 2.10 $107.98 $40.68 $21.60 neonatal care. 95363 Mid Level ER Visits Nervous system V 1.89 $97.18 $35.03 $19.44 diseases. 95368 Mid Level ER Visits Eye diseases....... V 1.67 $85.87 $33.00 $17.17 95372 Mid Level ER Visits Trauma and V 2.02 $103.87 $39.10 $20.77 poisoning. 95378 Mid Level ER Visits Major signs, V 3.07 $157.86 $58.76 $31.57 symptoms and findings. 95382 Mid Level ER Visits Endocrine, V 2.30 $118.27 $43.84 $23.65 nutritional and metabolic diseases. 95386 Mid Level ER Visits Immunologic and V 2.48 $127.52 $49.27 $25.50 hematologic diseases. 95388 Mid Level ER Visits Malignancy......... V 2.17 $111.58 $42.26 $22.32 95391 Mid Level ER Visits Psychiatric V 2.02 $103.87 $35.93 $20.77 Disorders. 95397 Mid Level ER Visits Infectious disease. V 1.99 $102.33 $36.61 $20.47 \4\ 953 Mid Level ER Visits Unknown cause of V 1.41 $72.50 $24.86 $14.50 99 mortality. \3\ 955 High Level ER Well care and V 1.24 $63.76 $15.14 $12.75 11 Visits. administrative. 95518 High Level ER Skin and breast V 2.59 $133.18 $46.78 $26.64 Visits. diseases. 95524 High Level ER Musculoskeletal V 2.46 $126.49 $41.36 $25.30 Visits. diseases. 95531 High Level ER Ear, nose, mouth V 2.57 $132.15 $44.07 $26.43 Visits. and throat diseases. 95533 High Level ER Respiratory system V 3.13 $160.94 $54.69 $32.19 Visits. diseases. 95536 High Level ER Cardiovascular V 3.13 $160.94 $54.69 $32.19 Visits. system diseases. 95541 High Level ER Digestive system V 2.89 $148.60 $54.69 $29.72 Visits. diseases. 95553 High Level ER Kidney, urinary V 2.87 $147.58 $54.69 $29.52 Visits. tract and male genital diseases. 95556 High Level ER Female genital V 2.70 $138.83 $51.08 $27.77 Visits. system diseases. 95557 High Level ER Pregnancy and V 2.89 $148.60 $54.92 $29.72 Visits. neonatal care. 95563 High Level ER Nervous system V 2.74 $140.89 $52.43 $28.18 Visits. diseases. 95568 High Level ER Eye diseases....... V 2.33 $119.81 $40.23 $23.96 Visits. 95572 High Level ER Trauma and V 2.72 $139.86 $50.17 $27.97 Visits. poisoning. 95578 High Level ER Major signs, V 6.83 $351.20 $148.48 $70.24 Visits. symptoms and findings.

95582 High Level ER Endocrine, V 3.26 $167.63 $64.86 $33.53 Visits. nutritional and metabolic diseases. 95586 High Level ER Immunologic and V 3.89 $200.02 $81.81 $40.00 Visits. hematologic diseases. 95588 High Level ER Malignancy......... V 3.63 $186.65 $68.48 $37.33 Visits. 95591 High Level ER Psychiatric V 3.48 $178.94 $62.60 $35.79 Visits. Disorders. 95597 High Level ER Infectious disease. V 2.78 $142.95 $53.11 $28.59 Visits. \4\ 955 High Level ER Unknown cause of V 1.41 $72.50 $24.86 $14.50 99 Visits. mortality. 956 Continuous ECG and ................... X 1.09 $56.05 $54.47 $11.21 Blood Pressure Monitoring. 957 Echocardiography... ................... S 4.04 $207.74 $114.13 $41.55 958 Diagnostic Cardiac ................... S 23.74 $1,220.71 $705.57 $244.14 Catheterization. 960 Cardiac ................... S 4.80 $246.82 $143.74 $49.36 Electrophysiologic Tests/Procedures. 966 Electronic Analysis ................... X 0.39 $20.05 $12.43 $4.01 of Pacemakers/ other Devices. 967 Non-Invasive ................... X 1.70 $87.41 $57.40 $17.48 Vascular Studies. 968 Vascular Ultrasound ................... X 2.39 $122.89 $79.55 $24.58 969 Hyperbaric Oxygen.. ................... S 2.65 $136.26 $141.70 $27.25 971 Level I Pulmonary ................... X 0.98 $50.39 $26.44 $10.08 Tests. 972 Level II Pulmonary ................... X 1.00 $51.42 $29.38 $10.28 Tests. 973 Level III Pulmonary ................... S 1.81 $93.07 $55.82 $18.61 Tests. 976 Pulmonary Therapy.. ................... S 0.44 $22.62 $14.69 $4.53 977 Allergy Tests...... ................... X 0.56 $28.80 $11.30 $5.76 978 Allergy Injections. ................... X 0.30 $15.43 $3.39 $3.09 979 Extended EEG ................... S 10.15 $521.91 $287.25 $104.38 Studies and Sleep Studies. 980 Electroencephalogra ................... S 2.15 $110.55 $57.86 $22.11 m. 981 Level I Nerve and ................... X 1.22 $62.73 $34.35 $12.55 Muscle Tests. 982 Level II Nerve and ................... X 1.37 $70.45 $38.42 $14.09 Muscle Tests. 987 Subcutaneous or ................... S 2.09 $107.47 $65.09 $21.49 Intramuscular Chemotherapy. 988 Chemotherapy except ................... S 4.02 $206.71 $110.29 $41.34 by Extended Infusion. 989 Chemotherapy by ................... S 1.91 $98.21 $44.52 $19.64 Extended Infusion. 990 Photochemotherapy.. ................... S 0.43 $22.11 $8.14 $4.42 997 Manipulation ................... S 0.69 $35.48 $7.46 $7.10 Therapy. 999 Therapeutic ................... X 0.43 $22.11 $11.07 $4.42 Phlebotomy. ---------------------------------------------------------------------------------------------------------------- Notes: \1\ Median costs APCs 091, 91191, 91391, 95191 computed together because there is no differences in facility resources. \2\ Median costs APCs 092 and 91591 computed together because there is no differences in facility resources. \3\ Median costs for all claims in combined visit levels for MDC 11; one rate is paid for multiple levels. \4\ Median costs for all claims in combined visit levels for MDC 99; one rate is paid for multiple levels. \5\ APCs 317 and 921 have anomalous weights. Refer to preamble for discussion. \6\ This APC reflects the per-diem payment for patients recieving services under a partial hospitalization program. \7\ The national unadjusted coinsurance amount is subtracted from the proposed payment rate to determine the amount Medicare pays.

47. On pages 47621 through 47761, Addendum B is corrected to read as follows:

CPT codes and descriptions only are copyright 1997 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.

Copyright 1994 American Dental Association. All rights reserved.

Addendum B.--Proposed Hospital Outpatient Department (HOPD) Payment Status by HCPCS Code and Related Information ---------------------------------------------------------------------------------------------------------------- Proposed National Minimum CPT/ HOPD status Description Proposed Relative payment unadjusted unadjusted HCPCS indicator APC weight rate coinsurance coinsurance ---------------------------------------------------------------------------------------------------------------- 00100 N Anesth, skin surgery... ......... ......... ......... ........... ........... 00102 N Anesth, repair of cleft ......... ......... ......... ........... ........... lip. 00103 N Anesth, blepharoplasty. ......... ......... ......... ........... ........... 00104 N Anesth for electroshock ......... ......... ......... ........... ........... 00120 N Anesthesia for ear ......... ......... ......... ........... ........... surgery. 00124 N Anesthesia for ear exam ......... ......... ......... ........... ........... 00126 N Anesth, tympanotomy.... ......... ......... ......... ........... ........... 00140 N Anesth, procedures on ......... ......... ......... ........... ........... eye. 00142 N Anesthesia for lens ......... ......... ......... ........... ........... surgery. 00144 N Anesth, corneal ......... ......... ......... ........... ........... transplant. 00145 N Anesth, vitrectomy..... ......... ......... ......... ........... ........... 00147 N Anesth, iridectomy..... ......... ......... ......... ........... ........... 00148 N Anesthesia for eye exam ......... ......... ......... ........... ........... 00160 N Anesth, nose, sinus ......... ......... ......... ........... ........... surgery. 00162 N Anesth, nose, sinus ......... ......... ......... ........... ........... surgery. 00164 N Anesth, biopsy of nose. ......... ......... ......... ........... ........... 00170 N Anesth, procedure on ......... ......... ......... ........... ........... mouth. 00172 N Anesth, cleft palate ......... ......... ......... ........... ........... repair. 00174 C Anesth, pharyngeal ......... ......... ......... ........... ........... surgery. 00176 C Anesth, pharyngeal ......... ......... ......... ........... ........... surgery.

00190 N Anesth, facial bone ......... ......... ......... ........... ........... surgery. 00192 C Anesth, facial bone ......... ......... ......... ........... ........... surgery. 00210 N Anesth, open head ......... ......... ......... ........... ........... surgery. 00212 N Anesth, skull drainage. ......... ......... ......... ........... ........... 00214 C Anesth, skull drainage. ......... ......... ......... ........... ........... 00215 C Anesth, skull fracture. ......... ......... ......... ........... ........... 00216 N Anesth, head vessel ......... ......... ......... ........... ........... surgery. 00218 N Anesth, special head ......... ......... ......... ........... ........... surgery. 00220 N Anesth, spinal fluid ......... ......... ......... ........... ........... shunt. 00222 N Anesth, head nerve ......... ......... ......... ........... ........... surgery. 00300 N Anesth, skin surgery, ......... ......... ......... ........... ........... neck. 00320 N Anesth, neck organ ......... ......... ......... ........... ........... surgery. 00322 N Anesth, biopsy of ......... ......... ......... ........... ........... thyroid. 00350 N Anesth, neck vessel ......... ......... ......... ........... ........... surgery. 00352 N Anesth, neck vessel ......... ......... ......... ........... ........... surgery. 00400 N Anesth, chest skin ......... ......... ......... ........... ........... surgery. 00402 N Anesth, surgery of ......... ......... ......... ........... ........... breast. 00404 C Anesth, surgery of ......... ......... ......... ........... ........... breast. 00406 C Anesth, surgery of ......... ......... ......... ........... ........... breast. 00410 N Anesth, correct heart ......... ......... ......... ........... ........... rhythm. 00420 N Anesth, skin surgery, ......... ......... ......... ........... ........... back. 00450 N Anesth, surgery of ......... ......... ......... ........... ........... shoulder. 00452 C Anesth, surgery of ......... ......... ......... ........... ........... shoulder. 00454 N Anesth, collar bone ......... ......... ......... ........... ........... biopsy. 00470 N Anesth, removal of rib. ......... ......... ......... ........... ........... 00472 N Anesth, chest wall ......... ......... ......... ........... ........... repair. 00474 C Anesth, surgery of ......... ......... ......... ........... ........... rib(s). 00500 N Anesth, esophageal ......... ......... ......... ........... ........... surgery. 00520 N Anesth, chest procedure ......... ......... ......... ........... ........... 00522 N Anesth, chest lining ......... ......... ......... ........... ........... biopsy. 00524 C Anesth, chest drainage. ......... ......... ......... ........... ........... 00528 N Anesth, chest partition ......... ......... ......... ........... ........... view. 00530 C Anesth, pacemaker ......... ......... ......... ........... ........... insertion. 00532 N Anesth, vascular access ......... ......... ......... ........... ........... 00534 N Anesth, cardioverter/ ......... ......... ......... ........... ........... defib. 00540 C Anesth, chest surgery.. ......... ......... ......... ........... ........... 00542 C Anesth, release of lung ......... ......... ......... ........... ........... 00544 C Anesth, chest lining ......... ......... ......... ........... ........... removal. 00546 C Anesth, lung,chest wall ......... ......... ......... ........... ........... surg. 00548 N Anesth, trachea,bronchi ......... ......... ......... ........... ........... surg. 00560 C Anesth, open heart ......... ......... ......... ........... ........... surgery. 00562 C Anesth, open heart ......... ......... ......... ........... ........... surgery. 00580 C Anesth,heart/lung ......... ......... ......... ........... ........... transplant. 00600 N Anesth, spine, cord ......... ......... ......... ........... ........... surgery. 00604 C Anesth, surgery of ......... ......... ......... ........... ........... vertebra. 00620 N Anesth, spine, cord ......... ......... ......... ........... ........... surgery. 00622 C Anesth, removal of ......... ......... ......... ........... ........... nerves. 00630 N Anesth, spine, cord ......... ......... ......... ........... ........... surgery. 00632 C Anesth, removal of ......... ......... ......... ........... ........... nerves. 00634 C Anesth for ......... ......... ......... ........... ........... chemonucleolysis. 00670 C Anesth, spine, cord ......... ......... ......... ........... ........... surgery. 00700 N Anesth, abdominal wall ......... ......... ......... ........... ........... surg. 00702 N Anesth, for liver ......... ......... ......... ........... ........... biopsy. 00730 N Anesth, abdominal wall ......... ......... ......... ........... ........... surg. 00740 N Anesth, gi ......... ......... ......... ........... ........... visualization. 00750 N Anesth, repair of ......... ......... ......... ........... ........... hernia. 00752 N Anesth, repair of ......... ......... ......... ........... ........... hernia. 00754 N Anesth, repair of ......... ......... ......... ........... ........... hernia. 00756 N Anesth, repair of ......... ......... ......... ........... ........... hernia. 00770 N Anesth, blood vessel ......... ......... ......... ........... ........... repair. 00790 N Anesth, surg upper ......... ......... ......... ........... ........... abdomen. 00792 C Anesth, part liver ......... ......... ......... ........... ........... removal. 00794 C Anesth, pancreas ......... ......... ......... ........... ........... removal. 00796 C Anesth, for liver ......... ......... ......... ........... ........... transplant. 00800 N Anesth, abdominal wall ......... ......... ......... ........... ........... surg. 00802 C Anesth, fat layer ......... ......... ......... ........... ........... removal. 00810 N Anesth, intestine ......... ......... ......... ........... ........... endoscopy. 00820 N Anesth, abdominal wall ......... ......... ......... ........... ........... surg. 00830 N Anesth, repair of ......... ......... ......... ........... ........... hernia. 00832 N Anesth, repair of ......... ......... ......... ........... ........... hernia. 00840 N Anesth, surg lower ......... ......... ......... ........... ........... abdomen. 00842 N Anesth, amniocentesis.. ......... ......... ......... ........... ........... 00844 C Anesth, pelvis surgery. ......... ......... ......... ........... ........... 00846 C Anesth, hysterectomy... ......... ......... ......... ........... ........... 00848 C Anesth, pelvic organ ......... ......... ......... ........... ........... surg.

00850 C Anesth, cesarean ......... ......... ......... ........... ........... section. 00855 C Anesth, hysterectomy... ......... ......... ......... ........... ........... 00857 C Analgesia, labor & c- ......... ......... ......... ........... ........... section. 00860 N Anesth, surgery of ......... ......... ......... ........... ........... abdomen. 00862 N Anesth, kidney, ureter ......... ......... ......... ........... ........... surg. 00864 C Anesth, removal of ......... ......... ......... ........... ........... bladder. 00865 C Anesth, removal of ......... ......... ......... ........... ........... prostate. 00866 C Anesth, removal of ......... ......... ......... ........... ........... adrenal. 00868 C Anesth, kidney ......... ......... ......... ........... ........... transplant. 00870 N Anesth, bladder stone ......... ......... ......... ........... ........... surg. 00872 N Anesth,kidney stone ......... ......... ......... ........... ........... destruct. 00873 N Anesth,kidney stone ......... ......... ......... ........... ........... destruct. 00880 N Anesth, abdomen vessel ......... ......... ......... ........... ........... surg. 00882 C Anesth, major vein ......... ......... ......... ........... ........... ligation. 00884 C Anesth, major vein ......... ......... ......... ........... ........... revision. 00900 N Anesth, perineal ......... ......... ......... ........... ........... procedure. 00902 N Anesth, anorectal ......... ......... ......... ........... ........... surgery. 00904 C Anesth, perineal ......... ......... ......... ........... ........... surgery. 00906 N Anesth, removal of ......... ......... ......... ........... ........... vulva. 00908 C Anesth, removal of ......... ......... ......... ........... ........... prostate. 00910 N Anesth, bladder surgery ......... ......... ......... ........... ........... 00912 N Anesth, bladder tumor ......... ......... ......... ........... ........... surg. 00914 N Anesth, removal of ......... ......... ......... ........... ........... prostate. 00916 N Anesth, bleeding ......... ......... ......... ........... ........... control. 00918 N Anesth, stone removal.. ......... ......... ......... ........... ........... 00920 N Anesth, genitalia ......... ......... ......... ........... ........... surgery. 00922 N Anesth, sperm duct ......... ......... ......... ........... ........... surgery. 00924 N Anesth, testis ......... ......... ......... ........... ........... exploration. 00926 N Anesth, removal of ......... ......... ......... ........... ........... testis. 00928 C Anesth, removal of ......... ......... ......... ........... ........... testis. 00930 N Anesth, testis ......... ......... ......... ........... ........... suspension. 00932 C Anesth, amputation of ......... ......... ......... ........... ........... penis. 00934 C Anesth, penis, nodes ......... ......... ......... ........... ........... removal. 00936 C Anesth, penis, nodes ......... ......... ......... ........... ........... removal. 00938 N Anesth, insert penis ......... ......... ......... ........... ........... device. 00940 N Anesth, vaginal ......... ......... ......... ........... ........... procedures. 00942 N Anesth, surgery on ......... ......... ......... ........... ........... vagina. 00944 C Anesth, vaginal ......... ......... ......... ........... ........... hysterectomy. 00946 N Anesth, vaginal ......... ......... ......... ........... ........... delivery. 00948 N Anesth, repair of ......... ......... ......... ........... ........... cervix. 00950 N Anesth, vaginal ......... ......... ......... ........... ........... endoscopy. 00952 N Anesth, uterine ......... ......... ......... ........... ........... endoscopy. 00955 C Analgesia, vaginal ......... ......... ......... ........... ........... delivery. 01000 N Anesth, skin surgery, ......... ......... ......... ........... ........... pelvis. 01110 N Anesth, skin surgery, ......... ......... ......... ........... ........... pelvis. 01120 N Anesth, pelvis surgery. ......... ......... ......... ........... ........... 01130 N Anesth, body cast ......... ......... ......... ........... ........... procedure. 01140 C Anesth, amputation at ......... ......... ......... ........... ........... pelvis. 01150 C Anesth, pelvic tumor ......... ......... ......... ........... ........... surgery. 01160 N Anesth, pelvis ......... ......... ......... ........... ........... procedure. 01170 N Anesth, pelvis surgery. ......... ......... ......... ........... ........... 01180 N Anesth, pelvis nerve ......... ......... ......... ........... ........... removal. 01190 C Anesth, pelvis nerve ......... ......... ......... ........... ........... removal. 01200 N Anesth, hip joint ......... ......... ......... ........... ........... procedure. 01202 N Anesth, arthroscopy of ......... ......... ......... ........... ........... hip. 01210 N Anesth, hip joint ......... ......... ......... ........... ........... surgery. 01212 C Anesth, hip ......... ......... ......... ........... ........... disarticulation. 01214 C Anesth, replacement of ......... ......... ......... ........... ........... hip. 01220 N Anesth, procedure on ......... ......... ......... ........... ........... femur. 01230 N Anesth, surgery of ......... ......... ......... ........... ........... femur. 01232 C Anesth, amputation of ......... ......... ......... ........... ........... femur. 01234 C Anesth, radical femur ......... ......... ......... ........... ........... surg. 01240 N Anesth, upper leg skin ......... ......... ......... ........... ........... surg. 01250 N Anesth, upper leg ......... ......... ......... ........... ........... surgery. 01260 N Anesth, upper leg veins ......... ......... ......... ........... ........... surg. 01270 N Anesth, thigh arteries ......... ......... ......... ........... ........... surg. 01272 C Anesth, femoral artery ......... ......... ......... ........... ........... surg. 01274 C Anesth, femoral ......... ......... ......... ........... ........... embolectomy. 01300 N Anesth, skin surgery, ......... ......... ......... ........... ........... knee. 01320 N Anesth, knee area ......... ......... ......... ........... ........... surgery. 01340 N Anesth, knee area ......... ......... ......... ........... ........... procedure. 01360 N Anesth, knee area ......... ......... ......... ........... ........... surgery. 01380 N Anesth, knee joint ......... ......... ......... ........... ........... procedure. 01382 N Anesth, knee ......... ......... ......... ........... ........... arthroscopy. 01390 N Anesth, knee area ......... ......... ......... ........... ........... procedure.

01392 N Anesth, knee area ......... ......... ......... ........... ........... surgery. 01400 N Anesth, knee joint ......... ......... ......... ........... ........... surgery. 01402 C Anesth, replacement of ......... ......... ......... ........... ........... knee. 01404 C Anesth, amputation at ......... ......... ......... ........... ........... knee. 01420 N Anesth, knee joint ......... ......... ......... ........... ........... casting. 01430 N Anesth, knee veins ......... ......... ......... ........... ........... surgery. 01432 N Anesth, knee vessel ......... ......... ......... ........... ........... surg. 01440 N Anesth, knee arteries ......... ......... ......... ........... ........... surg. 01442 C Anesth, knee artery ......... ......... ......... ........... ........... surg. 01444 C Anesth, knee artery ......... ......... ......... ........... ........... repair. 01460 N Anesth, lower leg skin ......... ......... ......... ........... ........... surg. 01462 N Anesth, lower leg ......... ......... ......... ........... ........... procedure. 01464 N Anesth, ankle ......... ......... ......... ........... ........... arthroscopy. 01470 N Anesth, lower leg ......... ......... ......... ........... ........... surgery. 01472 N Anesth, achilles tendon ......... ......... ......... ........... ........... surg. 01474 N Anesth, lower leg ......... ......... ......... ........... ........... surgery. 01480 N Anesth, lower leg bone ......... ......... ......... ........... ........... surg. 01482 N Anesth, radical leg ......... ......... ......... ........... ........... surgery. 01484 N Anesth, lower leg ......... ......... ......... ........... ........... revision. 01486 C Anesth, ankle ......... ......... ......... ........... ........... replacement. 01490 N Anesth, lower leg ......... ......... ......... ........... ........... casting. 01500 N Anesth, leg arteries ......... ......... ......... ........... ........... surg. 01502 C Anesth, lowerleg ......... ......... ......... ........... ........... embolectomy. 01520 N Anesth, lower leg vein ......... ......... ......... ........... ........... surg. 01522 N Anesth, lower leg vein ......... ......... ......... ........... ........... surg. 01600 N Anesth, shoulder skin ......... ......... ......... ........... ........... surg. 01610 N Anesth, surgery of ......... ......... ......... ........... ........... shoulder. 01620 N Anesth, shoulder ......... ......... ......... ........... ........... procedure. 01622 N Anesth, shoulder ......... ......... ......... ........... ........... arthroscopy. 01630 N Anesth, surgery of ......... ......... ......... ........... ........... shoulder. 01632 C Anesth, surgery of ......... ......... ......... ........... ........... shoulder. 01634 C Anesth, shoulder joint ......... ......... ......... ........... ........... amput. 01636 C Anesth, forequarter ......... ......... ......... ........... ........... amput. 01638 C Anesth, shoulder ......... ......... ......... ........... ........... replacement. 01650 N Anesth, shoulder artery ......... ......... ......... ........... ........... surg. 01652 C Anesth, shoulder vessel ......... ......... ......... ........... ........... surg. 01654 C Anesth, shoulder vessel ......... ......... ......... ........... ........... surg. 01656 C Anesth, arm-leg vessel ......... ......... ......... ........... ........... surg. 01670 N Anesth, shoulder vein ......... ......... ......... ........... ........... surg. 01680 N Anesth, shoulder ......... ......... ......... ........... ........... casting. 01682 N Anesth, airplane cast.. ......... ......... ......... ........... ........... 01700 N Anesth, elbow area skin ......... ......... ......... ........... ........... surg. 01710 N Anesth, elbow area ......... ......... ......... ........... ........... surgery. 01712 N Anesth, upperarm tendon ......... ......... ......... ........... ........... surg. 01714 N Anesth, upperarm tendon ......... ......... ......... ........... ........... surg. 01716 N Anesth, biceps tendon ......... ......... ......... ........... ........... repair. 01730 N Anesth, upperarm ......... ......... ......... ........... ........... procedure. 01732 N Anesth, elbow ......... ......... ......... ........... ........... arthroscopy. 01740 N Anesth, upper arm ......... ......... ......... ........... ........... surgery. 01742 N Anesth, humerus surgery ......... ......... ......... ........... ........... 01744 N Anesth, humerus repair. ......... ......... ......... ........... ........... 01756 C Anesth, radical humerus ......... ......... ......... ........... ........... surg. 01758 N Anesth, humeral lesion ......... ......... ......... ........... ........... surg. 01760 N Anesth, elbow ......... ......... ......... ........... ........... replacement. 01770 N Anesth, upperarm artery ......... ......... ......... ........... ........... surg. 01772 C Anesth, upperarm ......... ......... ......... ........... ........... embolectomy. 01780 N Anesth, upper arm vein ......... ......... ......... ........... ........... surg. 01782 C Anesth, upperarm vein ......... ......... ......... ........... ........... repair. 01784 N Anesth, av fistula ......... ......... ......... ........... ........... repair. 01800 N Anesth, lower arm skin ......... ......... ......... ........... ........... surg. 01810 N Anesth, lower arm ......... ......... ......... ........... ........... surgery. 01820 N Anesth, lower arm ......... ......... ......... ........... ........... procedure. 01830 N Anesth, lower arm ......... ......... ......... ........... ........... surgery. 01832 N Anesth, wrist ......... ......... ......... ........... ........... replacement. 01840 N Anesth, lowerarm artery ......... ......... ......... ........... ........... surg. 01842 C Anesth, lowerarm ......... ......... ......... ........... ........... embolectomy. 01844 N Anesth, vascular shunt ......... ......... ......... ........... ........... surg. 01850 N Anesth, lower arm vein ......... ......... ......... ........... ........... surg. 01852 C Anesth, lowerarm vein ......... ......... ......... ........... ........... repair. 01860 N Anesth, lower arm ......... ......... ......... ........... ........... casting. 01900 N Anesth, uterus/tube ......... ......... ......... ........... ........... inject. 01902 C Anesth, burr holes, ......... ......... ......... ........... ........... skull. 01904 C Anesth, skull x-ray ......... ......... ......... ........... ........... inject. 01906 N Anesth, lumbar ......... ......... ......... ........... ........... myelography. 01908 N Anesth, cervical ......... ......... ......... ........... ........... myelography.

01910 N Anesth, skull ......... ......... ......... ........... ........... myelography. 01912 N Anesth, lumbar ......... ......... ......... ........... ........... discography. 01914 N Anesth, cervical ......... ......... ......... ........... ........... discography. 01916 C Anesth, head ......... ......... ......... ........... ........... arteriogram. 01918 C Anesth, limb ......... ......... ......... ........... ........... arteriogram. 01920 N Anesth, catheterize ......... ......... ......... ........... ........... heart. 01921 C Anesth, vessel surgery. ......... ......... ......... ........... ........... 01922 N Anesth, cat or MRI scan ......... ......... ......... ........... ........... 01990 C Support for organ donor ......... ......... ......... ........... ........... 01995 N Regional anesthesia, ......... ......... ......... ........... ........... limb. 01996 N Manage daily drug ......... ......... ......... ........... ........... therapy. 01999 N Unlisted anesth ......... ......... ......... ........... ........... procedure. 10040 T Acne surgery of skin 131 1.93 $99.24 $36.61 $19.85 abscess. 10060 T Drainage of skin 131 1.93 $99.24 $36.61 $19.85 abscess. 10061 T Drainage of skin 131 1.93 $99.24 $36.61 $19.85 abscess. 10080 T Drainage of pilonidal 131 1.93 $99.24 $36.61 $19.85 cyst. 10081 T Drainage of pilonidal 131 1.93 $99.24 $36.61 $19.85 cyst. 10120 T Remove foreign body.... 131 1.93 $99.24 $36.61 $19.85 10121 T Remove foreign body.... 163 10.48 $538.88 $260.80 $107.78 10140 T Drainage of hematoma/ 131 1.93 $99.24 $36.61 $19.85 fluid. 10160 T Puncture drainage of 131 1.93 $99.24 $36.61 $19.85 lesion. 10180 T Complex drainage, wound 131 1.93 $99.24 $36.61 $19.85 11000 T Debride infected skin.. 151 1.63 $83.81 $33.22 $16.76 11001 T Debride infect skin add- 151 1.63 $83.81 $33.22 $16.76 on. 11010 T Debride skin, fx....... 163 10.48 $538.88 $260.80 $107.78 11011 T Debride skin/muscle, fx 163 10.48 $538.88 $260.80 $107.78 11012 T Debride skin/muscle/ 163 10.48 $538.88 $260.80 $107.78 bone, fx. 11040 T Debride skin partial... 151 1.63 $83.81 $33.22 $16.76 11041 T Debride skin full...... 151 1.63 $83.81 $33.22 $16.76 11042 T Debride skin/tissue.... 151 1.63 $83.81 $33.22 $16.76 11043 T Debride tissue/muscle.. 162 5.59 $287.44 $125.66 $57.49 11044 T Debride tissue/muscle/ 162 5.59 $287.44 $125.66 $57.49 bone. \2\ 1105 T Trim skin lesion....... 151 1.63 $83.81 $33.22 $16.76 0 \2\ 1105 T Trim 2 to 4 skin 151 1.63 $83.81 $33.22 $16.76 1 lesions. \2\ 1105 T Trim over 4 skin 151 1.63 $83.81 $33.22 $16.76 2 lesions. 11055 T Trim skin lesion....... 151 1.63 $83.81 $33.22 $16.76 11056 T Trim 2 to 4 skin 151 1.63 $83.81 $33.22 $16.76 lesions. 11057 T Trim over 4 skin 151 1.63 $83.81 $33.22 $16.76 lesions. 11100 T Biopsy of skin lesion.. 161 3.43 $176.37 $75.71 $35.27 11101 T Biopsy, skin add-on.... 161 3.43 $176.37 $75.71 $35.27 11200 T Removal of skin tags... 151 1.63 $83.81 $33.22 $16.76 11201 T Remove skin tags add-on 151 1.63 $83.81 $33.22 $16.76 11300 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11301 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11302 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11303 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11305 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11306 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11307 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11308 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11310 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11311 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11312 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11313 T Shave skin lesion...... 151 1.63 $83.81 $33.22 $16.76 11400 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11401 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11402 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11403 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11404 T Removal of skin lesion. 162 5.59 $287.44 $125.66 $57.49 11406 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 11420 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11421 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11422 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11423 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11424 T Removal of skin lesion. 162 5.59 $287.44 $125.66 $57.49 11426 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 11440 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11441 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11442 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11443 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11444 T Removal of skin lesion. 162 5.59 $287.44 $125.66 $57.49 11446 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 11450 T Removal, sweat gland 163 10.48 $538.88 $260.80 $107.78 lesion. 11451 T Removal, sweat gland 163 10.48 $538.88 $260.80 $107.78 lesion. 11462 T Removal, sweat gland 163 10.48 $538.88 $260.80 $107.78 lesion.

11463 T Removal, sweat gland 163 10.48 $538.88 $260.80 $107.78 lesion. 11470 T Removal, sweat gland 163 10.48 $538.88 $260.80 $107.78 lesion. 11471 T Removal, sweat gland 163 10.48 $538.88 $260.80 $107.78 lesion. 11600 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11601 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11602 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11603 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11604 T Removal of skin lesion. 162 5.59 $287.44 $125.66 $57.49 11606 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 11620 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11621 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11622 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11623 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11624 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 11626 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 11640 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11641 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11642 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11643 T Removal of skin lesion. 161 3.43 $176.37 $75.71 $35.27 11644 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 11646 T Removal of skin lesion. 163 10.48 $538.88 $260.80 $107.78 \2\ 1170 T Scraping of 1-5 nails.. 137 0.60 $30.85 $9.27 $6.17 0 \2\ 1170 T Scraping of additional 137 0.60 $30.85 $9.27 $6.17 1 nails. \2\ 1171 T Scraping of 1-5 nails.. 137 0.60 $30.85 $9.27 $6.17 0 \2\ 1171 T Scraping of additional 137 0.60 $30.85 $9.27 $6.17 1 nails. 11719 T Trim nail(s)........... 137 0.60 $30.85 $9.27 $6.17 11720 T Debride nail, 1-5...... 137 0.60 $30.85 $9.27 $6.17 11721 T Debride nail, 6 or more 137 0.60 $30.85 $9.27 $6.17 11730 T Removal of nail plate.. 151 1.63 $83.81 $33.22 $16.76 \2\ 1173 T Removal of second nail 151 1.63 $83.81 $33.22 $16.76 1 plate. 11732 T Remove additional nail 151 1.63 $83.81 $33.22 $16.76 plate. 11740 T Drain blood from under 137 0.60 $30.85 $9.27 $6.17 nail. 11750 T Removal of nail bed.... 161 3.43 $176.37 $75.71 $35.27 11752 T Remove nail bed/finger 163 10.48 $538.88 $260.80 $107.78 tip. 11755 T Biopsy, nail unit...... 137 0.60 $30.85 $9.27 $6.17 11760 T Reconstruction of nail 181 2.17 $111.58 $44.07 $22.32 bed. 11762 T Reconstruction of nail 181 2.17 $111.58 $44.07 $22.32 bed. 11765 T Excision of nail fold, 151 1.63 $83.81 $33.22 $16.76 toe. 11770 T Removal of pilonidal 162 5.59 $287.44 $125.66 $57.49 lesion. 11771 T Removal of pilonidal 163 10.48 $538.88 $260.80 $107.78 lesion. 11772 T Removal of pilonidal 163 10.48 $538.88 $260.80 $107.78 lesion. 11900 T Injection into skin 151 1.63 $83.81 $33.22 $16.76 lesions. 11901 T Added skin lesions 151 1.63 $83.81 $33.22 $16.76 injection. 11920 T Correct skin color 181 2.17 $111.58 $44.07 $22.32 defects. 11921 T Correct skin color 181 2.17 $111.58 $44.07 $22.32 defects. 11922 T Correct skin color 181 2.17 $111.58 $44.07 $22.32 defects. 11950 T Therapy for contour 181 2.17 $111.58 $44.07 $22.32 defects. 11951 T Therapy for contour 181 2.17 $111.58 $44.07 $22.32 defects. 11952 T Therapy for contour 181 2.17 $111.58 $44.07 $22.32 defects. 11954 T Therapy for contour 181 2.17 $111.58 $44.07 $22.32 defects. 11960 T Insert tissue 183 11.04 $567.68 $283.18 $113.54 expander(s). 11970 T Replace tissue expander 183 11.04 $567.68 $283.18 $113.54 11971 T Remove tissue 163 10.48 $538.88 $260.80 $107.78 expander(s). 11975 E Insert contraceptive ......... ......... ......... ........... ........... cap. 11976 T Removal of 131 1.93 $99.24 $36.61 $19.85 contraceptive cap. 11977 E Removal/reinsert contra ......... ......... ......... ........... ........... cap. 12001 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12002 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12004 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12005 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12006 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12007 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12011 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12013 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12014 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12015 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12016 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12017 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12018 T Repair superficial 181 2.17 $111.58 $44.07 $22.32 wound(s). 12020 T Closure of split wound. 181 2.17 $111.58 $44.07 $22.32 12021 T Closure of split wound. 181 2.17 $111.58 $44.07 $22.32 12031 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12032 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12034 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12035 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s).

12036 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12037 T Layer closure of 183 11.04 $567.68 $283.18 $113.54 wound(s). 12041 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12042 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12044 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12045 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12046 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12047 T Layer closure of 183 11.04 $567.68 $283.18 $113.54 wound(s). 12051 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12052 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12053 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12054 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12055 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12056 T Layer closure of 181 2.17 $111.58 $44.07 $22.32 wound(s). 12057 T Layer closure of 183 11.04 $567.68 $283.18 $113.54 wound(s). 13100 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13101 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13120 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13121 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13131 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13132 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13150 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13151 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13152 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 13160 T Late closure of wound.. 182 4.11 $211.34 $92.43 $42.27 13300 T Repair of wound or 182 4.11 $211.34 $92.43 $42.27 lesion. 14000 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14001 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14020 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14021 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14040 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14041 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14060 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14061 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14300 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 14350 T Skin tissue 183 11.04 $567.68 $283.18 $113.54 rearrangement. 15000 T Skin graft............. 183 11.04 $567.68 $283.18 $113.54 15050 T Skin pinch graft....... 183 11.04 $567.68 $283.18 $113.54 15100 T Skin split graft....... 183 11.04 $567.68 $283.18 $113.54 15101 T Skin split graft add-on 183 11.04 $567.68 $283.18 $113.54 15120 T Skin split graft....... 183 11.04 $567.68 $283.18 $113.54 15121 T Skin split graft add-on 183 11.04 $567.68 $283.18 $113.54 15200 T Skin full graft........ 183 11.04 $567.68 $283.18 $113.54 15201 T Skin full graft add-on. 183 11.04 $567.68 $283.18 $113.54 15220 T Skin full graft........ 183 11.04 $567.68 $283.18 $113.54 15221 T Skin full graft add-on. 183 11.04 $567.68 $283.18 $113.54 15240 T Skin full graft........ 183 11.04 $567.68 $283.18 $113.54 15241 T Skin full graft add-on. 183 11.04 $567.68 $283.18 $113.54 15260 T Skin full graft........ 183 11.04 $567.68 $283.18 $113.54 15261 T Skin full graft add-on. 183 11.04 $567.68 $283.18 $113.54 15350 T Skin homograft......... 183 11.04 $567.68 $283.18 $113.54 15400 T Skin heterograft....... 183 11.04 $567.68 $283.18 $113.54 15570 T Form skin pedicle flap. 183 11.04 $567.68 $283.18 $113.54 15572 T Form skin pedicle flap. 183 11.04 $567.68 $283.18 $113.54 15574 T Form skin pedicle flap. 183 11.04 $567.68 $283.18 $113.54 15576 T Form skin pedicle flap. 183 11.04 $567.68 $283.18 $113.54 15580 T Attach skin pedicle 183 11.04 $567.68 $283.18 $113.54 graft. 15600 T Skin graft............. 183 11.04 $567.68 $283.18 $113.54 15610 T Skin graft............. 183 11.04 $567.68 $283.18 $113.54 15620 T Skin graft............. 183 11.04 $567.68 $283.18 $113.54 15625 T Skin graft............. 183 11.04 $567.68 $283.18 $113.54 15630 T Skin graft............. 183 11.04 $567.68 $283.18 $113.54 15650 T Transfer skin pedicle 183 11.04 $567.68 $283.18 $113.54 flap. 15732 T Muscle-skin graft, head/ 184 14.85 $763.59 $397.99 $152.72 neck. 15734 T Muscle-skin graft, 184 14.85 $763.59 $397.99 $152.72 trunk. 15736 T Muscle-skin graft, arm. 184 14.85 $763.59 $397.99 $152.72 15738 T Muscle-skin graft, leg. 184 14.85 $763.59 $397.99 $152.72 15740 T Island pedicle flap 184 14.85 $763.59 $397.99 $152.72 graft. 15750 T Neurovascular pedicle 184 14.85 $763.59 $397.99 $152.72 graft. \2\ 1575 C Microvascular flap ......... ......... ......... ........... ........... 5 graft. 15756 C Free muscle flap, ......... ......... ......... ........... ........... microvasc. 15757 C Free skin flap, ......... ......... ......... ........... ........... microvasc. 15758 C Free fascial flap, ......... ......... ......... ........... ........... microvasc. 15760 T Composite skin graft... 184 14.85 $763.59 $397.99 $152.72 15770 T Derma-fat-fascia graft. 184 14.85 $763.59 $397.99 $152.72

15775 T Hair transplant punch 183 11.04 $567.68 $283.18 $113.54 grafts. 15776 T Hair transplant punch 183 11.04 $567.68 $283.18 $113.54 grafts. 15780 T Abrasion treatment of 163 10.48 $538.88 $260.80 $107.78 skin. 15781 T Abrasion treatment of 163 10.48 $538.88 $260.80 $107.78 skin. 15782 T Abrasion treatment of 163 10.48 $538.88 $260.80 $107.78 skin. 15783 T Abrasion treatment of 151 1.63 $83.81 $33.22 $16.76 skin. 15786 T Abrasion, lesion, 151 1.63 $83.81 $33.22 $16.76 single. 15787 T Abrasion, lesions, add- 151 1.63 $83.81 $33.22 $16.76 on. 15788 T Chemical peel, face, 151 1.63 $83.81 $33.22 $16.76 epiderm. 15789 T Chemical peel, face, 151 1.63 $83.81 $33.22 $16.76 dermal. 15792 T Chemical peel, 151 1.63 $83.81 $33.22 $16.76 nonfacial. 15793 T Chemical peel, 151 1.63 $83.81 $33.22 $16.76 nonfacial. 15810 T Salabrasion............ 151 1.63 $83.81 $33.22 $16.76 15811 T Salabrasion............ 163 10.48 $538.88 $260.80 $107.78 15819 T Plastic surgery, neck.. 183 11.04 $567.68 $283.18 $113.54 15820 T Revision of lower 183 11.04 $567.68 $283.18 $113.54 eyelid. 15821 T Revision of lower 183 11.04 $567.68 $283.18 $113.54 eyelid. 15822 T Revision of upper 183 11.04 $567.68 $283.18 $113.54 eyelid. 15823 T Revision of upper 183 11.04 $567.68 $283.18 $113.54 eyelid. 15824 T Removal of forehead 184 14.85 $763.59 $397.99 $152.72 wrinkles. 15825 T Removal of neck 183 11.04 $567.68 $283.18 $113.54 wrinkles. 15826 T Removal of brow 184 14.85 $763.59 $397.99 $152.72 wrinkles. 15828 T Removal of face 184 14.85 $763.59 $397.99 $152.72 wrinkles. 15829 T Removal of skin 183 11.04 $567.68 $283.18 $113.54 wrinkles. 15831 T Excise excessive skin 184 14.85 $763.59 $397.99 $152.72 tissue. 15832 T Excise excessive skin 184 14.85 $763.59 $397.99 $152.72 tissue. 15833 T Excise excessive skin 184 14.85 $763.59 $397.99 $152.72 tissue. 15834 T Excise excessive skin 184 14.85 $763.59 $397.99 $152.72 tissue. 15835 T Excise excessive skin 183 11.04 $567.68 $283.18 $113.54 tissue. 15836 T Excise excessive skin 184 14.85 $763.59 $397.99 $152.72 tissue. 15837 T Excise excessive skin 184 14.85 $763.59 $397.99 $152.72 tissue. 15838 T Excise excessive skin 163 10.48 $538.88 $260.80 $107.78 tissue. 15839 T Excise excessive skin 184 14.85 $763.59 $397.99 $152.72 tissue. 15840 T Graft for face nerve 184 14.85 $763.59 $397.99 $152.72 palsy. 15841 T Graft for face nerve 184 14.85 $763.59 $397.99 $152.72 palsy. 15842 T Graft for face nerve 184 14.85 $763.59 $397.99 $152.72 palsy. 15845 T Skin and muscle repair, 184 14.85 $763.59 $397.99 $152.72 face. 15850 T Removal of sutures..... 151 1.63 $83.81 $33.22 $16.76 15851 T Removal of sutures..... 151 1.63 $83.81 $33.22 $16.76 15852 T Dressing change,not for 151 1.63 $83.81 $33.22 $16.76 burn. 15860 N Test for blood flow in ......... ......... ......... ........... ........... graft. 15876 T Suction assisted 184 14.85 $763.59 $397.99 $152.72 lipectomy. 15877 T Suction assisted 184 14.85 $763.59 $397.99 $152.72 lipectomy. 15878 T Suction assisted 184 14.85 $763.59 $397.99 $152.72 lipectomy. 15879 T Suction assisted 184 14.85 $763.59 $397.99 $152.72 lipectomy. 15920 T Removal of tail bone 163 10.48 $538.88 $260.80 $107.78 ulcer. 15922 T Removal of tail bone 184 14.85 $763.59 $397.99 $152.72 ulcer. 15931 T Remove sacrum pressure 163 10.48 $538.88 $260.80 $107.78 sore. 15933 T Remove sacrum pressure 163 10.48 $538.88 $260.80 $107.78 sore. 15934 T Remove sacrum pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15935 T Remove sacrum pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15936 T Remove sacrum pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15937 T Remove sacrum pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15940 T Removal of pressure 163 10.48 $538.88 $260.80 $107.78 sore. 15941 T Removal of pressure 163 10.48 $538.88 $260.80 $107.78 sore. 15944 T Removal of pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15945 T Removal of pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15946 T Removal of pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15950 T Remove thigh pressure 163 10.48 $538.88 $260.80 $107.78 sore. 15951 T Remove thigh pressure 163 10.48 $538.88 $260.80 $107.78 sore. 15952 T Remove thigh pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15953 T Remove thigh pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15956 T Remove thigh pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15958 T Remove thigh pressure 184 14.85 $763.59 $397.99 $152.72 sore. 15999 T Removal of pressure 163 10.48 $538.88 $260.80 $107.78 sore. 16000 T Initial treatment of 151 1.63 $83.81 $33.22 $16.76 burn(s). 16010 T Treatment of burn(s)... 152 10.07 $517.80 $251.54 $103.56 16015 T Treatment of burn(s)... 152 10.07 $517.80 $251.54 $103.56 16020 T Treatment of burn(s)... 151 1.63 $83.81 $33.22 $16.76 16025 T Treatment of burn(s)... 151 1.63 $83.81 $33.22 $16.76 16030 T Treatment of burn(s)... 151 1.63 $83.81 $33.22 $16.76 16035 T Incision of burn scab.. 162 5.59 $287.44 $125.66 $57.49 \2\ 1604 T Burn wound excision.... 162 5.59 $287.44 $125.66 $57.49 0 \2\ 1604 T Burn wound excision.... 162 5.59 $287.44 $125.66 $57.49 1 \2\ 1604 T Burn wound excision.... 162 5.59 $287.44 $125.66 $57.49 2

17000 T Destroy benign/premal 141 0.52 $26.74 $9.49 $5.35 lesion. \2\ 1700 T Destruction of add'l 141 0.52 $26.74 $9.49 $5.35 1 lesions. \2\ 1700 T Destruction of add'l 141 0.52 $26.74 $9.49 $5.35 2 lesions. 17003 T Destroy 2-14 lesions... 141 0.52 $26.74 $9.49 $5.35 17004 T Destroy 15 & more 142 2.94 $151.17 $54.24 $30.24 lesions. \2\ 1710 T Destruction of skin 141 0.52 $26.74 $9.49 $5.35 0 lesion. \2\ 1710 T Destruction of 2nd 141 0.52 $26.74 $9.49 $5.35 1 lesion. \2\ 1710 T Destruction of add'l 141 0.52 $26.74 $9.49 $5.35 2 lesions. \2\ 1710 T Destruction of skin 142 2.94 $151.17 $54.24 $30.24 4 lesions. \2\ 1710 T Destruction of skin 142 2.94 $151.17 $54.24 $30.24 5 lesions. 17106 T Destruction of skin 141 0.52 $26.74 $9.49 $5.35 lesions. 17107 T Destruction of skin 142 2.94 $151.17 $54.24 $30.24 lesions. 17108 T Destruction of skin 142 2.94 $151.17 $54.24 $30.24 lesions. 17110 T Destruct lesion, 1-14.. 141 0.52 $26.74 $9.49 $5.35 17111 T Destruct lesion, 15 or 142 2.94 $151.17 $54.24 $30.24 more. \2\ 1720 T Electrocautery of skin 151 1.63 $83.81 $33.22 $16.76 0 tags. \2\ 1720 T Electrocautery added 151 1.63 $83.81 $33.22 $16.76 1 lesions. 17250 T Chemical cautery, 151 1.63 $83.81 $33.22 $16.76 tissue. 17260 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17261 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17262 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17263 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17264 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17266 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17270 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17271 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17272 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17273 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17274 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17276 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17280 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17281 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17282 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17283 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17284 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17286 T Destruction of skin 151 1.63 $83.81 $33.22 $16.76 lesions. 17304 T Chemosurgery of skin 162 5.59 $287.44 $125.66 $57.49 lesion. 17305 T 2nd stage chemosurgery. 162 5.59 $287.44 $125.66 $57.49 17306 T 3rd stage chemosurgery. 162 5.59 $287.44 $125.66 $57.49 17307 T Followup skin lesion 162 5.59 $287.44 $125.66 $57.49 therapy. 17310 T Extensive skin 162 5.59 $287.44 $125.66 $57.49 chemosurgery. 17340 T Cryotherapy of skin.... 151 1.63 $83.81 $33.22 $16.76 17360 T Skin peel therapy...... 151 1.63 $83.81 $33.22 $16.76 17380 T Hair removal by 151 1.63 $83.81 $33.22 $16.76 electrolysis. 17999 T Skin tissue procedure.. 121 0.63 $32.39 $21.02 $6.48 19000 T Drainage of breast 121 0.63 $32.39 $21.02 $6.48 lesion. 19001 T Drain breast lesion add- 121 0.63 $32.39 $21.02 $6.48 on. 19020 T Incision of breast 132 5.63 $289.49 $132.89 $57.90 lesion. 19030 T Injection for breast x- 347 2.57 $132.15 $62.38 $26.43 ray. 19100 T Biopsy of breast....... 122 4.59 $236.02 $113.00 $47.20 19101 T Biopsy of breast....... 197 11.94 $613.95 $308.26 $122.79 19110 T Nipple exploration..... 197 11.94 $613.95 $308.26 $122.79 19112 T Excise breast duct 197 11.94 $613.95 $308.26 $122.79 fistula. 19120 T Removal of breast 197 11.94 $613.95 $308.26 $122.79 lesion. 19125 T Excision, breast lesion 197 11.94 $613.95 $308.26 $122.79 19126 T Excision,add'l breast 197 11.94 $613.95 $308.26 $122.79 lesion. 19140 T Removal of breast 197 11.94 $613.95 $308.26 $122.79 tissue. 19160 T Removal of breast 198 18.63 $957.95 $523.42 $191.59 tissue. 19162 T Remove breast tissue, 198 18.63 $957.95 $523.42 $191.59 nodes. 19180 T Removal of breast...... 198 18.63 $957.95 $523.42 $191.59 19182 T Removal of breast...... 198 18.63 $957.95 $523.42 $191.59 19200 C Removal of breast...... ......... ......... ......... ........... ........... 19220 C Removal of breast...... ......... ......... ......... ........... ........... 19240 C Removal of breast...... ......... ......... ......... ........... ........... 19260 C Removal of chest wall ......... ......... ......... ........... ........... lesion. 19271 C Revision of chest wall. ......... ......... ......... ........... ........... 19272 C Extensive chest wall ......... ......... ......... ........... ........... surgery. 19290 T Place needle wire, 197 11.94 $613.95 $308.26 $122.79 breast. 19291 T Place needle wire, 197 11.94 $613.95 $308.26 $122.79 breast. 19316 T Suspension of breast... 198 18.63 $957.95 $523.42 $191.59 19318 T Reduction of large 198 18.63 $957.95 $523.42 $191.59 breast. 19324 T Enlarge breast......... 198 18.63 $957.95 $523.42 $191.59 19325 T Enlarge breast with 198 18.63 $957.95 $523.42 $191.59 implant. 19328 T Removal of breast 198 18.63 $957.95 $523.42 $191.59 implant. 19330 T Removal of implant 198 18.63 $957.95 $523.42 $191.59 material.

19340 T Immediate breast 198 18.63 $957.95 $523.42 $191.59 prosthesis. 19342 T Delayed breast 198 18.63 $957.95 $523.42 $191.59 prosthesis. 19350 T Breast reconstruction.. 198 18.63 $957.95 $523.42 $191.59 19355 T Correct inverted 198 18.63 $957.95 $523.42 $191.59 nipple(s). 19357 T Breast reconstruction.. 198 18.63 $957.95 $523.42 $191.59 19361 C Breast reconstruction.. ......... ......... ......... ........... ........... 19364 C Breast reconstruction.. ......... ......... ......... ........... ........... 19366 T Breast reconstruction.. 198 18.63 $957.95 $523.42 $191.59 19367 C Breast reconstruction.. ......... ......... ......... ........... ........... 19368 C Breast reconstruction.. ......... ......... ......... ........... ........... 19369 C Breast reconstruction.. ......... ......... ......... ........... ........... 19370 T Surgery of breast 198 18.63 $957.95 $523.42 $191.59 capsule. 19371 T Removal of breast 198 18.63 $957.95 $523.42 $191.59 capsule. 19380 T Revise breast 198 18.63 $957.95 $523.42 $191.59 reconstruction. 19396 T Design custom breast 197 11.94 $613.95 $308.26 $122.79 implant. 19499 T Breast surgery 197 11.94 $613.95 $308.26 $122.79 procedure. 20000 T Incision of abscess.... 131 1.93 $99.24 $36.61 $19.85 20005 T Incision of deep 251 13.88 $713.71 $365.89 $142.74 abscess. 20100 C Explore wound, neck.... ......... ......... ......... ........... ........... 20101 C Explore wound, chest... ......... ......... ......... ........... ........... 20102 C Explore wound, abdomen. ......... ......... ......... ........... ........... 20103 C Explore wound, ......... ......... ......... ........... ........... extremity. 20150 C Excise epiphyseal bar.. ......... ......... ......... ........... ........... 20200 T Muscle biopsy.......... 162 5.59 $287.44 $125.66 $57.49 20205 T Deep muscle biopsy..... 162 5.59 $287.44 $125.66 $57.49 20206 T Needle biopsy, muscle.. 122 4.59 $236.02 $113.00 $47.20 20220 T Bone biopsy, trocar/ 162 5.59 $287.44 $125.66 $57.49 needle. 20225 T Bone biopsy, trocar/ 162 5.59 $287.44 $125.66 $57.49 needle. 20240 T Bone biopsy, excisional 163 10.48 $538.88 $260.80 $107.78 20245 T Bone biopsy, excisional 163 10.48 $538.88 $260.80 $107.78 20250 T Open bone biopsy....... 251 13.88 $713.71 $365.89 $142.74 20251 T Open bone biopsy....... 251 13.88 $713.71 $365.89 $142.74 20500 T Injection of sinus 181 2.17 $111.58 $44.07 $22.32 tract. 20501 T Inject sinus tract for 347 2.57 $132.15 $62.38 $26.43 x-ray. 20520 T Removal of foreign body 161 3.43 $176.37 $75.71 $35.27 20525 T Removal of foreign body 163 10.48 $538.88 $260.80 $107.78 20550 T Inj tendon/ligament/ 200 1.76 $90.50 $39.10 $18.10 cyst. 20600 T Drain/inject joint/ 200 1.76 $90.50 $39.10 $18.10 bursa. 20605 T Drain/inject joint/ 200 1.76 $90.50 $39.10 $18.10 bursa. 20610 T Drain/inject joint/ 200 1.76 $90.50 $39.10 $18.10 bursa. 20615 T Treatment of bone cyst. 121 0.63 $32.39 $21.02 $6.48 20650 T Insert and remove bone 251 13.88 $713.71 $365.89 $142.74 pin. 20660 C Apply,remove fixation ......... ......... ......... ........... ........... device. 20661 C Application of head ......... ......... ......... ........... ........... brace. 20662 C Application of pelvis ......... ......... ......... ........... ........... brace. 20663 C Application of thigh ......... ......... ......... ........... ........... brace. 20664 C Halo brace application. ......... ......... ......... ........... ........... 20665 N Removal of fixation ......... ......... ......... ........... ........... device. 20670 T Removal of support 162 5.59 $287.44 $125.66 $57.49 implant. 20680 T Removal of support 163 10.48 $538.88 $260.80 $107.78 implant. 20690 T Apply bone fixation 252 19.24 $989.32 $512.34 $197.86 device. 20692 T Apply bone fixation 252 19.24 $989.32 $512.34 $197.86 device. 20693 T Adjust bone fixation 251 13.88 $713.71 $365.89 $142.74 device. 20694 T Remove bone fixation 251 13.88 $713.71 $365.89 $142.74 device. 20802 C Replantation, arm, ......... ......... ......... ........... ........... complete. 20805 C Replant forearm, ......... ......... ......... ........... ........... complete. 20808 C Replantation, hand, ......... ......... ......... ........... ........... complete. 20816 C Replantation digit, ......... ......... ......... ........... ........... complete. 20822 C Replantation digit, ......... ......... ......... ........... ........... complete. 20824 C Replantation thumb, ......... ......... ......... ........... ........... complete. 20827 C Replantation thumb, ......... ......... ......... ........... ........... complete. 20838 C Replantation, foot, ......... ......... ......... ........... ........... complete. 20900 T Removal of bone for 252 19.24 $989.32 $512.34 $197.86 graft. 20902 T Removal of bone for 252 19.24 $989.32 $512.34 $197.86 graft. 20910 T Remove cartilage for 183 11.04 $567.68 $283.18 $113.54 graft. 20912 T Remove cartilage for 183 11.04 $567.68 $283.18 $113.54 graft. 20920 T Removal of fascia for 183 11.04 $567.68 $283.18 $113.54 graft. 20922 T Removal of fascia for 183 11.04 $567.68 $283.18 $113.54 graft. 20924 T Removal of tendon for 252 19.24 $989.32 $512.34 $197.86 graft. 20926 T Removal of tissue for 183 11.04 $567.68 $283.18 $113.54 graft. 20930 C Spinal bone allograft.. ......... ......... ......... ........... ........... 20931 C Spinal bone allograft.. ......... ......... ......... ........... ........... 20936 C Spinal bone autograft.. ......... ......... ......... ........... ........... 20937 C Spinal bone autograft.. ......... ......... ......... ........... ........... 20938 C Spinal bone autograft.. ......... ......... ......... ........... ...........

20950 T Record fluid 132 5.63 $289.49 $132.89 $57.90 pressure,muscle. 20955 C Fibula bone graft, ......... ......... ......... ........... ........... microvasc. 20956 C Iliac bone graft, ......... ......... ......... ........... ........... microvasc. 20957 C Mt bone graft, ......... ......... ......... ........... ........... microvasc. \2\ 2096 C Microvascular rib graft ......... ......... ......... ........... ........... 0 20962 C Other bone graft, ......... ......... ......... ........... ........... microvasc. 20969 C Bone/skin graft, ......... ......... ......... ........... ........... microvasc. 20970 C Bone/skin graft, iliac ......... ......... ......... ........... ........... crest. \2\ 2097 C Bone-skin graft, rib... ......... ......... ......... ........... ........... 1 20972 C Bone-skin graft, ......... ......... ......... ........... ........... metatarsal. 20973 C Bone-skin graft, great ......... ......... ......... ........... ........... toe. 20974 A Electrical bone ......... ......... ......... ........... ........... stimulation. 20975 T Electrical bone 251 13.88 $713.71 $365.89 $142.74 stimulation. 20999 N Musculoskeletal surgery ......... ......... ......... ........... ........... 21010 T Incision of jaw joint.. 232 23.82 $1,224.82 $636.87 $244.96 21015 T Resection of facial 231 11.31 $581.56 $286.79 $116.31 tumor. 21025 T Excision of bone, lower 231 11.31 $581.56 $286.79 $116.31 jaw. 21026 T Excision of facial 231 11.31 $581.56 $286.79 $116.31 bone(s). 21029 T Contour of face bone 231 11.31 $581.56 $286.79 $116.31 lesion. 21030 T Removal of face bone 231 11.31 $581.56 $286.79 $116.31 lesion. 21031 T Remove exostosis, 231 11.31 $581.56 $286.79 $116.31 mandible. 21032 T Remove exostosis, 231 11.31 $581.56 $286.79 $116.31 maxilla. 21034 T Removal of face bone 232 23.82 $1,224.82 $636.87 $244.96 lesion. 21040 T Removal of jaw bone 231 11.31 $581.56 $286.79 $116.31 lesion. 21041 T Removal of jaw bone 231 11.31 $581.56 $286.79 $116.31 lesion. 21044 T Removal of jaw bone 232 23.82 $1,224.82 $636.87 $244.96 lesion. 21045 C Extensive jaw surgery.. ......... ......... ......... ........... ........... 21050 T Removal of jaw joint... 232 23.82 $1,224.82 $636.87 $244.96 21060 T Remove jaw joint 232 23.82 $1,224.82 $636.87 $244.96 cartilage. 21070 T Remove coronoid process 232 23.82 $1,224.82 $636.87 $244.96 21076 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21077 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21079 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21080 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21081 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21082 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21083 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21084 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21085 N Prepare face/oral ......... ......... ......... ........... ........... prosthesis. 21086 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21087 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21088 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21089 T Prepare face/oral 226 1.56 $80.22 $21.92 $16.04 prosthesis. 21100 T Maxillofacial fixation. 231 11.31 $581.56 $286.79 $116.31 21110 T Interdental fixation... 231 11.31 $581.56 $286.79 $116.31 21116 T Injection, jaw joint x- 347 2.57 $132.15 $62.38 $26.43 ray. 21120 T Reconstruction of chin. 231 11.31 $581.56 $286.79 $116.31 21121 T Reconstruction of chin. 232 23.82 $1,224.82 $636.87 $244.96 21122 T Reconstruction of chin. 232 23.82 $1,224.82 $636.87 $244.96 21123 T Reconstruction of chin. 232 23.82 $1,224.82 $636.87 $244.96 21125 T Augmentation lower jaw 231 11.31 $581.56 $286.79 $116.31 bone. 21127 T Augmentation lower jaw 232 23.82 $1,224.82 $636.87 $244.96 bone. 21137 C Reduction of forehead.. ......... ......... ......... ........... ........... 21138 C Reduction of forehead.. ......... ......... ......... ........... ........... 21139 C Reduction of forehead.. ......... ......... ......... ........... ........... 21141 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21142 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21143 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21145 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21146 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21147 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21150 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21151 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21154 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21155 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21159 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21160 C Reconstruct midface, ......... ......... ......... ........... ........... lefort. 21172 C Reconstruct orbit/ ......... ......... ......... ........... ........... forehead. 21175 C Reconstruct orbit/ ......... ......... ......... ........... ........... forehead. 21179 C Reconstruct entire ......... ......... ......... ........... ........... forehead. 21180 C Reconstruct entire ......... ......... ......... ........... ........... forehead. 21181 T Contour cranial bone 232 23.82 $1,224.82 $636.87 $244.96 lesion. 21182 C Reconstruct cranial ......... ......... ......... ........... ........... bone. 21183 C Reconstruct cranial ......... ......... ......... ........... ........... bone. 21184 C Reconstruct cranial ......... ......... ......... ........... ........... bone.

21188 C Reconstruction of ......... ......... ......... ........... ........... midface. 21193 C Reconstruct lower jaw ......... ......... ......... ........... ........... bone. 21194 C Reconstruct lower jaw ......... ......... ......... ........... ........... bone. 21195 C Reconstruct lower jaw ......... ......... ......... ........... ........... bone. 21196 C Reconstruct lower jaw ......... ......... ......... ........... ........... bone. 21198 C Reconstruct lower jaw ......... ......... ......... ........... ........... bone. 21206 T Reconstruct upper jaw 232 23.82 $1,224.82 $636.87 $244.96 bone. 21208 T Augmentation of facial 232 23.82 $1,224.82 $636.87 $244.96 bones. 21209 T Reduction of facial 232 23.82 $1,224.82 $636.87 $244.96 bones. 21210 T Face bone graft........ 232 23.82 $1,224.82 $636.87 $244.96 21215 T Lower jaw bone graft... 232 23.82 $1,224.82 $636.87 $244.96 21230 T Rib cartilage graft.... 232 23.82 $1,224.82 $636.87 $244.96 21235 T Ear cartilage graft.... 232 23.82 $1,224.82 $636.87 $244.96 21240 T Reconstruction of jaw 232 23.82 $1,224.82 $636.87 $244.96 joint. 21242 T Reconstruction of jaw 232 23.82 $1,224.82 $636.87 $244.96 joint. 21243 T Reconstruction of jaw 218 27.80 $1,429.48 $720.71 $285.90 joint. 21244 T Reconstruction of lower 232 23.82 $1,224.82 $636.87 $244.96 jaw. 21245 T Reconstruction of jaw.. 232 23.82 $1,224.82 $636.87 $244.96 21246 T Reconstruction of jaw.. 232 23.82 $1,224.82 $636.87 $244.96 21247 C Reconstruct lower jaw ......... ......... ......... ........... ........... bone. 21248 T Reconstruction of jaw.. 232 23.82 $1,224.82 $636.87 $244.96 21249 T Reconstruction of jaw.. 232 23.82 $1,224.82 $636.87 $244.96 21255 C Reconstruct lower jaw ......... ......... ......... ........... ........... bone. 21256 C Reconstruction of orbit ......... ......... ......... ........... ........... 21260 T Revise eye sockets..... 232 23.82 $1,224.82 $636.87 $244.96 21261 C Revise eye sockets..... ......... ......... ......... ........... ........... 21263 C Revise eye sockets..... ......... ......... ......... ........... ........... 21267 T Revise eye sockets..... 232 23.82 $1,224.82 $636.87 $244.96 21268 C Revise eye sockets..... ......... ......... ......... ........... ........... 21270 T Augmentation cheek bone 232 23.82 $1,224.82 $636.87 $244.96 21275 T Revision orbitofacial 232 23.82 $1,224.82 $636.87 $244.96 bones. 21280 T Revision of eyelid..... 231 11.31 $581.56 $286.79 $116.31 21282 T Revision of eyelid..... 231 11.31 $581.56 $286.79 $116.31 21295 T Revision of jaw muscle/ 231 11.31 $581.56 $286.79 $116.31 bone. 21296 T Revision of jaw muscle/ 231 11.31 $581.56 $286.79 $116.31 bone. 21299 T Cranio/maxillofacial 231 11.31 $581.56 $286.79 $116.31 surgery. 21300 T Treatment of skull 231 11.31 $581.56 $286.79 $116.31 fracture. 21310 T Treatment of nose 231 11.31 $581.56 $286.79 $116.31 fracture. 21315 T Treatment of nose 231 11.31 $581.56 $286.79 $116.31 fracture. 21320 T Treatment of nose 231 11.31 $581.56 $286.79 $116.31 fracture. 21325 T Repair of nose fracture 231 11.31 $581.56 $286.79 $116.31 21330 T Repair of nose fracture 232 23.82 $1,224.82 $636.87 $244.96 21335 T Repair of nose fracture 232 23.82 $1,224.82 $636.87 $244.96 21336 T Repair nasal septal 216 20.09 $1,033.03 $524.09 $206.61 fracture. 21337 T Repair nasal septal 231 11.31 $581.56 $286.79 $116.31 fracture. 21338 T Repair nasoethmoid 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21339 T Repair nasoethmoid 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21340 T Repair of nose fracture 232 23.82 $1,224.82 $636.87 $244.96 21343 T Repair of sinus 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21344 C Repair of sinus ......... ......... ......... ........... ........... fracture. 21345 T Repair of nose/jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21346 C Repair of nose/jaw ......... ......... ......... ........... ........... fracture. 21347 C Repair of nose/jaw ......... ......... ......... ........... ........... fracture. 21348 C Repair of nose/jaw ......... ......... ......... ........... ........... fracture. 21355 T Repair cheek bone 231 11.31 $581.56 $286.79 $116.31 fracture. 21356 C Repair cheek bone ......... ......... ......... ........... ........... fracture. 21360 C Repair cheek bone ......... ......... ......... ........... ........... fracture. 21365 C Repair cheek bone ......... ......... ......... ........... ........... fracture. 21366 C Repair cheek bone ......... ......... ......... ........... ........... fracture. 21385 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21386 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21387 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21390 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21395 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21400 T Treat eye socket 231 11.31 $581.56 $286.79 $116.31 fracture. 21401 T Repair eye socket 231 11.31 $581.56 $286.79 $116.31 fracture. 21406 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21407 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21408 C Repair eye socket ......... ......... ......... ........... ........... fracture. 21421 T Treat mouth roof 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21422 C Repair mouth roof ......... ......... ......... ........... ........... fracture. 21423 C Repair mouth roof ......... ......... ......... ........... ........... fracture. 21431 C Treat craniofacial ......... ......... ......... ........... ........... fracture. 21432 C Repair craniofacial ......... ......... ......... ........... ........... fracture. 21433 C Repair craniofacial ......... ......... ......... ........... ........... fracture.

21435 C Repair craniofacial ......... ......... ......... ........... ........... fracture. 21436 C Repair craniofacial ......... ......... ......... ........... ........... fracture. 21440 T Repair dental ridge 231 11.31 $581.56 $286.79 $116.31 fracture. 21445 T Repair dental ridge 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21450 T Treat lower jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21451 T Treat lower jaw 231 11.31 $581.56 $286.79 $116.31 fracture. 21452 T Treat lower jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21453 T Treat lower jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21454 T Treat lower jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21461 T Repair lower jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21462 T Repair lower jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21465 T Repair lower jaw 232 23.82 $1,224.82 $636.87 $244.96 fracture. 21470 C Repair lower jaw ......... ......... ......... ........... ........... fracture. 21480 T Reset dislocated jaw... 231 11.31 $581.56 $286.79 $116.31 21485 T Reset dislocated jaw... 231 11.31 $581.56 $286.79 $116.31 21490 T Repair dislocated jaw.. 232 23.82 $1,224.82 $636.87 $244.96 21493 T Treat hyoid bone 231 11.31 $581.56 $286.79 $116.31 fracture. 21494 T Repair hyoid bone 231 11.31 $581.56 $286.79 $116.31 fracture. 21495 C Repair hyoid bone ......... ......... ......... ........... ........... fracture. 21497 T Interdental wiring..... 231 11.31 $581.56 $286.79 $116.31 21499 T Head surgery procedure. 231 11.31 $581.56 $286.79 $116.31 21501 T Drain neck/chest lesion 132 5.63 $289.49 $132.89 $57.90 21502 T Drain chest lesion..... 252 19.24 $989.32 $512.34 $197.86 21510 C Drainage of bone lesion ......... ......... ......... ........... ........... 21550 T Biopsy of neck/chest... 161 3.43 $176.37 $75.71 $35.27 21555 T Remove lesion neck/ 163 10.48 $538.88 $260.80 $107.78 chest. 21556 T Remove lesion neck/ 163 10.48 $538.88 $260.80 $107.78 chest. 21557 C Remove tumor, neck or ......... ......... ......... ........... ........... chest. 21600 T Partial removal of rib. 252 19.24 $989.32 $512.34 $197.86 21610 T Partial removal of rib. 252 19.24 $989.32 $512.34 $197.86 21615 C Removal of rib......... ......... ......... ......... ........... ........... 21616 C Removal of rib and ......... ......... ......... ........... ........... nerves. 21620 C Partial removal of ......... ......... ......... ........... ........... sternum. 21627 C Sternal debridement.... ......... ......... ......... ........... ........... 21630 C Extensive sternum ......... ......... ......... ........... ........... surgery. 21632 C Extensive sternum ......... ......... ......... ........... ........... surgery. 21700 T Revision of neck muscle 132 5.63 $289.49 $132.89 $57.90 21705 C Revision of neck muscle/ ......... ......... ......... ........... ........... rib. 21720 T Revision of neck muscle 132 5.63 $289.49 $132.89 $57.90 21725 T Revision of neck muscle 132 5.63 $289.49 $132.89 $57.90 21740 C Reconstruction of ......... ......... ......... ........... ........... sternum. 21750 C Repair of sternum ......... ......... ......... ........... ........... separation. 21800 T Treatment of rib 207 1.70 $87.41 $32.32 $17.48 fracture. 21805 T Treatment of rib 216 20.09 $1,033.03 $524.09 $206.61 fracture. 21810 C Treatment of rib ......... ......... ......... ........... ........... fracture(s). 21820 T Treat sternum fracture. 207 1.70 $87.41 $32.32 $17.48 21825 C Repair sternum fracture ......... ......... ......... ........... ........... 21899 T Neck/chest surgery 207 1.70 $87.41 $32.32 $17.48 procedure. 21920 T Biopsy soft tissue of 161 3.43 $176.37 $75.71 $35.27 back. 21925 T Biopsy soft tissue of 163 10.48 $538.88 $260.80 $107.78 back. 21930 T Remove lesion, back or 163 10.48 $538.88 $260.80 $107.78 flank. 21935 T Remove tumor of back... 163 10.48 $538.88 $260.80 $107.78 22100 C Remove part of neck ......... ......... ......... ........... ........... vertebra. 22101 C Remove part, thorax ......... ......... ......... ........... ........... vertebra. 22102 C Remove part, lumbar ......... ......... ......... ........... ........... vertebra. 22103 C Remove extra spine ......... ......... ......... ........... ........... segment. 22110 C Remove part of neck ......... ......... ......... ........... ........... vertebra. 22112 C Remove part, thorax ......... ......... ......... ........... ........... vertebra. 22114 C Remove part, lumbar ......... ......... ......... ........... ........... vertebra. 22116 C Remove extra spine ......... ......... ......... ........... ........... segment. 22210 C Revision of neck spine. ......... ......... ......... ........... ........... 22212 C Revision of thorax ......... ......... ......... ........... ........... spine. 22214 C Revision of lumbar ......... ......... ......... ........... ........... spine. 22216 C Revise, extra spine ......... ......... ......... ........... ........... segment. 22220 C Revision of neck spine. ......... ......... ......... ........... ........... 22222 C Revision of thorax ......... ......... ......... ........... ........... spine. 22224 C Revision of lumbar ......... ......... ......... ........... ........... spine. 22226 C Revise, extra spine ......... ......... ......... ........... ........... segment. 22305 T Treat spine process 207 1.70 $87.41 $32.32 $17.48 fracture. 22310 T Treat spine fracture... 207 1.70 $87.41 $32.32 $17.48 22315 T Treat spine fracture... 207 1.70 $87.41 $32.32 $17.48 22325 C Repair of spine ......... ......... ......... ........... ........... fracture. 22326 C Repair neck spine ......... ......... ......... ........... ........... fracture. 22327 C Repair thorax spine ......... ......... ......... ........... ........... fracture. 22328 C Repair each add spine ......... ......... ......... ........... ........... fx.

22505 T Manipulation of spine.. 210 10.06 $517.29 $279.34 $103.46 22548 C Neck spine fusion...... ......... ......... ......... ........... ........... 22554 C Neck spine fusion...... ......... ......... ......... ........... ........... 22556 C Thorax spine fusion.... ......... ......... ......... ........... ........... 22558 C Lumbar spine fusion.... ......... ......... ......... ........... ........... 22585 C Additional spinal ......... ......... ......... ........... ........... fusion. 22590 C Spine & skull spinal ......... ......... ......... ........... ........... fusion. 22595 C Neck spinal fusion..... ......... ......... ......... ........... ........... 22600 C Neck spine fusion...... ......... ......... ......... ........... ........... 22610 C Thorax spine fusion.... ......... ......... ......... ........... ........... 22612 C Lumbar spine fusion.... ......... ......... ......... ........... ........... 22614 C Spine fusion, extra ......... ......... ......... ........... ........... segment. 22630 C Lumbar spine fusion.... ......... ......... ......... ........... ........... 22632 C Spine fusion, extra ......... ......... ......... ........... ........... segment. 22800 C Fusion of spine........ ......... ......... ......... ........... ........... 22802 C Fusion of spine........ ......... ......... ......... ........... ........... 22804 C Fusion of spine........ ......... ......... ......... ........... ........... 22808 C Fusion of spine........ ......... ......... ......... ........... ........... 22810 C Fusion of spine........ ......... ......... ......... ........... ........... 22812 C Fusion of spine........ ......... ......... ......... ........... ........... 22818 C Kyphectomy, 1-2 ......... ......... ......... ........... ........... segments. 22819 C Kyphectomy, 3 & more ......... ......... ......... ........... ........... segment. 22830 C Exploration of spinal ......... ......... ......... ........... ........... fusion. 22840 C Insert spine fixation ......... ......... ......... ........... ........... device. 22841 C Insert spine fixation ......... ......... ......... ........... ........... device. 22842 C Insert spine fixation ......... ......... ......... ........... ........... device. 22843 C Insert spine fixation ......... ......... ......... ........... ........... device. 22844 C Insert spine fixation ......... ......... ......... ........... ........... device. 22845 C Insert spine fixation ......... ......... ......... ........... ........... device. 22846 C Insert spine fixation ......... ......... ......... ........... ........... device. 22847 C Insert spine fixation ......... ......... ......... ........... ........... device. 22848 C Insert pelvic ......... ......... ......... ........... ........... fixationdevice. 22849 C Reinsert spinal ......... ......... ......... ........... ........... fixation. 22850 C Remove spine fixation ......... ......... ......... ........... ........... device. 22851 C Apply spine prosth ......... ......... ......... ........... ........... device. 22852 C Remove spine fixation ......... ......... ......... ........... ........... device. 22855 C Remove spine fixation ......... ......... ......... ........... ........... device. 22899 T Spine surgery procedure 207 1.70 $87.41 $32.32 $17.48 22900 T Remove abdominal wall 163 10.48 $538.88 $260.80 $107.78 lesion. 22999 T Abdomen surgery 163 10.48 $538.88 $260.80 $107.78 procedure. 23000 T Removal of calcium 162 5.59 $287.44 $125.66 $57.49 deposits. 23020 T Release shoulder joint. 253 25.74 $1,323.55 $684.55 $264.71 23030 T Drain shoulder lesion.. 132 5.63 $289.49 $132.89 $57.90 23031 T Drain shoulder bursa... 132 5.63 $289.49 $132.89 $57.90 23035 C Drain shoulder bone ......... ......... ......... ........... ........... lesion. 23040 T Exploratory shoulder 252 19.24 $989.32 $512.34 $197.86 surgery. 23044 T Exploratory shoulder 252 19.24 $989.32 $512.34 $197.86 surgery. 23065 T Biopsy shoulder tissues 161 3.43 $176.37 $75.71 $35.27 23066 T Biopsy shoulder tissues 163 10.48 $538.88 $260.80 $107.78 23075 T Removal of shoulder 162 5.59 $287.44 $125.66 $57.49 lesion. 23076 T Removal of shoulder 163 10.48 $538.88 $260.80 $107.78 lesion. 23077 T Remove tumor of 163 10.48 $538.88 $260.80 $107.78 shoulder. 23100 T Biopsy of shoulder 251 13.88 $713.71 $365.89 $142.74 joint. 23101 T Shoulder joint surgery. 252 19.24 $989.32 $512.34 $197.86 23105 T Remove shoulder joint 252 19.24 $989.32 $512.34 $197.86 lining. 23106 T Incision of collarbone 252 19.24 $989.32 $512.34 $197.86 joint. 23107 T Explore,treat shoulder 252 19.24 $989.32 $512.34 $197.86 joint. 23120 T Partial removal, collar 253 25.74 $1,323.55 $684.55 $264.71 bone. 23125 C Removal of collarbone.. ......... ......... ......... ........... ........... 23130 T Partial 253 25.74 $1,323.55 $684.55 $264.71 removal,shoulderbone. 23140 T Removal of bone lesion. 251 13.88 $713.71 $365.89 $142.74 23145 T Removal of bone lesion. 252 19.24 $989.32 $512.34 $197.86 23146 T Removal of bone lesion. 252 19.24 $989.32 $512.34 $197.86 23150 T Removal of humerus 252 19.24 $989.32 $512.34 $197.86 lesion. 23155 T Removal of humerus 252 19.24 $989.32 $512.34 $197.86 lesion. 23156 T Removal of humerus 252 19.24 $989.32 $512.34 $197.86 lesion. 23170 T Remove collarbone 252 19.24 $989.32 $512.34 $197.86 lesion. 23172 T Remove shoulder blade 252 19.24 $989.32 $512.34 $197.86 lesion. 23174 T Remove humerus lesion.. 252 19.24 $989.32 $512.34 $197.86 23180 T Remove collar bone 252 19.24 $989.32 $512.34 $197.86 lesion. 23182 T Remove shoulder blade 252 19.24 $989.32 $512.34 $197.86 lesion. 23184 T Remove humerus lesion.. 252 19.24 $989.32 $512.34 $197.86 23190 T Partial removal of 252 19.24 $989.32 $512.34 $197.86 scapula. 23195 C Removal of head of ......... ......... ......... ........... ........... humerus. 23200 C Removal of collar bone. ......... ......... ......... ........... ...........

23210 C Removal of ......... ......... ......... ........... ........... shoulderblade. 23220 C Partial removal of ......... ......... ......... ........... ........... humerus. 23221 C Partial removal of ......... ......... ......... ........... ........... humerus. 23222 C Partial removal of ......... ......... ......... ........... ........... humerus. 23330 T Remove shoulder foreign 163 10.48 $538.88 $260.80 $107.78 body. 23331 T Remove shoulder foreign 163 10.48 $538.88 $260.80 $107.78 body. 23332 C Remove shoulder foreign ......... ......... ......... ........... ........... body. 23350 T Injection for shoulder 347 2.57 $132.15 $62.38 $26.43 x-ray. 23395 C Muscle ......... ......... ......... ........... ........... transfer,shoulder/arm. 23397 C Muscle transfers....... ......... ......... ......... ........... ........... 23400 C Fixation of shoulder ......... ......... ......... ........... ........... blade. 23405 T Incision of tendon & 252 19.24 $989.32 $512.34 $197.86 muscle. 23406 T Incise tendon(s) & 252 19.24 $989.32 $512.34 $197.86 muscle(s). 23410 T Repair of tendon(s).... 254 32.70 $1,681.43 $922.98 $336.29 23412 T Repair of tendon(s).... 254 32.70 $1,681.43 $922.98 $336.29 23415 T Release of shoulder 253 25.74 $1,323.55 $684.55 $264.71 ligament. 23420 T Repair of shoulder..... 254 32.70 $1,681.43 $922.98 $336.29 23430 T Repair biceps tendon... 254 32.70 $1,681.43 $922.98 $336.29 23440 C Removal/transplant ......... ......... ......... ........... ........... tendon. 23450 T Repair shoulder capsule 254 32.70 $1,681.43 $922.98 $336.29 23455 T Repair shoulder capsule 254 32.70 $1,681.43 $922.98 $336.29 23460 T Repair shoulder capsule 254 32.70 $1,681.43 $922.98 $336.29 23462 T Repair shoulder capsule 254 32.70 $1,681.43 $922.98 $336.29 23465 T Repair shoulder capsule 254 32.70 $1,681.43 $922.98 $336.29 23466 T Repair shoulder capsule 254 32.70 $1,681.43 $922.98 $336.29 23470 C Reconstruct shoulder ......... ......... ......... ........... ........... joint. 23472 C Reconstruct shoulder ......... ......... ......... ........... ........... joint. 23480 T Revision of collarbone. 253 25.74 $1,323.55 $684.55 $264.71 23485 T Revision of collar bone 253 25.74 $1,323.55 $684.55 $264.71 23490 T Reinforce clavicle..... 253 25.74 $1,323.55 $684.55 $264.71 23491 T Reinforce shoulder 253 25.74 $1,323.55 $684.55 $264.71 bones. 23500 T Treat clavicle fracture 207 1.70 $87.41 $32.32 $17.48 23505 T Treat clavicle fracture 207 1.70 $87.41 $32.32 $17.48 23515 T Repair clavicle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 23520 T Treat clavicle 207 1.70 $87.41 $32.32 $17.48 dislocation. 23525 T Treat clavicle 207 1.70 $87.41 $32.32 $17.48 dislocation. 23530 T Repair clavicle 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 23532 T Repair clavicle 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 23540 T Treat clavicle 207 1.70 $87.41 $32.32 $17.48 dislocation. 23545 T Treat clavicle 207 1.70 $87.41 $32.32 $17.48 dislocation. 23550 T Repair clavicle 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 23552 T Repair clavicle 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 23570 T Treat shoulderblade 207 1.70 $87.41 $32.32 $17.48 fracture. 23575 T Treat shoulderblade 207 1.70 $87.41 $32.32 $17.48 fracture. 23585 T Repair scapula fracture 216 20.09 $1,033.03 $524.09 $206.61 23600 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 23605 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 23615 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 23616 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 23620 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 23625 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 23630 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 23650 T Treat shoulder 207 1.70 $87.41 $32.32 $17.48 dislocation. 23655 T Treat shoulder 210 10.06 $517.29 $279.34 $103.46 dislocation. 23660 T Repair shoulder 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 23665 T Treat dislocation/ 209 1.94 $99.75 $37.74 $19.95 fracture. 23670 T Repair dislocation/ 216 20.09 $1,033.03 $524.09 $206.61 fracture. 23675 T Treat dislocation/ 209 1.94 $99.75 $37.74 $19.95 fracture. 23680 T Repair dislocation/ 216 20.09 $1,033.03 $524.09 $206.61 fracture. 23700 T Fixation of shoulder... 210 10.06 $517.29 $279.34 $103.46 23800 T Fusion of shoulder 253 25.74 $1,323.55 $684.55 $264.71 joint. 23802 T Fusion of shoulder 253 25.74 $1,323.55 $684.55 $264.71 joint. 23900 C Amputation of arm & ......... ......... ......... ........... ........... girdle. 23920 C Amputation at shoulder ......... ......... ......... ........... ........... joint. 23921 T Amputation follow-up 183 11.04 $567.68 $283.18 $113.54 surgery. 23929 T Shoulder surgery 207 1.70 $87.41 $32.32 $17.48 procedure. 23930 T Drainage of arm lesion. 132 5.63 $289.49 $132.89 $57.90 23931 T Drainage of arm bursa.. 132 5.63 $289.49 $132.89 $57.90 23935 T Drain arm/elbow bone 251 13.88 $713.71 $365.89 $142.74 lesion. 24000 T Exploratory elbow 252 19.24 $989.32 $512.34 $197.86 surgery. 24006 T Release elbow joint.... 252 19.24 $989.32 $512.34 $197.86 24065 T Biopsy arm/elbow soft 161 3.43 $176.37 $75.71 $35.27 tissue. 24066 T Biopsy arm/elbow soft 163 10.48 $538.88 $260.80 $107.78 tissue. 24075 T Remove arm/elbow lesion 162 5.59 $287.44 $125.66 $57.49 24076 T Remove arm/elbow lesion 163 10.48 $538.88 $260.80 $107.78

24077 T Remove tumor of arm/ 163 10.48 $538.88 $260.80 $107.78 elbow. 24100 T Biopsy elbow joint 251 13.88 $713.71 $365.89 $142.74 lining. 24101 T Explore/treat elbow 252 19.24 $989.32 $512.34 $197.86 joint. 24102 T Remove elbow joint 252 19.24 $989.32 $512.34 $197.86 lining. 24105 T Removal of elbow bursa. 251 13.88 $713.71 $365.89 $142.74 24110 T Remove humerus lesion.. 251 13.88 $713.71 $365.89 $142.74 24115 T Remove/graft bone 252 19.24 $989.32 $512.34 $197.86 lesion. 24116 T Remove/graft bone 252 19.24 $989.32 $512.34 $197.86 lesion. 24120 T Remove elbow lesion.... 251 13.88 $713.71 $365.89 $142.74 24125 T Remove/graft bone 252 19.24 $989.32 $512.34 $197.86 lesion. 24126 T Remove/graft bone 252 19.24 $989.32 $512.34 $197.86 lesion. 24130 T Removal of head of 252 19.24 $989.32 $512.34 $197.86 radius. 24134 T Removal of arm bone 252 19.24 $989.32 $512.34 $197.86 lesion. 24136 T Remove radius bone 252 19.24 $989.32 $512.34 $197.86 lesion. 24138 T Remove elbow bone 252 19.24 $989.32 $512.34 $197.86 lesion. 24140 T Partial removal of arm 252 19.24 $989.32 $512.34 $197.86 bone. 24145 T Partial removal of 252 19.24 $989.32 $512.34 $197.86 radius. 24147 T Partial removal of 252 19.24 $989.32 $512.34 $197.86 elbow. 24149 C Radical resection of ......... ......... ......... ........... ........... elbow. 24150 C Extensive humerus ......... ......... ......... ........... ........... surgery. 24151 C Extensive humerus ......... ......... ......... ........... ........... surgery. 24152 C Extensive radius ......... ......... ......... ........... ........... surgery. 24153 C Extensive radius ......... ......... ......... ........... ........... surgery. 24155 T Removal of elbow joint. 253 25.74 $1,323.55 $684.55 $264.71 24160 T Remove elbow joint 252 19.24 $989.32 $512.34 $197.86 implant. 24164 T Remove radius head 252 19.24 $989.32 $512.34 $197.86 implant. 24200 T Removal of arm foreign 161 3.43 $176.37 $75.71 $35.27 body. 24201 T Removal of arm foreign 163 10.48 $538.88 $260.80 $107.78 body. 24220 T Injection for elbow x- 347 2.57 $132.15 $62.38 $26.43 ray. 24301 T Muscle/tendon transfer. 252 19.24 $989.32 $512.34 $197.86 24305 T Arm tendon lengthening. 252 19.24 $989.32 $512.34 $197.86 24310 T Revision of arm tendon. 251 13.88 $713.71 $365.89 $142.74 24320 T Repair of arm tendon... 253 25.74 $1,323.55 $684.55 $264.71 24330 T Revision of arm muscles 253 25.74 $1,323.55 $684.55 $264.71 24331 T Revision of arm muscles 253 25.74 $1,323.55 $684.55 $264.71 24340 T Repair of biceps tendon 253 25.74 $1,323.55 $684.55 $264.71 24341 T Repair tendon/muscle 253 25.74 $1,323.55 $684.55 $264.71 arm. 24342 T Repair of ruptured 253 25.74 $1,323.55 $684.55 $264.71 tendon. 24350 T Repair of tennis elbow. 252 19.24 $989.32 $512.34 $197.86 24351 T Repair of tennis elbow. 252 19.24 $989.32 $512.34 $197.86 24352 T Repair of tennis elbow. 252 19.24 $989.32 $512.34 $197.86 24354 T Repair of tennis elbow. 252 19.24 $989.32 $512.34 $197.86 24356 T Revision of tennis 252 19.24 $989.32 $512.34 $197.86 elbow. 24360 T Reconstruct elbow joint 217 20.54 $1,056.17 $530.42 $211.23 24361 T Reconstruct elbow joint 218 27.80 $1,429.48 $720.71 $285.90 24362 T Reconstruct elbow joint 218 27.80 $1,429.48 $720.71 $285.90 24363 T Replace elbow joint.... 218 27.80 $1,429.48 $720.71 $285.90 24365 T Reconstruct head of 217 20.54 $1,056.17 $530.42 $211.23 radius. 24366 T Reconstruct head of 218 27.80 $1,429.48 $720.71 $285.90 radius. 24400 T Revision of humerus.... 252 19.24 $989.32 $512.34 $197.86 24410 T Revision of humerus.... 252 19.24 $989.32 $512.34 $197.86 24420 T Revision of humerus.... 253 25.74 $1,323.55 $684.55 $264.71 24430 T Repair of humerus...... 253 25.74 $1,323.55 $684.55 $264.71 24435 T Repair humerus with 253 25.74 $1,323.55 $684.55 $264.71 graft. 24470 T Revision of elbow joint 253 25.74 $1,323.55 $684.55 $264.71 24495 T Decompression of 252 19.24 $989.32 $512.34 $197.86 forearm. 24498 T Reinforce humerus...... 253 25.74 $1,323.55 $684.55 $264.71 24500 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24505 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24515 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 24516 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 24530 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24535 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24538 T Treat humerus fracture. 216 20.09 $1,033.03 $524.09 $206.61 24545 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 24546 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 24560 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24565 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24566 T Treat humerus fracture. 216 20.09 $1,033.03 $524.09 $206.61 24575 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 24576 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24577 T Treat humerus fracture. 209 1.94 $99.75 $37.74 $19.95 24579 T Repair humerus fracture 216 20.09 $1,033.03 $524.09 $206.61 24582 T Treat humerus fracture. 216 20.09 $1,033.03 $524.09 $206.61 24586 T Repair elbow fracture.. 216 20.09 $1,033.03 $524.09 $206.61

24587 T Repair elbow fracture.. 216 20.09 $1,033.03 $524.09 $206.61 24600 T Treat elbow dislocation 209 1.94 $99.75 $37.74 $19.95 24605 T Treat elbow dislocation 210 10.06 $517.29 $279.34 $103.46 24615 T Repair elbow 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 24620 T Treat elbow fracture... 209 1.94 $99.75 $37.74 $19.95 24635 T Repair elbow fracture.. 216 20.09 $1,033.03 $524.09 $206.61 24640 T Treat elbow dislocation 209 1.94 $99.75 $37.74 $19.95 24650 T Treat radius fracture.. 209 1.94 $99.75 $37.74 $19.95 24655 T Treat radius fracture.. 209 1.94 $99.75 $37.74 $19.95 24665 T Repair radius fracture. 216 20.09 $1,033.03 $524.09 $206.61 24666 T Repair radius fracture. 216 20.09 $1,033.03 $524.09 $206.61 24670 T Treatment of ulna 209 1.94 $99.75 $37.74 $19.95 fracture. 24675 T Treatment of ulna 209 1.94 $99.75 $37.74 $19.95 fracture. 24685 T Repair ulna fracture... 216 20.09 $1,033.03 $524.09 $206.61 24800 T Fusion of elbow joint.. 253 25.74 $1,323.55 $684.55 $264.71 24802 T Fusion/graft of elbow 253 25.74 $1,323.55 $684.55 $264.71 joint. 24900 C Amputation of upper arm ......... ......... ......... ........... ........... 24920 C Amputation of upper arm ......... ......... ......... ........... ........... 24925 T Amputation follow-up 251 13.88 $713.71 $365.89 $142.74 surgery. 24930 C Amputation follow-up ......... ......... ......... ........... ........... surgery. 24931 C Amputate upper arm & ......... ......... ......... ........... ........... implant. 24935 C Revision of amputation. ......... ......... ......... ........... ........... 24940 C Revision of upper arm.. ......... ......... ......... ........... ........... 24999 T Upper arm/elbow surgery 209 1.94 $99.75 $37.74 $19.95 25000 T Incision of tendon 251 13.88 $713.71 $365.89 $142.74 sheath. 25020 T Decompression of 251 13.88 $713.71 $365.89 $142.74 forearm. 25023 T Decompression of 252 19.24 $989.32 $512.34 $197.86 forearm. 25028 T Drainage of forearm 251 13.88 $713.71 $365.89 $142.74 lesion. 25031 T Drainage of forearm 251 13.88 $713.71 $365.89 $142.74 bursa. 25035 T Treat forearm bone 251 13.88 $713.71 $365.89 $142.74 lesion. 25040 T Explore/treat wrist 252 19.24 $989.32 $512.34 $197.86 joint. 25065 T Biopsy forearm soft 161 3.43 $176.37 $75.71 $35.27 tissues. 25066 T Biopsy forearm soft 163 10.48 $538.88 $260.80 $107.78 tissues. 25075 T Removal of forearm 162 5.59 $287.44 $125.66 $57.49 lesion. 25076 T Removal of forearm 163 10.48 $538.88 $260.80 $107.78 lesion. 25077 T Remove tumor, forearm/ 163 10.48 $538.88 $260.80 $107.78 wrist. 25085 T Incision of wrist 251 13.88 $713.71 $365.89 $142.74 capsule. 25100 T Biopsy of wrist joint.. 251 13.88 $713.71 $365.89 $142.74 25101 T Explore/treat wrist 252 19.24 $989.32 $512.34 $197.86 joint. 25105 T Remove wrist joint 252 19.24 $989.32 $512.34 $197.86 lining. 25107 T Remove wrist joint 252 19.24 $989.32 $512.34 $197.86 cartilage. 25110 T Remove wrist tendon 251 13.88 $713.71 $365.89 $142.74 lesion. 25111 T Remove wrist tendon 261 10.41 $535.28 $259.00 $107.06 lesion. 25112 T Reremove wrist tendon 261 10.41 $535.28 $259.00 $107.06 lesion. 25115 T Remove wrist/forearm 251 13.88 $713.71 $365.89 $142.74 lesion. 25116 T Remove wrist/forearm 251 13.88 $713.71 $365.89 $142.74 lesion. 25118 T Excise wrist tendon 252 19.24 $989.32 $512.34 $197.86 sheath. 25119 T Partial removal of ulna 252 19.24 $989.32 $512.34 $197.86 25120 T Removal of forearm 252 19.24 $989.32 $512.34 $197.86 lesion. 25125 T Remove/graft forearm 252 19.24 $989.32 $512.34 $197.86 lesion. 25126 T Remove/graft forearm 252 19.24 $989.32 $512.34 $197.86 lesion. 25130 T Removal of wrist lesion 252 19.24 $989.32 $512.34 $197.86 25135 T Remove & graft wrist 252 19.24 $989.32 $512.34 $197.86 lesion. 25136 T Remove & graft wrist 252 19.24 $989.32 $512.34 $197.86 lesion. 25145 T Remove forearm bone 252 19.24 $989.32 $512.34 $197.86 lesion. 25150 T Partial removal of ulna 252 19.24 $989.32 $512.34 $197.86 25151 T Partial removal of 252 19.24 $989.32 $512.34 $197.86 radius. 25170 C Extensive forearm ......... ......... ......... ........... ........... surgery. 25210 T Removal of wrist bone.. 262 18.07 $929.16 $475.96 $185.83 25215 T Removal of wrist bones. 262 18.07 $929.16 $475.96 $185.83 25230 T Partial removal of 252 19.24 $989.32 $512.34 $197.86 radius. 25240 T Partial removal of ulna 252 19.24 $989.32 $512.34 $197.86 25246 T Injection for wrist x- 347 2.57 $132.15 $62.38 $26.43 ray. 25248 T Remove forearm foreign 251 13.88 $713.71 $365.89 $142.74 body. 25250 T Removal of wrist 252 19.24 $989.32 $512.34 $197.86 prosthesis. 25251 T Removal of wrist 252 19.24 $989.32 $512.34 $197.86 prosthesis. 25260 T Repair forearm tendon/ 252 19.24 $989.32 $512.34 $197.86 muscle. 25263 T Repair forearm tendon/ 252 19.24 $989.32 $512.34 $197.86 muscle. 25265 T Repair forearm tendon/ 252 19.24 $989.32 $512.34 $197.86 muscle. 25270 T Repair forearm tendon/ 252 19.24 $989.32 $512.34 $197.86 muscle. 25272 T Repair forearm tendon/ 252 19.24 $989.32 $512.34 $197.86 muscle. 25274 T Repair forearm tendon/ 252 19.24 $989.32 $512.34 $197.86 muscle. 25280 T Revise wrist/forearm 252 19.24 $989.32 $512.34 $197.86 tendon. 25290 T Incise wrist/forearm 252 19.24 $989.32 $512.34 $197.86 tendon. 25295 T Release wrist/forearm 251 13.88 $713.71 $365.89 $142.74 tendon.

25300 T Fusion of tendons at 252 19.24 $989.32 $512.34 $197.86 wrist. 25301 T Fusion of tendons at 252 19.24 $989.32 $512.34 $197.86 wrist. 25310 T Transplant forearm 253 25.74 $1,323.55 $684.55 $264.71 tendon. 25312 T Transplant forearm 253 25.74 $1,323.55 $684.55 $264.71 tendon. 25315 T Revise palsy hand 253 25.74 $1,323.55 $684.55 $264.71 tendon(s). 25316 T Revise palsy hand 253 25.74 $1,323.55 $684.55 $264.71 tendon(s). 25320 T Repair/revise wrist 253 25.74 $1,323.55 $684.55 $264.71 joint. \2\ 2533 T Revise wrist joint..... 217 20.54 $1,056.17 $530.42 $211.23 0 \2\ 2533 T Revise wrist joint..... 217 20.54 $1,056.17 $530.42 $211.23 1 25332 T Revise wrist joint..... 217 20.54 $1,056.17 $530.42 $211.23 25335 T Realignment of hand.... 253 25.74 $1,323.55 $684.55 $264.71 25337 T Reconstruct ulna/ 253 25.74 $1,323.55 $684.55 $264.71 radioulnar. 25350 T Revision of radius..... 253 25.74 $1,323.55 $684.55 $264.71 25355 T Revision of radius..... 253 25.74 $1,323.55 $684.55 $264.71 25360 T Revision of ulna....... 252 19.24 $989.32 $512.34 $197.86 25365 T Revise radius & ulna... 252 19.24 $989.32 $512.34 $197.86 25370 T Revise radius or ulna.. 253 25.74 $1,323.55 $684.55 $264.71 25375 T Revise radius & ulna... 253 25.74 $1,323.55 $684.55 $264.71 25390 C Shorten radius/ulna.... ......... ......... ......... ........... ........... 25391 C Lengthen radius/ulna... ......... ......... ......... ........... ........... 25392 C Shorten radius & ulna.. ......... ......... ......... ........... ........... 25393 C Lengthen radius & ulna. ......... ......... ......... ........... ........... 25400 T Repair radius or ulna.. 252 19.24 $989.32 $512.34 $197.86 25405 C Repair/graft radius or ......... ......... ......... ........... ........... ulna. 25415 T Repair radius & ulna... 252 19.24 $989.32 $512.34 $197.86 25420 C Repair/graft radius & ......... ......... ......... ........... ........... ulna. 25425 T Repair/graft radius or 253 25.74 $1,323.55 $684.55 $264.71 ulna. 25426 T Repair/graft radius & 253 25.74 $1,323.55 $684.55 $264.71 ulna. 25440 T Repair/graft wrist bone 253 25.74 $1,323.55 $684.55 $264.71 25441 T Reconstruct wrist joint 218 27.80 $1,429.48 $720.71 $285.90 25442 T Reconstruct wrist joint 218 27.80 $1,429.48 $720.71 $285.90 25443 T Reconstruct wrist joint 218 27.80 $1,429.48 $720.71 $285.90 25444 T Reconstruct wrist joint 218 27.80 $1,429.48 $720.71 $285.90 25445 T Reconstruct wrist joint 218 27.80 $1,429.48 $720.71 $285.90 25446 T Wrist replacement...... 218 27.80 $1,429.48 $720.71 $285.90 25447 T Repair wrist joint(s).. 217 20.54 $1,056.17 $530.42 $211.23 25449 T Remove wrist joint 217 20.54 $1,056.17 $530.42 $211.23 implant. 25450 T Revision of wrist joint 253 25.74 $1,323.55 $684.55 $264.71 25455 T Revision of wrist joint 253 25.74 $1,323.55 $684.55 $264.71 25490 T Reinforce radius....... 253 25.74 $1,323.55 $684.55 $264.71 25491 T Reinforce ulna......... 253 25.74 $1,323.55 $684.55 $264.71 25492 T Reinforce radius and 253 25.74 $1,323.55 $684.55 $264.71 ulna. 25500 T Treat fracture of 209 1.94 $99.75 $37.74 $19.95 radius. 25505 T Treat fracture of 209 1.94 $99.75 $37.74 $19.95 radius. 25515 T Repair fracture of 216 20.09 $1,033.03 $524.09 $206.61 radius. 25520 T Repair fracture of 209 1.94 $99.75 $37.74 $19.95 radius. 25525 T Repair fracture of 216 20.09 $1,033.03 $524.09 $206.61 radius. 25526 T Repair fracture of 216 20.09 $1,033.03 $524.09 $206.61 radius. 25530 T Treat fracture of ulna. 209 1.94 $99.75 $37.74 $19.95 25535 T Treat fracture of ulna. 209 1.94 $99.75 $37.74 $19.95 25545 T Repair fracture of ulna 216 20.09 $1,033.03 $524.09 $206.61 25560 T Treat fracture radius & 209 1.94 $99.75 $37.74 $19.95 ulna. 25565 T Treat fracture radius & 209 1.94 $99.75 $37.74 $19.95 ulna. 25574 T Treat fracture radius & 216 20.09 $1,033.03 $524.09 $206.61 ulna. 25575 T Repair fracture radius/ 216 20.09 $1,033.03 $524.09 $206.61 ulna. 25600 T Treat fracture radius/ 209 1.94 $99.75 $37.74 $19.95 ulna. 25605 T Treat fracture radius/ 209 1.94 $99.75 $37.74 $19.95 ulna. 25611 T Repair fracture radius/ 216 20.09 $1,033.03 $524.09 $206.61 ulna. 25620 T Repair fracture radius/ 216 20.09 $1,033.03 $524.09 $206.61 ulna. 25622 T Treat wrist bone 209 1.94 $99.75 $37.74 $19.95 fracture. 25624 T Treat wrist bone 209 1.94 $99.75 $37.74 $19.95 fracture. 25628 T Repair wrist bone 216 20.09 $1,033.03 $524.09 $206.61 fracture. 25630 T Treat wrist bone 209 1.94 $99.75 $37.74 $19.95 fracture. 25635 T Treat wrist bone 209 1.94 $99.75 $37.74 $19.95 fracture. 25645 T Repair wrist bone 216 20.09 $1,033.03 $524.09 $206.61 fracture. 25650 T Repair wrist bone 209 1.94 $99.75 $37.74 $19.95 fracture. 25660 T Treat wrist dislocation 209 1.94 $99.75 $37.74 $19.95 25670 T Repair wrist 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 25675 T Treat wrist dislocation 209 1.94 $99.75 $37.74 $19.95 25676 T Repair wrist 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 25680 T Treat wrist fracture... 209 1.94 $99.75 $37.74 $19.95 25685 T Repair wrist fracture.. 216 20.09 $1,033.03 $524.09 $206.61 25690 T Treat wrist dislocation 209 1.94 $99.75 $37.74 $19.95 25695 T Repair wrist 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 25800 T Fusion of wrist joint.. 253 25.74 $1,323.55 $684.55 $264.71

25805 T Fusion/graft of wrist 253 25.74 $1,323.55 $684.55 $264.71 joint. 25810 T Fusion/graft of wrist 253 25.74 $1,323.55 $684.55 $264.71 joint. 25820 T Fusion of hand bones... 261 10.41 $535.28 $259.00 $107.06 25825 T Fusion hand bones with 262 18.07 $929.16 $475.96 $185.83 graft. 25830 T Fusion radioulnar jnt/ 253 25.74 $1,323.55 $684.55 $264.71 ulna. 25900 C Amputation of forearm.. ......... ......... ......... ........... ........... 25905 C Amputation of forearm.. ......... ......... ......... ........... ........... 25907 T Amputation follow-up 251 13.88 $713.71 $365.89 $142.74 surgery. 25909 C Amputation follow-up ......... ......... ......... ........... ........... surgery. 25915 C Amputation of forearm.. ......... ......... ......... ........... ........... 25920 C Amputate hand at wrist. ......... ......... ......... ........... ........... 25922 T Amputate hand at wrist. 251 13.88 $713.71 $365.89 $142.74 25924 C Amputation follow-up ......... ......... ......... ........... ........... surgery. 25927 C Amputation of hand..... ......... ......... ......... ........... ........... 25929 T Amputation follow-up 183 11.04 $567.68 $283.18 $113.54 surgery. 25931 C Amputation follow-up ......... ......... ......... ........... ........... surgery. 25999 T Forearm or wrist 209 1.94 $99.75 $37.74 $19.95 surgery. 26010 T Drainage of finger 131 1.93 $99.24 $36.61 $19.85 abscess. 26011 T Drainage of finger 131 1.93 $99.24 $36.61 $19.85 abscess. 26020 T Drain hand tendon 261 10.41 $535.28 $259.00 $107.06 sheath. 26025 T Drainage of palm bursa. 261 10.41 $535.28 $259.00 $107.06 26030 T Drainage of palm 261 10.41 $535.28 $259.00 $107.06 bursa(s). 26034 T Treat hand bone lesion. 261 10.41 $535.28 $259.00 $107.06 26035 T Decompress fingers/hand 261 10.41 $535.28 $259.00 $107.06 26037 T Decompress fingers/hand 261 10.41 $535.28 $259.00 $107.06 26040 T Release palm 262 18.07 $929.16 $475.96 $185.83 contracture. 26045 T Release palm 262 18.07 $929.16 $475.96 $185.83 contracture. 26055 T Incise finger tendon 261 10.41 $535.28 $259.00 $107.06 sheath. 26060 T Incision of finger 261 10.41 $535.28 $259.00 $107.06 tendon. 26070 T Explore/treat hand 261 10.41 $535.28 $259.00 $107.06 joint. 26075 T Explore/treat finger 261 10.41 $535.28 $259.00 $107.06 joint. 26080 T Explore/treat finger 261 10.41 $535.28 $259.00 $107.06 joint. 26100 T Biopsy hand joint 261 10.41 $535.28 $259.00 $107.06 lining. 26105 T Biopsy finger joint 261 10.41 $535.28 $259.00 $107.06 lining. 26110 T Biopsy finger joint 261 10.41 $535.28 $259.00 $107.06 lining. 26115 T Removal of hand lesion. 163 10.48 $538.88 $260.80 $107.78 26116 T Removal of hand lesion. 163 10.48 $538.88 $260.80 $107.78 26117 T Remove tumor, hand/ 163 10.48 $538.88 $260.80 $107.78 finger. 26121 T Release palm 262 18.07 $929.16 $475.96 $185.83 contracture. 26123 T Release palm 262 18.07 $929.16 $475.96 $185.83 contracture. 26125 T Release palm 262 18.07 $929.16 $475.96 $185.83 contracture. 26130 T Remove wrist joint 261 10.41 $535.28 $259.00 $107.06 lining. 26135 T Revise finger joint, 262 18.07 $929.16 $475.96 $185.83 each. 26140 T Revise finger joint, 261 10.41 $535.28 $259.00 $107.06 each. 26145 T Tendon excision, palm/ 261 10.41 $535.28 $259.00 $107.06 finger. 26160 T Remove tendon sheath 261 10.41 $535.28 $259.00 $107.06 lesion. 26170 T Removal of palm tendon, 261 10.41 $535.28 $259.00 $107.06 each. 26180 T Removal of finger 261 10.41 $535.28 $259.00 $107.06 tendon. 26185 T Remove finger bone..... 261 10.41 $535.28 $259.00 $107.06 26200 T Remove hand bone lesion 261 10.41 $535.28 $259.00 $107.06 26205 T Remove/graft bone 262 18.07 $929.16 $475.96 $185.83 lesion. 26210 T Removal of finger 261 10.41 $535.28 $259.00 $107.06 lesion. 26215 T Remove/graft finger 261 10.41 $535.28 $259.00 $107.06 lesion. 26230 T Partial removal of hand 261 10.41 $535.28 $259.00 $107.06 bone. 26235 T Partial removal, finger 261 10.41 $535.28 $259.00 $107.06 bone. 26236 T Partial removal, finger 261 10.41 $535.28 $259.00 $107.06 bone. 26250 T Extensive hand surgery. 261 10.41 $535.28 $259.00 $107.06 26255 T Extensive hand surgery. 262 18.07 $929.16 $475.96 $185.83 26260 T Extensive finger 261 10.41 $535.28 $259.00 $107.06 surgery. 26261 T Extensive finger 261 10.41 $535.28 $259.00 $107.06 surgery. 26262 T Partial removal of 261 10.41 $535.28 $259.00 $107.06 finger. 26320 T Removal of implant from 163 10.48 $538.88 $260.80 $107.78 hand. 26350 T Repair finger/hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26352 T Repair/graft hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26356 T Repair finger/hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26357 T Repair finger/hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26358 T Repair/graft hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26370 T Repair finger/hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26372 T Repair/graft hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26373 T Repair finger/hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26390 T Revise hand/finger 262 18.07 $929.16 $475.96 $185.83 tendon. 26392 T Repair/graft hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26410 T Repair hand tendon..... 261 10.41 $535.28 $259.00 $107.06 26412 T Repair/graft hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26415 T Excision, hand/finger 262 18.07 $929.16 $475.96 $185.83 tendon.

26416 T Graft hand or finger 262 18.07 $929.16 $475.96 $185.83 tendon. 26418 T Repair finger tendon... 261 10.41 $535.28 $259.00 $107.06 26420 T Repair/graft finger 262 18.07 $929.16 $475.96 $185.83 tendon. 26426 T Repair finger/hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26428 T Repair/graft finger 262 18.07 $929.16 $475.96 $185.83 tendon. 26432 T Repair finger tendon... 261 10.41 $535.28 $259.00 $107.06 26433 T Repair finger tendon... 261 10.41 $535.28 $259.00 $107.06 26434 T Repair/graft finger 262 18.07 $929.16 $475.96 $185.83 tendon. 26437 T Realignment of tendons. 261 10.41 $535.28 $259.00 $107.06 26440 T Release palm/finger 261 10.41 $535.28 $259.00 $107.06 tendon. 26442 T Release palm & finger 262 18.07 $929.16 $475.96 $185.83 tendon. 26445 T Release hand/finger 261 10.41 $535.28 $259.00 $107.06 tendon. 26449 T Release forearm/hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26450 T Incision of palm tendon 261 10.41 $535.28 $259.00 $107.06 26455 T Incision of finger 261 10.41 $535.28 $259.00 $107.06 tendon. 26460 T Incise hand/finger 261 10.41 $535.28 $259.00 $107.06 tendon. 26471 T Fusion of finger 261 10.41 $535.28 $259.00 $107.06 tendons. 26474 T Fusion of finger 261 10.41 $535.28 $259.00 $107.06 tendons. 26476 T Tendon lengthening..... 261 10.41 $535.28 $259.00 $107.06 26477 T Tendon shortening...... 261 10.41 $535.28 $259.00 $107.06 26478 T Lengthening of hand 261 10.41 $535.28 $259.00 $107.06 tendon. 26479 T Shortening of hand 261 10.41 $535.28 $259.00 $107.06 tendon. 26480 T Transplant hand tendon. 262 18.07 $929.16 $475.96 $185.83 26483 T Transplant/graft hand 262 18.07 $929.16 $475.96 $185.83 tendon. 26485 T Transplant palm tendon. 262 18.07 $929.16 $475.96 $185.83 26489 T Transplant/graft palm 262 18.07 $929.16 $475.96 $185.83 tendon. 26490 T Revise thumb tendon.... 262 18.07 $929.16 $475.96 $185.83 26492 T Tendon transfer with 262 18.07 $929.16 $475.96 $185.83 graft. 26494 T Hand tendon/muscle 262 18.07 $929.16 $475.96 $185.83 transfer. 26496 T Revise thumb tendon.... 262 18.07 $929.16 $475.96 $185.83 26497 T Finger tendon transfer. 262 18.07 $929.16 $475.96 $185.83 26498 T Finger tendon transfer. 262 18.07 $929.16 $475.96 $185.83 26499 T Revision of finger..... 262 18.07 $929.16 $475.96 $185.83 26500 T Hand tendon 261 10.41 $535.28 $259.00 $107.06 reconstruction. 26502 T Hand tendon 262 18.07 $929.16 $475.96 $185.83 reconstruction. 26504 T Hand tendon 262 18.07 $929.16 $475.96 $185.83 reconstruction. 26508 T Release thumb 261 10.41 $535.28 $259.00 $107.06 contracture. 26510 T Thumb tendon transfer.. 262 18.07 $929.16 $475.96 $185.83 26516 T Fusion of knuckle joint 262 18.07 $929.16 $475.96 $185.83 26517 T Fusion of knuckle 262 18.07 $929.16 $475.96 $185.83 joints. 26518 T Fusion of knuckle 262 18.07 $929.16 $475.96 $185.83 joints. 26520 T Release knuckle 261 10.41 $535.28 $259.00 $107.06 contracture. 26525 T Release finger 261 10.41 $535.28 $259.00 $107.06 contracture. 26530 T Revise knuckle joint... 217 20.54 $1,056.17 $530.42 $211.23 26531 T Revise knuckle with 218 27.80 $1,429.48 $720.71 $285.90 implant. 26535 T Revise finger joint.... 217 20.54 $1,056.17 $530.42 $211.23 26536 T Revise/implant finger 218 27.80 $1,429.48 $720.71 $285.90 joint. 26540 T Repair hand joint...... 261 10.41 $535.28 $259.00 $107.06 26541 T Repair hand joint with 262 18.07 $929.16 $475.96 $185.83 graft. 26542 T Repair hand joint with 261 10.41 $535.28 $259.00 $107.06 graft. 26545 T Reconstruct finger 262 18.07 $929.16 $475.96 $185.83 joint. 26546 T Repair non-union hand.. 262 18.07 $929.16 $475.96 $185.83 26548 T Reconstruct finger 262 18.07 $929.16 $475.96 $185.83 joint. 26550 T Construct thumb 262 18.07 $929.16 $475.96 $185.83 replacement. 26551 C Great toe-hand transfer ......... ......... ......... ........... ........... \2\ 2655 C Construct thumb ......... ......... ......... ........... ........... 2 replacement. 26553 C Single toe-hand ......... ......... ......... ........... ........... transfer. 26554 C Double toe-hand ......... ......... ......... ........... ........... transfer. 26555 T Positional change of 262 18.07 $929.16 $475.96 $185.83 finger. 26556 C Toe joint transfer..... ......... ......... ......... ........... ........... \2\ 2655 C Construct finger ......... ......... ......... ........... ........... 7 replacement. \2\ 2655 C Added finger surgery... ......... ......... ......... ........... ........... 8 \2\ 2655 C Added finger surgery... ......... ......... ......... ........... ........... 9 26560 T Repair of web finger... 261 10.41 $535.28 $259.00 $107.06 26561 T Repair of web finger... 262 18.07 $929.16 $475.96 $185.83 26562 T Repair of web finger... 262 18.07 $929.16 $475.96 $185.83 26565 T Correct metacarpal flaw 262 18.07 $929.16 $475.96 $185.83 26567 T Correct finger 262 18.07 $929.16 $475.96 $185.83 deformity. 26568 T Lengthen metacarpal/ 262 18.07 $929.16 $475.96 $185.83 finger. 26580 T Repair hand deformity.. 262 18.07 $929.16 $475.96 $185.83 26585 T Repair finger deformity 262 18.07 $929.16 $475.96 $185.83 26587 T Reconstruct extra 261 10.41 $535.28 $259.00 $107.06 finger. 26590 T Repair finger deformity 262 18.07 $929.16 $475.96 $185.83 26591 T Repair muscles of hand. 262 18.07 $929.16 $475.96 $185.83 26593 T Release muscles of hand 261 10.41 $535.28 $259.00 $107.06

26596 T Excision constricting 262 18.07 $929.16 $475.96 $185.83 tissue. 26597 T Release of scar 262 18.07 $929.16 $475.96 $185.83 contracture. 26600 T Treat metacarpal 209 1.94 $99.75 $37.74 $19.95 fracture. 26605 T Treat metacarpal 209 1.94 $99.75 $37.74 $19.95 fracture. 26607 T Treat metacarpal 209 1.94 $99.75 $37.74 $19.95 fracture. 26608 T Treat metacarpal 216 20.09 $1,033.03 $524.09 $206.61 fracture. 26615 T Repair metacarpal 216 20.09 $1,033.03 $524.09 $206.61 fracture. 26641 T Treat thumb dislocation 209 1.94 $99.75 $37.74 $19.95 26645 T Treat thumb fracture... 209 1.94 $99.75 $37.74 $19.95 26650 T Repair thumb fracture.. 216 20.09 $1,033.03 $524.09 $206.61 26665 T Repair thumb fracture.. 216 20.09 $1,033.03 $524.09 $206.61 26670 T Treat hand dislocation. 209 1.94 $99.75 $37.74 $19.95 26675 T Treat hand dislocation. 210 10.06 $517.29 $279.34 $103.46 26676 T Pin hand dislocation... 216 20.09 $1,033.03 $524.09 $206.61 26685 T Repair hand dislocation 216 20.09 $1,033.03 $524.09 $206.61 26686 T Repair hand dislocation 216 20.09 $1,033.03 $524.09 $206.61 26700 T Treat knuckle 207 1.70 $87.41 $32.32 $17.48 dislocation. 26705 T Treat knuckle 210 10.06 $517.29 $279.34 $103.46 dislocation. 26706 T Pin knuckle dislocation 209 1.94 $99.75 $37.74 $19.95 26715 T Repair knuckle 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 26720 T Treat finger fracture, 207 1.70 $87.41 $32.32 $17.48 each. 26725 T Treat finger fracture, 207 1.70 $87.41 $32.32 $17.48 each. 26727 T Treat finger fracture, 216 20.09 $1,033.03 $524.09 $206.61 each. 26735 T Repair finger fracture, 216 20.09 $1,033.03 $524.09 $206.61 each. 26740 T Treat finger fracture, 207 1.70 $87.41 $32.32 $17.48 each. 26742 T Treat finger fracture, 209 1.94 $99.75 $37.74 $19.95 each. 26746 T Repair finger fracture, 216 20.09 $1,033.03 $524.09 $206.61 each. 26750 T Treat finger fracture, 207 1.70 $87.41 $32.32 $17.48 each. 26755 T Treat finger fracture, 207 1.70 $87.41 $32.32 $17.48 each. 26756 T Pin finger fracture, 216 20.09 $1,033.03 $524.09 $206.61 each. 26765 T Repair finger fracture, 216 20.09 $1,033.03 $524.09 $206.61 each. 26770 T Treat finger 207 1.70 $87.41 $32.32 $17.48 dislocation. 26775 T Treat finger 210 10.06 $517.29 $279.34 $103.46 dislocation. 26776 T Pin finger dislocation. 216 20.09 $1,033.03 $524.09 $206.61 26785 T Repair finger 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 26820 T Thumb fusion with graft 262 18.07 $929.16 $475.96 $185.83 26841 T Fusion of thumb........ 262 18.07 $929.16 $475.96 $185.83 26842 T Thumb fusion with graft 262 18.07 $929.16 $475.96 $185.83 26843 T Fusion of hand joint... 262 18.07 $929.16 $475.96 $185.83 26844 T Fusion/graft of hand 262 18.07 $929.16 $475.96 $185.83 joint. 26850 T Fusion of knuckle...... 262 18.07 $929.16 $475.96 $185.83 26852 T Fusion of knuckle with 262 18.07 $929.16 $475.96 $185.83 graft. 26860 T Fusion of finger joint. 262 18.07 $929.16 $475.96 $185.83 26861 T Fusion of finger 262 18.07 $929.16 $475.96 $185.83 joint,added. 26862 T Fusion/graft of finger 262 18.07 $929.16 $475.96 $185.83 joint. 26863 T Fuse/graft added joint. 262 18.07 $929.16 $475.96 $185.83 26910 T Amputate metacarpal 262 18.07 $929.16 $475.96 $185.83 bone. 26951 T Amputation of finger/ 261 10.41 $535.28 $259.00 $107.06 thumb. 26952 T Amputation of finger/ 261 10.41 $535.28 $259.00 $107.06 thumb. 26989 T Hand/finger surgery.... 207 1.70 $87.41 $32.32 $17.48 26990 T Drainage of pelvis 251 13.88 $713.71 $365.89 $142.74 lesion. 26991 T Drainage of pelvis 251 13.88 $713.71 $365.89 $142.74 bursa. 26992 C Drainage of bone lesion ......... ......... ......... ........... ........... 27000 T Incision of hip tendon. 251 13.88 $713.71 $365.89 $142.74 27001 T Incision of hip tendon. 252 19.24 $989.32 $512.34 $197.86 27003 T Incision of hip tendon. 252 19.24 $989.32 $512.34 $197.86 27005 C Incision of hip tendon. ......... ......... ......... ........... ........... 27006 C Incision of hip tendons ......... ......... ......... ........... ........... 27025 C Incision of hip/thigh ......... ......... ......... ........... ........... fascia. 27030 C Drainage of hip joint.. ......... ......... ......... ........... ........... 27033 T Exploration of hip 253 25.74 $1,323.55 $684.55 $264.71 joint. 27035 C Denervation of hip ......... ......... ......... ........... ........... joint. 27036 C Excision of hip joint/ ......... ......... ......... ........... ........... muscle. 27040 T Biopsy of soft tissues. 162 5.59 $287.44 $125.66 $57.49 27041 T Biopsy of soft tissues. 163 10.48 $538.88 $260.80 $107.78 27047 T Remove hip/pelvis 163 10.48 $538.88 $260.80 $107.78 lesion. 27048 T Remove hip/pelvis 163 10.48 $538.88 $260.80 $107.78 lesion. 27049 T Remove tumor, hip/ 163 10.48 $538.88 $260.80 $107.78 pelvis. 27050 T Biopsy of sacroiliac 251 13.88 $713.71 $365.89 $142.74 joint. 27052 T Biopsy of hip joint.... 251 13.88 $713.71 $365.89 $142.74 27054 C Removal of hip joint ......... ......... ......... ........... ........... lining. 27060 T Removal of ischial 251 13.88 $713.71 $365.89 $142.74 bursa. 27062 T Remove femur lesion/ 251 13.88 $713.71 $365.89 $142.74 bursa. 27065 T Removal of hip bone 251 13.88 $713.71 $365.89 $142.74 lesion. 27066 T Removal of hip bone 252 19.24 $989.32 $512.34 $197.86 lesion.

27067 T Remove/graft hip bone 252 19.24 $989.32 $512.34 $197.86 lesion. 27070 C Partial removal of hip ......... ......... ......... ........... ........... bone. 27071 C Partial removal of hip ......... ......... ......... ........... ........... bone. 27075 C Extensive hip surgery.. ......... ......... ......... ........... ........... 27076 C Extensive hip surgery.. ......... ......... ......... ........... ........... 27077 C Extensive hip surgery.. ......... ......... ......... ........... ........... 27078 C Extensive hip surgery.. ......... ......... ......... ........... ........... 27079 C Extensive hip surgery.. ......... ......... ......... ........... ........... 27080 T Removal of tail bone... 252 19.24 $989.32 $512.34 $197.86 27086 T Remove hip foreign body 251 13.88 $713.71 $365.89 $142.74 27087 T Remove hip foreign body 251 13.88 $713.71 $365.89 $142.74 27090 C Removal of hip ......... ......... ......... ........... ........... prosthesis. 27091 C Removal of hip ......... ......... ......... ........... ........... prosthesis. 27093 T Injection for hip x-ray 347 2.57 $132.15 $62.38 $26.43 27095 T Injection for hip x-ray 347 2.57 $132.15 $62.38 $26.43 27097 T Revision of hip tendon. 252 19.24 $989.32 $512.34 $197.86 27098 T Transfer tendon to 252 19.24 $989.32 $512.34 $197.86 pelvis. 27100 T Transfer of abdominal 253 25.74 $1,323.55 $684.55 $264.71 muscle. 27105 T Transfer of spinal 253 25.74 $1,323.55 $684.55 $264.71 muscle. 27110 T Transfer of iliopsoas 253 25.74 $1,323.55 $684.55 $264.71 muscle. 27111 T Transfer of iliopsoas 253 25.74 $1,323.55 $684.55 $264.71 muscle. 27120 C Reconstruction of hip ......... ......... ......... ........... ........... socket. 27122 C Reconstruction of hip ......... ......... ......... ........... ........... socket. 27125 C Partial hip replacement ......... ......... ......... ........... ........... 27130 C Total hip replacement.. ......... ......... ......... ........... ........... 27132 C Total hip replacement.. ......... ......... ......... ........... ........... 27134 C Revise hip joint ......... ......... ......... ........... ........... replacement. 27137 C Revise hip joint ......... ......... ......... ........... ........... replacement. 27138 C Revise hip joint ......... ......... ......... ........... ........... replacement. 27140 C Transplant of femur ......... ......... ......... ........... ........... ridge. 27146 C Incision of hip bone... ......... ......... ......... ........... ........... 27147 C Revision of hip bone... ......... ......... ......... ........... ........... 27151 C Incision of hip bones.. ......... ......... ......... ........... ........... 27156 C Revision of hip bones.. ......... ......... ......... ........... ........... 27158 C Revision of pelvis..... ......... ......... ......... ........... ........... 27161 C Incision of neck of ......... ......... ......... ........... ........... femur. 27165 C Incision/fixation of ......... ......... ......... ........... ........... femur. 27170 C Repair/graft femur head/ ......... ......... ......... ........... ........... neck. 27175 C Treat slipped epiphysis ......... ......... ......... ........... ........... 27176 C Treat slipped epiphysis ......... ......... ......... ........... ........... 27177 C Repair slipped ......... ......... ......... ........... ........... epiphysis. 27178 C Repair slipped ......... ......... ......... ........... ........... epiphysis. 27179 C Revise head/neck of ......... ......... ......... ........... ........... femur. 27181 C Repair slipped ......... ......... ......... ........... ........... epiphysis. 27185 C Revision of femur ......... ......... ......... ........... ........... epiphysis. 27187 C Reinforce hip bones.... ......... ......... ......... ........... ........... 27193 T Treat pelvic ring 209 1.94 $99.75 $37.74 $19.95 fracture. 27194 T Treat pelvic ring 210 10.06 $517.29 $279.34 $103.46 fracture. 27200 T Treat tail bone 207 1.70 $87.41 $32.32 $17.48 fracture. 27202 T Repair tail bone 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27215 C Pelvic fracture(s) ......... ......... ......... ........... ........... treatment. 27216 C Treat pelvic ring ......... ......... ......... ........... ........... fracture. 27217 C Treat pelvic ring ......... ......... ......... ........... ........... fracture. 27218 C Treat pelvic ring ......... ......... ......... ........... ........... fracture. 27220 T Treat hip socket 209 1.94 $99.75 $37.74 $19.95 fracture. 27222 C Treat hip socket ......... ......... ......... ........... ........... fracture. 27226 C Treat hip wall fracture ......... ......... ......... ........... ........... 27227 C Treat hip fracture(s).. ......... ......... ......... ........... ........... 27228 C Treat hip fracture(s).. ......... ......... ......... ........... ........... 27230 T Treat fracture of thigh 209 1.94 $99.75 $37.74 $19.95 27232 C Treat fracture of thigh ......... ......... ......... ........... ........... 27235 C Repair of thigh ......... ......... ......... ........... ........... fracture. 27236 C Repair of thigh ......... ......... ......... ........... ........... fracture. 27238 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27240 C Treatment of thigh ......... ......... ......... ........... ........... fracture. 27244 C Repair of thigh ......... ......... ......... ........... ........... fracture. 27245 C Repair of thigh ......... ......... ......... ........... ........... fracture. 27246 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27248 C Repair of thigh ......... ......... ......... ........... ........... fracture. 27250 T Treat hip dislocation.. 209 1.94 $99.75 $37.74 $19.95 27252 T Treat hip dislocation.. 210 10.06 $517.29 $279.34 $103.46 27253 C Repair of hip ......... ......... ......... ........... ........... dislocation. 27254 C Repair of hip ......... ......... ......... ........... ........... dislocation. 27256 T Treatment of hip 209 1.94 $99.75 $37.74 $19.95 dislocation. 27257 T Treatment of hip 210 10.06 $517.29 $279.34 $103.46 dislocation.

27258 C Repair of hip ......... ......... ......... ........... ........... dislocation. 27259 C Repair of hip ......... ......... ......... ........... ........... dislocation. 27265 T Treatment of hip 209 1.94 $99.75 $37.74 $19.95 dislocation. 27266 T Treatment of hip 217 20.54 $1,056.17 $530.42 $211.23 dislocation. 27275 T Manipulation of hip 210 10.06 $517.29 $279.34 $103.46 joint. 27280 C Fusion of sacroiliac ......... ......... ......... ........... ........... joint. 27282 C Fusion of pubic bones.. ......... ......... ......... ........... ........... 27284 C Fusion of hip joint.... ......... ......... ......... ........... ........... 27286 C Fusion of hip joint.... ......... ......... ......... ........... ........... 27290 C Amputation of leg at ......... ......... ......... ........... ........... hip. 27295 C Amputation of leg at ......... ......... ......... ........... ........... hip. 27299 T Pelvis/hip joint 207 1.70 $87.41 $32.32 $17.48 surgery. 27301 T Drain thigh/knee lesion 132 5.63 $289.49 $132.89 $57.90 27303 C Drainage of bone lesion ......... ......... ......... ........... ........... 27305 T Incise thigh tendon & 251 13.88 $713.71 $365.89 $142.74 fascia. 27306 T Incision of thigh 251 13.88 $713.71 $365.89 $142.74 tendon. 27307 T Incision of thigh 251 13.88 $713.71 $365.89 $142.74 tendons. 27310 T Exploration of knee 252 19.24 $989.32 $512.34 $197.86 joint. 27315 T Partial removal, thigh 631 12.70 $653.03 $329.06 $130.61 nerve. 27320 T Partial removal, thigh 631 12.70 $653.03 $329.06 $130.61 nerve. 27323 T Biopsy thigh soft 162 5.59 $287.44 $125.66 $57.49 tissues. 27324 T Biopsy thigh soft 163 10.48 $538.88 $260.80 $107.78 tissues. 27327 T Removal of thigh lesion 163 10.48 $538.88 $260.80 $107.78 27328 T Removal of thigh lesion 163 10.48 $538.88 $260.80 $107.78 27329 T Remove tumor, thigh/ 163 10.48 $538.88 $260.80 $107.78 knee. 27330 T Biopsy knee joint 252 19.24 $989.32 $512.34 $197.86 lining. 27331 T Explore/treat knee 252 19.24 $989.32 $512.34 $197.86 joint. 27332 T Removal of knee 252 19.24 $989.32 $512.34 $197.86 cartilage. 27333 T Removal of knee 252 19.24 $989.32 $512.34 $197.86 cartilage. 27334 T Remove knee joint 252 19.24 $989.32 $512.34 $197.86 lining. 27335 T Remove knee joint 252 19.24 $989.32 $512.34 $197.86 lining. 27340 T Removal of kneecap 251 13.88 $713.71 $365.89 $142.74 bursa. 27345 T Removal of knee cyst... 251 13.88 $713.71 $365.89 $142.74 27350 T Removal of kneecap..... 252 19.24 $989.32 $512.34 $197.86 27355 T Remove femur lesion.... 252 19.24 $989.32 $512.34 $197.86 27356 T Remove femur lesion/ 252 19.24 $989.32 $512.34 $197.86 graft. 27357 T Remove femur lesion/ 252 19.24 $989.32 $512.34 $197.86 graft. 27358 T Remove femur lesion/ 252 19.24 $989.32 $512.34 $197.86 fixation. 27360 T Partial removal leg 252 19.24 $989.32 $512.34 $197.86 bone(s). 27365 C Extensive leg surgery.. ......... ......... ......... ........... ........... 27370 T Injection for knee x- 347 2.57 $132.15 $62.38 $26.43 ray. 27372 T Removal of foreign body 163 10.48 $538.88 $260.80 $107.78 27380 T Repair of kneecap 251 13.88 $713.71 $365.89 $142.74 tendon. 27381 T Repair/graft kneecap 251 13.88 $713.71 $365.89 $142.74 tendon. 27385 T Repair of thigh muscle. 251 13.88 $713.71 $365.89 $142.74 27386 T Repair/graft of thigh 251 13.88 $713.71 $365.89 $142.74 muscle. 27390 T Incision of thigh 251 13.88 $713.71 $365.89 $142.74 tendon. 27391 T Incision of thigh 251 13.88 $713.71 $365.89 $142.74 tendons. 27392 T Incision of thigh 251 13.88 $713.71 $365.89 $142.74 tendons. 27393 T Lengthening of thigh 252 19.24 $989.32 $512.34 $197.86 tendon. 27394 T Lengthening of thigh 252 19.24 $989.32 $512.34 $197.86 tendons. 27395 T Lengthening of thigh 253 25.74 $1,323.55 $684.55 $264.71 tendons. 27396 T Transplant of thigh 252 19.24 $989.32 $512.34 $197.86 tendon. 27397 T Transplants of thigh 253 25.74 $1,323.55 $684.55 $264.71 tendons. 27400 T Revise thigh muscles/ 253 25.74 $1,323.55 $684.55 $264.71 tendons. 27403 T Repair of knee 252 19.24 $989.32 $512.34 $197.86 cartilage. 27405 T Repair of knee ligament 253 25.74 $1,323.55 $684.55 $264.71 27407 T Repair of knee ligament 253 25.74 $1,323.55 $684.55 $264.71 27409 T Repair of knee 253 25.74 $1,323.55 $684.55 $264.71 ligaments. 27418 T Repair degenerated 253 25.74 $1,323.55 $684.55 $264.71 kneecap. 27420 T Revision of unstable 253 25.74 $1,323.55 $684.55 $264.71 kneecap. 27422 T Revision of unstable 253 25.74 $1,323.55 $684.55 $264.71 kneecap. 27424 T Revision/removal of 253 25.74 $1,323.55 $684.55 $264.71 kneecap. 27425 T Lateral retinacular 252 19.24 $989.32 $512.34 $197.86 release. 27427 T Reconstruction, knee... 254 32.70 $1,681.43 $922.98 $336.29 27428 T Reconstruction, knee... 254 32.70 $1,681.43 $922.98 $336.29 27429 T Reconstruction, knee... 254 32.70 $1,681.43 $922.98 $336.29 27430 T Revision of thigh 253 25.74 $1,323.55 $684.55 $264.71 muscles. 27435 T Incision of knee joint. 253 25.74 $1,323.55 $684.55 $264.71 27437 T Revise kneecap......... 217 20.54 $1,056.17 $530.42 $211.23 27438 T Revise kneecap with 218 27.80 $1,429.48 $720.71 $285.90 implant. 27440 T Revision of knee joint. 217 20.54 $1,056.17 $530.42 $211.23 27441 T Revision of knee joint. 217 20.54 $1,056.17 $530.42 $211.23 27442 T Revision of knee joint. 217 20.54 $1,056.17 $530.42 $211.23 27443 T Revision of knee joint. 217 20.54 $1,056.17 $530.42 $211.23

27445 C Revision of knee joint. ......... ......... ......... ........... ........... 27446 C Revision of knee joint. ......... ......... ......... ........... ........... 27447 C Total knee replacement. ......... ......... ......... ........... ........... 27448 C Incision of thigh...... ......... ......... ......... ........... ........... 27450 C Incision of thigh...... ......... ......... ......... ........... ........... 27454 C Realignment of thigh ......... ......... ......... ........... ........... bone. 27455 C Realignment of knee.... ......... ......... ......... ........... ........... 27457 C Realignment of knee.... ......... ......... ......... ........... ........... 27465 C Shortening of thigh ......... ......... ......... ........... ........... bone. 27466 C Lengthening of thigh ......... ......... ......... ........... ........... bone. 27468 C Shorten/lengthen thighs ......... ......... ......... ........... ........... 27470 C Repair of thigh........ ......... ......... ......... ........... ........... 27472 C Repair/graft of thigh.. ......... ......... ......... ........... ........... 27475 C Surgery to stop leg ......... ......... ......... ........... ........... growth. 27477 C Surgery to stop leg ......... ......... ......... ........... ........... growth. 27479 C Surgery to stop leg ......... ......... ......... ........... ........... growth. 27485 C Surgery to stop leg ......... ......... ......... ........... ........... growth. 27486 C Revise knee joint ......... ......... ......... ........... ........... replace. 27487 C Revise knee joint ......... ......... ......... ........... ........... replace. 27488 C Removal of knee ......... ......... ......... ........... ........... prosthesis. 27495 C Reinforce thigh........ ......... ......... ......... ........... ........... 27496 T Decompression of thigh/ 251 13.88 $713.71 $365.89 $142.74 knee. 27497 T Decompression of thigh/ 251 13.88 $713.71 $365.89 $142.74 knee. 27498 T Decompression of thigh/ 251 13.88 $713.71 $365.89 $142.74 knee. 27499 T Decompression of thigh/ 251 13.88 $713.71 $365.89 $142.74 knee. 27500 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27501 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27502 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27503 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27506 C Repair of thigh ......... ......... ......... ........... ........... fracture. 27507 C Treatment of thigh ......... ......... ......... ........... ........... fracture. 27508 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27509 T Treatment of thigh 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27510 T Treatment of thigh 209 1.94 $99.75 $37.74 $19.95 fracture. 27511 C Treatment of thigh ......... ......... ......... ........... ........... fracture. 27513 C Treatment of thigh ......... ......... ......... ........... ........... fracture. 27514 C Repair of thigh ......... ......... ......... ........... ........... fracture. 27516 T Repair of thigh growth 209 1.94 $99.75 $37.74 $19.95 plate. 27517 T Repair of thigh growth 209 1.94 $99.75 $37.74 $19.95 plate. 27519 C Repair of thigh growth ......... ......... ......... ........... ........... plate. 27520 T Treat kneecap fracture. 209 1.94 $99.75 $37.74 $19.95 27524 C Repair of kneecap ......... ......... ......... ........... ........... fracture. 27530 T Treatment of knee 209 1.94 $99.75 $37.74 $19.95 fracture. 27532 T Treatment of knee 209 1.94 $99.75 $37.74 $19.95 fracture. 27535 C Treatment of knee ......... ......... ......... ........... ........... fracture. 27536 C Repair of knee fracture ......... ......... ......... ........... ........... 27538 T Treat knee fracture(s). 209 1.94 $99.75 $37.74 $19.95 27540 C Repair of knee fracture ......... ......... ......... ........... ........... 27550 T Treat knee dislocation. 209 1.94 $99.75 $37.74 $19.95 27552 T Treat knee dislocation. 210 10.06 $517.29 $279.34 $103.46 27556 T Repair of knee 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 27557 C Repair of knee ......... ......... ......... ........... ........... dislocation. 27558 C Repair of knee ......... ......... ......... ........... ........... dislocation. 27560 T Treat kneecap 209 1.94 $99.75 $37.74 $19.95 dislocation. 27562 T Treat kneecap 210 10.06 $517.29 $279.34 $103.46 dislocation. 27566 T Repair kneecap 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 27570 T Fixation of knee joint. 210 10.06 $517.29 $279.34 $103.46 27580 C Fusion of knee......... ......... ......... ......... ........... ........... 27590 C Amputate leg at thigh.. ......... ......... ......... ........... ........... 27591 C Amputate leg at thigh.. ......... ......... ......... ........... ........... 27592 C Amputate leg at thigh.. ......... ......... ......... ........... ........... 27594 T Amputation follow-up 251 13.88 $713.71 $365.89 $142.74 surgery. 27596 C Amputation follow-up ......... ......... ......... ........... ........... surgery. 27598 C Amputate lower leg at ......... ......... ......... ........... ........... knee. 27599 T Leg surgery procedure.. 209 1.94 $99.75 $37.74 $19.95 27600 T Decompression of lower 251 13.88 $713.71 $365.89 $142.74 leg. 27601 T Decompression of lower 251 13.88 $713.71 $365.89 $142.74 leg. 27602 T Decompression of lower 251 13.88 $713.71 $365.89 $142.74 leg. 27603 T Drain lower leg lesion. 132 5.63 $289.49 $132.89 $57.90 27604 T Drain lower leg bursa.. 251 13.88 $713.71 $365.89 $142.74 27605 T Incision of achilles 271 14.12 $726.05 $365.44 $145.21 tendon. 27606 T Incision of achilles 251 13.88 $713.71 $365.89 $142.74 tendon. 27607 T Treat lower leg bone 251 13.88 $713.71 $365.89 $142.74 lesion. 27610 T Explore/treat ankle 252 19.24 $989.32 $512.34 $197.86 joint. 27612 T Exploration of ankle 252 19.24 $989.32 $512.34 $197.86 joint.

27613 T Biopsy lower leg soft 161 3.43 $176.37 $75.71 $35.27 tissue. 27614 T Biopsy lower leg soft 163 10.48 $538.88 $260.80 $107.78 tissue. 27615 T Remove tumor, lower leg 216 20.09 $1,033.03 $524.09 $206.61 27618 T Remove lower leg lesion 163 10.48 $538.88 $260.80 $107.78 27619 T Remove lower leg lesion 163 10.48 $538.88 $260.80 $107.78 27620 T Explore, treat ankle 252 19.24 $989.32 $512.34 $197.86 joint. 27625 T Remove ankle joint 252 19.24 $989.32 $512.34 $197.86 lining. 27626 T Remove ankle joint 252 19.24 $989.32 $512.34 $197.86 lining. 27630 T Removal of tendon 251 13.88 $713.71 $365.89 $142.74 lesion. 27635 T Remove lower leg bone 252 19.24 $989.32 $512.34 $197.86 lesion. 27637 T Remove/graft leg bone 252 19.24 $989.32 $512.34 $197.86 lesion. 27638 T Remove/graft leg bone 252 19.24 $989.32 $512.34 $197.86 lesion. 27640 T Partial removal of 253 25.74 $1,323.55 $684.55 $264.71 tibia. 27641 T Partial removal of 252 19.24 $989.32 $512.34 $197.86 fibula. 27645 C Extensive lower leg ......... ......... ......... ........... ........... surgery. 27646 C Extensive lower leg ......... ......... ......... ........... ........... surgery. 27647 T Extensive ankle/heel 253 25.74 $1,323.55 $684.55 $264.71 surgery. 27648 T Injection for ankle x- 347 2.57 $132.15 $62.38 $26.43 ray. 27650 T Repair achilles tendon. 253 25.74 $1,323.55 $684.55 $264.71 27652 T Repair/graft achilles 253 25.74 $1,323.55 $684.55 $264.71 tendon. 27654 T Repair of achilles 253 25.74 $1,323.55 $684.55 $264.71 tendon. 27656 T Repair leg fascia 251 13.88 $713.71 $365.89 $142.74 defect. 27658 T Repair of leg tendon, 251 13.88 $713.71 $365.89 $142.74 each. 27659 T Repair of leg tendon, 251 13.88 $713.71 $365.89 $142.74 each. 27664 T Repair of leg tendon, 251 13.88 $713.71 $365.89 $142.74 each. 27665 T Repair of leg tendon, 252 19.24 $989.32 $512.34 $197.86 each. 27675 T Repair lower leg 251 13.88 $713.71 $365.89 $142.74 tendons. 27676 T Repair lower leg 252 19.24 $989.32 $512.34 $197.86 tendons. 27680 T Release of lower leg 252 19.24 $989.32 $512.34 $197.86 tendon. 27681 T Release of lower leg 252 19.24 $989.32 $512.34 $197.86 tendons. 27685 T Revision of lower leg 252 19.24 $989.32 $512.34 $197.86 tendon. 27686 T Revise lower leg 252 19.24 $989.32 $512.34 $197.86 tendons. 27687 T Revision of calf tendon 252 19.24 $989.32 $512.34 $197.86 27690 T Revise lower leg tendon 253 25.74 $1,323.55 $684.55 $264.71 27691 T Revise lower leg tendon 253 25.74 $1,323.55 $684.55 $264.71 27692 T Revise additional leg 253 25.74 $1,323.55 $684.55 $264.71 tendon. 27695 T Repair of ankle 252 19.24 $989.32 $512.34 $197.86 ligament. 27696 T Repair of ankle 252 19.24 $989.32 $512.34 $197.86 ligaments. 27698 T Repair of ankle 252 19.24 $989.32 $512.34 $197.86 ligament. 27700 T Revision of ankle joint 217 20.54 $1,056.17 $530.42 $211.23 27702 C Reconstruct ankle joint ......... ......... ......... ........... ........... 27703 C Reconstruction, ankle ......... ......... ......... ........... ........... joint. 27704 T Removal of ankle 251 13.88 $713.71 $365.89 $142.74 implant. 27705 T Incision of tibia...... 253 25.74 $1,323.55 $684.55 $264.71 27707 T Incision of fibula..... 251 13.88 $713.71 $365.89 $142.74 27709 T Incision of tibia & 252 19.24 $989.32 $512.34 $197.86 fibula. 27712 C Realignment of lower ......... ......... ......... ........... ........... leg. 27715 C Revision of lower leg.. ......... ......... ......... ........... ........... 27720 C Repair of tibia........ ......... ......... ......... ........... ........... 27722 C Repair/graft of tibia.. ......... ......... ......... ........... ........... 27724 C Repair/graft of tibia.. ......... ......... ......... ........... ........... 27725 C Repair of lower leg.... ......... ......... ......... ........... ........... 27727 C Repair of lower leg.... ......... ......... ......... ........... ........... 27730 T Repair of tibia 252 19.24 $989.32 $512.34 $197.86 epiphysis. 27732 T Repair of fibula 252 19.24 $989.32 $512.34 $197.86 epiphysis. 27734 T Repair lower leg 252 19.24 $989.32 $512.34 $197.86 epiphyses. 27740 T Repair of leg epiphyses 252 19.24 $989.32 $512.34 $197.86 27742 T Repair of leg epiphyses 253 25.74 $1,323.55 $684.55 $264.71 27745 T Reinforce tibia........ 253 25.74 $1,323.55 $684.55 $264.71 27750 T Treatment of tibia 209 1.94 $99.75 $37.74 $19.95 fracture. 27752 T Treatment of tibia 209 1.94 $99.75 $37.74 $19.95 fracture. 27756 T Repair of tibia 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27758 T Repair of tibia 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27759 T Repair of tibia 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27760 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 27762 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 27766 T Repair of ankle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27780 T Treatment of fibula 209 1.94 $99.75 $37.74 $19.95 fracture. 27781 T Treatment of fibula 209 1.94 $99.75 $37.74 $19.95 fracture. 27784 T Repair of fibula 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27786 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 27788 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 27792 T Repair of ankle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27808 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 27810 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture.

27814 T Repair of ankle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27816 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 27818 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 27822 T Repair of ankle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27823 T Repair of ankle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27824 T Treat lower leg 209 1.94 $99.75 $37.74 $19.95 fracture. 27825 T Treat lower leg 209 1.94 $99.75 $37.74 $19.95 fracture. 27826 T Treat lower leg 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27827 T Treat lower leg 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27828 T Treat lower leg 216 20.09 $1,033.03 $524.09 $206.61 fracture. 27829 T Treat lower leg joint.. 216 20.09 $1,033.03 $524.09 $206.61 27830 T Treat lower leg 209 1.94 $99.75 $37.74 $19.95 dislocation. 27831 T Treat lower leg 210 10.06 $517.29 $279.34 $103.46 dislocation. 27832 T Repair lower leg 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 27840 T Treat ankle dislocation 209 1.94 $99.75 $37.74 $19.95 27842 T Treat ankle dislocation 210 10.06 $517.29 $279.34 $103.46 27846 T Repair ankle 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 27848 T Repair ankle 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 27860 T Fixation of ankle joint 210 10.06 $517.29 $279.34 $103.46 27870 T Fusion of ankle joint.. 253 25.74 $1,323.55 $684.55 $264.71 27871 T Fusion of tibiofibular 253 25.74 $1,323.55 $684.55 $264.71 joint. 27880 C Amputation of lower leg ......... ......... ......... ........... ........... 27881 C Amputation of lower leg ......... ......... ......... ........... ........... 27882 C Amputation of lower leg ......... ......... ......... ........... ........... 27884 T Amputation follow-up 251 13.88 $713.71 $365.89 $142.74 surgery. 27886 C Amputation follow-up ......... ......... ......... ........... ........... surgery. 27888 C Amputation of foot at ......... ......... ......... ........... ........... ankle. 27889 T Amputation of foot at 252 19.24 $989.32 $512.34 $197.86 ankle. 27892 T Decompression of leg... 251 13.88 $713.71 $365.89 $142.74 27893 T Decompression of leg... 251 13.88 $713.71 $365.89 $142.74 27894 T Decompression of leg... 251 13.88 $713.71 $365.89 $142.74 27899 T Leg/ankle surgery 209 1.94 $99.75 $37.74 $19.95 procedure. 28001 T Drainage of bursa of 132 5.63 $289.49 $132.89 $57.90 foot. 28002 T Treatment of foot 251 13.88 $713.71 $365.89 $142.74 infection. 28003 T Treatment of foot 251 13.88 $713.71 $365.89 $142.74 infection. 28005 T Treat foot bone lesion. 271 14.12 $726.05 $365.44 $145.21 28008 T Incision of foot fascia 271 14.12 $726.05 $365.44 $145.21 28010 T Incision of toe tendon. 271 14.12 $726.05 $365.44 $145.21 28011 T Incision of toe tendons 271 14.12 $726.05 $365.44 $145.21 28020 T Exploration of a foot 271 14.12 $726.05 $365.44 $145.21 joint. 28022 T Exploration of a foot 271 14.12 $726.05 $365.44 $145.21 joint. 28024 T Exploration of a toe 271 14.12 $726.05 $365.44 $145.21 joint. 28030 T Removal of foot nerve.. 631 12.70 $653.03 $329.06 $130.61 28035 T Decompression of tibia 631 12.70 $653.03 $329.06 $130.61 nerve. 28043 T Excision of foot lesion 162 5.59 $287.44 $125.66 $57.49 28045 T Excision of foot lesion 271 14.12 $726.05 $365.44 $145.21 28046 T Resection of tumor, 271 14.12 $726.05 $365.44 $145.21 foot. 28050 T Biopsy of foot joint 271 14.12 $726.05 $365.44 $145.21 lining. 28052 T Biopsy of foot joint 271 14.12 $726.05 $365.44 $145.21 lining. 28054 T Biopsy of toe joint 271 14.12 $726.05 $365.44 $145.21 lining. 28060 T Partial removal foot 272 16.11 $828.38 $411.09 $165.68 fascia. 28062 T Removal of foot fascia. 272 16.11 $828.38 $411.09 $165.68 28070 T Removal of foot joint 272 16.11 $828.38 $411.09 $165.68 lining. 28072 T Removal of foot joint 272 16.11 $828.38 $411.09 $165.68 lining. 28080 T Removal of foot lesion. 271 14.12 $726.05 $365.44 $145.21 28086 T Excise foot tendon 271 14.12 $726.05 $365.44 $145.21 sheath. 28088 T Excise foot tendon 271 14.12 $726.05 $365.44 $145.21 sheath. 28090 T Removal of foot lesion. 271 14.12 $726.05 $365.44 $145.21 28092 T Removal of toe lesions. 271 14.12 $726.05 $365.44 $145.21 28100 T Removal of ankle/heel 271 14.12 $726.05 $365.44 $145.21 lesion. 28102 T Remove/graft foot 272 16.11 $828.38 $411.09 $165.68 lesion. 28103 T Remove/graft foot 272 16.11 $828.38 $411.09 $165.68 lesion. 28104 T Removal of foot lesion. 271 14.12 $726.05 $365.44 $145.21 28106 T Remove/graft foot 272 16.11 $828.38 $411.09 $165.68 lesion. 28107 T Remove/graft foot 272 16.11 $828.38 $411.09 $165.68 lesion. 28108 T Removal of toe lesions. 271 14.12 $726.05 $365.44 $145.21 28110 T Part removal of 276 19.00 $976.98 $495.39 $195.40 metatarsal. 28111 T Part removal of 271 14.12 $726.05 $365.44 $145.21 metatarsal. 28112 T Part removal of 271 14.12 $726.05 $365.44 $145.21 metatarsal. 28113 T Part removal of 271 14.12 $726.05 $365.44 $145.21 metatarsal. 28114 T Removal of metatarsal 271 14.12 $726.05 $365.44 $145.21 heads. 28116 T Revision of foot....... 271 14.12 $726.05 $365.44 $145.21 28118 T Removal of heel bone... 271 14.12 $726.05 $365.44 $145.21 28119 T Removal of heel spur... 271 14.12 $726.05 $365.44 $145.21 28120 T Part removal of ankle/ 271 14.12 $726.05 $365.44 $145.21 heel.

28122 T Partial removal of foot 271 14.12 $726.05 $365.44 $145.21 bone. 28124 T Partial removal of toe. 271 14.12 $726.05 $365.44 $145.21 28126 T Partial removal of toe. 271 14.12 $726.05 $365.44 $145.21 28130 T Removal of ankle bone.. 271 14.12 $726.05 $365.44 $145.21 28140 T Removal of metatarsal.. 271 14.12 $726.05 $365.44 $145.21 28150 T Removal of toe......... 271 14.12 $726.05 $365.44 $145.21 28153 T Partial removal of toe. 271 14.12 $726.05 $365.44 $145.21 28160 T Partial removal of toe. 271 14.12 $726.05 $365.44 $145.21 28171 T Extensive foot surgery. 271 14.12 $726.05 $365.44 $145.21 28173 T Extensive foot surgery. 271 14.12 $726.05 $365.44 $145.21 28175 T Extensive foot surgery. 271 14.12 $726.05 $365.44 $145.21 28190 T Removal of foot foreign 161 3.43 $176.37 $75.71 $35.27 body. 28192 T Removal of foot foreign 163 10.48 $538.88 $260.80 $107.78 body. 28193 T Removal of foot foreign 163 10.48 $538.88 $260.80 $107.78 body. 28200 T Repair of foot tendon.. 271 14.12 $726.05 $365.44 $145.21 28202 T Repair/graft of foot 272 16.11 $828.38 $411.09 $165.68 tendon. 28208 T Repair of foot tendon.. 271 14.12 $726.05 $365.44 $145.21 28210 T Repair/graft of foot 271 14.12 $726.05 $365.44 $145.21 tendon. 28220 T Release of foot tendon. 271 14.12 $726.05 $365.44 $145.21 28222 T Release of foot tendons 271 14.12 $726.05 $365.44 $145.21 28225 T Release of foot tendon. 271 14.12 $726.05 $365.44 $145.21 28226 T Release of foot tendons 271 14.12 $726.05 $365.44 $145.21 28230 T Incision of foot 271 14.12 $726.05 $365.44 $145.21 tendon(s). 28232 T Incision of toe tendon. 271 14.12 $726.05 $365.44 $145.21 28234 T Incision of foot tendon 271 14.12 $726.05 $365.44 $145.21 28238 T Revision of foot tendon 272 16.11 $828.38 $411.09 $165.68 28240 T Release of big toe..... 271 14.12 $726.05 $365.44 $145.21 28250 T Revision of foot fascia 272 16.11 $828.38 $411.09 $165.68 28260 T Release of midfoot 272 16.11 $828.38 $411.09 $165.68 joint. 28261 T Revision of foot tendon 272 16.11 $828.38 $411.09 $165.68 28262 T Revision of foot and 272 16.11 $828.38 $411.09 $165.68 ankle. 28264 T Release of midfoot 272 16.11 $828.38 $411.09 $165.68 joint. 28270 T Release of foot 271 14.12 $726.05 $365.44 $145.21 contracture. 28272 T Release of toe joint, 271 14.12 $726.05 $365.44 $145.21 each. 28280 T Fusion of toes......... 271 14.12 $726.05 $365.44 $145.21 28285 T Repair of hammertoe.... 271 14.12 $726.05 $365.44 $145.21 28286 T Repair of hammertoe.... 271 14.12 $726.05 $365.44 $145.21 28288 T Partial removal of foot 272 16.11 $828.38 $411.09 $165.68 bone. 28290 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28292 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28293 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28294 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28296 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28297 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28298 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28299 T Correction of bunion... 276 19.00 $976.98 $495.39 $195.40 28300 T Incision of heel bone.. 272 16.11 $828.38 $411.09 $165.68 28302 T Incision of ankle bone. 272 16.11 $828.38 $411.09 $165.68 28304 T Incision of midfoot 272 16.11 $828.38 $411.09 $165.68 bones. 28305 T Incise/graft midfoot 272 16.11 $828.38 $411.09 $165.68 bones. 28306 T Incision of metatarsal. 272 16.11 $828.38 $411.09 $165.68 28307 T Incision of metatarsal. 272 16.11 $828.38 $411.09 $165.68 28308 T Incision of metatarsal. 272 16.11 $828.38 $411.09 $165.68 28309 T Incision of metatarsals 272 16.11 $828.38 $411.09 $165.68 28310 T Revision of big toe.... 271 14.12 $726.05 $365.44 $145.21 28312 T Revision of toe........ 271 14.12 $726.05 $365.44 $145.21 28313 T Repair deformity of toe 271 14.12 $726.05 $365.44 $145.21 28315 T Removal of sesamoid 271 14.12 $726.05 $365.44 $145.21 bone. 28320 T Repair of foot bones... 272 16.11 $828.38 $411.09 $165.68 28322 T Repair of metatarsals.. 272 16.11 $828.38 $411.09 $165.68 28340 T Resect enlarged toe 271 14.12 $726.05 $365.44 $145.21 tissue. 28341 T Resect enlarged toe.... 271 14.12 $726.05 $365.44 $145.21 28344 T Repair extra toe(s).... 272 16.11 $828.38 $411.09 $165.68 28345 T Repair webbed toe(s)... 272 16.11 $828.38 $411.09 $165.68 28360 T Reconstruct cleft foot. 272 16.11 $828.38 $411.09 $165.68 28400 T Treatment of heel 209 1.94 $99.75 $37.74 $19.95 fracture. 28405 T Treatment of heel 209 1.94 $99.75 $37.74 $19.95 fracture. 28406 T Treatment of heel 216 20.09 $1,033.03 $524.09 $206.61 fracture. 28415 T Repair of heel fracture 216 20.09 $1,033.03 $524.09 $206.61 28420 T Repair/graft heel 216 20.09 $1,033.03 $524.09 $206.61 fracture. 28430 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 28435 T Treatment of ankle 209 1.94 $99.75 $37.74 $19.95 fracture. 28436 T Treatment of ankle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 28445 T Repair of ankle 216 20.09 $1,033.03 $524.09 $206.61 fracture. 28450 T Treat midfoot fracture, 209 1.94 $99.75 $37.74 $19.95 each.

28455 T Treat midfoot fracture, 209 1.94 $99.75 $37.74 $19.95 each. 28456 T Repair midfoot fracture 216 20.09 $1,033.03 $524.09 $206.61 28465 T Repair midfoot 216 20.09 $1,033.03 $524.09 $206.61 fracture,each. 28470 T Treat metatarsal 209 1.94 $99.75 $37.74 $19.95 fracture. 28475 T Treat metatarsal 209 1.94 $99.75 $37.74 $19.95 fracture. 28476 T Repair metatarsal 216 20.09 $1,033.03 $524.09 $206.61 fracture. 28485 T Repair metatarsal 216 20.09 $1,033.03 $524.09 $206.61 fracture. 28490 T Treat big toe fracture. 207 1.70 $87.41 $32.32 $17.48 28495 T Treat big toe fracture. 207 1.70 $87.41 $32.32 $17.48 28496 T Repair big toe fracture 216 20.09 $1,033.03 $524.09 $206.61 28505 T Repair big toe fracture 216 20.09 $1,033.03 $524.09 $206.61 28510 T Treatment of toe 207 1.70 $87.41 $32.32 $17.48 fracture. 28515 T Treatment of toe 207 1.70 $87.41 $32.32 $17.48 fracture. 28525 T Repair of toe fracture. 216 20.09 $1,033.03 $524.09 $206.61 28530 T Treat sesamoid bone 209 1.94 $99.75 $37.74 $19.95 fracture. 28531 T Treat sesamoid bone 216 20.09 $1,033.03 $524.09 $206.61 fracture. 28540 T Treat foot dislocation. 209 1.94 $99.75 $37.74 $19.95 28545 T Treat foot dislocation. 210 10.06 $517.29 $279.34 $103.46 28546 T Treat foot dislocation. 216 20.09 $1,033.03 $524.09 $206.61 28555 T Repair foot dislocation 216 20.09 $1,033.03 $524.09 $206.61 28570 T Treat foot dislocation. 209 1.94 $99.75 $37.74 $19.95 28575 T Treat foot dislocation. 210 10.06 $517.29 $279.34 $103.46 28576 T Treat foot dislocation. 216 20.09 $1,033.03 $524.09 $206.61 28585 T Repair foot dislocation 216 20.09 $1,033.03 $524.09 $206.61 28600 T Treat foot dislocation. 209 1.94 $99.75 $37.74 $19.95 28605 T Treat foot dislocation. 210 10.06 $517.29 $279.34 $103.46 28606 T Treat foot dislocation. 216 20.09 $1,033.03 $524.09 $206.61 28615 T Repair foot dislocation 216 20.09 $1,033.03 $524.09 $206.61 28630 T Treat toe dislocation.. 207 1.70 $87.41 $32.32 $17.48 28635 T Treat toe dislocation.. 210 10.06 $517.29 $279.34 $103.46 28636 T Treat toe dislocation.. 216 20.09 $1,033.03 $524.09 $206.61 28645 T Repair toe dislocation. 216 20.09 $1,033.03 $524.09 $206.61 28660 T Treat toe dislocation.. 207 1.70 $87.41 $32.32 $17.48 28665 T Treat toe dislocation.. 210 10.06 $517.29 $279.34 $103.46 28666 T Treat toe dislocation.. 216 20.09 $1,033.03 $524.09 $206.61 28675 T Repair of toe 216 20.09 $1,033.03 $524.09 $206.61 dislocation. 28705 T Fusion of foot bones... 272 16.11 $828.38 $411.09 $165.68 28715 T Fusion of foot bones... 272 16.11 $828.38 $411.09 $165.68 28725 T Fusion of foot bones... 272 16.11 $828.38 $411.09 $165.68 28730 T Fusion of foot bones... 272 16.11 $828.38 $411.09 $165.68 28735 T Fusion of foot bones... 272 16.11 $828.38 $411.09 $165.68 28737 T Revision of foot bones. 271 14.12 $726.05 $365.44 $145.21 28740 T Fusion of foot bones... 272 16.11 $828.38 $411.09 $165.68 28750 T Fusion of big toe joint 271 14.12 $726.05 $365.44 $145.21 28755 T Fusion of big toe joint 271 14.12 $726.05 $365.44 $145.21 28760 T Fusion of big toe joint 272 16.11 $828.38 $411.09 $165.68 28800 C Amputation of midfoot.. ......... ......... ......... ........... ........... 28805 C Amputation thru ......... ......... ......... ........... ........... metatarsal. 28810 T Amputation toe & 271 14.12 $726.05 $365.44 $145.21 metatarsal. 28820 T Amputation of toe...... 271 14.12 $726.05 $365.44 $145.21 28825 T Partial amputation of 271 14.12 $726.05 $365.44 $145.21 toe. 28899 T Foot/toes surgery 207 1.70 $87.41 $32.32 $17.48 procedure. 29000 N Application of body ......... ......... ......... ........... ........... cast. 29010 N Application of body ......... ......... ......... ........... ........... cast. 29015 N Application of body ......... ......... ......... ........... ........... cast. 29020 N Application of body ......... ......... ......... ........... ........... cast. 29025 N Application of body ......... ......... ......... ........... ........... cast. 29035 N Application of body ......... ......... ......... ........... ........... cast. 29040 N Application of body ......... ......... ......... ........... ........... cast. 29044 N Application of body ......... ......... ......... ........... ........... cast. 29046 N Application of body ......... ......... ......... ........... ........... cast. 29049 N Application of figure ......... ......... ......... ........... ........... eight. 29055 N Application of shoulder ......... ......... ......... ........... ........... cast. 29058 N Application of shoulder ......... ......... ......... ........... ........... cast. 29065 N Application of long arm ......... ......... ......... ........... ........... cast. 29075 N Application of forearm ......... ......... ......... ........... ........... cast. 29085 N Apply hand/wrist cast.. ......... ......... ......... ........... ........... 29105 N Apply long arm splint.. ......... ......... ......... ........... ........... 29125 N Apply forearm splint... ......... ......... ......... ........... ........... 29126 N Apply forearm splint... ......... ......... ......... ........... ........... 29130 N Application of finger ......... ......... ......... ........... ........... splint. 29131 N Application of finger ......... ......... ......... ........... ........... splint. 29200 N Strapping of chest..... ......... ......... ......... ........... ........... 29220 N Strapping of low back.. ......... ......... ......... ........... ........... 29240 N Strapping of shoulder.. ......... ......... ......... ........... ...........

29260 N Strapping of elbow or ......... ......... ......... ........... ........... wrist. 29280 N Strapping of hand or ......... ......... ......... ........... ........... finger. 29305 N Application of hip cast ......... ......... ......... ........... ........... 29325 N Application of hip ......... ......... ......... ........... ........... casts. 29345 N Application of long leg ......... ......... ......... ........... ........... cast. 29355 N Application of long leg ......... ......... ......... ........... ........... cast. 29358 N Apply long leg cast ......... ......... ......... ........... ........... brace. 29365 N Application of long leg ......... ......... ......... ........... ........... cast. 29405 N Apply short leg cast... ......... ......... ......... ........... ........... 29425 N Apply short leg cast... ......... ......... ......... ........... ........... 29435 N Apply short leg cast... ......... ......... ......... ........... ........... 29440 N Addition of walker to ......... ......... ......... ........... ........... cast. 29445 N Apply rigid leg cast... ......... ......... ......... ........... ........... 29450 N Application of leg cast ......... ......... ......... ........... ........... 29505 N Application long leg ......... ......... ......... ........... ........... splint. 29515 N Application lower leg ......... ......... ......... ........... ........... splint. 29520 N Strapping of hip....... ......... ......... ......... ........... ........... 29530 N Strapping of knee...... ......... ......... ......... ........... ........... 29540 N Strapping of ankle..... ......... ......... ......... ........... ........... 29550 N Strapping of toes...... ......... ......... ......... ........... ........... 29580 N Application of paste ......... ......... ......... ........... ........... boot. 29590 N Application of foot ......... ......... ......... ........... ........... splint. 29700 N Removal/revision of ......... ......... ......... ........... ........... cast. 29705 N Removal/revision of ......... ......... ......... ........... ........... cast. 29710 N Removal/revision of ......... ......... ......... ........... ........... cast. 29715 N Removal/revision of ......... ......... ......... ........... ........... cast. 29720 N Repair of body cast.... ......... ......... ......... ........... ........... 29730 N Windowing of cast...... ......... ......... ......... ........... ........... 29740 N Wedging of cast........ ......... ......... ......... ........... ........... 29750 N Wedging of clubfoot ......... ......... ......... ........... ........... cast. 29799 N Casting/strapping ......... ......... ......... ........... ........... procedure. 29800 T Jaw arthroscopy/surgery 280 22.15 $1,138.95 $581.72 $227.79 29804 T Jaw arthroscopy/surgery 281 22.37 $1,150.27 $589.18 $230.05 29815 T Shoulder arthroscopy... 280 22.15 $1,138.95 $581.72 $227.79 29819 T Shoulder arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29820 T Shoulder arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29821 T Shoulder arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29822 T Shoulder arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29823 T Shoulder arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29825 T Shoulder arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29826 T Shoulder arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29830 T Elbow arthroscopy...... 280 22.15 $1,138.95 $581.72 $227.79 29834 T Elbow arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29835 T Elbow arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29836 T Elbow arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29837 T Elbow arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29838 T Elbow arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29840 T Wrist arthroscopy...... 280 22.15 $1,138.95 $581.72 $227.79 29843 T Wrist arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29844 T Wrist arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29845 T Wrist arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29846 T Wrist arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29847 T Wrist arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29848 T Wrist endoscopy/surgery 281 22.37 $1,150.27 $589.18 $230.05 29850 T Knee arthroscopy/ 286 27.69 $1,423.82 $791.90 $284.76 surgery. 29851 T Knee arthroscopy/ 286 27.69 $1,423.82 $791.90 $284.76 surgery. 29855 T Tibial arthroscopy/ 286 27.69 $1,423.82 $791.90 $284.76 surgery. 29856 T Tibial arthroscopy/ 286 27.69 $1,423.82 $791.90 $284.76 surgery. 29860 T Hip arthroscopy, dx.... 281 22.37 $1,150.27 $589.18 $230.05 29861 T Hip arthroscopy/surgery 281 22.37 $1,150.27 $589.18 $230.05 29862 T Hip arthroscopy/surgery 281 22.37 $1,150.27 $589.18 $230.05 29863 T Hip arthroscopy/surgery 281 22.37 $1,150.27 $589.18 $230.05 29870 T Knee arthroscopy, 280 22.15 $1,138.95 $581.72 $227.79 diagnostic. 29871 T Knee arthroscopy/ 282 23.65 $1,216.08 $609.97 $243.22 drainage. 29874 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29875 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29876 T Knee arthroscopy/ 282 23.65 $1,216.08 $609.97 $243.22 surgery. 29877 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29879 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29880 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29881 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29882 T Knee arthroscopy/ 282 23.65 $1,216.08 $609.97 $243.22 surgery. 29883 T Knee arthroscopy/ 282 23.65 $1,216.08 $609.97 $243.22 surgery. 29884 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29885 T Knee arthroscopy/ 282 23.65 $1,216.08 $609.97 $243.22 surgery.

29886 T Knee arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29887 T Knee arthroscopy/ 282 23.65 $1,216.08 $609.97 $243.22 surgery. 29888 T Knee arthroscopy/ 286 27.69 $1,423.82 $791.90 $284.76 surgery. 29889 T Knee arthroscopy/ 286 27.69 $1,423.82 $791.90 $284.76 surgery. 29891 T Ankle arthroscopy/ 282 23.65 $1,216.08 $609.97 $243.22 surgery. 29892 T Ankle arthroscopy/ 286 27.69 $1,423.82 $791.90 $284.76 surgery. 29893 T Scope, plantar 271 14.12 $726.05 $365.44 $145.21 fasciotomy. 29894 T Ankle arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29895 T Ankle arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29897 T Ankle arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29898 T Ankle arthroscopy/ 281 22.37 $1,150.27 $589.18 $230.05 surgery. 29909 T Arthroscopy of joint... 280 22.15 $1,138.95 $581.72 $227.79 30000 T Drainage of nose lesion 311 1.41 $72.50 $20.57 $14.50 30020 T Drainage of nose lesion 311 1.41 $72.50 $20.57 $14.50 30100 T Intranasal biopsy...... 311 1.41 $72.50 $20.57 $14.50 30110 T Removal of nose 311 1.41 $72.50 $20.57 $14.50 polyp(s). 30115 T Removal of nose 313 15.46 $794.95 $407.70 $158.99 polyp(s). 30117 T Removal of intranasal 311 1.41 $72.50 $20.57 $14.50 lesion. 30118 T Removal of intranasal 313 15.46 $794.95 $407.70 $158.99 lesion. 30120 T Revision of nose....... 313 15.46 $794.95 $407.70 $158.99 30124 T Removal of nose lesion. 311 1.41 $72.50 $20.57 $14.50 30125 T Removal of nose lesion. 313 15.46 $794.95 $407.70 $158.99 30130 T Removal of turbinate 313 15.46 $794.95 $407.70 $158.99 bones. 30140 T Removal of turbinate 313 15.46 $794.95 $407.70 $158.99 bones. 30150 T Partial removal of nose 313 15.46 $794.95 $407.70 $158.99 30160 T Removal of nose........ 313 15.46 $794.95 $407.70 $158.99 30200 T Injection treatment of 347 2.57 $132.15 $62.38 $26.43 nose. 30210 T Nasal sinus therapy.... 311 1.41 $72.50 $20.57 $14.50 30220 T Insert nasal septal 311 1.41 $72.50 $20.57 $14.50 button. 30300 T Remove nasal foreign 311 1.41 $72.50 $20.57 $14.50 body. 30310 T Remove nasal foreign 313 15.46 $794.95 $407.70 $158.99 body. 30320 T Remove nasal foreign 313 15.46 $794.95 $407.70 $158.99 body. 30400 T Reconstruction of nose. 314 25.15 $1,293.21 $687.72 $258.64 30410 T Reconstruction of nose. 314 25.15 $1,293.21 $687.72 $258.64 30420 T Reconstruction of nose. 314 25.15 $1,293.21 $687.72 $258.64 30430 T Revision of nose....... 313 15.46 $794.95 $407.70 $158.99 30435 T Revision of nose....... 314 25.15 $1,293.21 $687.72 $258.64 30450 T Revision of nose....... 314 25.15 $1,293.21 $687.72 $258.64 30460 T Revision of nose....... 314 25.15 $1,293.21 $687.72 $258.64 30462 T Revision of nose....... 314 25.15 $1,293.21 $687.72 $258.64 30520 T Repair of nasal septum. 313 15.46 $794.95 $407.70 $158.99 30540 T Repair nasal defect.... 313 15.46 $794.95 $407.70 $158.99 30545 T Repair nasal defect.... 314 25.15 $1,293.21 $687.72 $258.64 30560 T Release of nasal 311 1.41 $72.50 $20.57 $14.50 adhesions. 30580 T Repair upper jaw 313 15.46 $794.95 $407.70 $158.99 fistula. 30600 T Repair mouth/nose 313 15.46 $794.95 $407.70 $158.99 fistula. 30620 T Intranasal 313 15.46 $794.95 $407.70 $158.99 reconstruction. 30630 T Repair nasal septum 313 15.46 $794.95 $407.70 $158.99 defect. 30801 T Cauterization inner 312 7.07 $363.54 $170.86 $72.71 nose. 30802 T Cauterization inner 312 7.07 $363.54 $170.86 $72.71 nose. 30901 T Control of nosebleed... 318 2.07 $106.44 $38.87 $21.29 30903 T Control of nosebleed... 318 2.07 $106.44 $38.87 $21.29 30905 T Control of nosebleed... 318 2.07 $106.44 $38.87 $21.29 30906 T Repeat control of 318 2.07 $106.44 $38.87 $21.29 nosebleed. 30915 T Ligation nasal sinus 367 17.02 $875.17 $441.15 $175.03 artery. 30920 T Ligation upper jaw 367 17.02 $875.17 $441.15 $175.03 artery. 30930 T Therapy fracture of 312 7.07 $363.54 $170.86 $72.71 nose. 30999 T Nasal surgery procedure 318 2.07 $106.44 $38.87 $21.29 31000 T Irrigation maxillary 311 1.41 $72.50 $20.57 $14.50 sinus. 31002 T Irrigation sphenoid 311 1.41 $72.50 $20.57 $14.50 sinus. 31020 T Exploration maxillary 313 15.46 $794.95 $407.70 $158.99 sinus. 31030 T Exploration maxillary 313 15.46 $794.95 $407.70 $158.99 sinus. 31032 T Explore sinus,remove 313 15.46 $794.95 $407.70 $158.99 polyps. 31040 T Exploration behind 314 25.15 $1,293.21 $687.72 $258.64 upper jaw. 31050 T Exploration sphenoid 313 15.46 $794.95 $407.70 $158.99 sinus. 31051 T Sphenoid sinus surgery. 313 15.46 $794.95 $407.70 $158.99 31070 T Exploration of frontal 313 15.46 $794.95 $407.70 $158.99 sinus. 31075 T Exploration of frontal 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31080 T Removal of frontal 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31081 T Removal of frontal 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31084 T Removal of frontal 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31085 T Removal of frontal 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31086 T Removal of frontal 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31087 T Removal of frontal 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31090 T Exploration of sinuses. 314 25.15 $1,293.21 $687.72 $258.64

31200 T Removal of ethmoid 313 15.46 $794.95 $407.70 $158.99 sinus. 31201 T Removal of ethmoid 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31205 T Removal of ethmoid 314 25.15 $1,293.21 $687.72 $258.64 sinus. 31225 C Removal of upper jaw... ......... ......... ......... ........... ........... 31230 C Removal of upper jaw... ......... ......... ......... ........... ........... 31231 T Nasal endoscopy, dx.... 331 0.57 $29.31 $14.01 $5.86 31233 T Nasal/sinus endoscopy, 332 9.67 $497.23 $242.72 $99.45 dx. 31235 T Nasal/sinus endoscopy, 332 9.67 $497.23 $242.72 $99.45 dx. 31237 T Nasal/sinus endoscopy, 332 9.67 $497.23 $242.72 $99.45 surg. 31238 T Nasal/sinus endoscopy, 332 9.67 $497.23 $242.72 $99.45 surg. 31239 T Nasal/sinus endoscopy, 333 16.81 $864.37 $461.04 $172.87 surg. 31240 T Nasal/sinus endoscopy, 332 9.67 $497.23 $242.72 $99.45 surg. 31254 T Revision of ethmoid 333 16.81 $864.37 $461.04 $172.87 sinus. 31255 T Removal of ethmoid 333 16.81 $864.37 $461.04 $172.87 sinus. 31256 T Exploration maxillary 333 16.81 $864.37 $461.04 $172.87 sinus. 31267 T Endoscopy, maxillary 333 16.81 $864.37 $461.04 $172.87 sinus. 31276 T Sinus surgical 333 16.81 $864.37 $461.04 $172.87 endoscopy. 31287 T Nasal/sinus endoscopy, 333 16.81 $864.37 $461.04 $172.87 surg. 31288 T Nasal/sinus endoscopy, 333 16.81 $864.37 $461.04 $172.87 surg. 31290 C Nasal/sinus endoscopy, ......... ......... ......... ........... ........... surg. 31291 C Nasal/sinus endoscopy, ......... ......... ......... ........... ........... surg. 31292 C Nasal/sinus endoscopy, ......... ......... ......... ........... ........... surg. 31293 C Nasal/sinus endoscopy, ......... ......... ......... ........... ........... surg. 31294 C Nasal/sinus endoscopy, ......... ......... ......... ........... ........... surg. 31299 T Sinus surgery procedure 331 0.57 $29.31 $14.01 $5.86 31300 T Removal of larynx 314 25.15 $1,293.21 $687.72 $258.64 lesion. 31320 T Diagnostic incision 313 15.46 $794.95 $407.70 $158.99 larynx. 31360 C Removal of larynx...... ......... ......... ......... ........... ........... 31365 C Removal of larynx...... ......... ......... ......... ........... ........... 31367 C Partial removal of ......... ......... ......... ........... ........... larynx. 31368 C Partial removal of ......... ......... ......... ........... ........... larynx. 31370 C Partial removal of ......... ......... ......... ........... ........... larynx. 31375 C Partial removal of ......... ......... ......... ........... ........... larynx. 31380 C Partial removal of ......... ......... ......... ........... ........... larynx. 31382 C Partial removal of ......... ......... ......... ........... ........... larynx. 31390 C Removal of larynx & ......... ......... ......... ........... ........... pharynx. 31395 C Reconstruct larynx & ......... ......... ......... ........... ........... pharynx. 31400 T Revision of larynx..... 314 25.15 $1,293.21 $687.72 $258.64 31420 T Removal of epiglottis.. 314 25.15 $1,293.21 $687.72 $258.64 31500 S Insert emergency airway 947 4.11 $211.34 $106.22 $42.27 31502 T Change of windpipe 470 2.19 $112.61 $54.92 $22.52 airway. 31505 T Diagnostic laryngoscopy 331 0.57 $29.31 $14.01 $5.86 31510 T Laryngoscopy with 332 9.67 $497.23 $242.72 $99.45 biopsy. 31511 T Remove foreign body, 332 9.67 $497.23 $242.72 $99.45 larynx. 31512 T Removal of larynx 332 9.67 $497.23 $242.72 $99.45 lesion. 31513 T Injection into vocal 332 9.67 $497.23 $242.72 $99.45 cord. 31515 T Laryngoscopy for 332 9.67 $497.23 $242.72 $99.45 aspiration. 31520 T Diagnostic laryngoscopy 332 9.67 $497.23 $242.72 $99.45 31525 T Diagnostic laryngoscopy 332 9.67 $497.23 $242.72 $99.45 31526 T Diagnostic laryngoscopy 332 9.67 $497.23 $242.72 $99.45 31527 T Laryngoscopy for 333 16.81 $864.37 $461.04 $172.87 treatment. 31528 T Laryngoscopy and 332 9.67 $497.23 $242.72 $99.45 dilatation. 31529 T Laryngoscopy and 332 9.67 $497.23 $242.72 $99.45 dilatation. 31530 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31531 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31535 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31536 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31540 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31541 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31560 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31561 T Operative laryngoscopy. 333 16.81 $864.37 $461.04 $172.87 31570 T Laryngoscopy with 333 16.81 $864.37 $461.04 $172.87 injection. 31571 T Laryngoscopy with 333 16.81 $864.37 $461.04 $172.87 injection. 31575 T Diagnostic laryngoscopy 331 0.57 $29.31 $14.01 $5.86 31576 T Laryngoscopy with 332 9.67 $497.23 $242.72 $99.45 biopsy. 31577 T Remove foreign body, 332 9.67 $497.23 $242.72 $99.45 larynx. 31578 T Removal of larynx 332 9.67 $497.23 $242.72 $99.45 lesion. 31579 T Diagnostic laryngoscopy 331 0.57 $29.31 $14.01 $5.86 31580 C Revision of larynx..... ......... ......... ......... ........... ........... 31582 C Revision of larynx..... ......... ......... ......... ........... ........... 31584 C Repair of larynx ......... ......... ......... ........... ........... fracture. 31585 T Repair of larynx 207 1.70 $87.41 $32.32 $17.48 fracture. 31586 T Repair of larynx 209 1.94 $99.75 $37.74 $19.95 fracture. 31587 C Revision of larynx..... ......... ......... ......... ........... ........... 31588 T Revision of larynx..... 314 25.15 $1,293.21 $687.72 $258.64

31590 T Reinnervate larynx..... 314 25.15 $1,293.21 $687.72 $258.64 31595 T Larynx nerve surgery... 313 15.46 $794.95 $407.70 $158.99 31599 T Larynx surgery 207 1.70 $87.41 $32.32 $17.48 procedure. 31600 C Incision of windpipe... ......... ......... ......... ........... ........... 31601 C Incision of windpipe... ......... ......... ......... ........... ........... 31603 T Incision of windpipe... 311 1.41 $72.50 $20.57 $14.50 31605 T Incision of windpipe... 311 1.41 $72.50 $20.57 $14.50 31610 C Incision of windpipe... ......... ......... ......... ........... ........... 31611 T Surgery/speech 313 15.46 $794.95 $407.70 $158.99 prosthesis. 31612 T Puncture/clear windpipe 312 7.07 $363.54 $170.86 $72.71 31613 T Repair windpipe opening 313 15.46 $794.95 $407.70 $158.99 31614 T Repair windpipe opening 313 15.46 $794.95 $407.70 $158.99 31615 T Visualization of 336 7.24 $372.28 $195.49 $74.46 windpipe. 31622 T Dx bronchoscope/wash... 336 7.24 $372.28 $195.49 $74.46 31625 T Bronchoscopy with 336 7.24 $372.28 $195.49 $74.46 biopsy. 31628 T Bronchoscopy with 336 7.24 $372.28 $195.49 $74.46 biopsy. 31629 T Bronchoscopy with 336 7.24 $372.28 $195.49 $74.46 biopsy. 31630 T Bronchoscopy with 336 7.24 $372.28 $195.49 $74.46 repair. 31631 T Bronchoscopy with 336 7.24 $372.28 $195.49 $74.46 dilation. 31635 T Remove foreign body, 336 7.24 $372.28 $195.49 $74.46 airway. 31640 T Bronchoscopy & remove 336 7.24 $372.28 $195.49 $74.46 lesion. 31641 T Bronchoscopy, treat 336 7.24 $372.28 $195.49 $74.46 blockage. 31645 T Bronchoscopy, clear 336 7.24 $372.28 $195.49 $74.46 airways. 31646 T Bronchoscopy,reclear 336 7.24 $372.28 $195.49 $74.46 airways. 31656 T Bronchoscopy,inject for 336 7.24 $372.28 $195.49 $74.46 xray. 31700 T Insertion of airway 332 9.67 $497.23 $242.72 $99.45 catheter. 31708 T Instill airway contrast 347 2.57 $132.15 $62.38 $26.43 dye. 31710 T Insertion of airway 347 2.57 $132.15 $62.38 $26.43 catheter. 31715 T Injection for bronchus 347 2.57 $132.15 $62.38 $26.43 x-ray. 31717 T Bronchial brush biopsy. 332 9.67 $497.23 $242.72 $99.45 31720 T Clearance of airways... 332 9.67 $497.23 $242.72 $99.45 31725 C Clearance of airways... ......... ......... ......... ........... ........... 31730 T Intro windpipe wire/ 332 9.67 $497.23 $242.72 $99.45 tube. 31750 T Repair of windpipe..... 314 25.15 $1,293.21 $687.72 $258.64 31755 T Repair of windpipe..... 314 25.15 $1,293.21 $687.72 $258.64 31760 C Repair of windpipe..... ......... ......... ......... ........... ........... 31766 C Reconstruction of ......... ......... ......... ........... ........... windpipe. 31770 C Repair/graft of ......... ......... ......... ........... ........... bronchus. 31775 C Reconstruct bronchus... ......... ......... ......... ........... ........... 31780 C Reconstruct windpipe... ......... ......... ......... ........... ........... 31781 C Reconstruct windpipe... ......... ......... ......... ........... ........... 31785 C Remove windpipe lesion. ......... ......... ......... ........... ........... 31786 C Remove windpipe lesion. ......... ......... ......... ........... ........... 31800 C Repair of windpipe ......... ......... ......... ........... ........... injury. 31805 C Repair of windpipe ......... ......... ......... ........... ........... injury. 31820 T Closure of windpipe 313 15.46 $794.95 $407.70 $158.99 lesion. 31825 T Repair of windpipe 313 15.46 $794.95 $407.70 $158.99 defect. 31830 T Revise windpipe scar... 313 15.46 $794.95 $407.70 $158.99 31899 T Airways surgical 336 7.24 $372.28 $195.49 $74.46 procedure. 32000 T Drainage of chest...... 320 3.09 $158.89 $80.91 $31.78 32002 T Treatment of collapsed 320 3.09 $158.89 $80.91 $31.78 lung. 32005 C Treat lung lining ......... ......... ......... ........... ........... chemically. 32020 T Insertion of chest tube 320 3.09 $158.89 $80.91 $31.78 32035 C Exploration of chest... ......... ......... ......... ........... ........... 32036 C Exploration of chest... ......... ......... ......... ........... ........... 32095 C Biopsy through chest ......... ......... ......... ........... ........... wall. 32100 C Exploration/biopsy of ......... ......... ......... ........... ........... chest. 32110 C Explore/repair chest... ......... ......... ......... ........... ........... 32120 C Re-exploration of chest ......... ......... ......... ........... ........... 32124 C Explore chest,free ......... ......... ......... ........... ........... adhesions. 32140 C Removal of lung ......... ......... ......... ........... ........... lesion(s). 32141 C Remove/treat lung ......... ......... ......... ........... ........... lesions. 32150 C Removal of lung ......... ......... ......... ........... ........... lesion(s). 32151 C Remove lung foreign ......... ......... ......... ........... ........... body. 32160 C Open chest heart ......... ......... ......... ........... ........... massage. 32200 C Open drainage, lung ......... ......... ......... ........... ........... lesion. 32201 C Percut drainage, lung ......... ......... ......... ........... ........... lesion. 32215 C Treat chest lining..... ......... ......... ......... ........... ........... 32220 C Release of lung........ ......... ......... ......... ........... ........... 32225 C Partial release of lung ......... ......... ......... ........... ........... 32310 C Removal of chest lining ......... ......... ......... ........... ........... 32320 C Free/remove chest ......... ......... ......... ........... ........... lining. 32400 T Needle biopsy chest 122 4.59 $236.02 $113.00 $47.20 lining. 32402 C Open biopsy chest ......... ......... ......... ........... ........... lining. 32405 T Biopsy, lung or 122 4.59 $236.02 $113.00 $47.20 mediastinum.

32420 T Puncture/clear lung.... 320 3.09 $158.89 $80.91 $31.78 32440 C Removal of lung........ ......... ......... ......... ........... ........... 32442 C Sleeve pneumonectomy... ......... ......... ......... ........... ........... 32445 C Removal of lung........ ......... ......... ......... ........... ........... 32480 C Partial removal of lung ......... ......... ......... ........... ........... 32482 C Bilobectomy............ ......... ......... ......... ........... ........... 32484 C Segmentectomy.......... ......... ......... ......... ........... ........... 32486 C Sleeve lobectomy....... ......... ......... ......... ........... ........... 32488 C Completion ......... ......... ......... ........... ........... pneumonectomy. 32491 C Lung volume reduction.. ......... ......... ......... ........... ........... 32500 C Partial removal of lung ......... ......... ......... ........... ........... 32501 C Repair bronchus (add- ......... ......... ......... ........... ........... on). 32520 C Remove lung & revise ......... ......... ......... ........... ........... chest. 32522 C Remove lung & revise ......... ......... ......... ........... ........... chest. 32525 C Remove lung & revise ......... ......... ......... ........... ........... chest. 32540 C Removal of lung lesion. ......... ......... ......... ........... ........... 32601 C Thoracoscopy, ......... ......... ......... ........... ........... diagnostic. 32602 C Thoracoscopy, ......... ......... ......... ........... ........... diagnostic. 32603 C Thoracoscopy, ......... ......... ......... ........... ........... diagnostic. 32604 C Thoracoscopy, ......... ......... ......... ........... ........... diagnostic. 32605 C Thoracoscopy, ......... ......... ......... ........... ........... diagnostic. 32606 C Thoracoscopy, ......... ......... ......... ........... ........... diagnostic. 32650 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32651 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32652 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32653 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32654 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32655 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32656 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32657 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32658 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32659 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32660 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32661 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32662 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32663 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32664 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32665 C Thoracoscopy, surgical. ......... ......... ......... ........... ........... 32800 C Repair lung hernia..... ......... ......... ......... ........... ........... 32810 C Close chest after ......... ......... ......... ........... ........... drainage. 32815 C Close bronchial fistula ......... ......... ......... ........... ........... 32820 C Reconstruct injured ......... ......... ......... ........... ........... chest. 32850 C Donor pneumonectomy.... ......... ......... ......... ........... ........... 32851 C Lung transplant, single ......... ......... ......... ........... ........... 32852 C Lung transplant w/ ......... ......... ......... ........... ........... bypass. 32853 C Lung transplant, double ......... ......... ......... ........... ........... 32854 C Lung transplant w/ ......... ......... ......... ........... ........... bypass. 32900 C Removal of rib(s)...... ......... ......... ......... ........... ........... 32905 C Revise & repair chest ......... ......... ......... ........... ........... wall. 32906 C Revise & repair chest ......... ......... ......... ........... ........... wall. 32940 C Revision of lung....... ......... ......... ......... ........... ........... 32960 T Therapeutic 320 3.09 $158.89 $80.91 $31.78 pneumothorax. 32999 T Chest surgery procedure 320 3.09 $158.89 $80.91 $31.78 33010 T Drainage of heart sac.. 320 3.09 $158.89 $80.91 $31.78 33011 T Repeat drainage of 320 3.09 $158.89 $80.91 $31.78 heart sac. 33015 C Incision of heart sac.. ......... ......... ......... ........... ........... 33020 C Incision of heart sac.. ......... ......... ......... ........... ........... 33025 C Incision of heart sac.. ......... ......... ......... ........... ........... 33030 C Partial removal of ......... ......... ......... ........... ........... heart sac. 33031 C Partial removal of ......... ......... ......... ........... ........... heart sac. 33050 C Removal of heart sac ......... ......... ......... ........... ........... lesion. 33120 C Removal of heart lesion ......... ......... ......... ........... ........... 33130 C Removal of heart lesion ......... ......... ......... ........... ........... 33200 C Insertion of heart ......... ......... ......... ........... ........... pacemaker. 33201 C Insertion of heart ......... ......... ......... ........... ........... pacemaker. 33206 C Insertion of heart ......... ......... ......... ........... ........... pacemaker. 33207 C Insertion of heart ......... ......... ......... ........... ........... pacemaker. 33208 C Insertion of heart ......... ......... ......... ........... ........... pacemaker. 33210 C Insertion of heart ......... ......... ......... ........... ........... electrode. 33211 C Insertion of heart ......... ......... ......... ........... ........... electrode. 33212 C Insertion of pulse ......... ......... ......... ........... ........... generator. 33213 C Insertion of pulse ......... ......... ......... ........... ........... generator. 33214 C Upgrade of pacemaker ......... ......... ......... ........... ........... system. 33216 C Revision implanted ......... ......... ......... ........... ........... electrode. 33217 C Insert/revise electrode ......... ......... ......... ........... ...........

33218 C Repair pacemaker ......... ......... ......... ........... ........... electrodes. 33220 C Repair pacemaker ......... ......... ......... ........... ........... electrode. 33222 T Pacemaker aicd pocket.. 360 6.04 $310.58 $138.54 $62.12 33223 T Pacemaker aicd pocket.. 360 6.04 $310.58 $138.54 $62.12 33233 C Removal of pacemaker ......... ......... ......... ........... ........... system. 33234 C Removal of pacemaker ......... ......... ......... ........... ........... system. 33235 C Removal pacemaker ......... ......... ......... ........... ........... electrode. 33236 C Remove electrode/ ......... ......... ......... ........... ........... thoracotomy. 33237 C Remove electrode/ ......... ......... ......... ........... ........... thoracotomy. 33238 C Remove electrode/ ......... ......... ......... ........... ........... thoracotomy. 33240 C Insert/replace pulse ......... ......... ......... ........... ........... gener. 33241 C Remove pulse generator ......... ......... ......... ........... ........... only. 33242 C Repair pulse generator/ ......... ......... ......... ........... ........... leads. 33243 C Remove generator/ ......... ......... ......... ........... ........... thoracotomy. 33244 C Remove generator....... ......... ......... ......... ........... ........... 33245 C Implant heart ......... ......... ......... ........... ........... defibrillator. 33246 C Implant heart ......... ......... ......... ........... ........... defibrillator. 33247 C Insert/replace leads... ......... ......... ......... ........... ........... 33249 C Insert/replace leads/ ......... ......... ......... ........... ........... gener. 33250 C Ablate heart dysrhythm ......... ......... ......... ........... ........... focus. 33251 C Ablate heart dysrhythm ......... ......... ......... ........... ........... focus. 33253 C Reconstruct atria...... ......... ......... ......... ........... ........... 33261 C Ablate heart dysrhythm ......... ......... ......... ........... ........... focus. 33300 C Repair of heart wound.. ......... ......... ......... ........... ........... 33305 C Repair of heart wound.. ......... ......... ......... ........... ........... 33310 C Exploratory heart ......... ......... ......... ........... ........... surgery. 33315 C Exploratory heart ......... ......... ......... ........... ........... surgery. 33320 C Repair major blood ......... ......... ......... ........... ........... vessel(s). 33321 C Repair major vessel.... ......... ......... ......... ........... ........... 33322 C Repair major blood ......... ......... ......... ........... ........... vessel(s). 33330 C Insert major vessel ......... ......... ......... ........... ........... graft. 33332 C Insert major vessel ......... ......... ......... ........... ........... graft. 33335 C Insert major vessel ......... ......... ......... ........... ........... graft. 33400 C Repair of aortic valve. ......... ......... ......... ........... ........... 33401 C Valvuloplasty, open.... ......... ......... ......... ........... ........... 33403 C Valvuloplasty, w/cp ......... ......... ......... ........... ........... bypass. 33404 C Prepare heart-aorta ......... ......... ......... ........... ........... conduit. 33405 C Replacement of aortic ......... ......... ......... ........... ........... valve. 33406 C Replacement, aortic ......... ......... ......... ........... ........... valve. 33411 C Replacement of aortic ......... ......... ......... ........... ........... valve. 33412 C Replacement of aortic ......... ......... ......... ........... ........... valve. 33413 C Replacement, aortic ......... ......... ......... ........... ........... valve. 33414 C Repair, aortic valve... ......... ......... ......... ........... ........... 33415 C Revision, subvalvular ......... ......... ......... ........... ........... tissue. 33416 C Revise ventricle muscle ......... ......... ......... ........... ........... 33417 C Repair of aortic valve. ......... ......... ......... ........... ........... 33420 C Revision of mitral ......... ......... ......... ........... ........... valve. 33422 C Revision of mitral ......... ......... ......... ........... ........... valve. 33425 C Repair of mitral valve. ......... ......... ......... ........... ........... 33426 C Repair of mitral valve. ......... ......... ......... ........... ........... 33427 C Repair of mitral valve. ......... ......... ......... ........... ........... 33430 C Replacement of mitral ......... ......... ......... ........... ........... valve. 33460 C Revision of tricuspid ......... ......... ......... ........... ........... valve. 33463 C Valvuloplasty, ......... ......... ......... ........... ........... tricuspid. 33464 C Valvuloplasty, ......... ......... ......... ........... ........... tricuspid. 33465 C Replace tricuspid valve ......... ......... ......... ........... ........... 33468 C Revision of tricuspid ......... ......... ......... ........... ........... valve. 33470 C Revision of pulmonary ......... ......... ......... ........... ........... valve. 33471 C Valvotomy, pulmonary ......... ......... ......... ........... ........... valve. 33472 C Revision of pulmonary ......... ......... ......... ........... ........... valve. 33474 C Revision of pulmonary ......... ......... ......... ........... ........... valve. 33475 C Replacement, pulmonary ......... ......... ......... ........... ........... valve. 33476 C Revision of heart ......... ......... ......... ........... ........... chamber. 33478 C Revision of heart ......... ......... ......... ........... ........... chamber. 33496 C Repair, prosth valve ......... ......... ......... ........... ........... clot. 33500 C Repair heart vessel ......... ......... ......... ........... ........... fistula. 33501 C Repair heart vessel ......... ......... ......... ........... ........... fistula. 33502 C Coronary artery ......... ......... ......... ........... ........... correction. 33503 C Coronary artery graft.. ......... ......... ......... ........... ........... 33504 C Coronary artery graft.. ......... ......... ......... ........... ........... 33505 C Repair artery w/tunnel. ......... ......... ......... ........... ........... 33506 C Repair artery, ......... ......... ......... ........... ........... translocation. 33510 C CABG, vein, single..... ......... ......... ......... ........... ........... 33511 C CABG, vein, two........ ......... ......... ......... ........... ........... 33512 C CABG, vein, three...... ......... ......... ......... ........... ...........

33513 C CABG, vein, four....... ......... ......... ......... ........... ........... 33514 C CABG, vein, five....... ......... ......... ......... ........... ........... 33516 C CABG, vein, six+....... ......... ......... ......... ........... ........... 33517 C CABG, artery-vein, ......... ......... ......... ........... ........... single. 33518 C CABG, artery-vein, two. ......... ......... ......... ........... ........... 33519 C CABG, artery-vein, ......... ......... ......... ........... ........... three. 33521 C CABG, artery-vein, four ......... ......... ......... ........... ........... 33522 C CABG, artery-vein, five ......... ......... ......... ........... ........... 33523 C CABG, artery-vein, six+ ......... ......... ......... ........... ........... 33530 C Coronary artery, bypass/ ......... ......... ......... ........... ........... reop. 33533 C CABG, arterial, single. ......... ......... ......... ........... ........... 33534 C CABG, arterial, two.... ......... ......... ......... ........... ........... 33535 C CABG, arterial, three.. ......... ......... ......... ........... ........... 33536 C CABG, arterial, four+.. ......... ......... ......... ........... ........... 33542 C Removal of heart lesion ......... ......... ......... ........... ........... 33545 C Repair of heart damage. ......... ......... ......... ........... ........... 33572 C Open coronary ......... ......... ......... ........... ........... endarterectomy. 33600 C Closure of valve....... ......... ......... ......... ........... ........... 33602 C Closure of valve....... ......... ......... ......... ........... ........... 33606 C Anastomosis/artery- ......... ......... ......... ........... ........... aorta. 33608 C Repair anomaly w/ ......... ......... ......... ........... ........... conduit. 33610 C Repair by enlargement.. ......... ......... ......... ........... ........... 33611 C Repair double ventricle ......... ......... ......... ........... ........... 33612 C Repair double ventricle ......... ......... ......... ........... ........... 33615 C Repair (simple fontan). ......... ......... ......... ........... ........... 33617 C Repair by modified ......... ......... ......... ........... ........... fontan. 33619 C Repair single ventricle ......... ......... ......... ........... ........... 33641 C Repair heart septum ......... ......... ......... ........... ........... defect. 33645 C Revision of heart veins ......... ......... ......... ........... ........... 33647 C Repair heart septum ......... ......... ......... ........... ........... defects. 33660 C Repair of heart defects ......... ......... ......... ........... ........... 33665 C Repair of heart defects ......... ......... ......... ........... ........... 33670 C Repair of heart ......... ......... ......... ........... ........... chambers. 33681 C Repair heart septum ......... ......... ......... ........... ........... defect. 33684 C Repair heart septum ......... ......... ......... ........... ........... defect. 33688 C Repair heart septum ......... ......... ......... ........... ........... defect. 33690 C Reinforce pulmonary ......... ......... ......... ........... ........... artery. 33692 C Repair of heart defects ......... ......... ......... ........... ........... 33694 C Repair of heart defects ......... ......... ......... ........... ........... 33697 C Repair of heart defects ......... ......... ......... ........... ........... 33702 C Repair of heart defects ......... ......... ......... ........... ........... 33710 C Repair of heart defects ......... ......... ......... ........... ........... 33720 C Repair of heart defect. ......... ......... ......... ........... ........... 33722 C Repair of heart defect. ......... ......... ......... ........... ........... 33730 C Repair heart-vein ......... ......... ......... ........... ........... defect(s). 33732 C Repair heart-vein ......... ......... ......... ........... ........... defect. 33735 C Revision of heart ......... ......... ......... ........... ........... chamber. 33736 C Revision of heart ......... ......... ......... ........... ........... chamber. 33737 C Revision of heart ......... ......... ......... ........... ........... chamber. 33750 C Major vessel shunt..... ......... ......... ......... ........... ........... 33755 C Major vessel shunt..... ......... ......... ......... ........... ........... 33762 C Major vessel shunt..... ......... ......... ......... ........... ........... 33764 C Major vessel shunt & ......... ......... ......... ........... ........... graft. 33766 C Major vessel shunt..... ......... ......... ......... ........... ........... 33767 C Major vessel shunt..... ......... ......... ......... ........... ........... 33770 C Repair great vessels ......... ......... ......... ........... ........... defect. 33771 C Repair great vessels ......... ......... ......... ........... ........... defect. 33774 C Repair great vessels ......... ......... ......... ........... ........... defect. 33775 C Repair great vessels ......... ......... ......... ........... ........... defect. 33776 C Repair great vessels ......... ......... ......... ........... ........... defect. 33777 C Repair great vessels ......... ......... ......... ........... ........... defect. 33778 C Repair great vessels ......... ......... ......... ........... ........... defect. 33779 C Repair great vessels ......... ......... ......... ........... ........... defect. 33780 C Repair great vessels ......... ......... ......... ........... ........... defect. 33781 C Repair great vessels ......... ......... ......... ........... ........... defect. 33786 C Repair arterial trunk.. ......... ......... ......... ........... ........... 33788 C Revision of pulmonary ......... ......... ......... ........... ........... artery. 33800 C Aortic suspension...... ......... ......... ......... ........... ........... 33802 C Repair vessel defect... ......... ......... ......... ........... ........... 33803 C Repair vessel defect... ......... ......... ......... ........... ........... 33813 C Repair septal defect... ......... ......... ......... ........... ........... 33814 C Repair septal defect... ......... ......... ......... ........... ........... 33820 C Revise major vessel.... ......... ......... ......... ........... ........... 33822 C Revise major vessel.... ......... ......... ......... ........... ........... 33824 C Revise major vessel.... ......... ......... ......... ........... ...........

33840 C Remove aorta ......... ......... ......... ........... ........... constriction. 33845 C Remove aorta ......... ......... ......... ........... ........... constriction. 33851 C Remove aorta ......... ......... ......... ........... ........... constriction. 33852 C Repair septal defect... ......... ......... ......... ........... ........... 33853 C Repair septal defect... ......... ......... ......... ........... ........... 33860 C Ascending aorta graft.. ......... ......... ......... ........... ........... 33861 C Ascending aorta graft.. ......... ......... ......... ........... ........... 33863 C Ascending aorta graft.. ......... ......... ......... ........... ........... 33870 C Transverse aortic arch ......... ......... ......... ........... ........... graft. 33875 C Thoracic aorta graft... ......... ......... ......... ........... ........... 33877 C Thoracoabdominal graft. ......... ......... ......... ........... ........... 33910 C Remove lung artery ......... ......... ......... ........... ........... emboli. 33915 C Remove lung artery ......... ......... ......... ........... ........... emboli. 33916 C Surgery of great vessel ......... ......... ......... ........... ........... 33917 C Repair pulmonary artery ......... ......... ......... ........... ........... 33918 C Repair pulmonary ......... ......... ......... ........... ........... atresia. 33919 C Repair pulmonary ......... ......... ......... ........... ........... atresia. 33920 C Repair pulmonary ......... ......... ......... ........... ........... atresia. 33922 C Transect pulmonary ......... ......... ......... ........... ........... artery. 33924 C Remove pulmonary shunt. ......... ......... ......... ........... ........... 33930 C Removal of donor heart/ ......... ......... ......... ........... ........... lung. 33935 C Transplantation, heart/ ......... ......... ......... ........... ........... lung. 33940 C Removal of donor heart. ......... ......... ......... ........... ........... 33945 C Transplantation of ......... ......... ......... ........... ........... heart. 33960 C External circulation ......... ......... ......... ........... ........... assist. 33961 C External circulation ......... ......... ......... ........... ........... assist. 33970 C Aortic circulation ......... ......... ......... ........... ........... assist. 33971 C Aortic circulation ......... ......... ......... ........... ........... assist. 33973 C Insert balloon device.. ......... ......... ......... ........... ........... 33974 C Remove intra-aortic ......... ......... ......... ........... ........... balloon. 33975 C Implant ventricular ......... ......... ......... ........... ........... device. 33976 C Implant ventricular ......... ......... ......... ........... ........... device. 33977 C Remove ventricular ......... ......... ......... ........... ........... device. 33978 C Remove ventricular ......... ......... ......... ........... ........... device. 33999 T Cardiac surgery 320 3.09 $158.89 $80.91 $31.78 procedure. 34001 C Removal of artery clot. ......... ......... ......... ........... ........... 34051 C Removal of artery clot. ......... ......... ......... ........... ........... 34101 C Removal of artery clot. ......... ......... ......... ........... ........... 34111 C Removal of arm artery ......... ......... ......... ........... ........... clot. 34151 C Removal of artery clot. ......... ......... ......... ........... ........... 34201 C Removal of artery clot. ......... ......... ......... ........... ........... 34203 C Removal of leg artery ......... ......... ......... ........... ........... clot. 34401 C Removal of vein clot... ......... ......... ......... ........... ........... 34421 C Removal of vein clot... ......... ......... ......... ........... ........... 34451 C Removal of vein clot... ......... ......... ......... ........... ........... 34471 C Removal of vein clot... ......... ......... ......... ........... ........... 34490 C Removal of vein clot... ......... ......... ......... ........... ........... 34501 C Repair valve, femoral ......... ......... ......... ........... ........... vein. 34502 C Reconstruct, vena cava. ......... ......... ......... ........... ........... 34510 C Transposition of vein ......... ......... ......... ........... ........... valve. 34520 C Cross-over vein graft.. ......... ......... ......... ........... ........... 34530 C Leg vein fusion........ ......... ......... ......... ........... ........... 35001 C Repair defect of artery ......... ......... ......... ........... ........... 35002 C Repair artery rupture, ......... ......... ......... ........... ........... neck. 35005 C Repair defect of artery ......... ......... ......... ........... ........... 35011 C Repair defect of artery ......... ......... ......... ........... ........... 35013 C Repair artery rupture, ......... ......... ......... ........... ........... arm. 35021 C Repair defect of artery ......... ......... ......... ........... ........... 35022 C Repair artery rupture, ......... ......... ......... ........... ........... chest. 35045 C Repair defect of arm ......... ......... ......... ........... ........... artery. 35081 C Repair defect of artery ......... ......... ......... ........... ........... 35082 C Repair artery rupture, ......... ......... ......... ........... ........... aorta. 35091 C Repair defect of artery ......... ......... ......... ........... ........... 35092 C Repair artery rupture, ......... ......... ......... ........... ........... aorta. 35102 C Repair defect of artery ......... ......... ......... ........... ........... 35103 C Repair artery rupture, ......... ......... ......... ........... ........... groin. 35111 C Repair defect of artery ......... ......... ......... ........... ........... 35112 C Repair artery ......... ......... ......... ........... ........... rupture,spleen. 35121 C Repair defect of artery ......... ......... ......... ........... ........... 35122 C Repair artery rupture, ......... ......... ......... ........... ........... belly. 35131 C Repair defect of artery ......... ......... ......... ........... ........... 35132 C Repair artery rupture, ......... ......... ......... ........... ........... groin. 35141 C Repair defect of artery ......... ......... ......... ........... ........... 35142 C Repair artery rupture, ......... ......... ......... ........... ........... thigh. 35151 C Repair defect of artery ......... ......... ......... ........... ...........

35152 C Repair artery rupture, ......... ......... ......... ........... ........... knee. 35161 C Repair defect of artery ......... ......... ......... ........... ........... 35162 C Repair artery rupture.. ......... ......... ......... ........... ........... 35180 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35182 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35184 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35188 T Repair blood vessel 368 22.59 $1,161.58 $647.49 $232.32 lesion. 35189 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35190 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35201 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35206 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35207 T Repair blood vessel 368 22.59 $1,161.58 $647.49 $232.32 lesion. 35211 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35216 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35221 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35226 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35231 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35236 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35241 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35246 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35251 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35256 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35261 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35266 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35271 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35276 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35281 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35286 C Repair blood vessel ......... ......... ......... ........... ........... lesion. 35301 C Rechanneling of artery. ......... ......... ......... ........... ........... 35311 C Rechanneling of artery. ......... ......... ......... ........... ........... 35321 C Rechanneling of artery. ......... ......... ......... ........... ........... 35331 C Rechanneling of artery. ......... ......... ......... ........... ........... 35341 C Rechanneling of artery. ......... ......... ......... ........... ........... 35351 C Rechanneling of artery. ......... ......... ......... ........... ........... 35355 C Rechanneling of artery. ......... ......... ......... ........... ........... 35361 C Rechanneling of artery. ......... ......... ......... ........... ........... 35363 C Rechanneling of artery. ......... ......... ......... ........... ........... 35371 C Rechanneling of artery. ......... ......... ......... ........... ........... 35372 C Rechanneling of artery. ......... ......... ......... ........... ........... 35381 C Rechanneling of artery. ......... ......... ......... ........... ........... 35390 C Reoperation, carotid ......... ......... ......... ........... ........... add-on. 35400 C Angioscopy............. ......... ......... ......... ........... ........... 35450 C Repair arterial ......... ......... ......... ........... ........... blockage. 35452 C Repair arterial ......... ......... ......... ........... ........... blockage. 35454 C Repair arterial ......... ......... ......... ........... ........... blockage. 35456 C Repair arterial ......... ......... ......... ........... ........... blockage. 35458 C Repair arterial ......... ......... ......... ........... ........... blockage. 35459 C Repair arterial ......... ......... ......... ........... ........... blockage. 35460 C Repair venous blockage. ......... ......... ......... ........... ........... 35470 C Repair arterial ......... ......... ......... ........... ........... blockage. 35471 C Repair arterial ......... ......... ......... ........... ........... blockage. 35472 C Repair arterial ......... ......... ......... ........... ........... blockage. 35473 C Repair arterial ......... ......... ......... ........... ........... blockage. 35474 C Repair arterial ......... ......... ......... ........... ........... blockage. 35475 C Repair arterial ......... ......... ......... ........... ........... blockage. 35476 C Repair venous blockage. ......... ......... ......... ........... ........... 35480 C Atherectomy, open...... ......... ......... ......... ........... ........... 35481 C Atherectomy, open...... ......... ......... ......... ........... ........... 35482 C Atherectomy, open...... ......... ......... ......... ........... ........... 35483 C Atherectomy, open...... ......... ......... ......... ........... ........... 35484 C Atherectomy, open...... ......... ......... ......... ........... ........... 35485 C Atherectomy, open...... ......... ......... ......... ........... ........... 35490 C Atherectomy, ......... ......... ......... ........... ........... percutaneous. 35491 C Atherectomy, ......... ......... ......... ........... ........... percutaneous. 35492 C Atherectomy, ......... ......... ......... ........... ........... percutaneous. 35493 C Atherectomy, ......... ......... ......... ........... ........... percutaneous. 35494 C Atherectomy, ......... ......... ......... ........... ........... percutaneous. 35495 C Atherectomy, ......... ......... ......... ........... ........... percutaneous. 35501 C Artery bypass graft.... ......... ......... ......... ........... ........... 35506 C Artery bypass graft.... ......... ......... ......... ........... ........... 35507 C Artery bypass graft.... ......... ......... ......... ........... ........... 35508 C Artery bypass graft.... ......... ......... ......... ........... ........... 35509 C Artery bypass graft.... ......... ......... ......... ........... ........... 35511 C Artery bypass graft.... ......... ......... ......... ........... ........... 35515 C Artery bypass graft.... ......... ......... ......... ........... ...........

35516 C Artery bypass graft.... ......... ......... ......... ........... ........... 35518 C Artery bypass graft.... ......... ......... ......... ........... ........... 35521 C Artery bypass graft.... ......... ......... ......... ........... ........... 35526 C Artery bypass graft.... ......... ......... ......... ........... ........... 35531 C Artery bypass graft.... ......... ......... ......... ........... ........... 35533 C Artery bypass graft.... ......... ......... ......... ........... ........... 35536 C Artery bypass graft.... ......... ......... ......... ........... ........... 35541 C Artery bypass graft.... ......... ......... ......... ........... ........... 35546 C Artery bypass graft.... ......... ......... ......... ........... ........... 35548 C Artery bypass graft.... ......... ......... ......... ........... ........... 35549 C Artery bypass graft.... ......... ......... ......... ........... ........... 35551 C Artery bypass graft.... ......... ......... ......... ........... ........... 35556 C Artery bypass graft.... ......... ......... ......... ........... ........... 35558 C Artery bypass graft.... ......... ......... ......... ........... ........... 35560 C Artery bypass graft.... ......... ......... ......... ........... ........... 35563 C Artery bypass graft.... ......... ......... ......... ........... ........... 35565 C Artery bypass graft.... ......... ......... ......... ........... ........... 35566 C Artery bypass graft.... ......... ......... ......... ........... ........... 35571 C Artery bypass graft.... ......... ......... ......... ........... ........... 35582 C Vein bypass graft...... ......... ......... ......... ........... ........... 35583 C Vein bypass graft...... ......... ......... ......... ........... ........... 35585 C Vein bypass graft...... ......... ......... ......... ........... ........... 35587 C Vein bypass graft...... ......... ......... ......... ........... ........... 35601 C Artery bypass graft.... ......... ......... ......... ........... ........... 35606 C Artery bypass graft.... ......... ......... ......... ........... ........... 35612 C Artery bypass graft.... ......... ......... ......... ........... ........... 35616 C Artery bypass graft.... ......... ......... ......... ........... ........... 35621 C Artery bypass graft.... ......... ......... ......... ........... ........... 35623 C Bypass graft, not vein. ......... ......... ......... ........... ........... 35626 C Artery bypass graft.... ......... ......... ......... ........... ........... 35631 C Artery bypass graft.... ......... ......... ......... ........... ........... 35636 C Artery bypass graft.... ......... ......... ......... ........... ........... 35641 C Artery bypass graft.... ......... ......... ......... ........... ........... 35642 C Artery bypass graft.... ......... ......... ......... ........... ........... 35645 C Artery bypass graft.... ......... ......... ......... ........... ........... 35646 C Artery bypass graft.... ......... ......... ......... ........... ........... 35650 C Artery bypass graft.... ......... ......... ......... ........... ........... 35651 C Artery bypass graft.... ......... ......... ......... ........... ........... 35654 C Artery bypass graft.... ......... ......... ......... ........... ........... 35656 C Artery bypass graft.... ......... ......... ......... ........... ........... 35661 C Artery bypass graft.... ......... ......... ......... ........... ........... 35663 C Artery bypass graft.... ......... ......... ......... ........... ........... 35665 C Artery bypass graft.... ......... ......... ......... ........... ........... 35666 C Artery bypass graft.... ......... ......... ......... ........... ........... 35671 C Artery bypass graft.... ......... ......... ......... ........... ........... 35681 C Composite bypass graft. ......... ......... ......... ........... ........... 35691 C Arterial transposition. ......... ......... ......... ........... ........... 35693 C Arterial transposition. ......... ......... ......... ........... ........... 35694 C Arterial transposition. ......... ......... ......... ........... ........... 35695 C Arterial transposition. ......... ......... ......... ........... ........... 35700 C Reoperation, bypass ......... ......... ......... ........... ........... graft. 35701 C Exploration, carotid ......... ......... ......... ........... ........... artery. 35721 C Exploration, femoral ......... ......... ......... ........... ........... artery. 35741 C Exploration popliteal ......... ......... ......... ........... ........... artery. 35761 C Exploration of artery/ ......... ......... ......... ........... ........... vein. 35800 C Explore neck vessels... ......... ......... ......... ........... ........... 35820 C Explore chest vessels.. ......... ......... ......... ........... ........... 35840 C Explore abdominal ......... ......... ......... ........... ........... vessels. 35860 C Explore limb vessels... ......... ......... ......... ........... ........... 35870 C Repair vessel graft ......... ......... ......... ........... ........... defect. 35875 T Removal of clot in 368 22.59 $1,161.58 $647.49 $232.32 graft. 35876 T Removal of clot in 368 22.59 $1,161.58 $647.49 $232.32 graft. 35901 C Excision, graft, neck.. ......... ......... ......... ........... ........... 35903 C Excision, graft, ......... ......... ......... ........... ........... extremity. 35905 C Excision, graft, thorax ......... ......... ......... ........... ........... 35907 C Excision, graft, ......... ......... ......... ........... ........... abdomen. 36000 N Place needle in vein... ......... ......... ......... ........... ........... 36005 T Injection, venography.. 347 2.57 $132.15 $62.38 $26.43 36010 T Place catheter in vein. 342 2.61 $134.21 $68.70 $26.84 36011 T Place catheter in vein. 342 2.61 $134.21 $68.70 $26.84 36012 T Place catheter in vein. 342 2.61 $134.21 $68.70 $26.84 36013 T Place catheter in 342 2.61 $134.21 $68.70 $26.84 artery. 36014 T Place catheter in 342 2.61 $134.21 $68.70 $26.84 artery. 36015 T Place catheter in 342 2.61 $134.21 $68.70 $26.84 artery. 36100 T Establish access to 342 2.61 $134.21 $68.70 $26.84 artery.

36120 T Establish access to 342 2.61 $134.21 $68.70 $26.84 artery. 36140 T Establish access to 342 2.61 $134.21 $68.70 $26.84 artery. 36145 N Artery to vein shunt... ......... ......... ......... ........... ........... 36160 T Establish access to 342 2.61 $134.21 $68.70 $26.84 aorta. 36200 T Place catheter in aorta 342 2.61 $134.21 $68.70 $26.84 36215 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36216 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36217 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36218 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36245 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36246 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36247 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36248 T Place catheter in 343 8.76 $450.44 $240.24 $90.09 artery. 36260 T Insertion of infusion 368 22.59 $1,161.58 $647.49 $232.32 pump. 36261 T Revision of infusion 360 6.04 $310.58 $138.54 $62.12 pump. 36262 T Removal of infusion 360 6.04 $310.58 $138.54 $62.12 pump. 36299 T Vessel injection 360 6.04 $310.58 $138.54 $62.12 procedure. 36400 N Drawing blood.......... ......... ......... ......... ........... ........... 36405 N Drawing blood.......... ......... ......... ......... ........... ........... 36406 N Drawing blood.......... ......... ......... ......... ........... ........... 36410 T Drawing blood.......... 341 0.09 $4.63 $2.49 $0.93 36415 E Drawing blood.......... ......... ......... ......... ........... ........... 36420 T Establish access to 341 0.09 $4.63 $2.49 $0.93 vein. 36425 T Establish access to 341 0.09 $4.63 $2.49 $0.93 vein. 36430 T Blood transfusion 369 6.33 $325.49 $155.49 $65.10 service. 36440 T Blood transfusion 369 6.33 $325.49 $155.49 $65.10 service. 36450 T Exchange transfusion 369 6.33 $325.49 $155.49 $65.10 service. 36455 T Exchange transfusion 369 6.33 $325.49 $155.49 $65.10 service. 36460 T Transfusion service, 369 6.33 $325.49 $155.49 $65.10 fetal. 36468 T Injection(s); spider 339 0.98 $50.39 $19.66 $10.08 veins. 36469 T Injection(s); spider 339 0.98 $50.39 $19.66 $10.08 veins. 36470 T Injection therapy of 339 0.98 $50.39 $19.66 $10.08 vein. 36471 T Injection therapy of 339 0.98 $50.39 $19.66 $10.08 veins. 36481 T Insertion of catheter, 343 8.76 $450.44 $240.24 $90.09 vein. 36488 T Insertion of catheter, 346 4.63 $238.07 $121.59 $47.61 vein. 36489 T Insertion of catheter, 346 4.63 $238.07 $121.59 $47.61 vein. 36490 T Insertion of catheter, 346 4.63 $238.07 $121.59 $47.61 vein. 36491 T Insertion of catheter, 346 4.63 $238.07 $121.59 $47.61 vein. 36493 T Repositioning of cvc... 346 4.63 $238.07 $121.59 $47.61 36500 T Insertion of catheter, 342 2.61 $134.21 $68.70 $26.84 vein. 36510 C Insertion of catheter, ......... ......... ......... ........... ........... vein. 36520 T Plasma and/or cell 369 6.33 $325.49 $155.49 $65.10 exchange. 36522 T Photopheresis.......... 369 6.33 $325.49 $155.49 $65.10 36530 T Insertion of infusion 368 22.59 $1,161.58 $647.49 $232.32 pump. 36531 T Revision of infusion 360 6.04 $310.58 $138.54 $62.12 pump. 36532 T Removal of infusion 360 6.04 $310.58 $138.54 $62.12 pump. 36533 T Insertion of access 368 22.59 $1,161.58 $647.49 $232.32 port. 36534 T Revision of access port 360 6.04 $310.58 $138.54 $62.12 36535 T Removal of access port. 360 6.04 $310.58 $138.54 $62.12 36600 N Withdrawal of arterial ......... ......... ......... ........... ........... blood. 36620 T Insertion catheter, 342 2.61 $134.21 $68.70 $26.84 artery. 36625 T Insertion catheter, 342 2.61 $134.21 $68.70 $6.84 artery. 36640 T Insertion catheter, 346 4.63 $238.07 $121.59 $47.61 artery. 36660 C Insertion catheter, ......... ......... ......... ........... ........... artery. 36680 X Insert needle, bone 906 1.93 $99.24 $57.18 $19.85 cavity. 36800 T Insertion of cannula... 368 22.59 $1,161.58 $647.49 $232.32 36810 T Insertion of cannula... 368 22.59 $1,161.58 $647.49 $232.32 36815 T Insertion of cannula... 368 22.59 $1,161.58 $647.49 $232.32 36821 T Artery-vein fusion..... 368 22.59 $1,161.58 $647.49 $232.32 36822 C Insertion of cannula(s) ......... ......... ......... ........... ........... 36825 T Artery-vein graft...... 368 22.59 $1,161.58 $647.49 $232.32 36830 T Artery-vein graft...... 368 22.59 $1,161.58 $647.49 $232.32 36832 T Av fistula revision.... 368 22.59 $1,161.58 $647.49 $232.32 36834 C Repair A-V aneurysm.... ......... ......... ......... ........... ........... 36835 T Artery to vein shunt... 368 22.59 $1,161.58 $647.49 $232.32 36860 T External cannula 368 22.59 $1,161.58 $647.49 $232.32 declotting. 36861 T Cannula declotting..... 368 22.59 $1,161.58 $647.49 $232.32 37140 C Revision of circulation ......... ......... ......... ........... ........... 37145 C Revision of circulation ......... ......... ......... ........... ........... 37160 C Revision of circulation ......... ......... ......... ........... ........... 37180 C Revision of circulation ......... ......... ......... ........... ........... 37181 C Splice spleen/kidney ......... ......... ......... ........... ........... veins. 37195 C Thrombolytic therapy, ......... ......... ......... ........... ........... stroke. 37200 C Transcatheter biopsy... ......... ......... ......... ........... ........... 37201 C Transcatheter therapy ......... ......... ......... ........... ........... infuse.

37202 C Transcatheter therapy ......... ......... ......... ........... ........... infuse. 37203 T Transcatheter retrieval 360 6.04 $310.58 $138.54 $62.12 37204 C Transcatheter occlusion ......... ......... ......... ........... ........... 37205 C Transcatheter stent.... ......... ......... ......... ........... ........... 37206 C Transcatheter stent add- ......... ......... ......... ........... ........... on. 37207 C Transcatheter stent.... ......... ......... ......... ........... ........... 37208 C Transcatheter stent add- ......... ......... ......... ........... ........... on. 37209 C Exchange arterial ......... ......... ......... ........... ........... catheter. 37250 C Intravascular us....... ......... ......... ......... ........... ........... 37251 C Intravascular us....... ......... ......... ......... ........... ........... 37565 C Ligation of neck vein.. ......... ......... ......... ........... ........... 37600 C Ligation of neck artery ......... ......... ......... ........... ........... 37605 C Ligation of neck artery ......... ......... ......... ........... ........... 37606 C Ligation of neck artery ......... ......... ......... ........... ........... 37607 T Ligation of fistula.... 368 22.59 $1,161.58 $647.49 $232.32 37609 T Temporal artery 162 5.59 $287.44 $125.66 $57.49 procedure. 37615 C Ligation of neck artery ......... ......... ......... ........... ........... 37616 C Ligation of chest ......... ......... ......... ........... ........... artery. 37617 C Ligation of abdomen ......... ......... ......... ........... ........... artery. 37618 T Ligation of extremity 367 17.02 $875.17 $441.15 $175.03 artery. 37620 C Revision of major vein. ......... ......... ......... ........... ........... 37650 T Revision of major vein. 367 17.02 $875.17 $441.15 $175.03 37660 C Revision of major vein. ......... ......... ......... ........... ........... 37700 T Revise leg vein........ 367 17.02 $875.17 $441.15 $175.03 37720 T Removal of leg vein.... 367 17.02 $875.17 $441.15 $175.03 37730 T Removal of leg veins... 367 17.02 $875.17 $441.15 $175.03 37735 T Removal of leg veins/ 367 17.02 $875.17 $441.15 $175.03 lesion. 37760 T Revision of leg veins.. 367 17.02 $875.17 $441.15 $175.03 37780 T Revision of leg vein... 367 17.02 $875.17 $441.15 $175.03 37785 T Revise secondary 367 17.02 $875.17 $441.15 $175.03 varicosity. 37788 C Revascularization, ......... ......... ......... ........... ........... penis. 37790 T Penile venous occlusion 537 28.65 $1,473.18 $872.36 $294.64 37799 T Vascular surgery 162 5.59 $287.44 $125.66 $57.49 procedure. 38100 C Removal of spleen, ......... ......... ......... ........... ........... total. 38101 C Removal of spleen, ......... ......... ......... ........... ........... partial. 38102 C Removal of spleen, ......... ......... ......... ........... ........... total. 38115 C Repair of ruptured ......... ......... ......... ........... ........... spleen. 38200 T Injection for spleen x- 347 2.57 $132.15 $62.38 $26.43 ray. 38230 T Bone marrow collection. 369 6.33 $325.49 $155.49 $65.10 38231 T Stem cell collection... 369 6.33 $325.49 $155.49 $65.10 38240 C Bone marrow/stem ......... ......... ......... ........... ........... transplant. 38241 C Bone marrow/stem ......... ......... ......... ........... ........... transplant. 38300 T Drainage lymph node 132 5.63 $289.49 $132.89 $57.90 lesion. 38305 T Drainage lymph node 132 5.63 $289.49 $132.89 $57.90 lesion. 38308 T Incision of lymph 396 12.98 $667.43 $334.48 $133.49 channels. 38380 C Thoracic duct procedure ......... ......... ......... ........... ........... 38381 C Thoracic duct procedure ......... ......... ......... ........... ........... 38382 C Thoracic duct procedure ......... ......... ......... ........... ........... 38500 T Biopsy/removal,lymph 396 12.98 $667.43 $334.48 $133.49 node(s). 38505 T Needle biopsy, lymph 122 4.59 $236.02 $113.00 $47.20 node(s). 38510 T Biopsy/removal,lymph 396 12.98 $667.43 $334.48 $133.49 node(s). 38520 T Biopsy/removal,lymph 396 12.98 $667.43 $334.48 $133.49 node(s). 38525 T Biopsy/removal,lymph 396 12.98 $667.43 $334.48 $133.49 node(s). 38530 T Biopsy/removal,lymph 396 12.98 $667.43 $334.48 $133.49 node(s). 38542 T Explore deep node(s), 397 19.12 $983.15 $542.17 $196.63 neck. 38550 T Removal neck/armpit 396 12.98 $667.43 $334.48 $133.49 lesion. 38555 T Removal neck/armpit 397 19.12 $983.15 $542.17 $196.63 lesion. 38562 C Removal, pelvic lymph ......... ......... ......... ........... ........... nodes. 38564 C Removal, abdomen lymph ......... ......... ......... ........... ........... nodes. 38700 C Removal of lymph nodes, ......... ......... ......... ........... ........... neck. 38720 C Removal of lymph nodes, ......... ......... ......... ........... ........... neck. 38724 C Removal of lymph nodes, ......... ......... ......... ........... ........... neck. 38740 T Remove armpit lymph 397 19.12 $983.15 $542.17 $196.63 nodes. 38745 T Remove armpits lymph 397 19.12 $983.15 $542.17 $196.63 nodes. 38746 C Remove thoracic lymph ......... ......... ......... ........... ........... nodes. 38747 C Remove abdominal lymph ......... ......... ......... ........... ........... nodes. 38760 T Remove groin lymph 397 19.12 $983.15 $542.17 $196.63 nodes. 38765 C Remove groin lymph ......... ......... ......... ........... ........... nodes. 38770 C Remove pelvis lymph ......... ......... ......... ........... ........... nodes. 38780 C Remove abdomen lymph ......... ......... ......... ........... ........... nodes. 38790 T Injection for lymphatic 347 2.57 $132.15 $62.38 $26.43 xray. 38794 T Access thoracic lymph 342 2.61 $134.21 $68.70 $26.84 duct. 38999 T Blood/lymph system 132 5.63 $289.49 $132.89 $57.90 procedure. 39000 C Exploration of chest... ......... ......... ......... ........... ........... 39010 C Exploration of chest... ......... ......... ......... ........... ...........

39200 C Removal chest lesion... ......... ......... ......... ........... ........... 39220 C Removal chest lesion... ......... ......... ......... ........... ........... 39400 C Visualization of chest. ......... ......... ......... ........... ........... 39499 C Chest procedure........ ......... ......... ......... ........... ........... 39501 C Repair diaphragm ......... ......... ......... ........... ........... laceration. 39502 C Repair paraesophageal ......... ......... ......... ........... ........... hernia. 39503 C Repair of diaphragm ......... ......... ......... ........... ........... hernia. 39520 C Repair of diaphragm ......... ......... ......... ........... ........... hernia. 39530 C Repair of diaphragm ......... ......... ......... ........... ........... hernia. 39531 C Repair of diaphragm ......... ......... ......... ........... ........... hernia. 39540 C Repair of diaphragm ......... ......... ......... ........... ........... hernia. 39541 C Repair of diaphragm ......... ......... ......... ........... ........... hernia. 39545 C Revision of diaphragm.. ......... ......... ......... ........... ........... 39599 C Diaphragm surgery ......... ......... ......... ........... ........... procedure. 40490 T Biopsy of lip.......... 311 1.41 $72.50 $20.57 $14.50 40500 T Partial excision of lip 313 15.46 $794.95 $407.70 $158.99 40510 T Partial excision of lip 313 15.46 $794.95 $407.70 $158.99 40520 T Partial excision of lip 313 15.46 $794.95 $407.70 $158.99 40525 T Reconstruct lip with 313 15.46 $794.95 $407.70 $158.99 flap. 40527 T Reconstruct lip with 313 15.46 $794.95 $407.70 $158.99 flap. 40530 T Partial removal of lip. 313 15.46 $794.95 $407.70 $158.99 40650 T Repair lip............. 313 15.46 $794.95 $407.70 $158.99 40652 T Repair lip............. 313 15.46 $794.95 $407.70 $158.99 40654 T Repair lip............. 313 15.46 $794.95 $407.70 $158.99 40700 T Repair cleft lip/nasal. 314 25.15 $1,293.21 $687.72 $258.64 40701 T Repair cleft lip/nasal. 314 25.15 $1,293.21 $687.72 $258.64 40702 T Repair cleft lip/nasal. 314 25.15 $1,293.21 $687.72 $258.64 40720 T Repair cleft lip/nasal. 314 25.15 $1,293.21 $687.72 $258.64 40761 T Repair cleft lip/nasal. 314 25.15 $1,293.21 $687.72 $258.64 40799 T Lip surgery procedure.. 311 1.41 $72.50 $20.57 $14.50 40800 T Drainage of mouth 311 1.41 $72.50 $20.57 $14.50 lesion. 40801 T Drainage of mouth 311 1.41 $72.50 $20.57 $14.50 lesion. 40804 T Removal foreign body, 311 1.41 $72.50 $20.57 $14.50 mouth. 40805 T Removal foreign body, 311 1.41 $72.50 $20.57 $14.50 mouth. 40806 T Incision of lip fold... 311 1.41 $72.50 $20.57 $14.50 40808 T Biopsy of mouth lesion. 311 1.41 $72.50 $20.57 $14.50 40810 T Excision of mouth 311 1.41 $72.50 $20.57 $14.50 lesion. 40812 T Excise/repair mouth 311 1.41 $72.50 $20.57 $14.50 lesion. 40814 T Excise/repair mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 40816 T Excision of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 40818 T Excise oral mucosa for 313 15.46 $794.95 $407.70 $158.99 graft. 40819 T Excise lip or cheek 313 15.46 $794.95 $407.70 $158.99 fold. 40820 T Treatment of mouth 311 1.41 $72.50 $20.57 $14.50 lesion. 40830 T Repair mouth laceration 312 7.07 $363.54 $170.86 $72.71 40831 T Repair mouth laceration 312 7.07 $363.54 $170.86 $72.71 40840 T Reconstruction of mouth 313 15.46 $794.95 $407.70 $158.99 40842 T Reconstruction of mouth 313 15.46 $794.95 $407.70 $158.99 40843 T Reconstruction of mouth 314 25.15 $1,293.21 $687.72 $258.64 40844 T Reconstruction of mouth 314 25.15 $1,293.21 $687.72 $258.64 40845 T Reconstruction of mouth 314 25.15 $1,293.21 $687.72 $258.64 40899 T Mouth surgery procedure 311 1.41 $72.50 $20.57 $14.50 41000 T Drainage of mouth 311 1.41 $72.50 $20.57 $14.50 lesion. 41005 T Drainage of mouth 311 1.41 $72.50 $20.57 $14.50 lesion. 41006 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41007 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41008 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41009 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41010 T Incision of tongue fold 313 15.46 $794.95 $407.70 $158.99 41015 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41016 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41017 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41018 T Drainage of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41100 T Biopsy of tongue....... 311 1.41 $72.50 $20.57 $14.50 41105 T Biopsy of tongue....... 311 1.41 $72.50 $20.57 $14.50 41108 T Biopsy of floor of 311 1.41 $72.50 $20.57 $14.50 mouth. 41110 T Excision of tongue 311 1.41 $72.50 $20.57 $14.50 lesion. 41112 T Excision of tongue 313 15.46 $794.95 $407.70 $158.99 lesion. 41113 T Excision of tongue 313 15.46 $794.95 $407.70 $158.99 lesion. 41114 T Excision of tongue 313 15.46 $794.95 $407.70 $158.99 lesion. 41115 T Excision of tongue fold 311 1.41 $72.50 $20.57 $14.50 41116 T Excision of mouth 313 15.46 $794.95 $407.70 $158.99 lesion. 41120 T Partial removal of 313 15.46 $794.95 $407.70 $158.99 tongue. 41130 C Partial removal of ......... ......... ......... ........... ........... tongue. 41135 C Tongue and neck surgery ......... ......... ......... ........... ........... 41140 C Removal of tongue...... ......... ......... ......... ........... ...........

41145 C Tongue removal; neck ......... ......... ......... ........... ........... surgery. 41150 C Tongue, mouth, jaw ......... ......... ......... ........... ........... surgery. 41153 C Tongue, mouth, neck ......... ......... ......... ........... ........... surgery. 41155 C Tongue, jaw, & neck ......... ......... ......... ........... ........... surgery. 41250 T Repair tongue 312 7.07 $363.54 $170.86 $72.71 laceration. 41251 T Repair tongue 312 7.07 $363.54 $170.86 $72.71 laceration. 41252 T Repair tongue 312 7.07 $363.54 $170.86 $72.71 laceration. 41500 T Fixation of tongue..... 312 7.07 $363.54 $170.86 $72.71 41510 T Tongue to lip surgery.. 312 7.07 $363.54 $170.86 $72.71 41520 T Reconstruction, tongue 313 15.46 $794.95 $407.70 $158.99 fold. 41599 T Tongue and mouth 311 1.41 $72.50 $20.57 $14.50 surgery. 41800 T Drainage of gum lesion. 312 7.07 $363.54 $170.86 $72.71 41805 T Removal foreign body, 311 1.41 $72.50 $20.57 $14.50 gum. 41806 T Removal foreign 311 1.41 $72.50 $20.57 $14.50 body,jawbone. 41820 T Excision, gum, each 311 1.41 $72.50 $20.57 $14.50 quadrant. 41821 T Excision of gum flap... 311 1.41 $72.50 $20.57 $14.50 41822 T Excision of gum lesion. 231 11.31 $581.56 $286.79 $116.31 41823 T Excision of gum lesion. 231 11.31 $581.56 $286.79 $116.31 41825 T Excision of gum lesion. 311 1.41 $72.50 $20.57 $14.50 41826 T Excision of gum lesion. 311 1.41 $72.50 $20.57 $14.50 41827 T Excision of gum lesion. 313 15.46 $794.95 $407.70 $158.99 41828 T Excision of gum lesion. 311 1.41 $72.50 $20.57 $14.50 41830 T Removal of gum tissue.. 311 1.41 $72.50 $20.57 $14.50 41850 T Treatment of gum lesion 311 1.41 $72.50 $20.57 $14.50 41870 T Gum graft.............. 311 1.41 $72.50 $20.57 $14.50 41872 T Repair gum............. 311 1.41 $72.50 $20.57 $14.50 41874 T Repair tooth socket.... 311 1.41 $72.50 $20.57 $14.50 41899 T Dental surgery 311 1.41 $72.50 $20.57 $14.50 procedure. 42000 T Drainage mouth roof 311 1.41 $72.50 $20.57 $14.50 lesion. 42100 T Biopsy roof of mouth... 311 1.41 $72.50 $20.57 $14.50 42104 T Excision lesion, mouth 311 1.41 $72.50 $20.57 $14.50 roof. 42106 T Excision lesion, mouth 311 1.41 $72.50 $20.57 $14.50 roof. 42107 T Excision lesion, mouth 313 15.46 $794.95 $407.70 $158.99 roof. 42120 T Remove palate/lesion... 313 15.46 $794.95 $407.70 $158.99 42140 T Excision of uvula...... 311 1.41 $72.50 $20.57 $14.50 42145 C Repair, palate,pharynx/ ......... ......... ......... ........... ........... uvula. 42160 T Treatment mouth roof 311 1.41 $72.50 $20.57 $14.50 lesion. 42180 T Repair palate.......... 313 15.46 $794.95 $407.70 $158.99 42182 T Repair palate.......... 313 15.46 $794.95 $407.70 $158.99 42200 T Reconstruct cleft 313 15.46 $794.95 $407.70 $158.99 palate. 42205 T Reconstruct cleft 313 15.46 $794.95 $407.70 $158.99 palate. 42210 T Reconstruct cleft 314 25.15 $1,293.21 $687.72 $258.64 palate. 42215 T Reconstruct cleft 313 15.46 $794.95 $407.70 $158.99 palate. 42220 T Reconstruct cleft 313 15.46 $794.95 $407.70 $158.99 palate. 42225 T Reconstruct cleft 314 25.15 $1,293.21 $687.72 $258.64 palate. 42226 T Lengthening of palate.. 314 25.15 $1,293.21 $687.72 $258.64 42227 T Lengthening of palate.. 314 25.15 $1,293.21 $687.72 $258.64 42235 T Repair palate.......... 313 15.46 $794.95 $407.70 $158.99 42260 T Repair nose to lip 313 15.46 $794.95 $407.70 $158.99 fistula. 42280 T Preparation, palate 311 1.41 $72.50 $20.57 $14.50 mold. 42281 T Insertion, palate 311 1.41 $72.50 $20.57 $14.50 prosthesis. 42299 T Palate/uvula surgery... 311 1.41 $72.50 $20.57 $14.50 42300 T Drainage of salivary 312 7.07 $363.54 $170.86 $72.71 gland. 42305 T Drainage of salivary 312 7.07 $363.54 $170.86 $72.71 gland. 42310 T Drainage of salivary 312 7.07 $363.54 $170.86 $72.71 gland. 42320 T Drainage of salivary 312 7.07 $363.54 $170.86 $72.71 gland. 42325 T Create salivary cyst 313 15.46 $794.95 $407.70 $158.99 drain. 42326 T Create salivary cyst 313 15.46 $794.95 $407.70 $158.99 drain. 42330 T Removal of salivary 311 1.41 $72.50 $20.57 $14.50 stone. 42335 T Removal of salivary 311 1.41 $72.50 $20.57 $14.50 stone. 42340 T Removal of salivary 313 15.46 $794.95 $407.70 $158.99 stone. 42400 T Biopsy of salivary 122 4.59 $236.02 $113.00 $47.20 gland. 42405 T Biopsy of salivary 312 7.07 $363.54 $170.86 $72.71 gland. 42408 T Excision of salivary 313 15.46 $794.95 $407.70 $158.99 cyst. 42409 T Drainage of salivary 313 15.46 $794.95 $407.70 $158.99 cyst. 42410 T Excise parotid gland/ 313 15.46 $794.95 $407.70 $158.99 lesion. 42415 T Excise parotid gland/ 314 25.15 $1,293.21 $687.72 $258.64 lesion. 42420 T Excise parotid gland/ 314 25.15 $1,293.21 $687.72 $258.64 lesion. 42425 T Excise parotid gland/ 314 25.15 $1,293.21 $687.72 $258.64 lesion. 42426 C Excise parotid gland/ ......... ......... ......... ........... ........... lesion. 42440 T Excision submaxillary 313 15.46 $794.95 $407.70 $158.99 gland. 42450 T Excision sublingual 313 15.46 $794.95 $407.70 $158.99 gland. 42500 T Repair salivary duct... 313 15.46 $794.95 $407.70 $158.99 42505 T Repair salivary duct... 313 15.46 $794.95 $407.70 $158.99 42507 T Parotid duct diversion. 313 15.46 $794.95 $407.70 $158.99

42508 T Parotid duct diversion. 313 15.46 $794.95 $407.70 $158.99 42509 T Parotid duct diversion. 314 25.15 $1,293.21 $687.72 $258.64 42510 T Parotid duct diversion. 313 15.46 $794.95 $407.70 $158.99 42550 T Injection for salivary 347 2.57 $132.15 $62.38 $26.43 x-ray. 42600 T Closure of salivary 313 15.46 $794.95 $407.70 $158.99 fistula. 42650 T Dilation of salivary 311 1.41 $72.50 $20.57 $14.50 duct. 42660 T Dilation of salivary 311 1.41 $72.50 $20.57 $14.50 duct. 42665 T Ligation of salivary 311 1.41 $72.50 $20.57 $14.50 duct. 42699 T Salivary surgery 311 1.41 $72.50 $20.57 $14.50 procedure. 42700 T Drainage of tonsil 312 7.07 $363.54 $170.86 $72.71 abscess. 42720 T Drainage of throat 312 7.07 $363.54 $170.86 $72.71 abscess. 42725 T Drainage of throat 313 15.46 $794.95 $407.70 $158.99 abscess. 42800 T Biopsy of throat....... 312 7.07 $363.54 $170.86 $72.71 42802 T Biopsy of throat....... 312 7.07 $363.54 $170.86 $72.71 42804 T Biopsy of upper nose/ 312 7.07 $363.54 $170.86 $72.71 throat. 42806 T Biopsy of upper nose/ 312 7.07 $363.54 $170.86 $72.71 throat. 42808 T Excise pharynx lesion.. 312 7.07 $363.54 $170.86 $72.71 42809 T Remove pharynx foreign 151 1.63 $83.81 $33.22 $16.76 body. 42810 T Excision of neck cyst.. 313 15.46 $794.95 $407.70 $158.99 42815 T Excision of neck cyst.. 313 15.46 $794.95 $407.70 $158.99 42820 T Remove tonsils and 319 16.20 $833.00 $463.53 $166.60 adenoids. 42821 T Remove tonsils and 319 16.20 $833.00 $463.53 $166.60 adenoids. 42825 T Removal of tonsils..... 319 16.20 $833.00 $463.53 $166.60 42826 T Removal of tonsils..... 319 16.20 $833.00 $463.53 $166.60 42830 T Removal of adenoids.... 319 16.20 $833.00 $463.53 $166.60 42831 T Removal of adenoids.... 319 16.20 $833.00 $463.53 $166.60 42835 T Removal of adenoids.... 319 16.20 $833.00 $463.53 $166.60 42836 T Removal of adenoids.... 319 16.20 $833.00 $463.53 $166.60 42842 T Extensive surgery of 314 25.15 $1,293.21 $687.72 $258.64 throat. 42844 T Extensive surgery of 314 25.15 $1,293.21 $687.72 $258.64 throat. 42845 C Extensive surgery of ......... ......... ......... ........... ........... throat. 42860 T Excision of tonsil tags 319 16.20 $833.00 $463.53 $166.60 42870 T Excision of lingual 319 16.20 $833.00 $463.53 $166.60 tonsil. \2\ 4288 C Excise nose/throat ......... ......... ......... ........... ........... 0 lesion. 42890 T Partial removal of 314 25.15 $1,293.21 $687.72 $258.64 pharynx. 42892 T Revision of pharyngeal 314 25.15 $1,293.21 $687.72 $258.64 walls. 42894 C Revision of pharyngeal ......... ......... ......... ........... ........... walls. 42900 T Repair throat wound.... 313 15.46 $794.95 $407.70 $158.99 42950 T Reconstruction of 313 15.46 $794.95 $407.70 $158.99 throat. 42953 C Repair throat, ......... ......... ......... ........... ........... esophagus. 42955 T Surgical opening of 313 15.46 $794.95 $407.70 $158.99 throat. 42960 T Control throat bleeding 318 2.07 $106.44 $38.87 $21.29 42961 C Control throat bleeding ......... ......... ......... ........... ........... 42962 T Control throat bleeding 313 15.46 $794.95 $407.70 $158.99 42970 T Control nose/throat 318 2.07 $106.44 $38.87 $21.29 bleeding. 42971 C Control nose/throat ......... ......... ......... ........... ........... bleeding. 42972 T Control nose/throat 313 15.46 $794.95 $407.70 $158.99 bleeding. 42999 T Throat surgery 318 2.07 $106.44 $38.87 $21.29 procedure. 43020 T Incision of esophagus.. 313 15.46 $794.95 $407.70 $158.99 43030 T Throat muscle surgery.. 313 15.46 $794.95 $407.70 $158.99 43045 C Incision of esophagus.. ......... ......... ......... ........... ........... 43100 C Excision of esophagus ......... ......... ......... ........... ........... lesion. 43101 C Excision of esophagus ......... ......... ......... ........... ........... lesion. 43107 C Removal of esophagus... ......... ......... ......... ........... ........... 43108 C Removal of esophagus... ......... ......... ......... ........... ........... 43112 C Removal of esophagus... ......... ......... ......... ........... ........... 43113 C Removal of esophagus... ......... ......... ......... ........... ........... 43116 C Partial removal of ......... ......... ......... ........... ........... esophagus. 43117 C Partial removal of ......... ......... ......... ........... ........... esophagus. 43118 C Partial removal of ......... ......... ......... ........... ........... esophagus. 43121 C Partial removal of ......... ......... ......... ........... ........... esophagus. 43122 C Parital removal of ......... ......... ......... ........... ........... esophagus. 43123 C Partial removal of ......... ......... ......... ........... ........... esophagus. 43124 C Removal of esophagus... ......... ......... ......... ........... ........... 43130 C Removal of esophagus ......... ......... ......... ........... ........... pouch. 43135 C Removal of esophagus ......... ......... ......... ........... ........... pouch. 43200 T Esophagus endoscopy.... 417 6.35 $326.52 $179.22 $65.30 43202 T Esophagus endoscopy, 417 6.35 $326.52 $179.22 $65.30 biopsy. 43204 T Esophagus endoscopy & 407 6.89 $354.28 $189.39 $70.86 inject. 43205 T Esophagus endoscopy/ 407 6.89 $354.28 $189.39 $70.86 ligation. 43215 T Esophagus endoscopy.... 407 6.89 $354.28 $189.39 $70.86 43216 T Esophagus endoscopy/ 407 6.89 $354.28 $189.39 $70.86 lesion. 43217 T Esophagus endoscopy.... 407 6.89 $354.28 $189.39 $70.86 43219 T Esophagus endoscopy.... 449 7.63 $392.33 $213.57 $78.47 43220 T Esophagus 407 6.89 $354.28 $189.39 $70.86 endoscopy,dilation.

43226 T Esophagus 407 6.89 $354.28 $189.39 $70.86 endoscopy,dilation. 43227 T Esophagus endoscopy, 407 6.89 $354.28 $189.39 $70.86 repair. 43228 T Esophagus 449 7.63 $392.33 $213.57 $78.47 endoscopy,ablation. 43234 T Upper GI endoscopy, 417 6.35 $326.52 $179.22 $65.30 exam. 43235 T Upper gi 417 6.35 $326.52 $179.22 $65.30 endoscopy,diagnosis. 43239 T Upper GI endoscopy, 417 6.35 $326.52 $179.22 $65.30 biopsy. 43241 T Upper GI endoscopy with 418 7.44 $382.56 $213.57 $76.51 tube. 43243 T Upper GI endoscopy & 418 7.44 $382.56 $213.57 $76.51 inject.. 43244 T Upper GI endoscopy/ 418 7.44 $382.56 $213.57 $76.51 ligation. 43245 T Operative upper GI 418 7.44 $382.56 $213.57 $76.51 endoscopy. 43246 T Place gastrostomy tube. 418 7.44 $382.56 $213.57 $76.51 43247 T Operative upper GI 418 7.44 $382.56 $213.57 $76.51 endoscopy. 43248 T Upper GI endoscopy/ 418 7.44 $382.56 $213.57 $76.51 guidewire. 43249 T Esophagus 418 7.44 $382.56 $213.57 $76.51 endoscopy,dilation. 43250 T Upper GI endoscopy/ 418 7.44 $382.56 $213.57 $76.51 tumor. 43251 T Operative upper GI 418 7.44 $382.56 $213.57 $76.51 endoscopy. 43255 T Operative upper GI 418 7.44 $382.56 $213.57 $76.51 endoscopy. 43258 T Operative upper GI 449 7.63 $392.33 $213.57 $78.47 endoscopy. 43259 T Endoscopic ultrasound 449 7.63 $392.33 $213.57 $78.47 exam. 43260 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43261 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43262 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43263 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43264 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43265 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43267 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43268 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43269 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43271 T Endoscopy,bile duct/ 456 9.61 $494.15 $249.05 $98.83 pancreas. 43272 T Endoscopy,bile duct/ 449 7.63 $392.33 $213.57 $78.47 pancreas. 43300 C Repair of esophagus.... ......... ......... ......... ........... ........... 43305 C Repair esophagus and ......... ......... ......... ........... ........... fistula. 43310 C Repair of esophagus.... ......... ......... ......... ........... ........... 43312 C Repair esophagus and ......... ......... ......... ........... ........... fistula. 43320 C Fuse esophagus & ......... ......... ......... ........... ........... stomach. 43324 C Revise esophagus & ......... ......... ......... ........... ........... stomach. 43325 C Revise esophagus & ......... ......... ......... ........... ........... stomach. 43326 C Revise esophagus & ......... ......... ......... ........... ........... stomach. 43330 C Repair of esophagus.... ......... ......... ......... ........... ........... 43331 C Repair of esophagus.... ......... ......... ......... ........... ........... 43340 C Fuse esophagus & ......... ......... ......... ........... ........... intestine. 43341 C Fuse esophagus & ......... ......... ......... ........... ........... intestine. 43350 C Surgical opening, ......... ......... ......... ........... ........... esophagus. 43351 C Surgical opening, ......... ......... ......... ........... ........... esophagus. 43352 C Surgical opening, ......... ......... ......... ........... ........... esophagus. 43360 C Gastrointestinal repair ......... ......... ......... ........... ........... 43361 C Gastrointestinal repair ......... ......... ......... ........... ........... 43400 C Ligate esophagus veins. ......... ......... ......... ........... ........... 43401 C Esophagus surgery for ......... ......... ......... ........... ........... veins. 43405 C Ligate/staple esophagus ......... ......... ......... ........... ........... 43410 C Repair esophagus wound. ......... ......... ......... ........... ........... 43415 C Repair esophagus wound. ......... ......... ......... ........... ........... 43420 C Repair esophagus ......... ......... ......... ........... ........... opening. 43425 C Repair esophagus ......... ......... ......... ........... ........... opening. 43450 T Dilate esophagus....... 406 4.17 $214.42 $106.67 $42.88 43453 T Dilate esophagus....... 406 4.17 $214.42 $106.67 $42.88 43456 T Dilate esophagus....... 406 4.17 $214.42 $106.67 $42.88 43458 T Dilation of esophagus.. 406 4.17 $214.42 $106.67 $42.88 43460 C Pressure treatment ......... ......... ......... ........... ........... esophagus. 43496 C Free jejunum flap, ......... ......... ......... ........... ........... microvasc. 43499 T Esophagus surgery 406 4.17 $214.42 $106.67 $42.88 procedure. 43500 C Surgical opening of ......... ......... ......... ........... ........... stomach. 43501 C Surgical repair of ......... ......... ......... ........... ........... stomach. 43502 C Surgical repair of ......... ......... ......... ........... ........... stomach. 43510 C Surgical opening of ......... ......... ......... ........... ........... stomach. 43520 C Incision of pyloric ......... ......... ......... ........... ........... muscle. 43600 T Biopsy of stomach...... 417 6.35 $326.52 $179.22 $65.30 43605 C Biopsy of stomach...... ......... ......... ......... ........... ........... 43610 C Excision of stomach ......... ......... ......... ........... ........... lesion. 43611 C Excision of stomach ......... ......... ......... ........... ........... lesion. 43620 C Removal of stomach..... ......... ......... ......... ........... ........... 43621 C Removal of stomach..... ......... ......... ......... ........... ........... 43622 C Removal of stomach..... ......... ......... ......... ........... ........... 43631 C Removal of stomach, ......... ......... ......... ........... ........... partial. 43632 C Removal stomach, ......... ......... ......... ........... ........... partial.

43633 C Removal stomach, ......... ......... ......... ........... ........... partial. 43634 C Removal stomach, ......... ......... ......... ........... ........... partial. 43635 C Partial removal of ......... ......... ......... ........... ........... stomach. 43638 C Partial removal of ......... ......... ......... ........... ........... stomach. 43639 C Removal stomach, ......... ......... ......... ........... ........... partial. 43640 C Vagotomy & pylorus ......... ......... ......... ........... ........... repair. 43641 C Vagotomy & pylorus ......... ......... ......... ........... ........... repair. 43750 T Place gastrostomy tube. 418 7.44 $382.56 $213.57 $76.51 43760 T Change gastrostomy tube 470 2.19 $112.61 $54.92 $22.52 43761 T Reposition gastrostomy 470 2.19 $112.61 $54.92 $22.52 tube. 43800 C Reconstruction of ......... ......... ......... ........... ........... pylorus. 43810 C Fusion of stomach and ......... ......... ......... ........... ........... bowel. 43820 C Fusion of stomach and ......... ......... ......... ........... ........... bowel. 43825 C Fusion of stomach and ......... ......... ......... ........... ........... bowel. 43830 C Place gastrostomy tube. ......... ......... ......... ........... ........... 43831 C Place gastrostomy tube. ......... ......... ......... ........... ........... 43832 C Place gastrostomy tube. ......... ......... ......... ........... ........... 43840 C Repair of stomach ......... ......... ......... ........... ........... lesion. 43842 C Gastroplasty for ......... ......... ......... ........... ........... obesity. 43843 C Gastroplasty for ......... ......... ......... ........... ........... obesity. 43846 C Gastric bypass for ......... ......... ......... ........... ........... obesity. 43847 C Gastric bypass for ......... ......... ......... ........... ........... obesity. 43848 C Revision gastroplasty.. ......... ......... ......... ........... ........... 43850 C Revise stomach-bowel ......... ......... ......... ........... ........... fusion. 43855 C Revise stomach-bowel ......... ......... ......... ........... ........... fusion. 43860 C Revise stomach-bowel ......... ......... ......... ........... ........... fusion. 43865 C Revise stomach-bowel ......... ......... ......... ........... ........... fusion. 43870 T Repair stomach opening. 182 4.11 $211.34 $92.43 $42.27 43880 C Repair stomach-bowel ......... ......... ......... ........... ........... fistula. 43999 T Stomach surgery 470 2.19 $112.61 $54.92 $22.52 procedure. 44005 C Freeing of bowel ......... ......... ......... ........... ........... adhesion. 44010 C Incision of small bowel ......... ......... ......... ........... ........... 44015 C Insert needle catheter, ......... ......... ......... ........... ........... bowel. 44020 C Exploration of small ......... ......... ......... ........... ........... bowel. 44021 C Decompress small bowel. ......... ......... ......... ........... ........... 44025 C Incision of large bowel ......... ......... ......... ........... ........... 44050 C Reduce bowel ......... ......... ......... ........... ........... obstruction. 44055 C Correct malrotation of ......... ......... ......... ........... ........... bowel. 44100 T Biopsy of bowel........ 417 6.35 $326.52 $179.22 $65.30 44110 C Excision of bowel ......... ......... ......... ........... ........... lesion(s). 44111 C Excision of bowel ......... ......... ......... ........... ........... lesion(s). 44120 C Removal of small ......... ......... ......... ........... ........... intestine. 44121 C Removal of small ......... ......... ......... ........... ........... intestine. 44125 C Removal of small ......... ......... ......... ........... ........... intestine. 44130 C Bowel to bowel fusion.. ......... ......... ......... ........... ........... 44139 C Mobilization of colon.. ......... ......... ......... ........... ........... 44140 C Partial removal of ......... ......... ......... ........... ........... colon. 44141 C Partial removal of ......... ......... ......... ........... ........... colon. 44143 C Partial removal of ......... ......... ......... ........... ........... colon. 44144 C Partial removal of ......... ......... ......... ........... ........... colon. 44145 C Partial removal of ......... ......... ......... ........... ........... colon. 44146 C Partial removal of ......... ......... ......... ........... ........... colon. 44147 C Partial removal of ......... ......... ......... ........... ........... colon. 44150 C Removal of colon....... ......... ......... ......... ........... ........... 44151 C Removal of colon/ ......... ......... ......... ........... ........... ileostomy. 44152 C Removal of colon/ ......... ......... ......... ........... ........... ileostomy. 44153 C Removal of colon/ ......... ......... ......... ........... ........... ileostomy. 44155 C Removal of colon....... ......... ......... ......... ........... ........... 44156 C Removal of colon/ ......... ......... ......... ........... ........... ileostomy. 44160 C Removal of colon....... ......... ......... ......... ........... ........... 44300 C Open bowel to skin..... ......... ......... ......... ........... ........... 44310 C Ileostomy/jejunostomy.. ......... ......... ......... ........... ........... 44312 T Revision of ileostomy.. 183 11.04 $567.68 $283.18 $113.54 44314 C Revision of ileostomy.. ......... ......... ......... ........... ........... 44316 C Devise bowel pouch..... ......... ......... ......... ........... ........... 44320 C Colostomy.............. ......... ......... ......... ........... ........... 44322 C Colostomy with biopsies ......... ......... ......... ........... ........... 44340 T Revision of colostomy.. 183 11.04 $567.68 $283.18 $113.54 44345 C Revision of colostomy.. ......... ......... ......... ........... ........... 44346 C Revision of colostomy.. ......... ......... ......... ........... ........... 44360 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44361 T Small bowel 419 6.83 $351.20 $164.08 $70.24 endoscopy,biopsy. 44363 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44364 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44365 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24

44366 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44369 T Small bowel endoscopy.. 449 7.63 $392.33 $213.57 $78.47 44372 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44373 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44376 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44377 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44378 T Small bowel endoscopy.. 419 6.83 $351.20 $164.08 $70.24 44380 T Small bowel endoscopy.. 426 6.74 $346.57 $185.32 $69.31 44382 T Small bowel endoscopy.. 426 6.74 $346.57 $185.32 $69.31 44385 T Endoscopy of bowel 426 6.74 $346.57 $185.32 $69.31 pouch. 44386 T Endoscopy,bowel pouch, 426 6.74 $346.57 $185.32 $69.31 biopsy. 44388 T Colon endoscopy........ 426 6.74 $346.57 $185.32 $69.31 44389 T Colonoscopy with biopsy 426 6.74 $346.57 $185.32 $69.31 44390 T Colonoscopy for foreign 427 8.09 $415.99 $222.84 $83.20 body. 44391 T Colonoscopy for 427 8.09 $415.99 $222.84 $83.20 bleeding. 44392 T Colonoscopy & 427 8.09 $415.99 $222.84 $83.20 polypectomy. 44393 T Colonoscopy, lesion 449 7.63 $392.33 $213.57 $78.47 removal. 44394 T Colonoscopy w/snare.... 427 8.09 $415.99 $222.84 $83.20 44500 C Intro, gastrointestinal ......... ......... ......... ........... ........... tube. 44602 C Suture, small intestine ......... ......... ......... ........... ........... 44603 C Suture, small intestine ......... ......... ......... ........... ........... 44604 C Suture, large intestine ......... ......... ......... ........... ........... 44605 C Repair of bowel lesion. ......... ......... ......... ........... ........... 44615 C Intestinal ......... ......... ......... ........... ........... stricturoplasty. 44620 C Repair bowel opening... ......... ......... ......... ........... ........... 44625 C Repair bowel opening... ......... ......... ......... ........... ........... 44626 C Repair bowel opening... ......... ......... ......... ........... ........... 44640 C Repair bowel-skin ......... ......... ......... ........... ........... fistula. 44650 C Repair bowel fistula... ......... ......... ......... ........... ........... 44660 C Repair bowel-bladder ......... ......... ......... ........... ........... fistula. 44661 C Repair bowel-bladder ......... ......... ......... ........... ........... fistula. 44680 C Surgical revision, ......... ......... ......... ........... ........... intestine. 44700 C Suspend bowel w/ ......... ......... ......... ........... ........... prosthesis. 44799 T Intestine surgery 419 6.83 $351.20 $164.08 $70.24 procedure. 44800 C Excision of bowel pouch ......... ......... ......... ........... ........... 44820 C Excision of mesentery ......... ......... ......... ........... ........... lesion. 44850 C Repair of mesentery.... ......... ......... ......... ........... ........... 44899 C Bowel surgery procedure ......... ......... ......... ........... ........... 44900 C Drain, app abscess, ......... ......... ......... ........... ........... open. 44901 C Drain, app abscess, ......... ......... ......... ........... ........... perc. 44950 C Appendectomy........... ......... ......... ......... ........... ........... 44955 C Appendectomy add-on.... ......... ......... ......... ........... ........... 44960 C Appendectomy........... ......... ......... ......... ........... ........... 45000 T Drainage of pelvic 452 4.52 $232.42 $103.06 $46.48 abscess. 45005 T Drainage of rectal 452 4.52 $232.42 $103.06 $46.48 abscess. 45020 T Drainage of rectal 452 4.52 $232.42 $103.06 $46.48 abscess. 45100 T Biopsy of rectum....... 452 4.52 $232.42 $103.06 $46.48 45108 T Removal of anorectal 453 16.26 $836.09 $440.47 $167.22 lesion. 45110 C Removal of rectum...... ......... ......... ......... ........... ........... 45111 C Partial removal of ......... ......... ......... ........... ........... rectum. 45112 C Removal of rectum...... ......... ......... ......... ........... ........... 45113 C Partial proctectomy.... ......... ......... ......... ........... ........... 45114 C Partial removal of ......... ......... ......... ........... ........... rectum. 45116 C Partial removal of ......... ......... ......... ........... ........... rectum. 45119 C Remove, rectum w/ ......... ......... ......... ........... ........... reservoir. 45120 C Removal of rectum...... ......... ......... ......... ........... ........... 45121 C Removal of rectum and ......... ......... ......... ........... ........... colon. 45123 C Partial proctectomy.... ......... ......... ......... ........... ........... 45130 C Excision of rectal ......... ......... ......... ........... ........... prolapse. 45135 C Excision of rectal ......... ......... ......... ........... ........... prolapse. 45150 T Excision of rectal 453 16.26 $836.09 $440.47 $167.22 stricture. 45160 T Excision of rectal 453 16.26 $836.09 $440.47 $167.22 lesion. 45170 T Excision of rectal 453 16.26 $836.09 $440.47 $167.22 lesion. 45190 T Destruction, rectal 453 16.26 $836.09 $440.47 $167.22 tumor. 45300 T Proctosigmoidoscopy.... 446 2.54 $130.61 $64.86 $26.12 45303 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45305 T Proctosigmoidoscopy; 446 2.54 $130.61 $64.86 $26.12 biopsy. 45307 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45308 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45309 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45315 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45317 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45320 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45321 T Proctosigmoidoscopy.... 447 7.06 $363.03 $191.87 $72.61 45330 T Sigmoidoscopy, 446 2.54 $130.61 $64.86 $26.12 diagnostic.

45331 T Sigmoidoscopy and 446 2.54 $130.61 $64.86 $26.12 biopsy. 45332 T Sigmoidoscopy.......... 448 5.28 $271.50 $139.22 $54.30 45333 T Sigmoidoscopy & 448 5.28 $271.50 $139.22 $54.30 polypectomy. 45334 T Sigmoidoscopy for 448 5.28 $271.50 $139.22 $54.30 bleeding. 45337 T Sigmoidoscopy, 458 5.28 $271.50 $139.22 $54.30 decompression. 45338 T Sigmoidoscopy.......... 448 5.28 $271.50 $139.22 $54.30 45339 T Sigmoidoscopy.......... 449 7.63 $392.33 $213.57 $78.47 45355 T Surgical colonoscopy... 427 8.09 $415.99 $222.84 $83.20 45378 T Diagnostic colonoscopy. 426 6.74 $346.57 $185.32 $69.31 45379 T Colonoscopy............ 427 8.09 $415.99 $222.84 $83.20 45380 T Colonoscopy and biopsy. 426 6.74 $346.57 $185.32 $69.31 45382 T Colonoscopy,control 427 8.09 $415.99 $222.84 $83.20 bleeding. 45383 T Colonoscopy, lesion 449 7.63 $392.33 $213.57 $78.47 removal. 45384 T Colonoscopy............ 427 8.09 $415.99 $222.84 $83.20 45385 T Colonoscopy, lesion 427 8.09 $415.99 $222.84 $83.20 removal. 45500 T Repair of rectum....... 453 16.26 $836.09 $440.47 $167.22 45505 T Repair of rectum....... 453 16.26 $836.09 $440.47 $167.22 45520 T Treatment of rectal 339 0.98 $50.39 $19.66 $10.08 prolapse. 45540 C Correct rectal prolapse ......... ......... ......... ........... ........... 45541 C Correct rectal prolapse ......... ......... ......... ........... ........... 45550 C Repair rectum;remove ......... ......... ......... ........... ........... sigmoid. 45560 T Repair of rectocele.... 453 16.26 $836.09 $440.47 $167.22 45562 C Exploration/repair of ......... ......... ......... ........... ........... rectum. 45563 C Exploration/repair of ......... ......... ......... ........... ........... rectum. 45800 C Repair rectumbladder ......... ......... ......... ........... ........... fistula. 45805 C Repair fistula; ......... ......... ......... ........... ........... colostomy. 45820 C Repair rectourethral ......... ......... ......... ........... ........... fistula. 45825 C Repair fistula; ......... ......... ......... ........... ........... colostomy. 45900 T Reduction of rectal 452 4.52 $232.42 $103.06 $46.48 prolapse. 45905 T Dilation of anal 452 4.52 $232.42 $103.06 $46.48 sphincter. 45910 T Dilation of rectal 452 4.52 $232.42 $103.06 $46.48 narrowing. 45915 T Remove rectal 452 4.52 $232.42 $103.06 $46.48 obstruction. 45999 T Rectum surgery 452 4.52 $232.42 $103.06 $46.48 procedure. 46030 T Removal of rectal 452 4.52 $232.42 $103.06 $46.48 marker. 46040 T Incision of rectal 452 4.52 $232.42 $103.06 $46.48 abscess. 46045 T Incision of rectal 453 16.26 $836.09 $440.47 $167.22 abscess. 46050 T Incision of anal 452 4.52 $232.42 $103.06 $46.48 abscess. 46060 T Incision of rectal 453 16.26 $836.09 $440.47 $167.22 abscess. 46070 T Incision of anal septum 451 2.42 $124.44 $53.56 $24.89 46080 T Incision of anal 452 4.52 $232.42 $103.06 $46.48 sphincter. 46083 T Incise external 451 2.42 $124.44 $53.56 $24.89 hemorrhoid. 46200 T Removal of anal fissure 453 16.26 $836.09 $440.47 $167.22 46210 T Removal of anal crypt.. 452 4.52 $232.42 $103.06 $46.48 46211 T Removal of anal crypts. 453 16.26 $836.09 $440.47 $167.22 46220 T Removal of anal tab.... 451 2.42 $124.44 $53.56 $24.89 46221 T Ligation of 451 2.42 $124.44 $53.56 $24.89 hemorrhoid(s). 46230 T Removal of anal tabs... 451 2.42 $124.44 $53.56 $24.89 46250 T Hemorrhoidectomy....... 453 16.26 $836.09 $440.47 $167.22 46255 T Hemorrhoidectomy....... 453 16.26 $836.09 $440.47 $167.22 46257 T Remove hemorrhoids & 453 16.26 $836.09 $440.47 $167.22 fissure. 46258 T Remove hemorrhoids & 453 16.26 $836.09 $440.47 $167.22 fistula. 46260 T Hemorrhoidectomy....... 453 16.26 $836.09 $440.47 $167.22 46261 T Remove hemorrhoids & 453 16.26 $836.09 $440.47 $167.22 fissure. 46262 T Remove hemorrhoids & 453 16.26 $836.09 $440.47 $167.22 fistula. 46270 T Removal of anal fistula 453 16.26 $836.09 $440.47 $167.22 46275 T Removal of anal fistula 453 16.26 $836.09 $440.47 $167.22 46280 T Removal of anal fistula 453 16.26 $836.09 $440.47 $167.22 46285 T Removal of anal fistula 453 16.26 $836.09 $440.47 $167.22 46288 T Repair anal fistula.... 453 16.26 $836.09 $440.47 $167.22 46320 T Removal of hemorrhoid 451 2.42 $124.44 $53.56 $24.89 clot. 46500 T Injection into 451 2.42 $124.44 $53.56 $24.89 hemorrhoids. 46600 N Diagnostic anoscopy.... ......... ......... ......... ........... ........... 46604 N Anoscopy and dilation.. ......... ......... ......... ........... ........... 46606 T Anoscopy and biopsy.... 437 6.54 $336.29 $173.79 $67.26 46608 T Anoscopy;remove foreign 437 6.54 $336.29 $173.79 $67.26 body. 46610 T Anoscopy; remove lesion 437 6.54 $336.29 $173.79 $67.26 46611 T Anoscopy............... 437 6.54 $336.29 $173.79 $67.26 46612 T Anoscopy; remove 437 6.54 $336.29 $173.79 $67.26 lesions. 46614 T Anoscopy; control 437 6.54 $336.29 $173.79 $67.26 bleeding. 46615 T Anoscopy............... 437 6.54 $336.29 $173.79 $67.26 46700 T Repair of anal 453 16.26 $836.09 $440.47 $167.22 stricture. 46705 C Repair of anal ......... ......... ......... ........... ........... stricture. 46715 C Repair of anovaginal ......... ......... ......... ........... ........... fistula. 46716 C Repair of anovaginal ......... ......... ......... ........... ........... fistula. 46730 C Construction of absent ......... ......... ......... ........... ........... anus.

46735 C Construction of absent ......... ......... ......... ........... ........... anus. 46740 C Construction of absent ......... ......... ......... ........... ........... anus. 46742 C Repair, imperforated ......... ......... ......... ........... ........... anus. 46744 C Repair, cloacal anomaly ......... ......... ......... ........... ........... 46746 C Repair, cloacal anomaly ......... ......... ......... ........... ........... 46748 C Repair, cloacal anomaly ......... ......... ......... ........... ........... 46750 T Repair of anal 453 16.26 $836.09 $440.47 $167.22 sphincter. 46751 C Repair of anal ......... ......... ......... ........... ........... sphincter. 46753 T Reconstruction of anus. 453 16.26 $836.09 $440.47 $167.22 46754 T Removal of suture from 452 4.52 $232.42 $103.06 $46.48 anus. 46760 T Repair of anal 453 16.26 $836.09 $440.47 $167.22 sphincter. 46761 T Repair of anal 453 16.26 $836.09 $440.47 $167.22 sphincter. 46762 T Implant artificial 453 16.26 $836.09 $440.47 $167.22 sphincter. 46900 T Destruction, anal 152 10.07 $517.80 $251.54 $103.56 lesion(s). 46910 T Destruction, anal 152 10.07 $517.80 $251.54 $103.56 lesion(s). 46916 T Cryosurgery, anal 152 10.07 $517.80 $251.54 $103.56 lesion(s). 46917 T Laser surgery,anal 152 10.07 $517.80 $251.54 $103.56 lesion(s). 46922 T Excision of anal 152 10.07 $517.80 $251.54 $103.56 lesion(s). 46924 T Destruction, anal 152 10.07 $517.80 $251.54 $103.56 lesion(s). 46934 T Destruction of 451 2.42 $124.44 $53.56 $24.89 hemorrhoids. 46935 T Destruction of 451 2.42 $124.44 $53.56 $24.89 hemorrhoids. 46936 T Destruction of 451 2.42 $124.44 $53.56 $24.89 hemorrhoids. 46937 T Cryotherapy of rectal 453 16.26 $836.09 $440.47 $167.22 lesion. 46938 T Cryotherapy of rectal 453 16.26 $836.09 $440.47 $167.22 lesion. 46940 T Treatment of anal 451 2.42 $124.44 $53.56 $24.89 fissure. 46942 T Treatment of anal 451 2.42 $124.44 $53.56 $24.89 fissure. 46945 T Ligation of hemorrhoids 451 2.42 $124.44 $53.56 $24.89 46946 T Ligation of hemorrhoids 451 2.42 $124.44 $53.56 $24.89 46999 T Anus surgery procedure. 452 4.52 $232.42 $103.06 $46.48 47000 T Needle biopsy of liver. 122 4.59 $236.02 $113.00 $47.20 47001 C Needle biopsy, liver ......... ......... ......... ........... ........... add-on. 47010 C Open drainage, liver ......... ......... ......... ........... ........... lesion. 47011 C Percut drain, liver ......... ......... ......... ........... ........... lesion. 47015 C Inject/aspirate liver ......... ......... ......... ........... ........... cyst. 47100 C Wedge biopsy of liver.. ......... ......... ......... ........... ........... 47120 C Partial removal of ......... ......... ......... ........... ........... liver. 47122 C Extensive removal of ......... ......... ......... ........... ........... liver. 47125 C Partial removal of ......... ......... ......... ........... ........... liver. 47130 C Partial removal of ......... ......... ......... ........... ........... liver. 47133 C Removal of donor liver. ......... ......... ......... ........... ........... 47134 C Partial removal, donor ......... ......... ......... ........... ........... liver. 47135 C Transplantation of ......... ......... ......... ........... ........... liver. 47136 C Transplantation of ......... ......... ......... ........... ........... liver. 47300 C Surgery for liver ......... ......... ......... ........... ........... lesion. 47350 C Repair liver wound..... ......... ......... ......... ........... ........... 47360 C Repair liver wound..... ......... ......... ......... ........... ........... 47361 C Repair liver wound..... ......... ......... ......... ........... ........... 47362 C Repair liver wound..... ......... ......... ......... ........... ........... 47399 T Liver surgery procedure 122 4.59 $236.02 $113.00 $47.20 47400 C Incision of liver duct. ......... ......... ......... ........... ........... 47420 C Incision of bile duct.. ......... ......... ......... ........... ........... 47425 C Incision of bile duct.. ......... ......... ......... ........... ........... 47460 C Incise bile duct ......... ......... ......... ........... ........... sphincter. 47480 C Incision of gallbladder ......... ......... ......... ........... ........... 47490 C Incision of gallbladder ......... ......... ......... ........... ........... 47500 T Injection for liver x- 347 2.57 $132.15 $62.38 $26.43 rays. 47505 T Injection for liver x- 347 2.57 $132.15 $62.38 $26.43 rays. 47510 T Insert catheter, bile 458 6.81 $350.17 $181.70 $70.03 duct. 47511 T Insert bile duct drain. 458 6.81 $350.17 $181.70 $70.03 47525 T Change bile duct 470 2.19 $112.61 $54.92 $22.52 catheter. 47530 T Revise, reinsert bile 470 2.19 $112.61 $54.92 $22.52 tube. 47550 C Bile duct endoscopy add- ......... ......... ......... ........... ........... on. 47552 T Biliary endoscopy, thru 458 6.81 $350.17 $181.70 $70.03 skin. 47553 T Biliary endoscopy, thru 458 6.81 $350.17 $181.70 $70.03 skin. 47554 T Biliary endoscopy, thru 458 6.81 $350.17 $181.70 $70.03 skin. 47555 T Biliary endoscopy, thru 458 6.81 $350.17 $181.70 $70.03 skin. 47556 T Biliary endoscopy, thru 458 6.81 $350.17 $181.70 $70.03 skin. 47600 C Removal of gallbladder. ......... ......... ......... ........... ........... 47605 C Removal of gallbladder. ......... ......... ......... ........... ........... 47610 C Removal of gallbladder. ......... ......... ......... ........... ........... 47612 C Removal of gallbladder. ......... ......... ......... ........... ........... 47620 C Removal of gallbladder. ......... ......... ......... ........... ........... 47630 T Remove bile duct stone. 458 6.81 $350.17 $181.70 $70.03 47700 C Exploration of bile ......... ......... ......... ........... ........... ducts. 47701 C Bile duct revision..... ......... ......... ......... ........... ...........

47711 C Excision of bile duct ......... ......... ......... ........... ........... tumor. 47712 C Excision of bile duct ......... ......... ......... ........... ........... tumor. 47715 C Excision of bile duct ......... ......... ......... ........... ........... cyst. 47716 C Fusion of bile duct ......... ......... ......... ........... ........... cyst. 47720 C Fuse gallbladder & ......... ......... ......... ........... ........... bowel. 47721 C Fuse upper gi ......... ......... ......... ........... ........... structures. 47740 C Fuse gallbladder & ......... ......... ......... ........... ........... bowel. 47741 C Fuse gallbladder & ......... ......... ......... ........... ........... bowel. 47760 C Fuse bile ducts and ......... ......... ......... ........... ........... bowel. 47765 C Fuse liver ducts & ......... ......... ......... ........... ........... bowel. 47780 C Fuse bile ducts and ......... ......... ......... ........... ........... bowel. 47785 C Fuse bile ducts and ......... ......... ......... ........... ........... bowel. 47800 C Reconstruction of bile ......... ......... ......... ........... ........... ducts. 47801 C Placement, bile duct ......... ......... ......... ........... ........... support. 47802 C Fuse liver duct & ......... ......... ......... ........... ........... intestine. 47900 C Suture bile duct injury ......... ......... ......... ........... ........... 47999 T Bile tract surgery 470 2.19 $112.61 $54.92 $22.52 procedure. 48000 C Drainage of abdomen.... ......... ......... ......... ........... ........... 48001 C Placement of drain, ......... ......... ......... ........... ........... pancreas. 48005 C Resect/debride pancreas ......... ......... ......... ........... ........... 48020 C Removal of pancreatic ......... ......... ......... ........... ........... stone. 48100 C Biopsy of pancreas..... ......... ......... ......... ........... ........... 48102 T Needle biopsy, pancreas 122 4.59 $236.02 $113.00 $47.20 48120 C Removal of pancreas ......... ......... ......... ........... ........... lesion. 48140 C Partial removal of ......... ......... ......... ........... ........... pancreas. 48145 C Partial removal of ......... ......... ......... ........... ........... pancreas. 48146 C Pancreatectomy......... ......... ......... ......... ........... ........... 48148 C Removal of pancreatic ......... ......... ......... ........... ........... duct. 48150 C Partial removal of ......... ......... ......... ........... ........... pancreas. 48152 C Pancreatectomy......... ......... ......... ......... ........... ........... 48153 C Pancreatectomy......... ......... ......... ......... ........... ........... 48154 C Pancreatectomy......... ......... ......... ......... ........... ........... 48155 C Removal of pancreas.... ......... ......... ......... ........... ........... 48160 E Pancreas removal, ......... ......... ......... ........... ........... transplant. 48180 C Fuse pancreas and bowel ......... ......... ......... ........... ........... 48400 C Injection, intraop add- ......... ......... ......... ........... ........... on. 48500 C Surgery of pancreas ......... ......... ......... ........... ........... cyst. 48510 C Drain pancreatic ......... ......... ......... ........... ........... pseudocyst. 48511 C Drain pancreatic ......... ......... ......... ........... ........... pseudocyst. 48520 C Fuse pancreas cyst and ......... ......... ......... ........... ........... bowel. 48540 C Fuse pancreas cyst and ......... ......... ......... ........... ........... bowel. 48545 C Pancreatorrhaphy....... ......... ......... ......... ........... ........... 48547 C Duodenal exclusion..... ......... ......... ......... ........... ........... 48550 E Donor pancreatectomy... ......... ......... ......... ........... ........... 48554 E Transplantallograft ......... ......... ......... ........... ........... pancreas. 48556 C Removal, allograft ......... ......... ......... ........... ........... pancreas. 48999 T Pancreas surgery 122 4.59 $236.02 $113.00 $47.20 procedure. 49000 C Exploration of abdomen. ......... ......... ......... ........... ........... 49002 C Reopening of abdomen... ......... ......... ......... ........... ........... 49010 C Exploration behind ......... ......... ......... ........... ........... abdomen. 49020 C Drain abdominal abscess ......... ......... ......... ........... ........... 49021 C Drain abdominal abscess ......... ......... ......... ........... ........... 49040 C Open drainage abdom ......... ......... ......... ........... ........... abscess. 49041 C Percut drain abdom ......... ......... ......... ........... ........... abscess. 49060 C Open drain retroper ......... ......... ......... ........... ........... abscess. 49061 C Percutdrain retroper ......... ......... ......... ........... ........... abscess. 49062 C Drain to peritoneal ......... ......... ......... ........... ........... cavity. 49080 T Puncture, peritoneal 320 3.09 $158.89 $80.91 $31.78 cavity. 49081 T Removal of abdominal 320 3.09 $158.89 $80.91 $31.78 fluid. 49085 T Remove abdomen foreign 459 17.85 $917.85 $497.88 $183.57 body. 49180 T Biopsy, abdominal mass. 122 4.59 $236.02 $113.00 $47.20 49200 C Removal of abdominal ......... ......... ......... ........... ........... lesion. 49201 C Removal of abdominal ......... ......... ......... ........... ........... lesion. 49215 C Excise sacral spine ......... ......... ......... ........... ........... tumor. 49220 C Multiple surgery, ......... ......... ......... ........... ........... abdomen. 49250 T Excision of umbilicus.. 459 17.85 $917.85 $497.88 $183.57 49255 C Removal of omentum..... ......... ......... ......... ........... ........... 49400 T Air injection into 347 2.57 $132.15 $62.38 $26.43 abdomen. 49420 T Insert abdominal drain. 459 17.85 $917.85 $497.88 $183.57 49421 T Insert abdominal drain. 459 17.85 $917.85 $497.88 $183.57 49422 T Remove perm cannula/ 470 2.19 $112.61 $54.92 $22.52 catheter. 49423 T Exchange drainage cath. 459 17.85 $917.85 $497.88 $183.57 49424 T Assess cyst, contrast 347 2.57 $132.15 $62.38 $26.43 inj. 49425 C Insert abdomen-venous ......... ......... ......... ........... ........... drain. 49426 T Revise abdomen-venous 459 17.85 $917.85 $497.88 $183.57 shunt.

49427 T Injection, abdominal 347 2.57 $132.15 $62.38 $26.43 shunt. 49428 C Ligation of shunt...... ......... ......... ......... ........... ........... 49429 T Removal of shunt....... 470 2.19 $112.61 $54.92 $22.52 49495 T Repair inguinal hernia, 466 20.67 $1,062.85 $556.64 $212.57 init. 49496 T Repair inguinal hernia, 466 20.67 $1,062.85 $556.64 $212.57 init. 49500 T Repair inguinal hernia. 466 20.67 $1,062.85 $556.64 $212.57 49501 T Repair inguinal hernia, 466 20.67 $1,062.85 $556.64 $212.57 init. 49505 T Repair inguinal hernia. 466 20.67 $1,062.85 $556.64 $212.57 49507 T Repair, inguinal hernia 466 20.67 $1,062.85 $556.64 $212.57 49520 T Rerepair inguinal 466 20.67 $1,062.85 $556.64 $212.57 hernia. 49521 T Repair inguinal hernia, 466 20.67 $1,062.85 $556.64 $212.57 rec. 49525 T Repair inguinal hernia. 466 20.67 $1,062.85 $556.64 $212.57 49540 T Repair lumbar hernia... 466 20.67 $1,062.85 $556.64 $212.57 49550 T Repair femoral hernia.. 466 20.67 $1,062.85 $556.64 $212.57 49553 T Repair femoral hernia, 466 20.67 $1,062.85 $556.64 $212.57 init. 49555 T Repair femoral hernia.. 466 20.67 $1,062.85 $556.64 $212.57 49557 T Repair femoral hernia, 466 20.67 $1,062.85 $556.64 $212.57 recur. 49560 T Repair abdominal hernia 466 20.67 $1,062.85 $556.64 $212.57 49561 T Repair incisional 466 20.67 $1,062.85 $556.64 $212.57 hernia. 49565 T Rerepair abdominal 466 20.67 $1,062.85 $556.64 $212.57 hernia. 49566 T Repair incisional 466 20.67 $1,062.85 $556.64 $212.57 hernia. 49568 T Hernia repair w/mesh... 466 20.67 $1,062.85 $556.64 $212.57 49570 T Repair epigastric 466 20.67 $1,062.85 $556.64 $212.57 hernia. 49572 T Repair, epigastric 466 20.67 $1,062.85 $556.64 $212.57 hernia. 49580 T Repair umbilical hernia 466 20.67 $1,062.85 $556.64 $212.57 49582 T Repair umbilical hernia 466 20.67 $1,062.85 $556.64 $212.57 49585 T Repair umbilical hernia 466 20.67 $1,062.85 $556.64 $212.57 49587 T Repair umbilical hernia 466 20.67 $1,062.85 $556.64 $212.57 49590 T Repair abdominal hernia 466 20.67 $1,062.85 $556.64 $212.57 49600 T Repair umbilical lesion 466 20.67 $1,062.85 $556.64 $212.57 49605 C Repair umbilical lesion ......... ......... ......... ........... ........... 49606 C Repair umbilical lesion ......... ......... ......... ........... ........... 49610 C Repair umbilical lesion ......... ......... ......... ........... ........... 49611 C Repair umbilical lesion ......... ......... ......... ........... ........... 49900 C Repair of abdominal ......... ......... ......... ........... ........... wall. 49905 C Omental flap........... ......... ......... ......... ........... ........... 49906 C Free omental flap, ......... ......... ......... ........... ........... microvasc. 49999 T Abdomen surgery 470 2.19 $112.61 $54.92 $22.52 procedure. 50010 C Exploration of kidney.. ......... ......... ......... ........... ........... 50020 C Open drain renal ......... ......... ......... ........... ........... abscess. 50021 C Percut drain renal ......... ......... ......... ........... ........... abscess. 50040 C Drainage of kidney..... ......... ......... ......... ........... ........... 50045 C Exploration of kidney.. ......... ......... ......... ........... ........... 50060 C Removal of kidney stone ......... ......... ......... ........... ........... 50065 C Incision of kidney..... ......... ......... ......... ........... ........... 50070 C Incision of kidney..... ......... ......... ......... ........... ........... 50075 C Removal of kidney stone ......... ......... ......... ........... ........... 50080 C Removal of kidney stone ......... ......... ......... ........... ........... 50081 C Removal of kidney stone ......... ......... ......... ........... ........... 50100 C Revise kidney blood ......... ......... ......... ........... ........... vessels. 50120 C Exploration of kidney.. ......... ......... ......... ........... ........... 50125 C Explore and drain ......... ......... ......... ........... ........... kidney. 50130 C Removal of kidney stone ......... ......... ......... ........... ........... 50135 C Exploration of kidney.. ......... ......... ......... ........... ........... 50200 T Biopsy of kidney....... 122 4.59 $236.02 $113.00 $47.20 50205 C Biopsy of kidney....... ......... ......... ......... ........... ........... 50220 C Removal of kidney...... ......... ......... ......... ........... ........... 50225 C Removal of kidney...... ......... ......... ......... ........... ........... 50230 C Removal of kidney...... ......... ......... ......... ........... ........... 50234 C Removal of kidney & ......... ......... ......... ........... ........... ureter. 50236 C Removal of kidney & ......... ......... ......... ........... ........... ureter. 50240 C Partial removal of ......... ......... ......... ........... ........... kidney. 50280 C Removal of kidney ......... ......... ......... ........... ........... lesion. 50290 C Removal of kidney ......... ......... ......... ........... ........... lesion. 50300 C Removal of donor kidney ......... ......... ......... ........... ........... 50320 C Removal of donor kidney ......... ......... ......... ........... ........... 50340 C Removal of kidney...... ......... ......... ......... ........... ........... 50360 C Transplantation of ......... ......... ......... ........... ........... kidney. 50365 C Transplantation of ......... ......... ......... ........... ........... kidney. 50370 C Remove transplanted ......... ......... ......... ........... ........... kidney. 50380 C Reimplantation of ......... ......... ......... ........... ........... kidney. 50390 T Drainage of kidney 122 4.59 $236.02 $113.00 $47.20 lesion. 50392 T Insert kidney drain.... 347 2.57 $132.15 $62.38 $26.43 50393 T Insert ureteral tube... 347 2.57 $132.15 $62.38 $26.43 50394 T Injection for kidney x- 347 2.57 $132.15 $62.38 $26.43 ray.

50395 T Create passage to 347 2.57 $132.15 $62.38 $26.43 kidney. 50396 T Measure kidney pressure 529 2.33 $119.81 $59.66 $23.96 50398 T Change kidney tube..... 521 4.89 $251.44 $110.06 $50.29 50400 C Revision of kidney/ ......... ......... ......... ........... ........... ureter. 50405 C Revision of kidney/ ......... ......... ......... ........... ........... ureter. 50500 C Repair of kidney wound. ......... ......... ......... ........... ........... 50520 C Close kidney-skin ......... ......... ......... ........... ........... fistula. 50525 C Repair renal-abdomen ......... ......... ......... ........... ........... fistula. 50526 C Repair renal-abdomen ......... ......... ......... ........... ........... fistula. 50540 C Revision of horseshoe ......... ......... ......... ........... ........... kidney. 50551 T Kidney endoscopy....... 522 10.15 $521.91 $259.45 $104.38 50553 T Kidney endoscopy....... 522 10.15 $521.91 $259.45 $104.38 50555 T Kidney endoscopy & 522 10.15 $521.91 $259.45 $104.38 biopsy. 50557 T Kidney endoscopy & 522 10.15 $521.91 $259.45 $104.38 treatment. 50559 T Renal endoscopy; 522 10.15 $521.91 $259.45 $104.38 radiotracer. 50561 T Kidney endoscopy & 522 10.15 $521.91 $259.45 $104.38 treatment. 50570 C Kidney endoscopy....... ......... ......... ......... ........... ........... 50572 C Kidney endoscopy....... ......... ......... ......... ........... ........... 50574 C Kidney endoscopy & ......... ......... ......... ........... ........... biopsy. 50575 C Kidney endoscopy....... ......... ......... ......... ........... ........... 50576 C Kidney endoscopy & ......... ......... ......... ........... ........... treatment. 50578 C Renal endoscopy; ......... ......... ......... ........... ........... radiotracer. 50580 C Kidney endoscopy & ......... ......... ......... ........... ........... treatment. 50590 T Fragmenting of kidney 527 43.48 $2,235.74 $1,372.95 $447.15 stone. 50600 C Exploration of ureter.. ......... ......... ......... ........... ........... 50605 C Insert ureteral support ......... ......... ......... ........... ........... 50610 C Removal of ureter stone ......... ......... ......... ........... ........... 50620 C Removal of ureter stone ......... ......... ......... ........... ........... 50630 C Removal of ureter stone ......... ......... ......... ........... ........... 50650 C Removal of ureter...... ......... ......... ......... ........... ........... 50660 C Removal of ureter...... ......... ......... ......... ........... ........... 50684 T Injection for ureter x- 347 2.57 $132.15 $62.38 $26.43 ray. 50686 T Measure ureter pressure 529 2.33 $119.81 $59.66 $23.96 50688 T Change of ureter tube.. 470 2.19 $112.61 $54.92 $22.52 50690 T Injection for ureter x- 347 2.57 $132.15 $62.38 $26.43 ray. 50700 C Revision of ureter..... ......... ......... ......... ........... ........... 50715 C Release of ureter...... ......... ......... ......... ........... ........... 50722 C Release of ureter...... ......... ......... ......... ........... ........... 50725 C Release/revise ureter.. ......... ......... ......... ........... ........... 50727 C Revise ureter.......... ......... ......... ......... ........... ........... 50728 C Revise ureter.......... ......... ......... ......... ........... ........... 50740 C Fusion of ureter & ......... ......... ......... ........... ........... kidney. 50750 C Fusion of ureter & ......... ......... ......... ........... ........... kidney. 50760 C Fusion of ureters...... ......... ......... ......... ........... ........... 50770 C Splicing of ureters.... ......... ......... ......... ........... ........... 50780 C Reimplant ureter in ......... ......... ......... ........... ........... bladder. 50782 C Reimplant ureter in ......... ......... ......... ........... ........... bladder. 50783 C Reimplant ureter in ......... ......... ......... ........... ........... bladder. 50785 C Reimplant ureter in ......... ......... ......... ........... ........... bladder. 50800 C Implant ureter in bowel ......... ......... ......... ........... ........... 50810 C Fusion of ureter & ......... ......... ......... ........... ........... bowel. 50815 C Urine shunt to bowel... ......... ......... ......... ........... ........... 50820 C Construct bowel bladder ......... ......... ......... ........... ........... 50825 C Construct bowel bladder ......... ......... ......... ........... ........... 50830 C Revise urine flow...... ......... ......... ......... ........... ........... 50840 C Replace ureter by bowel ......... ......... ......... ........... ........... 50845 C Appendico-vesicostomy.. ......... ......... ......... ........... ........... 50860 C Transplant ureter to ......... ......... ......... ........... ........... skin. 50900 C Repair of ureter....... ......... ......... ......... ........... ........... 50920 C Closure ureter/skin ......... ......... ......... ........... ........... fistula. 50930 C Closure ureter/bowel ......... ......... ......... ........... ........... fistula. 50940 C Release of ureter...... ......... ......... ......... ........... ........... 50951 T Endoscopy of ureter.... 523 16.35 $840.72 $438.89 $168.14 50953 T Endoscopy of ureter.... 523 16.35 $840.72 $438.89 $168.14 50955 T Ureter endoscopy & 523 16.35 $840.72 $438.89 $168.14 biopsy. 50957 T Ureter endoscopy & 523 16.35 $840.72 $438.89 $168.14 treatment. 50959 T Ureter endoscopy & 523 16.35 $840.72 $438.89 $168.14 tracer. 50961 T Ureter endoscopy & 523 16.35 $840.72 $438.89 $168.14 treatment. 50970 C Ureter endoscopy....... ......... ......... ......... ........... ........... 50972 C Ureter endoscopy & ......... ......... ......... ........... ........... catheter. 50974 C Ureter endoscopy & ......... ......... ......... ........... ........... biopsy. 50976 C Ureter endoscopy & ......... ......... ......... ........... ........... treatment. 50978 C Ureter endoscopy & ......... ......... ......... ........... ........... tracer. 50980 C Ureter endoscopy & ......... ......... ......... ........... ........... treatment. 51000 T Drainage of bladder.... 530 2.46 $126.49 $53.34 $25.30

51005 T Drainage of bladder.... 530 2.46 $126.49 $53.34 $25.30 51010 T Drainage of bladder.... 530 2.46 $126.49 $53.34 $25.30 51020 T Incise & treat bladder. 523 16.35 $840.72 $438.89 $168.14 51030 T Incise & treat bladder. 523 16.35 $840.72 $438.89 $168.14 51040 T Incise & drain bladder. 523 16.35 $840.72 $438.89 $168.14 51045 T Incise bladder, drain 523 16.35 $840.72 $438.89 $168.14 ureter. 51050 T Removal of bladder 523 16.35 $840.72 $438.89 $168.14 stone. 51060 C Removal of ureter stone ......... ......... ......... ........... ........... 51065 T Removal of ureter stone 523 16.35 $840.72 $438.89 $168.14 51080 T Drainage of bladder 132 5.63 $289.49 $132.89 $57.90 abscess. 51500 T Removal of bladder cyst 466 20.67 $1,062.85 $556.64 $212.57 51520 T Removal of bladder 523 16.35 $840.72 $438.89 $168.14 lesion. 51525 C Removal of bladder ......... ......... ......... ........... ........... lesion. 51530 C Removal of bladder ......... ......... ......... ........... ........... lesion. 51535 C Repair of ureter lesion ......... ......... ......... ........... ........... 51550 C Partial removal of ......... ......... ......... ........... ........... bladder. 51555 C Partial removal of ......... ......... ......... ........... ........... bladder. 51565 C Revise bladder & ......... ......... ......... ........... ........... ureter(s). 51570 C Removal of bladder..... ......... ......... ......... ........... ........... 51575 C Removal of bladder & ......... ......... ......... ........... ........... nodes. 51580 C Remove bladder; revise ......... ......... ......... ........... ........... tract. 51585 C Removal of bladder & ......... ......... ......... ........... ........... nodes. 51590 C Remove bladder; revise ......... ......... ......... ........... ........... tract. 51595 C Remove bladder; revise ......... ......... ......... ........... ........... tract. 51596 C Remove bladder, create ......... ......... ......... ........... ........... pouch. 51597 C Removal of pelvic ......... ......... ......... ........... ........... structures. 51600 T Injection for bladder x- 347 2.57 $132.15 $62.38 $26.43 ray. 51605 T Preparation for bladder 347 2.57 $132.15 $62.38 $26.43 x-ray. 51610 T Injection for bladder x- 347 2.57 $132.15 $62.38 $26.43 ray. 51700 T Irrigation of bladder.. 530 2.46 $126.49 $53.34 $25.30 51705 T Change of bladder tube. 470 2.19 $112.61 $54.92 $22.52 51710 T Change of bladder tube. 470 2.19 $112.61 $54.92 $22.52 51715 T Endoscopic injection/ 531 18.59 $955.90 $531.55 $191.18 implant. 51720 T Treatment of bladder 530 2.46 $126.49 $53.34 $25.30 lesion. 51725 T Simple cystometrogram.. 529 2.33 $119.81 $59.66 $23.96 51726 T Complex cystometrogram. 529 2.33 $119.81 $59.66 $23.96 51736 T Urine flow measurement. 529 2.33 $119.81 $59.66 $23.96 51741 T Electro-uroflowmetry, 529 2.33 $119.81 $59.66 $23.96 first. 51772 T Urethra pressure 529 2.33 $119.81 $59.66 $23.96 profile. 51784 T Anal/urinary muscle 529 2.33 $119.81 $59.66 $23.96 study. 51785 T Anal/urinary muscle 529 2.33 $119.81 $59.66 $23.96 study. 51792 T Urinary reflex study... 529 2.33 $119.81 $59.66 $23.96 51795 T Urine voiding pressure 529 2.33 $119.81 $59.66 $23.96 study. 51797 T Intraabdominal pressure 529 2.33 $119.81 $59.66 $23.96 test. 51800 C Revision of bladder/ ......... ......... ......... ........... ........... urethra. 51820 C Revision of urinary ......... ......... ......... ........... ........... tract. 51840 C Attach bladder/urethra. ......... ......... ......... ........... ........... 51841 C Attach bladder/urethra. ......... ......... ......... ........... ........... 51845 C Repair bladder neck.... ......... ......... ......... ........... ........... 51860 C Repair of bladder wound ......... ......... ......... ........... ........... 51865 C Repair of bladder wound ......... ......... ......... ........... ........... 51880 T Repair of bladder 523 16.35 $840.72 $438.89 $168.14 opening. 51900 C Repair bladder/vagina ......... ......... ......... ........... ........... lesion. 51920 C Close bladder-uterus ......... ......... ......... ........... ........... fistula. 51925 C Hysterectomy/bladder ......... ......... ......... ........... ........... repair. 51940 C Correction of bladder ......... ......... ......... ........... ........... defect. 51960 C Revision of bladder & ......... ......... ......... ........... ........... bowel. 51980 C Construct bladder ......... ......... ......... ........... ........... opening. 52000 T Cystoscopy............. 521 4.89 $251.44 $110.06 $50.29 52005 T Cystoscopy & ureter 522 10.15 $521.91 $259.45 $104.38 catheter. 52007 T Cystoscopy and biopsy.. 522 10.15 $521.91 $259.45 $104.38 52010 T Cystoscopy & duct 522 10.15 $521.91 $259.45 $104.38 catheter. 52204 T Cystoscopy............. 522 10.15 $521.91 $259.45 $104.38 52214 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52224 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52234 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52235 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52240 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52250 T Cystoscopy & 523 16.35 $840.72 $438.89 $168.14 radiotracer. 52260 T Cystoscopy & treatment. 522 10.15 $521.91 $259.45 $104.38 52265 T Cystoscopy & treatment. 521 4.89 $251.44 $110.06 $50.29 52270 T Cystoscopy & revise 522 10.15 $521.91 $259.45 $104.38 urethra. 52275 T Cystoscopy & revise 522 10.15 $521.91 $259.45 $104.38 urethra. 52276 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52277 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment.

52281 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52282 T Cystoscopy, implant 523 16.35 $840.72 $438.89 $168.14 stent. 52283 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52285 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52290 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52300 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52301 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52305 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52310 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52315 T Cystoscopy and 522 10.15 $521.91 $259.45 $104.38 treatment. 52317 T Remove bladder stone... 523 16.35 $840.72 $438.89 $168.14 52318 T Remove bladder stone... 523 16.35 $840.72 $438.89 $168.14 52320 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52325 T Cystoscopy, stone 523 16.35 $840.72 $438.89 $168.14 removal. 52327 T Cystoscopy, inject 522 10.15 $521.91 $259.45 $104.38 material. 52330 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52332 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52334 T Create passage to 523 16.35 $840.72 $438.89 $168.14 kidney. 52335 T Endoscopy of urinary 523 16.35 $840.72 $438.89 $168.14 tract. 52336 T Cystoscopy, stone 523 16.35 $840.72 $438.89 $168.14 removal. 52337 T Cystoscopy, stone 524 27.20 $1,398.62 $824.90 $279.72 removal. 52338 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52339 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52340 T Cystoscopy and 523 16.35 $840.72 $438.89 $168.14 treatment. 52450 T Incision of prostate... 523 16.35 $840.72 $438.89 $168.14 52500 T Revision of bladder 523 16.35 $840.72 $438.89 $168.14 neck. 52510 T Dilation prostatic 522 10.15 $521.91 $259.45 $104.38 urethra. 52601 T Prostatectomy (TURP)... 524 27.20 $1,398.62 $824.90 $279.72 52606 T Control postop bleeding 523 16.35 $840.72 $438.89 $168.14 52612 T Prostatectomy, first 524 27.20 $1,398.62 $824.90 $279.72 stage. 52614 T Prostatectomy, second 524 27.20 $1,398.62 $824.90 $279.72 stage. 52620 T Remove residual 524 27.20 $1,398.62 $824.90 $279.72 prostate. 52630 T Remove prostate 524 27.20 $1,398.62 $824.90 $279.72 regrowth. 52640 T Relieve bladder 523 16.35 $840.72 $438.89 $168.14 contracture. 52647 T Laser surgery of 524 27.20 $1,398.62 $824.90 $279.72 prostate. 52648 T Laser surgery of 524 27.20 $1,398.62 $824.90 $279.72 prostate. 52700 T Drainage of prostate 523 16.35 $840.72 $438.89 $168.14 abscess. 53000 T Incision of urethra.... 531 18.59 $955.90 $531.55 $191.18 53010 T Incision of urethra.... 531 18.59 $955.90 $531.55 $191.18 53020 T Incision of urethra.... 531 18.59 $955.90 $531.55 $191.18 53025 T Incision of urethra.... 531 18.59 $955.90 $531.55 $191.18 53040 T Drainage of urethra 531 18.59 $955.90 $531.55 $191.18 abscess. 53060 T Drainage of urethra 531 18.59 $955.90 $531.55 $191.18 abscess. 53080 T Drainage of urinary 531 18.59 $955.90 $531.55 $191.18 leakage. 53085 C Drainage of urinary ......... ......... ......... ........... ........... leakage. 53200 T Biopsy of urethra...... 531 18.59 $955.90 $531.55 $191.18 53210 T Removal of urethra..... 532 23.02 $1,183.69 $588.50 $236.74 53215 T Removal of urethra..... 532 23.02 $1,183.69 $588.50 $236.74 53220 T Treatment of urethra 532 23.02 $1,183.69 $588.50 $236.74 lesion. 53230 T Removal of urethra 532 23.02 $1,183.69 $588.50 $236.74 lesion. 53235 T Removal of urethra 532 23.02 $1,183.69 $588.50 $236.74 lesion. 53240 T Surgery for urethra 532 23.02 $1,183.69 $588.50 $236.74 pouch. 53250 T Removal of urethra 531 18.59 $955.90 $531.55 $191.18 gland. 53260 T Treatment of urethra 531 18.59 $955.90 $531.55 $191.18 lesion. 53265 T Treatment of urethra 531 18.59 $955.90 $531.55 $191.18 lesion. 53270 T Removal of urethra 531 18.59 $955.90 $531.55 $191.18 gland. 53275 T Repair of urethra 531 18.59 $955.90 $531.55 $191.18 defect. 53400 T Revise urethra, 1st 532 23.02 $1,183.69 $588.50 $236.74 stage. 53405 T Revise urethra, 2nd 532 23.02 $1,183.69 $588.50 $236.74 stage. 53410 T Reconstruction of 532 23.02 $1,183.69 $588.50 $236.74 urethra. 53415 C Reconstruction of ......... ......... ......... ........... ........... urethra. 53420 T Reconstruct urethra, 532 23.02 $1,183.69 $588.50 $236.74 stage 1. 53425 T Reconstruct urethra, 532 23.02 $1,183.69 $588.50 $236.74 stage 2. 53430 T Reconstruction of 532 23.02 $1,183.69 $588.50 $236.74 urethra. 53440 T Correct bladder 538 48.41 $2,489.24 $1,563.47 $497.85 function. 53442 T Remove perineal 531 18.59 $955.90 $531.55 $191.18 prosthesis. 53443 C Reconstruction of ......... ......... ......... ........... ........... urethra. 53445 T Correct urine flow 538 48.41 $2,489.24 $1,563.47 $497.85 control. 53447 T Remove artificial 532 23.02 $1,183.69 $588.50 $236.74 sphincter. 53449 T Correct artificial 532 23.02 $1,183.69 $588.50 $236.74 sphincter. 53450 T Revision of urethra.... 532 23.02 $1,183.69 $588.50 $236.74 53460 T Revision of urethra.... 532 23.02 $1,183.69 $588.50 $236.74 53502 T Repair of urethra 531 18.59 $955.90 $531.55 $191.18 injury. 53505 T Repair of urethra 531 18.59 $955.90 $531.55 $191.18 injury. 53510 T Repair of urethra 531 18.59 $955.90 $531.55 $191.18 injury.

53515 T Repair of urethra 532 23.02 $1,183.69 $588.50 $236.74 injury. 53520 T Repair of urethra 532 23.02 $1,183.69 $588.50 $236.74 defect. 53600 T Dilate urethra 530 2.46 $126.49 $53.34 $25.30 stricture. 53601 T Dilate urethra 530 2.46 $126.49 $53.34 $25.30 stricture. 53605 T Dilate urethra 522 10.15 $521.91 $259.45 $104.38 stricture. 53620 T Dilate urethra 530 2.46 $126.49 $53.34 $25.30 stricture. 53621 T Dilate urethra 530 2.46 $126.49 $53.34 $25.30 stricture. \2\ 5364 T Relieve bladder 530 2.46 $126.49 $53.34 $25.30 0 retention. 53660 T Dilation of urethra.... 530 2.46 $126.49 $53.34 $25.30 53661 T Dilation of urethra.... 530 2.46 $126.49 $53.34 $25.30 53665 T Dilation of urethra.... 531 18.59 $955.90 $531.55 $191.18 53670 N Insert urinary catheter ......... ......... ......... ........... ........... 53675 T Insert urinary catheter 530 2.46 $126.49 $53.34 $25.30 53850 T Prostatic microwave 524 27.20 $1,398.62 $824.90 $279.72 thermotx. 53852 T Prostatic rf thermotx.. 524 27.20 $1,398.62 $824.90 $279.72 53899 T Urology surgery 530 2.46 $126.49 $53.34 $25.30 procedure. 54000 T Slitting of prepuce.... 531 18.59 $955.90 $531.55 $191.18 54001 T Slitting of prepuce.... 531 18.59 $955.90 $531.55 $191.18 54015 T Drain penis lesion..... 132 5.63 $289.49 $132.89 $57.90 54050 T Destruction, penis 152 10.07 $517.80 $251.54 $103.56 lesion(s). 54055 T Destruction, penis 152 10.07 $517.80 $251.54 $103.56 lesion(s). 54056 T Cryosurgery, penis 152 10.07 $517.80 $251.54 $103.56 lesion(s). 54057 T Laser surg, penis 152 10.07 $517.80 $251.54 $103.56 lesion(s). 54060 T Excision of penis 152 10.07 $517.80 $251.54 $103.56 lesion(s). 54065 T Destruction, penis 152 10.07 $517.80 $251.54 $103.56 lesion(s). 54100 T Biopsy of penis........ 162 5.59 $287.44 $125.66 $57.49 54105 T Biopsy of penis........ 162 5.59 $287.44 $125.66 $57.49 54110 T Treatment of penis 537 28.65 $1,473.18 $872.36 $294.64 lesion. 54111 T Treat penis lesion, 537 28.65 $1,473.18 $872.36 $294.64 graft. 54112 T Treat penis lesion, 537 28.65 $1,473.18 $872.36 $294.64 graft. 54115 T Treatment of penis 132 5.63 $289.49 $132.89 $57.90 lesion. 54120 T Partial removal of 537 28.65 $1,473.18 $872.36 $294.64 penis. 54125 C Removal of penis....... ......... ......... ......... ........... ........... 54130 C Remove penis & nodes... ......... ......... ......... ........... ........... 54135 C Remove penis & nodes... ......... ......... ......... ........... ........... 54150 T Circumcision........... 536 12.89 $662.80 $321.60 $132.56 54152 T Circumcision........... 536 12.89 $662.80 $321.60 $132.56 54160 T Circumcision........... 536 12.89 $662.80 $321.60 $132.56 54161 T Circumcision........... 536 12.89 $662.80 $321.60 $132.56 54200 T Treatment of penis 530 2.46 $126.49 $53.34 $25.30 lesion. 54205 T Treatment of penis 537 28.65 $1,473.18 $872.36 $294.64 lesion. 54220 T Treatment of penis 530 2.46 $126.49 $53.34 $25.30 lesion. 54230 T Prepare penis study.... 347 2.57 $132.15 $62.38 $26.43 54231 T Dynamic cavernosometry. 530 2.46 $126.49 $53.34 $25.30 54235 T Penile injection....... 530 2.46 $126.49 $53.34 $25.30 54240 T Penis study............ 529 2.33 $119.81 $59.66 $23.96 54250 T Penis study............ 529 2.33 $119.81 $59.66 $23.96 54300 T Revision of penis...... 537 28.65 $1,473.18 $872.36 $294.64 54304 T Revision of penis...... 537 28.65 $1,473.18 $872.36 $294.64 54308 T Reconstruction of 537 28.65 $1,473.18 $872.36 $294.64 urethra. 54312 T Reconstruction of 537 28.65 $1,473.18 $872.36 $294.64 urethra. 54316 T Reconstruction of 537 28.65 $1,473.18 $872.36 $294.64 urethra. 54318 T Reconstruction of 537 28.65 $1,473.18 $872.36 $294.64 urethra. 54322 T Reconstruction of 537 28.65 $1,473.18 $872.36 $294.64 urethra. 54324 T Reconstruction of 537 28.65 $1,473.18 $872.36 $294.64 urethra. 54326 T Reconstruction of 537 28.65 $1,473.18 $872.36 $294.64 urethra. 54328 T Revise penis, urethra.. 537 28.65 $1,473.18 $872.36 $294.64 54332 C Revise penis, urethra.. ......... ......... ......... ........... ........... 54336 C Revise penis, urethra.. ......... ......... ......... ........... ........... 54340 T Secondary urethral 537 28.65 $1,473.18 $872.36 $294.64 surgery. 54344 T Secondary urethral 537 28.65 $1,473.18 $872.36 $294.64 surgery. 54348 T Secondary urethral 537 28.65 $1,473.18 $872.36 $294.64 surgery. 54352 T Reconstruct urethra, 537 28.65 $1,473.18 $872.36 $294.64 penis. 54360 T Penis plastic surgery.. 537 28.65 $1,473.18 $872.36 $294.64 54380 T Repair penis........... 537 28.65 $1,473.18 $872.36 $294.64 54385 T Repair penis........... 537 28.65 $1,473.18 $872.36 $294.64 54390 C Repair penis and ......... ......... ......... ........... ........... bladder. 54400 T Insert semi-rigid 538 48.41 $2,489.24 $1,563.47 $497.85 prosthesis. 54401 T Insert self-contd 538 48.41 $2,489.24 $1,563.47 $497.85 prosthesis. 54402 T Remove penis prosthesis 537 28.65 $1,473.18 $872.36 $294.64 54405 T Insert multi-comp 538 48.41 $2,489.24 $1,563.47 $497.85 prosthesis. 54407 T Remove multi-comp 537 28.65 $1,473.18 $872.36 $294.64 prosthesis. 54409 T Revise penis prosthesis 537 28.65 $1,473.18 $872.36 $294.64 54420 T Revision of penis...... 537 28.65 $1,473.18 $872.36 $294.64 54430 C Revision of penis...... ......... ......... ......... ........... ...........

54435 T Revision of penis...... 537 28.65 $1,473.18 $872.36 $294.64 54440 T Repair of penis........ 537 28.65 $1,473.18 $872.36 $294.64 54450 T Preputial stretching... 530 2.46 $126.49 $53.34 $25.30 54500 T Biopsy of testis....... 122 4.59 $236.02 $113.00 $47.20 54505 T Biopsy of testis....... 546 16.54 $850.49 $449.51 $170.10 54510 T Removal of testis 546 16.54 $850.49 $449.51 $170.10 lesion. 54520 T Removal of testis...... 546 16.54 $850.49 $449.51 $170.10 54530 T Removal of testis...... 546 16.54 $850.49 $449.51 $170.10 54535 C Extensive testis ......... ......... ......... ........... ........... surgery. 54550 T Exploration for testis. 546 16.54 $850.49 $449.51 $170.10 54560 C Exploration for testis. ......... ......... ......... ........... ........... 54600 T Reduce testis torsion.. 546 16.54 $850.49 $449.51 $170.10 54620 T Suspension of testis... 546 16.54 $850.49 $449.51 $170.10 54640 T Suspension of testis... 546 16.54 $850.49 $449.51 $170.10 54650 C Orchiopexy (Fowler- ......... ......... ......... ........... ........... Stephens). 54660 T Revision of testis..... 546 16.54 $850.49 $449.51 $170.10 54670 T Repair testis injury... 546 16.54 $850.49 $449.51 $170.10 54680 T Relocation of 546 16.54 $850.49 $449.51 $170.10 testis(es). 54700 T Drainage of scrotum.... 546 16.54 $850.49 $449.51 $170.10 54800 T Biopsy of epididymis... 122 4.59 $236.02 $113.00 $47.20 54820 T Exploration of 546 16.54 $850.49 $449.51 $170.10 epididymis. 54830 T Remove epididymis 546 16.54 $850.49 $449.51 $170.10 lesion. 54840 T Remove epididymis 546 16.54 $850.49 $449.51 $170.10 lesion. 54860 T Removal of epididymis.. 546 16.54 $850.49 $449.51 $170.10 54861 T Removal of epididymis.. 546 16.54 $850.49 $449.51 $170.10 54900 T Fusion of spermatic 546 16.54 $850.49 $449.51 $170.10 ducts. 54901 T Fusion of spermatic 546 16.54 $850.49 $449.51 $170.10 ducts. 55000 T Drainage of hydrocele.. 121 0.63 $32.39 $21.02 $6.48 55040 T Removal of hydrocele... 466 20.67 $1,062.85 $556.64 $212.57 55041 T Removal of hydroceles.. 466 20.67 $1,062.85 $556.64 $212.57 55060 T Repair of hydrocele.... 546 16.54 $850.49 $449.51 $170.10 55100 T Drainage of scrotum 132 5.63 $289.49 $132.89 $57.90 abscess. 55110 T Explore scrotum........ 546 16.54 $850.49 $449.51 $170.10 55120 T Removal of scrotum 546 16.54 $850.49 $449.51 $170.10 lesion. 55150 T Removal of scrotum..... 546 16.54 $850.49 $449.51 $170.10 55175 T Revision of scrotum.... 546 16.54 $850.49 $449.51 $170.10 55180 T Revision of scrotum.... 546 16.54 $850.49 $449.51 $170.10 55200 T Incision of sperm duct. 546 16.54 $850.49 $449.51 $170.10 55250 T Removal of sperm 546 16.54 $850.49 $449.51 $170.10 duct(s). 55300 T Preparation,sperm duct 347 2.57 $132.15 $62.38 $26.43 x-ray. 55400 T Repair of sperm duct... 546 16.54 $850.49 $449.51 $170.10 55450 T Ligation of sperm duct. 546 16.54 $850.49 $449.51 $170.10 55500 T Removal of hydrocele... 546 16.54 $850.49 $449.51 $170.10 55520 T Removal of sperm cord 546 16.54 $850.49 $449.51 $170.10 lesion. 55530 T Revise spermatic cord 546 16.54 $850.49 $449.51 $170.10 veins. 55535 T Revise spermatic cord 546 16.54 $850.49 $449.51 $170.10 veins. 55540 T Revise hernia & sperm 546 16.54 $850.49 $449.51 $170.10 veins. 55600 C Incise sperm duct pouch ......... ......... ......... ........... ........... 55605 C Incise sperm duct pouch ......... ......... ......... ........... ........... 55650 C Remove sperm duct pouch ......... ......... ......... ........... ........... 55680 T Remove sperm pouch 546 16.54 $850.49 $449.51 $170.10 lesion. 55700 T Biopsy of prostate..... 547 4.39 $225.73 $125.20 $45.15 55705 T Biopsy of prostate..... 547 4.39 $225.73 $125.20 $45.15 55720 T Drainage of prostate 523 16.35 $840.72 $438.89 $168.14 abscess. 55725 T Drainage of prostate 523 16.35 $840.72 $438.89 $168.14 abscess. 55801 C Removal of prostate.... ......... ......... ......... ........... ........... 55810 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55812 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55815 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55821 C Removal of prostate.... ......... ......... ......... ........... ........... 55831 C Removal of prostate.... ......... ......... ......... ........... ........... 55840 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55842 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55845 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55859 T Percut/needle insert, 523 16.35 $840.72 $438.89 $168.14 pros. 55860 C Surgical exposure, ......... ......... ......... ........... ........... prostate. 55862 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55865 C Extensive prostate ......... ......... ......... ........... ........... surgery. 55870 T Electroejaculation..... 568 2.79 $143.46 $55.60 $28.69 55899 T Genital surgery 530 2.46 $126.49 $53.34 $25.30 procedure. 55970 E Sex transformation, M ......... ......... ......... ........... ........... to F. 55980 E Sex transformation, F ......... ......... ......... ........... ........... to M. 56300 T Laparoscopy; diagnostic 551 24.61 $1,265.45 $701.73 $253.09 56301 T Laparoscopy; tubal 551 24.61 $1,265.45 $701.73 $253.09 cautery. 56302 T Laparoscopy; tubal 551 24.61 $1,265.45 $701.73 $253.09 block.

56303 T Laparoscopy; excise 551 24.61 $1,265.45 $701.73 $253.09 lesions. 56304 T Laparoscopy; lysis..... 551 24.61 $1,265.45 $701.73 $253.09 56305 T Laparoscopy; biopsy.... 551 24.61 $1,265.45 $701.73 $253.09 56306 T Laparoscopy; aspiration 551 24.61 $1,265.45 $701.73 $253.09 56307 T Laparoscopy; remove 552 37.09 $1,907.17 $1,053.84 $381.43 adnexa. 56308 C Laparoscopy; ......... ......... ......... ........... ........... hysterectomy. 56309 T Laparoscopy; remove 552 37.09 $1,907.17 $1,053.84 $381.43 myoma. 56310 C Laparoscopic ......... ......... ......... ........... ........... enterolysis. 56311 T Laparoscopic lymph node 552 37.09 $1,907.17 $1,053.84 $381.43 biop. 56312 T Laparoscopic 552 37.09 $1,907.17 $1,053.84 $381.43 lymphadenectomy. 56313 T Laparoscopic 552 37.09 $1,907.17 $1,053.84 $381.43 lymphadenectomy. 56314 C Lapar; drain lymphocele ......... ......... ......... ........... ........... 56315 C Laparoscopic ......... ......... ......... ........... ........... appendectomy. 56316 T Laparoscopic hernia 552 37.09 $1,907.17 $1,053.84 $381.43 repair. 56317 T Laparoscopic hernia 552 37.09 $1,907.17 $1,053.84 $381.43 repair. 56318 T Laparoscopic 552 37.09 $1,907.17 $1,053.84 $381.43 orchiectomy. 56320 T Laparoscopy, spermatic 552 37.09 $1,907.17 $1,053.84 $381.43 veins. 56322 C Laparoscopy, vagus ......... ......... ......... ........... ........... nerves. 56323 C Laparoscopy, vagus ......... ......... ......... ........... ........... nerves. 56324 C Laparoscopy, ......... ......... ......... ........... ........... cholecystoenter. 56340 C Laparoscopic ......... ......... ......... ........... ........... cholecystectomy. 56341 C Laparoscopic ......... ......... ......... ........... ........... cholecystectomy. 56342 C Laparoscopic ......... ......... ......... ........... ........... cholecystectomy. 56343 T Laparoscopic 552 37.09 $1,907.17 $1,053.84 $381.43 salpingostomy. 56344 T Laparoscopic 552 37.09 $1,907.17 $1,053.84 $381.43 fimbrioplasty. 56345 C Laparoscopic ......... ......... ......... ........... ........... splenectomy. 56346 T Laparoscopic 551 24.61 $1,265.45 $701.73 $253.09 gastrostomy. 56347 C Laparoscopic ......... ......... ......... ........... ........... jejunostomy. 56348 C Laparo; resect ......... ......... ......... ........... ........... intestine. 56349 C Laparoscopy; ......... ......... ......... ........... ........... fundoplasty. 56350 T Hysteroscopy; 562 12.30 $632.47 $325.44 $126.49 diagnostic. 56351 T Hysteroscopy; biopsy... 550 16.46 $846.37 $445.22 $169.27 56352 T Hysteroscopy; lysis.... 550 16.46 $846.37 $445.22 $169.27 56353 T Hysteroscopy; resect 550 16.46 $846.37 $445.22 $169.27 septum. 56354 T Hysteroscopy; remove 550 16.46 $846.37 $445.22 $169.27 myoma. 56355 T Hysteroscopy; remove 550 16.46 $846.37 $445.22 $169.27 impact. 56356 T Hysteroscopy; ablation. 550 16.46 $846.37 $445.22 $169.27 \2\ 5636 T Peritoneoscopy......... 551 24.61 $1,265.45 $701.73 $253.09 0 \2\ 5636 T Peritoneoscopy w/biopsy 551 24.61 $1,265.45 $701.73 $253.09 1 56362 T Laparoscopy w/cholangio 552 37.09 $1,907.17 $1,053.84 $381.43 56363 T Laparoscopy w/biopsy... 552 37.09 $1,907.17 $1,053.84 $381.43 56399 T Laparoscopy procedure.. 562 12.30 $632.47 $325.44 $126.49 56405 T I & D of vulva/perineum 561 1.46 $75.07 $24.41 $15.01 56420 T Drainage of gland 561 1.46 $75.07 $24.41 $15.01 abscess. 56440 T Surgery for vulva 562 12.30 $632.47 $325.44 $126.49 lesion. 56441 T Lysis of labial 561 1.46 $75.07 $24.41 $15.01 lesion(s). 56501 T Destruction, vulva 152 10.07 $517.80 $251.54 $103.56 lesion(s). 56515 T Destruction, vulva 152 10.07 $517.80 $251.54 $103.56 lesion(s). 56605 T Biopsy of vulva/ 161 3.43 $176.37 $75.71 $35.27 perineum. 56606 T Biopsy of vulva/ 161 3.43 $176.37 $75.71 $35.27 perineum. 56620 T Partial removal of 563 16.50 $848.43 $461.72 $169.69 vulva. 56625 T Complete removal of 563 16.50 $848.43 $461.72 $169.69 vulva. 56630 C Extensive vulva surgery ......... ......... ......... ........... ........... 56631 C Extensive vulva surgery ......... ......... ......... ........... ........... 56632 C Extensive vulva surgery ......... ......... ......... ........... ........... 56633 C Extensive vulva surgery ......... ......... ......... ........... ........... 56634 C Extensive vulva surgery ......... ......... ......... ........... ........... 56637 C Extensive vulva surgery ......... ......... ......... ........... ........... 56640 C Extensive vulva surgery ......... ......... ......... ........... ........... 56700 T Partial removal of 562 12.30 $632.47 $325.44 $126.49 hymen. 56720 T Incision of hymen...... 562 12.30 $632.47 $325.44 $126.49 56740 T Remove vagina gland 562 12.30 $632.47 $325.44 $126.49 lesion. 56800 T Repair of vagina....... 562 12.30 $632.47 $325.44 $126.49 56805 C Repair clitoris........ ......... ......... ......... ........... ........... 56810 T Repair of perineum..... 562 12.30 $632.47 $325.44 $126.49 57000 T Exploration of vagina.. 562 12.30 $632.47 $325.44 $126.49 57010 T Drainage of pelvic 562 12.30 $632.47 $325.44 $126.49 abscess. 57020 T Drainage of pelvic 562 12.30 $632.47 $325.44 $126.49 fluid. 57061 T Destruction vagina 561 1.46 $75.07 $24.41 $15.01 lesion(s). 57065 T Destruction vagina 562 12.30 $632.47 $325.44 $126.49 lesion(s). 57100 T Biopsy of vagina....... 561 1.46 $75.07 $24.41 $15.01 57105 T Biopsy of vagina....... 562 12.30 $632.47 $325.44 $126.49 \2\ 5710 C Partial removal of ......... ......... ......... ........... ........... 8 vagina. 57110 C Remove vagina wall, ......... ......... ......... ........... ........... complete. 57120 C Closure of vagina...... ......... ......... ......... ........... ...........

57130 T Remove vagina lesion... 562 12.30 $632.47 $325.44 $126.49 57135 T Remove vagina lesion... 562 12.30 $632.47 $325.44 $126.49 57150 T Treat vagina infection. 561 1.46 $75.07 $24.41 $15.01 57160 T Insertion of pessary/ 561 1.46 $75.07 $24.41 $15.01 device. 57170 T Fitting of diaphragm/ 561 1.46 $75.07 $24.41 $15.01 cap. 57180 T Treat vaginal bleeding. 561 1.46 $75.07 $24.41 $15.01 57200 T Repair of vagina....... 562 12.30 $632.47 $325.44 $126.49 57210 T Repair vagina/perineum. 562 12.30 $632.47 $325.44 $126.49 57220 T Revision of urethra.... 563 16.50 $848.43 $461.72 $169.69 57230 T Repair of urethral 562 12.30 $632.47 $325.44 $126.49 lesion. 57240 T Repair bladder & vagina 563 16.50 $848.43 $461.72 $169.69 57250 T Repair rectum & vagina. 563 16.50 $848.43 $461.72 $169.69 57260 T Repair of vagina....... 563 16.50 $848.43 $461.72 $169.69 57265 T Extensive repair of 563 16.50 $848.43 $461.72 $169.69 vagina. 57268 T Repair of bowel bulge.. 563 16.50 $848.43 $461.72 $169.69 57270 C Repair of bowel pouch.. ......... ......... ......... ........... ........... 57280 C Suspension of vagina... ......... ......... ......... ........... ........... 57282 C Repair of vaginal ......... ......... ......... ........... ........... prolapse. 57284 T Repair paravaginal 563 16.50 $848.43 $461.72 $169.69 defect. 57288 T Repair bladder defect.. 563 16.50 $848.43 $461.72 $169.69 57289 T Repair bladder & vagina 563 16.50 $848.43 $461.72 $169.69 57291 T Construction of vagina. 563 16.50 $848.43 $461.72 $169.69 57292 C Construct vagina with ......... ......... ......... ........... ........... graft. 57300 T Repair rectum-vagina 563 16.50 $848.43 $461.72 $169.69 fistula. 57305 C Repair rectum-vagina ......... ......... ......... ........... ........... fistula. 57307 C Fistula repair & ......... ......... ......... ........... ........... colostomy. 57308 C Fistula repair, ......... ......... ......... ........... ........... transperine. 57310 C Repair urethrovaginal ......... ......... ......... ........... ........... lesion. 57311 C Repair urethrovaginal ......... ......... ......... ........... ........... lesion. 57320 C Repair bladder-vagina ......... ......... ......... ........... ........... lesion. 57330 C Repair bladder-vagina ......... ......... ......... ........... ........... lesion. 57335 C Repair vagina.......... ......... ......... ......... ........... ........... 57400 T Dilation of vagina..... 562 12.30 $632.47 $325.44 $126.49 57410 T Pelvic examination..... 562 12.30 $632.47 $325.44 $126.49 57415 T Removal vaginal foreign 562 12.30 $632.47 $325.44 $126.49 body. 57452 T Examination of vagina.. 561 1.46 $75.07 $24.41 $15.01 57454 T Vagina examination & 561 1.46 $75.07 $24.41 $15.01 biopsy. 57460 T Cervix excision........ 562 12.30 $632.47 $325.44 $126.49 57500 T Biopsy of cervix....... 561 1.46 $75.07 $24.41 $15.01 57505 T Endocervical curettage. 561 1.46 $75.07 $24.41 $15.01 57510 T Cauterization of cervix 561 1.46 $75.07 $24.41 $15.01 57511 T Cryocautery of cervix.. 561 1.46 $75.07 $24.41 $15.01 57513 T Laser surgery of cervix 561 1.46 $75.07 $24.41 $15.01 57520 T Conization of cervix... 563 16.50 $848.43 $461.72 $169.69 57522 T Conization of cervix... 563 16.50 $848.43 $461.72 $169.69 57530 T Removal of cervix...... 563 16.50 $848.43 $461.72 $169.69 57531 C Removal of cervix, ......... ......... ......... ........... ........... radical. 57540 C Removal of residual ......... ......... ......... ........... ........... cervix. 57545 C Remove cervix, repair ......... ......... ......... ........... ........... pelvis. 57550 T Removal of residual 563 16.50 $848.43 $461.72 $169.69 cervix. 57555 T Remove cervix, repair 563 16.50 $848.43 $461.72 $169.69 vagina. 57556 T Remove cervix, repair 563 16.50 $848.43 $461.72 $169.69 bowel. 57700 T Revision of cervix..... 562 12.30 $632.47 $325.44 $126.49 57720 T Revision of cervix..... 562 12.30 $632.47 $325.44 $126.49 57800 T Dilation of cervical 561 1.46 $75.07 $24.41 $15.01 canal. 57820 T D&c of residual cervix. 567 13.18 $677.72 $360.70 $135.54 58100 T Biopsy of uterus lining 561 1.46 $75.07 $24.41 $15.01 58120 T Dilation and curettage 567 13.18 $677.72 $360.70 $135.54 (D&C). 58140 C Removal of uterus ......... ......... ......... ........... ........... lesion. 58145 T Removal of uterus 563 16.50 $848.43 $461.72 $169.69 lesion. 58150 C Total hysterectomy..... ......... ......... ......... ........... ........... 58152 C Total hysterectomy..... ......... ......... ......... ........... ........... 58180 C Partial hysterectomy... ......... ......... ......... ........... ........... 58200 C Extensive hysterectomy. ......... ......... ......... ........... ........... 58210 C Extensive hysterectomy. ......... ......... ......... ........... ........... 58240 C Removal of pelvis ......... ......... ......... ........... ........... contents. 58260 C Vaginal hysterectomy... ......... ......... ......... ........... ........... 58262 C Vaginal hysterectomy... ......... ......... ......... ........... ........... 58263 C Vaginal hysterectomy... ......... ......... ......... ........... ........... 58267 C Hysterectomy & vagina ......... ......... ......... ........... ........... repair. 58270 C Hysterectomy & vagina ......... ......... ......... ........... ........... repair. 58275 C Hysterectomy, revise ......... ......... ......... ........... ........... vagina. 58280 C Hysterectomy, revise ......... ......... ......... ........... ........... vagina. 58285 C Extensive hysterectomy. ......... ......... ......... ........... ........... 58300 E Insert intrauterine ......... ......... ......... ........... ........... device.

58301 T Remove intrauterine 561 1.46 $75.07 $24.41 $15.01 device. 58321 T Artificial insemination 568 2.79 $143.46 $55.60 $28.69 58322 T Artificial insemination 568 2.79 $143.46 $55.60 $28.69 58323 T Sperm washing.......... 568 2.79 $143.46 $55.60 $28.69 58340 T Catheter for 347 2.57 $132.15 $62.38 $26.43 hysterography. 58345 T Reopen fallopian tube.. 562 12.30 $632.47 $325.44 $126.49 58350 T Reopen fallopian tube.. 562 12.30 $632.47 $325.44 $126.49 58400 C Suspension of uterus... ......... ......... ......... ........... ........... 58410 C Suspension of uterus... ......... ......... ......... ........... ........... 58520 C Repair of ruptured ......... ......... ......... ........... ........... uterus. 58540 C Revision of uterus..... ......... ......... ......... ........... ........... 58600 C Division of fallopian ......... ......... ......... ........... ........... tube. 58605 C Division of fallopian ......... ......... ......... ........... ........... tube. 58611 C Ligate oviduct(s) add- ......... ......... ......... ........... ........... on. 58615 C Occlude fallopian ......... ......... ......... ........... ........... tube(s). 58700 C Removal of fallopian ......... ......... ......... ........... ........... tube. 58720 C Removal of ovary/ ......... ......... ......... ........... ........... tube(s). 58740 C Revise fallopian ......... ......... ......... ........... ........... tube(s). 58750 C Repair oviduct......... ......... ......... ......... ........... ........... 58752 C Revise ovarian tube(s). ......... ......... ......... ........... ........... 58760 C Remove tubal ......... ......... ......... ........... ........... obstruction. 58770 C Create new tubal ......... ......... ......... ........... ........... opening. 58800 T Drainage of ovarian 563 16.50 $848.43 $461.72 $169.69 cyst(s). 58805 C Drainage of ovarian ......... ......... ......... ........... ........... cyst(s). 58820 T Open drain ovary 563 16.50 $848.43 $461.72 $169.69 abscess. 58822 C Percut drain ovary ......... ......... ......... ........... ........... abscess. 58823 C Percut drain pelvic ......... ......... ......... ........... ........... abscess. 58825 C Transposition, ovary(s) ......... ......... ......... ........... ........... 58900 C Biopsy of ovary(s)..... ......... ......... ......... ........... ........... 58920 C Partial removal of ......... ......... ......... ........... ........... ovary(s). 58925 C Removal of ovarian ......... ......... ......... ........... ........... cyst(s). 58940 C Removal of ovary(s).... ......... ......... ......... ........... ........... 58943 C Removal of ovary(s).... ......... ......... ......... ........... ........... 58950 C Resect ovarian ......... ......... ......... ........... ........... malignancy. 58951 C Resect ovarian ......... ......... ......... ........... ........... malignancy. 58952 C Resect ovarian ......... ......... ......... ........... ........... malignancy. 58960 C Exploration of abdomen. ......... ......... ......... ........... ........... 58970 T Retrieval of oocyte.... 562 12.30 $632.47 $325.44 $126.49 58974 T Transfer of embryo..... 568 2.79 $143.46 $55.60 $28.69 58976 T Transfer of embryo..... 568 2.79 $143.46 $55.60 $28.69 58999 T Genital surgery 161 3.43 $176.37 $75.71 $35.27 procedure. 59000 T Amniocentesis.......... 578 1.17 $60.16 $32.77 $12.03 59012 T Fetal cord 578 1.17 $60.16 $32.77 $12.03 puncture,prenatal. 59015 T Chorion biopsy......... 578 1.17 $60.16 $32.77 $12.03 59020 T Fetal contract stress 578 1.17 $60.16 $32.77 $12.03 test. 59025 T Fetal non-stress test.. 578 1.17 $60.16 $32.77 $12.03 59030 T Fetal scalp blood 578 1.17 $60.16 $32.77 $12.03 sample. 59050 T Fetal monitor w/report. 578 1.17 $60.16 $32.77 $12.03 59051 N Fetal monitor/interpret ......... ......... ......... ........... ........... only. 59100 C Remove uterus lesion... ......... ......... ......... ........... ........... 59120 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59121 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59130 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59135 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59136 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59140 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59150 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59151 C Treat ectopic pregnancy ......... ......... ......... ........... ........... 59160 T D&C after delivery..... 567 13.18 $677.72 $360.70 $135.54 59200 T Insert cervical dilator 561 1.46 $75.07 $24.41 $15.01 59300 T Episiotomy or vaginal 562 12.30 $632.47 $325.44 $126.49 repair. 59320 T Revision of cervix..... 562 12.30 $632.47 $325.44 $126.49 59325 C Revision of cervix..... ......... ......... ......... ........... ........... 59350 C Repair of uterus....... ......... ......... ......... ........... ........... 59400 E Obstetrical care....... ......... ......... ......... ........... ........... 59409 T Obstetrical care....... 580 4.31 $221.62 $44.32 $44.32 59410 E Obstetrical care....... ......... ......... ......... ........... ........... 59412 T Antepartum manipulation 580 4.31 $221.62 $44.32 $44.32 59414 T Deliver placenta....... 580 4.31 $221.62 $44.32 $44.32 59425 E Antepartum care only... ......... ......... ......... ........... ........... 59426 E Antepartum care only... ......... ......... ......... ........... ........... 59430 E Care after delivery.... ......... ......... ......... ........... ........... 59510 E Cesarean delivery...... ......... ......... ......... ........... ........... 59514 C Cesarean delivery only. ......... ......... ......... ........... ........... 59515 E Cesarean delivery...... ......... ......... ......... ........... ...........

59525 C Remove uterus after ......... ......... ......... ........... ........... cesarean. 59610 E Vbac delivery.......... ......... ......... ......... ........... ........... 59612 T Vbac delivery only..... 580 4.31 $221.62 $44.32 $44.32 59614 E Vbac care after ......... ......... ......... ........... ........... delivery. 59618 E Attempted vbac delivery ......... ......... ......... ........... ........... 59620 C Attempted vbac delivery ......... ......... ......... ........... ........... only. 59622 E Attempted vbac after ......... ......... ......... ........... ........... care. 59812 T Treatment of 587 12.96 $666.40 $347.14 $133.28 miscarriage. 59820 T Care of miscarriage.... 587 12.96 $666.40 $347.14 $133.28 59821 T Treatment of 587 12.96 $666.40 $347.14 $33.28 miscarriage. 59830 C Treat uterus infection. ......... ......... ......... ........... ........... 59840 T Abortion............... 586 11.98 $616.01 $409.29 $123.20 59841 T Abortion............... 586 11.98 $616.01 $409.29 $123.20 59850 C Abortion............... ......... ......... ......... ........... ........... 59851 C Abortion............... ......... ......... ......... ........... ........... 59852 C Abortion............... ......... ......... ......... ........... ........... 59855 C Abortion............... ......... ......... ......... ........... ........... 59856 C Abortion............... ......... ......... ......... ........... ........... 59857 C Abortion............... ......... ......... ......... ........... ........... 59866 C Abortion............... ......... ......... ......... ........... ........... 59870 T Evacuate mole of uterus 587 12.96 $666.40 $347.14 $133.28 59871 T Remove cerclage suture. 562 12.30 $632.47 $325.44 $126.49 59899 T Maternity care 578 1.17 $60.16 $32.77 $12.03 procedure. 60000 T Drain thyroid/tongue 312 7.07 $363.54 $170.86 $72.71 cyst. 60001 T Aspirate/inject thyriod 121 0.63 $32.39 $21.02 $6.48 cyst. 60100 T Biopsy of thyroid...... 122 4.59 $236.02 $113.00 $47.20 60200 T Remove thyroid lesion.. 397 19.12 $983.15 $542.17 $196.63 60210 T Partial excision 397 19.12 $983.15 $542.17 $196.63 thyroid. 60212 C Parital thyroid ......... ......... ......... ........... ........... excision. 60220 T Partial removal of 397 19.12 $983.15 $542.17 $196.63 thyroid. 60225 T Partial removal of 397 19.12 $983.15 $542.17 $196.63 thyroid. 60240 T Removal of thyroid..... 397 19.12 $983.15 $542.17 $196.63 60252 C Removal of thyroid..... ......... ......... ......... ........... ........... 60254 C Extensive thyroid ......... ......... ......... ........... ........... surgery. 60260 C Repeat thyroid surgery. ......... ......... ......... ........... ........... 60270 C Removal of thyroid..... ......... ......... ......... ........... ........... 60271 C Removal of thyroid..... ......... ......... ......... ........... ........... 60280 T Remove thyroid duct 397 19.12 $983.15 $542.17 $196.63 lesion. 60281 T Remove thyroid duct 397 19.12 $983.15 $542.17 $196.63 lesion. 60500 C Explore parathyroid ......... ......... ......... ........... ........... glands. 60502 C Re-explore parathyroids ......... ......... ......... ........... ........... 60505 C Explore parathyroid ......... ......... ......... ........... ........... glands. 60512 C Autotransplant, ......... ......... ......... ........... ........... parathyroid. 60520 C Removal of thymus gland ......... ......... ......... ........... ........... 60521 C Removal thymus gland... ......... ......... ......... ........... ........... 60522 C Removal of thymus gland ......... ......... ......... ........... ........... 60540 C Explore adrenal gland.. ......... ......... ......... ........... ........... 60545 C Explore adrenal gland.. ......... ......... ......... ........... ........... 60600 C Remove carotid body ......... ......... ......... ........... ........... lesion. 60605 C Remove carotid body ......... ......... ......... ........... ........... lesion. 60699 T Endocrine surgery 121 0.63 $32.39 $21.02 $6.48 procedure. 61000 T Remove cranial cavity 602 3.19 $164.03 $87.01 $32.81 fluid. 61001 T Remove cranial cavity 602 3.19 $164.03 $87.01 $32.81 fluid. 61020 T Remove brain cavity 602 3.19 $164.03 $87.01 $32.81 fluid. 61026 T Injection into brain 602 3.19 $164.03 $87.01 $32.81 canal. 61050 T Remove brain canal 602 3.19 $164.03 $87.01 $32.81 fluid. 61055 T Injection into brain 602 3.19 $164.03 $87.01 $32.81 canal. 61070 T Brain canal shunt 602 3.19 $164.03 $87.01 $32.81 procedure. 61105 C Twist drill hole....... ......... ......... ......... ........... ........... \2\ 6110 C Drill skull for exam/ ......... ......... ......... ........... ........... 6 surgery. 61107 C Drill skull for ......... ......... ......... ........... ........... implantation. 61108 C Drill skull for ......... ......... ......... ........... ........... drainage. 61120 C Burr hole for puncture. ......... ......... ......... ........... ........... \2\ 6113 C Pierce skull, exam/ ......... ......... ......... ........... ........... 0 surgery. 61140 C Pierce skull for biopsy ......... ......... ......... ........... ........... 61150 C Pierce skull for ......... ......... ......... ........... ........... drainage. 61151 C Pierce skull for ......... ......... ......... ........... ........... drainage. 61154 C Pierce skull, remove ......... ......... ......... ........... ........... clot. 61156 C Pierce skull for ......... ......... ......... ........... ........... drainage. 61210 C Pierce skull; implant ......... ......... ......... ........... ........... device. 61215 T Insert brain-fluid 618 24.78 $1,274.19 $808.18 $254.84 device. 61250 C Pierce skull & explore. ......... ......... ......... ........... ........... 61253 C Pierce skull & explore. ......... ......... ......... ........... ........... 61304 C Open skull for ......... ......... ......... ........... ........... exploration. 61305 C Open skull for ......... ......... ......... ........... ........... exploration.

61312 C Open skull for drainage ......... ......... ......... ........... ........... 61313 C Open skull for drainage ......... ......... ......... ........... ........... 61314 C Open skull for drainage ......... ......... ......... ........... ........... 61315 C Open skull for drainage ......... ......... ......... ........... ........... 61320 C Open skull for drainage ......... ......... ......... ........... ........... 61321 C Open skull for drainage ......... ......... ......... ........... ........... 61330 C Decompress eye socket.. ......... ......... ......... ........... ........... 61332 C Explore/biopsy eye ......... ......... ......... ........... ........... socket. 61333 C Explore orbit; remove ......... ......... ......... ........... ........... lesion. 61334 C Explore orbit; remove ......... ......... ......... ........... ........... object. 61340 C Relieve cranial ......... ......... ......... ........... ........... pressure. 61343 C Incise skull,pressure ......... ......... ......... ........... ........... relief. 61345 C Relieve cranial ......... ......... ......... ........... ........... pressure. 61440 C Incise skull for ......... ......... ......... ........... ........... surgery. 61450 C Incise skull for ......... ......... ......... ........... ........... surgery. 61458 C Incise skull for brain ......... ......... ......... ........... ........... wound. 61460 C Incise skull for ......... ......... ......... ........... ........... surgery. 61470 C Incise skull for ......... ......... ......... ........... ........... surgery. 61480 C Incise skull for ......... ......... ......... ........... ........... surgery. 61490 C Incise skull for ......... ......... ......... ........... ........... surgery. 61500 C Removal of skull lesion ......... ......... ......... ........... ........... 61501 C Remove infected skull ......... ......... ......... ........... ........... bone. 61510 C Removal of brain lesion ......... ......... ......... ........... ........... 61512 C Remove brain lining ......... ......... ......... ........... ........... lesion. 61514 C Removal of brain ......... ......... ......... ........... ........... abscess. 61516 C Removal of brain lesion ......... ......... ......... ........... ........... 61518 C Removal of brain lesion ......... ......... ......... ........... ........... 61519 C Remove brain lining ......... ......... ......... ........... ........... lesion. 61520 C Removal of brain lesion ......... ......... ......... ........... ........... 61521 C Removal of brain lesion ......... ......... ......... ........... ........... 61522 C Removal of brain ......... ......... ......... ........... ........... abscess. 61524 C Removal of brain lesion ......... ......... ......... ........... ........... 61526 C Removal of brain lesion ......... ......... ......... ........... ........... 61530 C Removal of brain lesion ......... ......... ......... ........... ........... 61531 C Implant brain ......... ......... ......... ........... ........... electrodes. 61533 C Implant brain ......... ......... ......... ........... ........... electrodes. 61534 C Removal of brain lesion ......... ......... ......... ........... ........... 61535 C Remove brain electrodes ......... ......... ......... ........... ........... 61536 C Removal of brain lesion ......... ......... ......... ........... ........... 61538 C Removal of brain tissue ......... ......... ......... ........... ........... 61539 C Removal of brain tissue ......... ......... ......... ........... ........... 61541 C Incision of brain ......... ......... ......... ........... ........... tissue. 61542 C Removal of brain tissue ......... ......... ......... ........... ........... 61543 C Removal of brain tissue ......... ......... ......... ........... ........... 61544 C Remove & treat brain ......... ......... ......... ........... ........... lesion. 61545 C Excision of brain tumor ......... ......... ......... ........... ........... 61546 C Removal of pituitary ......... ......... ......... ........... ........... gland. 61548 C Removal of pituitary ......... ......... ......... ........... ........... gland. 61550 C Release of skull seams. ......... ......... ......... ........... ........... 61552 C Release of skull seams. ......... ......... ......... ........... ........... 61556 C Incise skull/sutures... ......... ......... ......... ........... ........... 61557 C Incise skull/sutures... ......... ......... ......... ........... ........... 61558 C Excision of skull/ ......... ......... ......... ........... ........... sutures. 61559 C Excision of skull/ ......... ......... ......... ........... ........... sutures. 61563 C Excision of skull tumor ......... ......... ......... ........... ........... 61564 C Excision of skull tumor ......... ......... ......... ........... ........... 61570 C Remove brain foreign ......... ......... ......... ........... ........... body. 61571 C Incise skull for brain ......... ......... ......... ........... ........... wound. 61575 C Skull base/brainstem ......... ......... ......... ........... ........... surgery. 61576 C Skull base/brainstem ......... ......... ......... ........... ........... surgery. 61580 C Craniofacial approach, ......... ......... ......... ........... ........... skull. 61581 C Craniofacial approach, ......... ......... ......... ........... ........... skull. 61582 C Craniofacial approach, ......... ......... ......... ........... ........... skull. 61583 C Craniofacial approach, ......... ......... ......... ........... ........... skull. 61584 C Orbitocranial approach/ ......... ......... ......... ........... ........... skull. 61585 C Orbitocranial approach/ ......... ......... ......... ........... ........... skull. 61586 C Resect nasopharynx, ......... ......... ......... ........... ........... skull. 61590 C Infratemporal approach/ ......... ......... ......... ........... ........... skull. 61591 C Infratemporal approach/ ......... ......... ......... ........... ........... skull. 61592 C Orbitocranial approach/ ......... ......... ......... ........... ........... skull. 61595 C Transtemporal approach/ ......... ......... ......... ........... ........... skull. 61596 C Transcochlear approach/ ......... ......... ......... ........... ........... skull. 61597 C Transcondylar approach/ ......... ......... ......... ........... ........... skull. 61598 C Transpetrosal approach/ ......... ......... ......... ........... ........... skull. 61600 C Resect/excise cranial ......... ......... ......... ........... ........... lesion.

61601 C Resect/excise cranial ......... ......... ......... ........... ........... lesion. 61605 C Resect/excise cranial ......... ......... ......... ........... ........... lesion. 61606 C Resect/excise cranial ......... ......... ......... ........... ........... lesion. 61607 C Resect/excise cranial ......... ......... ......... ........... ........... lesion. 61608 C Resect/excise cranial ......... ......... ......... ........... ........... lesion. 61609 C Transect, artery, sinus ......... ......... ......... ........... ........... 61610 C Transect, artery, sinus ......... ......... ......... ........... ........... 61611 C Transect, artery, sinus ......... ......... ......... ........... ........... 61612 C Transect, artery, sinus ......... ......... ......... ........... ........... 61613 C Remove aneurysm, sinus. ......... ......... ......... ........... ........... 61615 C Resect/excise lesion, ......... ......... ......... ........... ........... skull. 61616 C Resect/excise lesion, ......... ......... ......... ........... ........... skull. 61618 C Repair dura............ ......... ......... ......... ........... ........... 61619 C Repair dura............ ......... ......... ......... ........... ........... 61624 C Occlusion/embolization ......... ......... ......... ........... ........... cath. 61626 C Occlusion/embolization ......... ......... ......... ........... ........... cath. 61680 C Intracranial vessel ......... ......... ......... ........... ........... surgery. 61682 C Intracranial vessel ......... ......... ......... ........... ........... surgery. 61684 C Intracranial vessel ......... ......... ......... ........... ........... surgery. 61686 C Intracranial vessel ......... ......... ......... ........... ........... surgery. 61690 C Intracranial vessel ......... ......... ......... ........... ........... surgery. 61692 C Intracranial vessel ......... ......... ......... ........... ........... surgery. 61700 C Inner skull vessel ......... ......... ......... ........... ........... surgery. 61702 C Inner skull vessel ......... ......... ......... ........... ........... surgery. 61703 C Clamp neck artery...... ......... ......... ......... ........... ........... 61705 C Revise circulation to ......... ......... ......... ........... ........... head. 61708 C Revise circulation to ......... ......... ......... ........... ........... head. 61710 C Revise circulation to ......... ......... ......... ........... ........... head. 61711 C Fusion of skull ......... ......... ......... ........... ........... arteries. \2\ 6171 C Skull or spine ......... ......... ......... ........... ........... 2 microsurgery. 61720 C Incise skull/brain ......... ......... ......... ........... ........... surgery. 61735 C Incise skull/brain ......... ......... ......... ........... ........... surgery. 61750 C Incise skull; brain ......... ......... ......... ........... ........... biopsy. 61751 C Brain biopsy with cat ......... ......... ......... ........... ........... scan. 61760 C Implant brain ......... ......... ......... ........... ........... electrodes. 61770 C Incise skull for ......... ......... ......... ........... ........... treatment. 61790 T Treat trigeminal nerve. 631 12.70 $653.03 $329.06 $130.61 61791 C Treat trigeminal tract. ......... ......... ......... ........... ........... 61793 S Focus radiation beam... 757 2.26 $116.21 $52.43 $23.24 61795 C Brain surgery using ......... ......... ......... ........... ........... computer. 61850 C Implant neuroelectrodes ......... ......... ......... ........... ........... 61855 C Implant neuroelectrodes ......... ......... ......... ........... ........... 61860 C Implant neuroelectrodes ......... ......... ......... ........... ........... 61865 C Implant neuroelectrodes ......... ......... ......... ........... ........... 61870 C Implant neuroelectrodes ......... ......... ......... ........... ........... 61875 C Implant neuroelectrodes ......... ......... ......... ........... ........... 61880 C Revise/remove ......... ......... ......... ........... ........... neuroelectrode. 61885 T Implant neuroreceiver.. 618 24.78 $1,274.19 $808.18 $254.84 61888 C Revise/remove ......... ......... ......... ........... ........... neuroreceiver. 62000 C Repair of skull ......... ......... ......... ........... ........... fracture. 62005 C Repair of skull ......... ......... ......... ........... ........... fracture. 62010 C Treatment of head ......... ......... ......... ........... ........... injury. 62100 C Repair brain fluid ......... ......... ......... ........... ........... leakage. 62115 C Reduction of skull ......... ......... ......... ........... ........... defect. 62116 C Reduction of skull ......... ......... ......... ........... ........... defect. 62117 C Reduction of skull ......... ......... ......... ........... ........... defect. 62120 C Repair skull cavity ......... ......... ......... ........... ........... lesion. 62121 C Incise skull repair.... ......... ......... ......... ........... ........... 62140 C Repair of skull defect. ......... ......... ......... ........... ........... 62141 C Repair of skull defect. ......... ......... ......... ........... ........... 62142 C Remove skull plate/flap ......... ......... ......... ........... ........... 62143 C Replace skull plate/ ......... ......... ......... ........... ........... flap. 62145 C Repair of skull & brain ......... ......... ......... ........... ........... 62146 C Repair of skull with ......... ......... ......... ........... ........... graft. 62147 C Repair of skull with ......... ......... ......... ........... ........... graft. 62180 C Establish brain cavity ......... ......... ......... ........... ........... shunt. 62190 C Establish brain cavity ......... ......... ......... ........... ........... shunt. 62192 C Establish brain cavity ......... ......... ......... ........... ........... shunt. 62194 T Replace/irrigate 602 3.19 $164.03 $87.01 $32.81 catheter. 62200 C Establish brain cavity ......... ......... ......... ........... ........... shunt. 62201 C Establish brain cavity ......... ......... ......... ........... ........... shunt. 62220 C Establish brain cavity ......... ......... ......... ........... ........... shunt. 62223 C Establish brain cavity ......... ......... ......... ........... ........... shunt. 62225 T Replace/irrigate 602 3.19 $164.03 $87.01 $32.81 catheter. 62230 T Replace/revise brain 617 11.31 $581.56 $280.01 $116.31 shunt.

62256 C Remove brain cavity ......... ......... ......... ........... ........... shunt. 62258 C Replace brain cavity ......... ......... ......... ........... ........... shunt. 62268 T Drain spinal cord cyst. 602 3.19 $164.03 $87.01 $32.81 62269 T Needle biopsy spinal 122 4.59 $236.02 $113.00 $47.20 cord. 62270 T Spinal fluid tap, 600 2.41 $123.92 $61.47 $24.78 diagnostic. 62272 T Drain spinal fluid..... 600 2.41 $123.92 $61.47 $24.78 62273 T Treat lumbar spine 602 3.19 $164.03 $87.01 $32.81 lesion. 62274 T Inject spinal 602 3.19 $164.03 $87.01 $32.81 anesthetic. 62275 T Inject spinal 602 3.19 $164.03 $87.01 $32.81 anesthetic. 62276 T Inject spinal 602 3.19 $164.03 $87.01 $32.81 anesthetic. 62277 T Inject spinal 602 3.19 $164.03 $87.01 $32.81 anesthetic. 62278 T Inject spinal 602 3.19 $164.03 $87.01 $32.81 anesthetic. 62279 T Inject spinal 602 3.19 $164.03 $87.01 $32.81 anesthetic. 62280 T Treat spinal cord 602 3.19 $164.03 $87.01 $32.81 lesion. 62281 T Treat spinal cord 602 3.19 $164.03 $87.01 $32.81 lesion. 62282 T Treat spinal canal 602 3.19 $164.03 $87.01 $32.81 lesion. 62284 T Injection for myelogram 347 2.57 $132.15 $62.38 $26.43 62287 T Percutaneous diskectomy 631 12.70 $653.03 $329.06 $130.61 62288 T Injection into spinal 602 3.19 $164.03 $87.01 $32.81 canal. 62289 T Injection into spinal 602 3.19 $164.03 $87.01 $32.81 canal. 62290 T Inject for spine disk x- 347 2.57 $132.15 $62.38 $26.43 ray. 62291 T Inject for spine disk x- 347 2.57 $132.15 $62.38 $26.43 ray. 62292 T Injection into disk 602 3.19 $164.03 $87.01 $32.81 lesion. 62294 T Injection into spinal 602 3.19 $164.03 $87.01 $32.81 artery. 62298 T Injection into spinal 602 3.19 $164.03 $87.01 $32.81 canal. 62350 T Implant spinal catheter 617 11.31 $581.56 $280.01 $116.31 62351 C Implant spinal catheter ......... ......... ......... ........... ........... 62355 T Remove spinal canal 617 11.31 $581.56 $280.01 $116.31 catheter. 62360 T Insert spine infusion 618 24.78 $1,274.19 $808.18 $254.84 device. 62361 T Implant spine infusion 618 24.78 $1,274.19 $808.18 $254.84 pump. 62362 T Implant spine infusion 618 24.78 $1,274.19 $808.18 $254.84 pump. 62365 T Remove spine infusion 617 11.31 $581.56 $280.01 $116.31 device. 62367 X Analyze spine infusion 966 0.39 $20.05 $12.43 $4.01 pump. 62368 X Analyze spine infusion 966 0.39 $20.05 $12.43 $4.01 pump. 63001 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63003 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63005 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63011 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63012 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63015 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63016 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63017 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63020 C Neck spine disk surgery ......... ......... ......... ........... ........... 63030 C Low back disk surgery.. ......... ......... ......... ........... ........... 63035 C Spinal disk surgery add- ......... ......... ......... ........... ........... on. 63040 C Neck spine disk surgery ......... ......... ......... ........... ........... 63042 C Low back disk surgery.. ......... ......... ......... ........... ........... 63045 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63046 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63047 C Removal of spinal ......... ......... ......... ........... ........... lamina. 63048 C Remove spinal lamina ......... ......... ......... ........... ........... add-on. 63055 C Decompress spinal cord. ......... ......... ......... ........... ........... 63056 C Decompress spinal cord. ......... ......... ......... ........... ........... 63057 C Decompress spine cord ......... ......... ......... ........... ........... add-on. 63064 C Decompress spinal cord. ......... ......... ......... ........... ........... 63066 C Decompress spine cord ......... ......... ......... ........... ........... add-on. 63075 C Neck spine disk surgery ......... ......... ......... ........... ........... 63076 C Neck spine disk surgery ......... ......... ......... ........... ........... 63077 C Spine disk surgery, ......... ......... ......... ........... ........... thorax. 63078 C Spine disk surgery, ......... ......... ......... ........... ........... thorax. 63081 C Removal of vertebral ......... ......... ......... ........... ........... body. 63082 C Remove vertebral body ......... ......... ......... ........... ........... add-on. 63085 C Removal of vertebral ......... ......... ......... ........... ........... body. 63086 C Remove vertebral body ......... ......... ......... ........... ........... add-on. 63087 C Removal of vertebral ......... ......... ......... ........... ........... body. 63088 C Remove vertebral body ......... ......... ......... ........... ........... add-on. 63090 C Removal of vertebral ......... ......... ......... ........... ........... body. 63091 C Remove vertebral body ......... ......... ......... ........... ........... add-on. 63170 C Incise spinal cord ......... ......... ......... ........... ........... tract(s). 63172 C Drainage of spinal cyst ......... ......... ......... ........... ........... 63173 C Drainage of spinal cyst ......... ......... ......... ........... ........... 63180 C Revise spinal cord ......... ......... ......... ........... ........... ligaments. 63182 C Revise spinal cord ......... ......... ......... ........... ........... ligaments. 63185 C Incise spinal column/ ......... ......... ......... ........... ........... nerves. 63190 C Incise spinal column/ ......... ......... ......... ........... ........... nerves.

63191 C Incise spinal column/ ......... ......... ......... ........... ........... nerves. 63194 C Incise spinal column & ......... ......... ......... ........... ........... cord. 63195 C Incise spinal column & ......... ......... ......... ........... ........... cord. 63196 C Incise spinal column & ......... ......... ......... ........... ........... cord. 63197 C Incise spinal column & ......... ......... ......... ........... ........... cord. 63198 C Incise spinal column & ......... ......... ......... ........... ........... cord. 63199 C Incise spinal column & ......... ......... ......... ........... ........... cord. 63200 C Release of spinal cord. ......... ......... ......... ........... ........... 63250 C Revise spinal cord ......... ......... ......... ........... ........... vessels. 63251 C Revise spinal cord ......... ......... ......... ........... ........... vessels. 63252 C Revise spinal cord ......... ......... ......... ........... ........... vessels. 63265 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63266 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63267 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63268 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63270 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63271 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63272 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63273 C Excise intraspinal ......... ......... ......... ........... ........... lesion. 63275 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63276 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63277 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63278 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63280 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63281 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63282 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63283 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63285 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63286 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63287 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63290 C Biopsy/excise spinal ......... ......... ......... ........... ........... tumor. 63300 C Removal of vertebral ......... ......... ......... ........... ........... body. 63301 C Removal of vertebral ......... ......... ......... ........... ........... body. 63302 C Removal of vertebral ......... ......... ......... ........... ........... body. 63303 C Removal of vertebral ......... ......... ......... ........... ........... body. 63304 C Removal of vertebral ......... ......... ......... ........... ........... body. 63305 C Removal of vertebral ......... ......... ......... ........... ........... body. 63306 C Removal of vertebral ......... ......... ......... ........... ........... body. 63307 C Removal of vertebral ......... ......... ......... ........... ........... body. 63308 C Remove vertebral body ......... ......... ......... ........... ........... add-on. 63600 T Remove spinal cord 631 12.70 $653.03 $329.06 $130.61 lesion. 63610 T Stimulation of spinal 631 12.70 $653.03 $329.06 $130.61 cord. 63615 T Remove lesion of spinal 631 12.70 $653.03 $329.06 $130.61 cord. 63650 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 63655 C Implant neuroelectrodes ......... ......... ......... ........... ........... 63660 T Revise/remove 617 11.31 $581.56 $280.01 $116.31 neuroelectrode. 63685 T Implant neuroreceiver.. 618 24.78 $1,274.19 $808.18 $254.84 63688 T Revise/remove 617 11.31 $581.56 $280.01 $116.31 neuroreceiver. \2\ 6369 X Analysis of 966 0.39 $20.05 $12.43 $4.01 0 neuroreceiver. \2\ 6369 X Analysis of 966 0.39 $20.05 $12.43 $4.01 1 neuroreceiver. 63700 C Repair of spinal ......... ......... ......... ........... ........... herniation. 63702 C Repair of spinal ......... ......... ......... ........... ........... herniation. 63704 C Repair of spinal ......... ......... ......... ........... ........... herniation. 63706 C Repair of spinal ......... ......... ......... ........... ........... herniation. 63707 C Repair spinal fluid ......... ......... ......... ........... ........... leakage. 63709 C Repair spinal fluid ......... ......... ......... ........... ........... leakage. 63710 C Graft repair of spine ......... ......... ......... ........... ........... defect. 63740 C Install spinal shunt... ......... ......... ......... ........... ........... 63741 C Install spinal shunt... ......... ......... ......... ........... ........... 63744 T Revision of spinal 617 11.31 $581.56 $280.01 $116.31 shunt. 63746 T Removal of spinal shunt 617 11.31 $581.56 $280.01 $116.31 64400 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64402 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64405 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64408 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64410 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64412 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64413 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64415 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64417 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64418 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64420 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64421 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64425 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64430 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block.

64435 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64440 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64441 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64442 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64443 T Inject, nerve block add- 601 3.00 $154.26 $74.13 $30.85 on. 64445 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64450 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64505 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64508 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64510 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64520 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64530 T Injection for nerve 601 3.00 $154.26 $74.13 $30.85 block. 64550 A Apply neurostimulator.. ......... ......... ......... ........... ........... 64553 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64555 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64560 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64565 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64573 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64575 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64577 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64580 T Implant neuroelectrodes 616 11.85 $609.33 $329.06 $121.87 64585 T Revise/remove 617 11.31 $581.56 $280.01 $116.31 neuroelectrode. 64590 T Implant neuroreceiver.. 618 24.78 $1,274.19 $808.18 $254.84 64595 T Revise/remove 617 11.31 $581.56 $280.01 $116.31 neuroreceiver. 64600 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64605 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64610 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64612 T Destroy nerve, face 601 3.00 $154.26 $74.13 $30.85 muscle. 64613 T Destroy nerve, spine 601 3.00 $154.26 $74.13 $30.85 muscle. 64620 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64622 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64623 T Inject, tx of nerve add- 601 3.00 $154.26 $74.13 $30.85 on. 64630 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64640 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64680 T Injection treatment of 601 3.00 $154.26 $74.13 $30.85 nerve. 64702 T Revise finger/toe nerve 631 12.70 $653.03 $329.06 $130.61 64704 T Revise hand/foot nerve. 631 12.70 $653.03 $329.06 $130.61 64708 T Revise arm/leg nerve... 631 12.70 $653.03 $329.06 $130.61 64712 T Revision of sciatic 631 12.70 $653.03 $329.06 $130.61 nerve. 64713 T Revision of arm 631 12.70 $653.03 $329.06 $130.61 nerve(s). 64714 T Revise low back 631 12.70 $653.03 $329.06 $130.61 nerve(s). 64716 T Revision of cranial 631 12.70 $653.03 $329.06 $130.61 nerve. 64718 T Revise ulnar nerve at 631 12.70 $653.03 $329.06 $130.61 elbow. 64719 T Revise ulnar nerve at 631 12.70 $653.03 $329.06 $130.61 wrist. 64721 T Carpal tunnel surgery.. 631 12.70 $653.03 $329.06 $130.61 64722 T Relieve pressure on 631 12.70 $653.03 $329.06 $130.61 nerve(s). 64726 T Release foot/toe nerve. 631 12.70 $653.03 $329.06 $130.61 64727 T Internal nerve revision 631 12.70 $653.03 $329.06 $130.61 64732 T Incision of brow nerve. 631 12.70 $653.03 $329.06 $130.61 64734 T Incision of cheek nerve 631 12.70 $653.03 $329.06 $130.61 64736 T Incision of chin nerve. 631 12.70 $653.03 $329.06 $130.61 64738 T Incision of jaw nerve.. 631 12.70 $653.03 $329.06 $130.61 64740 T Incision of tongue 631 12.70 $653.03 $329.06 $130.61 nerve. 64742 T Incision of facial 631 12.70 $653.03 $329.06 $130.61 nerve. 64744 T Incise nerve, back of 631 12.70 $653.03 $329.06 $130.61 head. 64746 T Incise diaphragm nerve. 631 12.70 $653.03 $329.06 $130.61 64752 C Incision of vagus nerve ......... ......... ......... ........... ........... 64755 C Incision of stomach ......... ......... ......... ........... ........... nerves. 64760 C Incision of vagus nerve ......... ......... ......... ........... ........... 64761 T Incision of pelvis 631 12.70 $653.03 $329.06 $130.61 nerve. 64763 C Incise hip/thigh nerve. ......... ......... ......... ........... ........... 64766 C Incise hip/thigh nerve. ......... ......... ......... ........... ........... 64771 T Sever cranial nerve.... 631 12.70 $653.03 $329.06 $130.61 64772 T Incision of spinal 631 12.70 $653.03 $329.06 $130.61 nerve. 64774 T Remove skin nerve 631 12.70 $653.03 $329.06 $130.61 lesion. 64776 T Remove digit nerve 631 12.70 $653.03 $329.06 $130.61 lesion. 64778 T Digit nerve surgery add- 631 12.70 $653.03 $329.06 $130.61 on. 64782 T Remove limb nerve 631 12.70 $653.03 $329.06 $130.61 lesion. 64783 T Limb nerve surgery add- 631 12.70 $653.03 $329.06 $130.61 on. 64784 T Remove nerve lesion.... 631 12.70 $653.03 $329.06 $130.61 64786 T Remove sciatic nerve 632 16.48 $847.40 $453.58 $169.48 lesion. 64787 T Implant nerve end...... 631 12.70 $653.03 $329.06 $130.61 64788 T Remove skin nerve 631 12.70 $653.03 $329.06 $130.61 lesion. 64790 T Removal of nerve lesion 631 12.70 $653.03 $329.06 $130.61 64792 T Removal of nerve lesion 632 16.48 $847.40 $453.58 $169.48

64795 T Biopsy of nerve........ 631 12.70 $653.03 $329.06 $130.61 64802 C Remove sympathetic ......... ......... ......... ........... ........... nerves. 64804 C Remove sympathetic ......... ......... ......... ........... ........... nerves. 64809 C Remove sympathetic ......... ......... ......... ........... ........... nerves. 64818 C Remove sympathetic ......... ......... ......... ........... ........... nerves. 64820 C Remove sympathetic ......... ......... ......... ........... ........... nerves. \2\ 6483 T Microrepair of nerve... 631 12.70 $653.03 $329.06 $130.61 0 64831 T Repair of digit nerve.. 632 16.48 $847.40 $453.58 $169.48 64832 T Repair nerve add-on.... 632 16.48 $847.40 $453.58 $169.48 64834 T Repair of hand or foot 632 16.48 $847.40 $453.58 $169.48 nerve. 64835 T Repair of hand or foot 632 16.48 $847.40 $453.58 $169.48 nerve. 64836 T Repair of hand or foot 632 16.48 $847.40 $453.58 $169.48 nerve. 64837 T Repair nerve add-on.... 632 16.48 $847.40 $453.58 $169.48 64840 T Repair of leg nerve.... 632 16.48 $847.40 $453.58 $169.48 64856 T Repair/transpose nerve. 632 16.48 $847.40 $453.58 $169.48 64857 T Repair arm/leg nerve... 632 16.48 $847.40 $453.58 $169.48 64858 T Repair sciatic nerve... 632 16.48 $847.40 $453.58 $169.48 64859 T Nerve surgery.......... 632 16.48 $847.40 $453.58 $169.48 64861 T Repair of arm nerves... 632 16.48 $847.40 $453.58 $169.48 64862 T Repair of low back 632 16.48 $847.40 $453.58 $169.48 nerves. 64864 T Repair of facial nerve. 632 16.48 $847.40 $453.58 $169.48 64865 T Repair of facial nerve. 632 16.48 $847.40 $453.58 $169.48 64866 C Fusion of facial/other ......... ......... ......... ........... ........... nerve. 64868 C Fusion of facial/other ......... ......... ......... ........... ........... nerve. 64870 T Fusion of facial/other 632 16.48 $847.40 $453.58 $169.48 nerve. 64872 T Subsequent repair of 632 16.48 $847.40 $453.58 $169.48 nerve. 64874 T Repair & revise nerve 632 16.48 $847.40 $453.58 $169.48 add-on. 64876 T Repair nerve; shorten 632 16.48 $847.40 $453.58 $169.48 bone. 64885 T Nerve graft, head or 632 16.48 $847.40 $453.58 $169.48 neck. 64886 T Nerve graft, head or 632 16.48 $847.40 $453.58 $169.48 neck. 64890 T Nerve graft, hand or 632 16.48 $847.40 $453.58 $169.48 foot. 64891 T Nerve graft, hand or 632 16.48 $847.40 $453.58 $169.48 foot. 64892 T Nerve graft, arm or leg 632 16.48 $847.40 $453.58 $169.48 64893 T Nerve graft, arm or leg 632 16.48 $847.40 $453.58 $169.48 64895 T Nerve graft, hand or 632 16.48 $847.40 $453.58 $169.48 foot. 64896 T Nerve graft, hand or 632 16.48 $847.40 $453.58 $169.48 foot. 64897 T Nerve graft, arm or leg 632 16.48 $847.40 $453.58 $169.48 64898 T Nerve graft, arm or leg 632 16.48 $847.40 $453.58 $169.48 64901 T Nerve graft add-on..... 632 16.48 $847.40 $453.58 $169.48 64902 T Nerve graft add-on..... 632 16.48 $847.40 $453.58 $169.48 64905 T Nerve pedicle transfer. 632 16.48 $847.40 $453.58 $169.48 64907 T Nerve pedicle transfer. 632 16.48 $847.40 $453.58 $169.48 64999 T Nervous system surgery. 601 3.00 $154.26 $74.13 $30.85 65091 T Revise eye............. 684 13.26 $681.83 $341.94 $136.37 65093 T Revise eye with implant 684 13.26 $681.83 $341.94 $136.37 65101 T Removal of eye......... 684 13.26 $681.83 $341.94 $136.37 65103 T Remove eye/insert 684 13.26 $681.83 $341.94 $136.37 implant. 65105 T Remove eye/attach 684 13.26 $681.83 $341.94 $136.37 implant. 65110 C Removal of eye......... ......... ......... ......... ........... ........... 65112 C Remove eye, revise ......... ......... ......... ........... ........... socket. 65114 C Remove eye, revise ......... ......... ......... ........... ........... socket. 65125 T Revise ocular implant.. 681 1.65 $84.84 $30.51 $16.97 65130 T Insert ocular implant.. 684 13.26 $681.83 $341.94 $136.37 65135 T Insert ocular implant.. 684 13.26 $681.83 $341.94 $136.37 65140 T Attach ocular implant.. 684 13.26 $681.83 $341.94 $136.37 65150 T Revise ocular implant.. 684 13.26 $681.83 $341.94 $136.37 65155 T Reinsert ocular implant 684 13.26 $681.83 $341.94 $136.37 65175 T Removal of ocular 683 9.56 $491.58 $252.44 $98.32 implant. 65205 T Remove foreign body 681 1.65 $84.84 $30.51 $16.97 from eye. 65210 T Remove foreign body 681 1.65 $84.84 $30.51 $16.97 from eye. 65220 T Remove foreign body 681 1.65 $84.84 $30.51 $16.97 from eye. 65222 T Remove foreign body 681 1.65 $84.84 $30.51 $16.97 from eye. 65235 T Remove foreign body 652 16.35 $840.72 $433.92 $168.14 from eye. 65260 T Remove foreign body 676 5.87 $301.84 $138.54 $60.37 from eye. 65265 T Remove foreign body 676 5.87 $301.84 $138.54 $60.37 from eye. 65270 T Repair of eye wound.... 183 11.04 $567.68 $283.18 $113.54 65272 T Repair of eye wound.... 651 6.85 $352.23 $171.99 $70.45 65273 C Repair of eye wound.... ......... ......... ......... ........... ........... 65275 T Repair of eye wound.... 651 6.85 $352.23 $171.99 $70.45 65280 T Repair of eye wound.... 652 16.35 $840.72 $433.92 $168.14 65285 T Repair of eye wound.... 652 16.35 $840.72 $433.92 $168.14 65286 T Repair of eye wound.... 651 6.85 $352.23 $171.99 $70.45 65290 T Repair of eye socket 677 16.11 $828.38 $428.95 $165.68 wound. 65400 T Removal of eye lesion.. 652 16.35 $840.72 $433.92 $168.14 65410 T Biopsy of cornea....... 683 9.56 $491.58 $252.44 $98.32

65420 T Removal of eye lesion.. 651 6.85 $352.23 $171.99 $70.45 65426 T Removal of eye lesion.. 652 16.35 $840.72 $433.92 $168.14 65430 T Corneal smear.......... 681 1.65 $84.84 $30.51 $16.97 65435 T Curette/treat cornea... 681 1.65 $84.84 $30.51 $16.97 65436 T Curette/treat cornea... 651 6.85 $352.23 $171.99 $70.45 65450 T Treatment of corneal 651 6.85 $352.23 $171.99 $70.45 lesion. 65600 T Revision of cornea..... 681 1.65 $84.84 $30.51 $16.97 65710 T Corneal transplant..... 670 30.78 $1,582.71 $885.92 $316.54 65730 T Corneal transplant..... 670 30.78 $1,582.71 $885.92 $316.54 65750 T Corneal transplant..... 670 30.78 $1,582.71 $885.92 $316.54 65755 T Corneal transplant..... 670 30.78 $1,582.71 $885.92 $316.54 65760 E Revision of cornea..... ......... ......... ......... ........... ........... 65765 E Revision of cornea..... ......... ......... ......... ........... ........... 65767 E Corneal tissue ......... ......... ......... ........... ........... transplant. 65770 T Revise cornea with 652 16.35 $840.72 $433.92 $168.14 implant. 65771 E Radial keratotomy...... ......... ......... ......... ........... ........... 65772 T Correction of 651 6.85 $352.23 $171.99 $70.45 astigmatism. 65775 T Correction of 652 16.35 $840.72 $433.92 $168.14 astigmatism. 65800 T Drainage of eye........ 683 9.56 $491.58 $252.44 $98.32 65805 T Drainage of eye........ 683 9.56 $491.58 $252.44 $98.32 65810 T Drainage of eye........ 651 6.85 $352.23 $171.99 $70.45 65815 T Drainage of eye........ 651 6.85 $352.23 $171.99 $70.45 65820 T Relieve inner eye 651 6.85 $352.23 $171.99 $70.45 pressure. 65850 T Incision of eye........ 652 16.35 $840.72 $433.92 $168.14 65855 T Laser surgery of eye... 649 4.37 $224.71 $111.64 $44.94 65860 T Incise inner eye 649 4.37 $224.71 $111.64 $44.94 adhesions. 65865 T Incise inner eye 652 16.35 $840.72 $433.92 $168.14 adhesions. 65870 T Incise inner eye 652 16.35 $840.72 $433.92 $168.14 adhesions. 65875 T Incise inner eye 652 16.35 $840.72 $433.92 $168.14 adhesions. 65880 T Incise inner eye 652 16.35 $840.72 $433.92 $168.14 adhesions. 65900 T Remove eye lesion...... 652 16.35 $840.72 $433.92 $168.14 65920 T Remove implant from eye 652 16.35 $840.72 $433.92 $168.14 65930 T Remove blood clot from 652 16.35 $840.72 $433.92 $168.14 eye. 66020 T Injection treatment of 683 9.56 $491.58 $252.44 $98.32 eye. 66030 T Injection treatment of 683 9.56 $491.58 $252.44 $98.32 eye. 66130 T Remove eye lesion...... 651 6.85 $352.23 $171.99 $70.45 66150 T Glaucoma surgery....... 652 16.35 $840.72 $433.92 $168.14 66155 T Glaucoma surgery....... 652 16.35 $840.72 $433.92 $168.14 66160 T Glaucoma surgery....... 652 16.35 $840.72 $433.92 $168.14 66165 T Glaucoma surgery....... 652 16.35 $840.72 $433.92 $168.14 66170 T Glaucoma surgery....... 652 16.35 $840.72 $433.92 $168.14 66172 T Incision of eye........ 652 16.35 $840.72 $433.92 $168.14 66180 T Implant eye shunt...... 652 16.35 $840.72 $433.92 $168.14 66185 T Revise eye shunt....... 652 16.35 $840.72 $433.92 $168.14 66220 T Repair eye lesion...... 676 5.87 $301.84 $138.54 $60.37 66225 T Repair/graft eye lesion 652 16.35 $840.72 $433.92 $168.14 66250 T Follow-up surgery of 652 16.35 $840.72 $433.92 $168.14 eye. 66500 T Incision of iris....... 651 6.85 $352.23 $171.99 $70.45 66505 T Incision of iris....... 651 6.85 $352.23 $171.99 $70.45 66600 T Remove iris and lesion. 651 6.85 $352.23 $171.99 $70.45 66605 T Removal of iris........ 652 16.35 $840.72 $433.92 $168.14 66625 T Removal of iris........ 651 6.85 $352.23 $171.99 $70.45 66630 T Removal of iris........ 651 6.85 $352.23 $171.99 $70.45 66635 T Removal of iris........ 652 16.35 $840.72 $433.92 $168.14 66680 T Repair iris & ciliary 652 16.35 $840.72 $433.92 $168.14 body. 66682 T Repair iris and ciliary 652 16.35 $840.72 $433.92 $168.14 body. 66700 T Destruction, ciliary 651 6.85 $352.23 $171.99 $70.45 body. 66710 T Destruction, ciliary 651 6.85 $352.23 $171.99 $70.45 body. 66720 T Destruction, ciliary 651 6.85 $352.23 $171.99 $70.45 body. 66740 T Destruction, ciliary 652 16.35 $840.72 $433.92 $168.14 body. 66761 T Revision of iris....... 649 4.37 $224.71 $111.64 $44.94 66762 T Revision of iris....... 649 4.37 $224.71 $111.64 $44.94 66770 T Removal of inner eye 649 4.37 $224.71 $111.64 $44.94 lesion. 66820 T Incision, secondary 651 6.85 $352.23 $171.99 $70.45 cataract. 66821 T After cataract laser 649 4.37 $224.71 $111.64 $44.94 surgery. 66825 T Reposition intraocular 651 6.85 $352.23 $171.99 $70.45 lens. 66830 T Removal of lens lesion. 652 16.35 $840.72 $433.92 $168.14 66840 T Removal of lens 667 20.35 $1,046.40 $538.11 $209.28 material. 66850 T Removal of lens 667 20.35 $1,046.40 $538.11 $209.28 material. 66852 T Removal of lens 667 20.35 $1,046.40 $538.11 $209.28 material. 66920 T Extraction of lens..... 667 20.35 $1,046.40 $538.11 $209.28 66930 T Extraction of lens..... 667 20.35 $1,046.40 $538.11 $209.28 66940 T Extraction of lens..... 667 20.35 $1,046.40 $538.11 $209.28 66983 T Remove cataract, insert 668 22.02 $1,132.27 $617.21 $226.45 lens. 66984 T Remove cataract, insert 668 22.02 $1,132.27 $617.21 $226.45 lens.

66985 T Insert lens prosthesis. 668 22.02 $1,132.27 $617.21 $226.45 66986 T Exchange lens 668 22.02 $1,132.27 $617.21 $226.45 prosthesis. 66999 T Eye surgery procedure.. 649 4.37 $224.71 $111.64 $44.94 67005 T Partial removal of eye 676 5.87 $301.84 $138.54 $60.37 fluid. 67010 T Partial removal of eye 676 5.87 $301.84 $138.54 $60.37 fluid. 67015 T Release of eye fluid... 676 5.87 $301.84 $138.54 $60.37 67025 T Replace eye fluid...... 683 9.56 $491.58 $252.44 $98.32 67027 T Implant eye drug system 690 30.39 $1,562.65 $845.69 $312.53 67028 T Injection eye drug..... 682 3.41 $175.34 $80.68 $35.07 67030 T Incise inner eye 676 5.87 $301.84 $138.54 $60.37 strands. 67031 T Laser surgery, eye 649 4.37 $224.71 $111.64 $44.94 strands. 67036 T Removal of inner eye 690 30.39 $1,562.65 $845.69 $312.53 fluid. 67038 T Strip retinal membrane. 690 30.39 $1,562.65 $845.69 $312.53 67039 T Laser treatment of 690 30.39 $1,562.65 $845.69 $312.53 retina. 67040 T Laser treatment of 690 30.39 $1,562.65 $845.69 $312.53 retina. 67101 T Repair, detached retina 676 5.87 $301.84 $138.54 $60.37 67105 T Repair, detached retina 648 3.76 $193.34 $93.56 $38.67 67107 T Repair detached retina. 690 30.39 $1,562.65 $845.69 $312.53 67108 T Repair detached retina. 690 30.39 $1,562.65 $845.69 $312.53 67110 T Repair detached retina. 676 5.87 $301.84 $138.54 $60.37 67112 T Re-repair detached 690 30.39 $1,562.65 $845.69 $312.53 retina. 67115 T Release, encircling 676 5.87 $301.84 $138.54 $60.37 material. 67120 T Remove eye implant 676 5.87 $301.84 $138.54 $60.37 material. 67121 T Remove eye implant 676 5.87 $301.84 $138.54 $60.37 material. 67141 T Treatment of retina.... 676 5.87 $301.84 $138.54 $60.37 67145 T Treatment of retina.... 648 3.76 $193.34 $93.56 $38.67 67208 T Treatment of retinal 676 5.87 $301.84 $138.54 $60.37 lesion. 67210 T Treatment of retinal 648 3.76 $193.34 $93.56 $38.67 lesion. 67218 T Treatment of retinal 676 5.87 $301.84 $138.54 $60.37 lesion. 67227 T Treatment of retinal 676 5.87 $301.84 $138.54 $60.37 lesion. 67228 T Treatment of retinal 648 3.76 $193.34 $93.56 $38.67 lesion. 67250 T Reinforce eye wall..... 684 13.26 $681.83 $341.94 $136.37 67255 T Reinforce/graft eye 684 13.26 $681.83 $341.94 $136.37 wall. 67299 T Eye surgery procedure.. 649 4.37 $224.71 $111.64 $44.94 67311 T Revise eye muscle...... 677 16.11 $828.38 $428.95 $165.68 67312 T Revise two eye muscles. 677 16.11 $828.38 $428.95 $165.68 67314 T Revise eye muscle...... 677 16.11 $828.38 $428.95 $165.68 67316 T Revise two eye muscles. 677 16.11 $828.38 $428.95 $165.68 67318 T Revise eye muscle(s)... 677 16.11 $828.38 $428.95 $165.68 67320 T Revise eye muscle(s) 677 16.11 $828.38 $428.95 $165.68 add-on. 67331 T Eye surgery follow-up 677 16.11 $828.38 $428.95 $165.68 add-on. 67332 T Rerevise eye muscles 677 16.11 $828.38 $428.95 $165.68 add-on. 67334 T Revise eye muscle w/ 677 16.11 $828.38 $428.95 $165.68 suture. 67335 T Eye suture during 677 16.11 $828.38 $428.95 $165.68 surgery. 67340 T Revise eye muscle add- 677 16.11 $828.38 $428.95 $165.68 on. 67343 T Release eye tissue..... 677 16.11 $828.38 $428.95 $165.68 67345 T Destroy nerve of eye 681 1.65 $84.84 $30.51 $16.97 muscle. 67350 T Biopsy eye muscle...... 162 5.59 $287.44 $125.66 $57.49 67399 T Eye muscle surgery 162 5.59 $287.44 $125.66 $57.49 procedure. 67400 T Explore/biopsy eye 684 13.26 $681.83 $341.94 $136.37 socket. 67405 T Explore/drain eye 684 13.26 $681.83 $341.94 $136.37 socket. 67412 T Explore/treat eye 684 13.26 $681.83 $341.94 $136.37 socket. 67413 T Explore/treat eye 684 13.26 $681.83 $341.94 $136.37 socket. 67414 C Explore/decompress eye ......... ......... ......... ........... ........... socke. 67415 T Aspiration orbital 122 4.59 $236.02 $113.00 $47.20 contents. 67420 T Explore/treat eye 232 23.82 $1,224.82 $636.87 $244.96 socket. 67430 T Explore/treat eye 232 23.82 $1,224.82 $636.87 $244.96 socket. 67440 T Explore/drain eye 232 23.82 $1,224.82 $636.87 $244.96 socket. 67445 C Explore/decompress eye ......... ......... ......... ........... ........... socke. 67450 T Explore/biopsy eye 232 23.82 $1,224.82 $636.87 $244.96 socket. 67500 T Inject/treat eye socket 681 1.65 $84.84 $30.51 $16.97 67505 T Inject/treat eye socket 681 1.65 $84.84 $30.51 $16.97 67515 T Inject/treat eye socket 681 1.65 $84.84 $30.51 $16.97 67550 T Insert eye socket 684 13.26 $681.83 $341.94 $136.37 implant. 67560 T Revise eye socket 684 13.26 $681.83 $341.94 $136.37 implant. 67570 C Decompress optic nerve. ......... ......... ......... ........... ........... 67599 T Orbit surgery procedure 681 1.65 $84.84 $30.51 $16.97 67700 T Drainage of eyelid 682 3.41 $175.34 $80.68 $35.07 abscess. 67710 T Incision of eyelid..... 682 3.41 $175.34 $80.68 $35.07 67715 T Incision of eyelid fold 683 9.56 $491.58 $252.44 $98.32 67800 T Remove eyelid lesion... 682 3.41 $175.34 $80.68 $35.07 67801 T Remove eyelid lesions.. 682 3.41 $175.34 $80.68 $35.07 67805 T Remove eyelid lesions.. 682 3.41 $175.34 $80.68 $35.07 67808 T Remove eyelid lesion(s) 684 13.26 $681.83 $341.94 $136.37 67810 T Biopsy of eyelid....... 682 3.41 $175.34 $80.68 $35.07

67820 T Revise eyelashes....... 682 3.41 $175.34 $80.68 $35.07 67825 T Revise eyelashes....... 682 3.41 $175.34 $80.68 $35.07 67830 T Revise eyelashes....... 683 9.56 $491.58 $252.44 $98.32 67835 T Revise eyelashes....... 684 13.26 $681.83 $341.94 $136.37 67840 T Remove eyelid lesion... 682 3.41 $175.34 $80.68 $35.07 67850 T Treat eyelid lesion.... 682 3.41 $175.34 $80.68 $35.07 67875 T Closure of eyelid by 682 3.41 $175.34 $80.68 $35.07 suture. 67880 T Revision of eyelid..... 683 9.56 $491.58 $252.44 $98.32 67882 T Revision of eyelid..... 684 13.26 $681.83 $341.94 $136.37 67900 T Repair brow defect..... 684 13.26 $681.83 $341.94 $136.37 67901 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67902 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67903 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67904 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67906 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67908 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67909 T Revise eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67911 T Revise eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67914 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67915 T Repair eyelid defect... 682 3.41 $175.34 $80.68 $35.07 67916 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67917 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67921 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67922 T Repair eyelid defect... 682 3.41 $175.34 $80.68 $35.07 67923 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67924 T Repair eyelid defect... 684 13.26 $681.83 $341.94 $136.37 67930 T Repair eyelid wound.... 682 3.41 $175.34 $80.68 $35.07 67935 T Repair eyelid wound.... 683 9.56 $491.58 $252.44 $98.32 67938 T Remove eyelid foreign 682 3.41 $175.34 $80.68 $35.07 body. 67950 T Revision of eyelid..... 684 13.26 $681.83 $341.94 $136.37 67961 T Revision of eyelid..... 684 13.26 $681.83 $341.94 $136.37 67966 T Revision of eyelid..... 684 13.26 $681.83 $341.94 $136.37 67971 T Reconstruction of 684 13.26 $681.83 $341.94 $136.37 eyelid. 67973 T Reconstruction of 684 13.26 $681.83 $341.94 $136.37 eyelid. 67974 T Reconstruction of 684 13.26 $681.83 $341.94 $136.37 eyelid. 67975 T Reconstruction of 684 13.26 $681.83 $341.94 $136.37 eyelid. 67999 T Revision of eyelid..... 682 3.41 $175.34 $80.68 $35.07 68020 T Incise/drain eyelid 682 3.41 $175.34 $80.68 $35.07 lining. 68040 T Treatment of eyelid 682 3.41 $175.34 $80.68 $35.07 lesions. 68100 T Biopsy of eyelid lining 162 5.59 $287.44 $125.66 $57.49 68110 T Remove eyelid lining 162 5.59 $287.44 $125.66 $57.49 lesion. 68115 T Remove eyelid lining 162 5.59 $287.44 $125.66 $57.49 lesion. 68130 T Remove eyelid lining 652 16.35 $840.72 $433.92 $168.14 lesion. 68135 T Remove eyelid lining 162 5.59 $287.44 $125.66 $57.49 lesion. 68200 T Treat eyelid by 681 1.65 $84.84 $30.51 $16.97 injection. 68320 T Revise/graft eyelid 684 13.26 $681.83 $341.94 $136.37 lining. 68325 T Revise/graft eyelid 684 13.26 $681.83 $341.94 $136.37 lining. 68326 T Revise/graft eyelid 684 13.26 $681.83 $341.94 $136.37 lining. 68328 T Revise/graft eyelid 684 13.26 $681.83 $341.94 $136.37 lining. 68330 T Revise eyelid lining... 652 16.35 $840.72 $433.92 $168.14 68335 T Revise/graft eyelid 684 13.26 $681.83 $341.94 $136.37 lining. 68340 T Separate eyelid 684 13.26 $681.83 $341.94 $136.37 adhesions. 68360 T Revise eyelid lining... 652 16.35 $840.72 $433.92 $168.14 68362 T Revise eyelid lining... 652 16.35 $840.72 $433.92 $168.14 68399 T Eyelid lining surgery.. 162 5.59 $287.44 $125.66 $57.49 68400 T Incise/drain tear gland 682 3.41 $175.34 $80.68 $35.07 68420 T Incise/drain tear sac.. 682 3.41 $175.34 $80.68 $35.07 68440 T Incise tear duct 682 3.41 $175.34 $80.68 $35.07 opening. 68500 T Removal of tear gland.. 684 13.26 $681.83 $341.94 $136.37 68505 T Partial removal tear 684 13.26 $681.83 $341.94 $136.37 gland. 68510 T Biopsy of tear gland... 683 9.56 $491.58 $252.44 $98.32 68520 T Removal of tear sac.... 684 13.26 $681.83 $341.94 $136.37 68525 T Biopsy of tear sac..... 683 9.56 $491.58 $252.44 $98.32 68530 T Clearance of tear duct. 682 3.41 $175.34 $80.68 $35.07 68540 T Remove tear gland 684 13.26 $681.83 $341.94 $136.37 lesion. 68550 T Remove tear gland 684 13.26 $681.83 $341.94 $136.37 lesion. 68700 T Repair tear ducts...... 684 13.26 $681.83 $341.94 $136.37 68705 T Revise tear duct 682 3.41 $175.34 $80.68 $35.07 opening. 68720 T Create tear sac drain.. 684 13.26 $681.83 $341.94 $136.37 68745 T Create tear duct drain. 684 13.26 $681.83 $341.94 $136.37 68750 T Create tear duct drain. 684 13.26 $681.83 $341.94 $136.37 68760 T Close tear duct opening 682 3.41 $175.34 $80.68 $35.07 68761 T Close tear duct opening 681 1.65 $84.84 $30.51 $16.97 68770 T Close tear system 684 13.26 $681.83 $341.94 $136.37 fistula. \2\ 6880 T Dilate tear duct 682 3.41 $175.34 $80.68 $35.07 0 opening(s).

68801 T Dilate tear duct 682 3.41 $175.34 $80.68 $35.07 opening. 68810 T Probe nasolacrimal duct 683 9.56 $491.58 $252.44 $98.32 68811 T Probe nasolacrimal duct 684 13.26 $681.83 $341.94 $136.37 68815 T Probe nasolacrimal duct 684 13.26 $681.83 $341.94 $136.37 \2\ 6882 T Explore tear duct 683 9.56 $491.58 $252.44 $98.32 0 system. \2\ 6882 T Explore tear duct 683 9.56 $491.58 $252.44 $98.32 5 system. \2\ 6883 T Reopen tear duct 683 9.56 $491.58 $252.44 $98.32 0 channel. 68840 T Explore/irrigate tear 682 3.41 $175.34 $80.68 $35.07 ducts. 68850 T Injection for tear sac 347 2.57 $132.15 $62.38 $26.43 x-ray. 68899 T Tear duct system 681 1.65 $84.84 $30.51 $16.97 surgery. 69000 T Drain external ear 131 1.93 $99.24 $36.61 $19.85 lesion. 69005 T Drain external ear 131 1.93 $99.24 $36.61 $19.85 lesion. 69020 T Drain outer ear canal 131 1.93 $99.24 $36.61 $19.85 lesion. 69090 E Pierce earlobes........ ......... ......... ......... ........... ........... 69100 T Biopsy of external ear. 161 3.43 $176.37 $75.71 $35.27 69105 T Biopsy of external ear 161 3.43 $176.37 $75.71 $35.27 canal. 69110 T Partial removal 163 10.48 $538.88 $260.80 $107.78 external ear. 69120 T Removal of external ear 313 15.46 $794.95 $407.70 $158.99 69140 T Remove ear canal 313 15.46 $794.95 $407.70 $158.99 lesion(s). 69145 T Remove ear canal 163 10.48 $538.88 $260.80 $107.78 lesion(s). 69150 T Extensive ear canal 314 25.15 $1,293.21 $687.72 $258.64 surgery. 69155 C Extensive ear/neck ......... ......... ......... ........... ........... surgery. 69200 T Clear outer ear canal.. 311 1.41 $72.50 $20.57 $14.50 69205 T Clear outer ear canal.. 163 10.48 $538.88 $260.80 $107.78 69210 T Remove impacted ear wax 311 1.41 $72.50 $20.57 $14.50 69220 T Clean out mastoid 151 1.63 $83.81 $33.22 $16.76 cavity. 69222 T Clean out mastoid 311 1.41 $72.50 $20.57 $14.50 cavity. 69300 T Revise external ear.... 313 15.46 $794.95 $407.70 $158.99 69310 T Rebuild outer ear canal 314 25.15 $1,293.21 $687.72 $258.64 69320 T Rebuild outer ear canal 314 25.15 $1,293.21 $687.72 $258.64 69399 T Outer ear surgery 311 1.41 $72.50 $20.57 $14.50 procedure. 69400 T Inflate middle ear 311 1.41 $72.50 $20.57 $14.50 canal. 69401 N Inflate middle ear ......... ......... ......... ........... ........... canal. 69405 T Catheterize middle ear 311 1.41 $72.50 $20.57 $14.50 canal. 69410 T Inset middle ear baffle 311 1.41 $72.50 $20.57 $14.50 69420 T Incision of eardrum.... 311 1.41 $72.50 $20.57 $14.50 69421 T Incision of eardrum.... 312 7.07 $363.54 $170.86 $72.71 69424 T Remove ventilating tube 311 1.41 $72.50 $20.57 $14.50 69433 T Create eardrum opening. 312 7.07 $363.54 $170.86 $72.71 69436 T Create eardrum opening. 312 7.07 $363.54 $170.86 $72.71 69440 T Exploration of middle 313 15.46 $794.95 $407.70 $158.99 ear. 69450 T Eardrum revision....... 313 15.46 $794.95 $407.70 $158.99 69501 T Mastoidectomy.......... 314 25.15 $1,293.21 $687.72 $258.64 69502 T Mastoidectomy.......... 314 25.15 $1,293.21 $687.72 $258.64 69505 T Remove mastoid 314 25.15 $1,293.21 $687.72 $258.64 structures. 69511 T Extensive mastoid 314 25.15 $1,293.21 $687.72 $258.64 surgery. 69530 T Extensive mastoid 314 25.15 $1,293.21 $687.72 $258.64 surgery. 69535 C Remove part of temporal ......... ......... ......... ........... ........... bone. 69540 T Remove ear lesion...... 311 1.41 $72.50 $20.57 $14.50 69550 T Remove ear lesion...... 314 25.15 $1,293.21 $687.72 $258.64 69552 T Remove ear lesion...... 314 25.15 $1,293.21 $687.72 $258.64 69554 C Remove ear lesion...... ......... ......... ......... ........... ........... 69601 T Mastoid surgery 314 25.15 $1,293.21 $687.72 $258.64 revision. 69602 T Mastoid surgery 314 25.15 $1,293.21 $687.72 $258.64 revision. 69603 T Mastoid surgery 314 25.15 $1,293.21 $687.72 $258.64 revision. 69604 T Mastoid surgery 314 25.15 $1,293.21 $687.72 $258.64 revision. 69605 T Mastoid surgery 314 25.15 $1,293.21 $687.72 $258.64 revision. 69610 T Repair of eardrum...... 311 1.41 $72.50 $20.57 $14.50 69620 T Repair of eardrum...... 313 15.46 $794.95 $407.70 $158.99 69631 T Repair eardrum 314 25.15 $1,293.21 $687.72 $258.64 structures. 69632 T Rebuild eardrum 314 25.15 $1,293.21 $687.72 $258.64 structures. 69633 T Rebuild eardrum 314 25.15 $1,293.21 $687.72 $258.64 structures. 69635 T Repair eardrum 314 25.15 $1,293.21 $687.72 $258.64 structures. 69636 T Rebuild eardrum 314 25.15 $1,293.21 $687.72 $258.64 structures. 69637 T Rebuild eardrum 314 25.15 $1,293.21 $687.72 $258.64 structures. 69641 T Revise middle ear & 314 25.15 $1,293.21 $687.72 $258.64 mastoid. 69642 T Revise middle ear & 314 25.15 $1,293.21 $687.72 $258.64 mastoid. 69643 T Revise middle ear & 314 25.15 $1,293.21 $687.72 $258.64 mastoid. 69644 T Revise middle ear & 314 25.15 $1,293.21 $687.72 $258.64 mastoid. 69645 T Revise middle ear & 314 25.15 $1,293.21 $687.72 $258.64 mastoid. 69646 T Revise middle ear & 314 25.15 $1,293.21 $687.72 $258.64 mastoid. 69650 T Release middle ear bone 314 25.15 $1,293.21 $687.72 $258.64 69660 T Revise middle ear bone. 314 25.15 $1,293.21 $687.72 $258.64 69661 T Revise middle ear bone. 314 25.15 $1,293.21 $687.72 $258.64 69662 T Revise middle ear bone. 314 25.15 $1,293.21 $687.72 $258.64

69666 T Repair middle ear 314 25.15 $1,293.21 $687.72 $258.64 structures. 69667 T Repair middle ear 314 25.15 $1,293.21 $687.72 $258.64 structures. 69670 T Remove mastoid air 314 25.15 $1,293.21 $687.72 $258.64 cells. 69676 T Remove middle ear nerve 314 25.15 $1,293.21 $687.72 $258.64 69700 T Close mastoid fistula.. 314 25.15 $1,293.21 $687.72 $258.64 69710 E Implant/replace hearing ......... ......... ......... ........... ........... aid. 69711 T Remove/repair hearing 314 25.15 $1,293.21 $687.72 $258.64 aid. 69720 T Release facial nerve... 314 25.15 $1,293.21 $687.72 $258.64 69725 T Release facial nerve... 314 25.15 $1,293.21 $687.72 $258.64 69740 T Repair facial nerve.... 314 25.15 $1,293.21 $687.72 $258.64 69745 T Repair facial nerve.... 314 25.15 $1,293.21 $687.72 $258.64 69799 T Middle ear surgery 311 1.41 $72.50 $20.57 $14.50 procedure. 69801 T Incise inner ear....... 314 25.15 $1,293.21 $687.72 $258.64 69802 T Incise inner ear....... 314 25.15 $1,293.21 $687.72 $258.64 69805 T Explore inner ear...... 314 25.15 $1,293.21 $687.72 $258.64 69806 T Explore inner ear...... 314 25.15 $1,293.21 $687.72 $258.64 69820 T Establish inner ear 314 25.15 $1,293.21 $687.72 $258.64 window. 69840 T Revise inner ear window 314 25.15 $1,293.21 $687.72 $258.64 69905 T Remove inner ear....... 314 25.15 $1,293.21 $687.72 $258.64 69910 T Remove inner ear & 314 25.15 $1,293.21 $687.72 $258.64 mastoid. 69915 T Incise inner ear nerve. 314 25.15 $1,293.21 $687.72 $258.64 69930 T Implant cochlear device 317 ......... ......... ........... ........... 69949 T Inner ear surgery 314 25.15 $1,293.21 $687.72 $258.64 procedure. 69950 C Incise inner ear nerve. ......... ......... ......... ........... ........... 69955 C Release facial nerve... ......... ......... ......... ........... ........... 69960 C Release inner ear canal ......... ......... ......... ........... ........... 69970 C Remove inner ear lesion ......... ......... ......... ........... ........... 69979 C Temporal bone surgery.. ......... ......... ......... ........... ........... 70010 S Contrast x-ray of brain 728 3.50 $179.97 $91.98 $35.99 70015 S Contrast x-ray of brain 728 3.50 $179.97 $91.98 $35.99 70030 X X-ray eye for foreign 700 0.80 $41.14 $22.37 $8.23 body. 70100 X X-ray exam of jaw...... 700 0.80 $41.14 $22.37 $8.23 70110 X X-ray exam of jaw...... 700 0.80 $41.14 $22.37 $8.23 70120 X X-ray exam of mastoids. 700 0.80 $41.14 $22.37 $8.23 70130 X X-ray exam of mastoids. 700 0.80 $41.14 $22.37 $8.23 70134 X X-ray exam of middle 700 0.80 $41.14 $22.37 $8.23 ear. 70140 X X-ray exam of facial 700 0.80 $41.14 $22.37 $8.23 bones. 70150 X X-ray exam of facial 700 0.80 $41.14 $22.37 $8.23 bones. 70160 X X-ray exam of nasal 700 0.80 $41.14 $22.37 $8.23 bones. 70170 X X-ray exam of tear duct 706 1.43 $73.53 $39.10 $14.71 70190 X X-ray exam of eye 700 0.80 $41.14 $22.37 $8.23 sockets. 70200 X X-ray exam of eye 700 0.80 $41.14 $22.37 $8.23 sockets. 70210 X X-ray exam of sinuses.. 700 0.80 $41.14 $22.37 $8.23 70220 X X-ray exam of sinuses.. 700 0.80 $41.14 $22.37 $8.23 70240 X X-ray exam pituitary 700 0.80 $41.14 $22.37 $8.23 saddle. 70250 X X-ray exam of skull.... 700 0.80 $41.14 $22.37 $8.23 70260 X X-ray exam of skull.... 700 0.80 $41.14 $22.37 $8.23 70300 X X-ray exam of teeth.... 700 0.80 $41.14 $22.37 $8.23 70310 X X-ray exam of teeth.... 700 0.80 $41.14 $22.37 $8.23 70320 X Full mouth x-ray of 700 0.80 $41.14 $22.37 $8.23 teeth. 70328 X X-ray exam of jaw joint 700 0.80 $41.14 $22.37 $8.23 70330 X X-ray exam of jaw 700 0.80 $41.14 $22.37 $8.23 joints. 70332 S X-ray exam of jaw joint 730 2.30 $118.27 $65.77 $23.65 70336 S Magnetic image jaw 726 7.91 $406.73 $256.06 $81.35 joint. 70350 X X-ray head for 700 0.80 $41.14 $22.37 $8.23 orthodontia. 70355 X Panoramic x-ray of jaws 700 0.80 $41.14 $22.37 $8.23 70360 X X-ray exam of neck..... 700 0.80 $41.14 $22.37 $8.23 70370 X Throat x-ray & 716 1.39 $71.47 $40.00 $14.29 fluoroscopy. 70371 X Speech evaluation, 716 1.39 $71.47 $40.00 $14.29 complex. 70373 X Contrast x-ray of 706 1.43 $73.53 $39.10 $14.71 larynx. 70380 X X-ray exam of salivary 700 0.80 $41.14 $22.37 $8.23 gland. 70390 X X-ray exam of salivary 706 1.43 $73.53 $39.10 $14.71 duct. 70450 S CAT scan of head or 710 4.98 $256.07 $173.12 $51.21 brain. 70460 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 head. 70470 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 head. 70480 S CAT scan of skull...... 710 4.98 $256.07 $173.12 $51.21 70481 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 skull. 70482 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 skull. 70486 S CAT scan of face, jaw.. 710 4.98 $256.07 $173.12 $51.21 70487 S Contrast CAT scan, face/ 710 4.98 $256.07 $173.12 $51.21 jaw. 70488 S Contrast CAT scans face/ 710 4.98 $256.07 $173.12 $51.21 jaw. 70490 S CAT scan of neck tissue 710 4.98 $256.07 $173.12 $51.21 70491 S Contrast CAT of neck 710 4.98 $256.07 $173.12 $51.21 tissue. 70492 S Contrast CAT of neck 710 4.98 $256.07 $173.12 $51.21 tissue. 70540 S Magnetic image, face, 726 7.91 $406.73 $256.06 $81.35 neck.

70541 S Magnetic image, head 720 6.37 $327.55 $204.98 $65.51 (MRA). 70551 S Magnetic image, brain 726 7.91 $406.73 $256.06 $81.35 (MRI). 70552 S Magnetic image, brain 726 7.91 $406.73 $256.06 $81.35 (MRI). 70553 S Magnetic image, brain.. 726 7.91 $406.73 $256.06 $81.35 71010 X Chest x-ray............ 700 0.80 $41.14 $22.37 $8.23 71015 X X-ray exam of chest.... 700 0.80 $41.14 $22.37 $8.23 71020 X Chest x-ray............ 700 0.80 $41.14 $22.37 $8.23 71021 X Chest x-ray............ 700 0.80 $41.14 $22.37 $8.23 71022 X Chest x-ray............ 700 0.80 $41.14 $22.37 $8.23 71023 X Chest x-ray and 716 1.39 $71.47 $40.00 $14.29 fluoroscopy. 71030 X Chest x-ray............ 700 0.80 $41.14 $22.37 $8.23 71034 X Chest x-ray & 716 1.39 $71.47 $40.00 $14.29 fluoroscopy. 71035 X Chest x-ray............ 700 0.80 $41.14 $22.37 $8.23 71036 X X-ray guidance for 716 1.39 $71.47 $40.00 $14.29 biopsy. \2\ 7103 X X-ray guidance for 716 1.39 $71.47 $40.00 $14.29 8 biopsy. 71040 X Contrast x-ray of 706 1.43 $73.53 $39.10 $14.71 bronchi. 71060 X Contrast x-ray of 706 1.43 $73.53 $39.10 $14.71 bronchi. 71090 X X-ray & pacemaker 716 1.39 $71.47 $40.00 $14.29 insertion. 71100 X X-ray exam of ribs..... 700 0.80 $41.14 $22.37 $8.23 71101 X X-ray exam of ribs, 700 0.80 $41.14 $22.37 $8.23 chest. 71110 X X-ray exam of ribs..... 700 0.80 $41.14 $22.37 $8.23 71111 X X-ray exam of ribs, 700 0.80 $41.14 $22.37 $8.23 chest. 71120 X X-ray exam of 700 0.80 $41.14 $22.37 $8.23 breastbone. 71130 X X-ray exam of 700 0.80 $41.14 $22.37 $8.23 breastbone. 71250 S Cat scan of chest...... 710 4.98 $256.07 $173.12 $51.21 71260 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 chest. 71270 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 chest. 71550 S Magnetic image, chest.. 726 7.91 $406.73 $256.06 $81.35 71555 E Magnetic imaging/chest ......... ......... ......... ........... ........... (MRA). 72010 X X-ray exam of spine.... 700 0.80 $41.14 $22.37 $8.23 72020 X X-ray exam of spine.... 700 0.80 $41.14 $22.37 $8.23 72040 X X-ray exam of neck 700 0.80 $41.14 $22.37 $8.23 spine. 72050 X X-ray exam of neck 700 0.80 $41.14 $22.37 $8.23 spine. 72052 X X-ray exam of neck 700 0.80 $41.14 $22.37 $8.23 spine. 72069 X X-ray exam of trunk 700 0.80 $41.14 $22.37 $8.23 spine. 72070 X X-ray exam of thorax 700 0.80 $41.14 $22.37 $8.23 spine. 72072 X X-ray exam of thoracic 700 0.80 $41.14 $22.37 $8.23 spine. 72074 X X-ray exam of thoracic 700 0.80 $41.14 $22.37 $8.23 spine. 72080 X X-ray exam of trunk 700 0.80 $41.14 $22.37 $8.23 spine. 72090 X X-ray exam of trunk 700 0.80 $41.14 $22.37 $8.23 spine. 72100 X X-ray exam of lower 700 0.80 $41.14 $22.37 $8.23 spine. 72110 X X-ray exam of lower 700 0.80 $41.14 $22.37 $8.23 spine. 72114 X X-ray exam of lower 700 0.80 $41.14 $22.37 $8.23 spine. 72120 X X-ray exam of lower 700 0.80 $41.14 $22.37 $8.23 spine. 72125 S CAT scan of neck spine. 710 4.98 $256.07 $173.12 $51.21 72126 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 neck. 72127 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 neck. 72128 S CAT scan of thorax 710 4.98 $256.07 $173.12 $51.21 spine. 72129 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 thorax. 72130 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 thorax. 72131 S CAT scan of lower spine 710 4.98 $256.07 $173.12 $51.21 72132 S Contrast CAT of lower 710 4.98 $256.07 $173.12 $51.21 spine. 72133 S Contrast CAT scans,low 710 4.98 $256.07 $173.12 $51.21 spine. 72141 S Magnetic image, neck 726 7.91 $406.73 $256.06 $81.35 spine. 72142 S Magnetic image, neck 726 7.91 $406.73 $256.06 $81.35 spine. 72146 S Magnetic image, chest 726 7.91 $406.73 $256.06 $81.35 spine. 72147 S Magnetic image, chest 726 7.91 $406.73 $256.06 $81.35 spine. 72148 S Magnetic image, lumbar 726 7.91 $406.73 $256.06 $81.35 spine. 72149 S Magnetic image, lumbar 726 7.91 $406.73 $256.06 $81.35 spine. 72156 S Magnetic image, neck 726 7.91 $406.73 $256.06 $81.35 spine. 72157 S Magnetic image, chest 726 7.91 $406.73 $256.06 $81.35 spine. 72158 S Magnetic image, lumbar 726 7.91 $406.73 $256.06 $81.35 spine. 72159 E Magnetic imaging/spine ......... ......... ......... ........... ........... (MRA). 72170 X X-ray exam of pelvis... 700 0.80 $41.14 $22.37 $8.23 72190 X X-ray exam of pelvis... 700 0.80 $41.14 $22.37 $8.23 72192 S CAT scan of pelvis..... 710 4.98 $256.07 $173.12 $51.21 72193 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 pelvis. 72194 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 pelvis. 72196 S Magnetic image, pelvis. 726 7.91 $406.73 $256.06 $81.35 72198 E Magnetic imaging/ ......... ......... ......... ........... ........... pelvis(MRA). 72200 X X-ray exam sacroiliac 700 0.80 $41.14 $22.37 $8.23 joints. 72202 X X-ray exam sacroiliac 700 0.80 $41.14 $22.37 $8.23 joints. 72220 X X-ray exam of tailbone. 700 0.80 $41.14 $22.37 $8.23 72240 S Contrast x-ray of neck 728 3.50 $179.97 $91.98 $35.99 spine. 72255 S Contrast x-ray thorax 728 3.50 $179.97 $91.98 $35.99 spine.

72265 S Contrast x-ray lower 728 3.50 $179.97 $91.98 $35.99 spine. 72270 S Contrast x-ray of spine 728 3.50 $179.97 $91.98 $35.99 72285 S X-ray of neck spine 728 3.50 $179.97 $91.98 $35.99 disk. 72295 S X-ray of lower spine 728 3.50 $179.97 $91.98 $35.99 disk. 73000 X X-ray exam of 700 0.80 $41.14 $22.37 $8.23 collarbone. 73010 X X-ray exam of shoulder 700 0.80 $41.14 $22.37 $8.23 blade. 73020 X X-ray exam of shoulder. 700 0.80 $41.14 $22.37 $8.23 73030 X X-ray exam of shoulder. 700 0.80 $41.14 $22.37 $8.23 73040 S Contrast x-ray of 730 2.30 $118.27 $65.77 $23.65 shoulder. 73050 X X-ray exam of shoulders 700 0.80 $41.14 $22.37 $8.23 73060 X X-ray exam of humerus.. 700 0.80 $41.14 $22.37 $8.23 73070 X X-ray exam of elbow.... 700 0.80 $41.14 $22.37 $8.23 73080 X X-ray exam of elbow.... 700 0.80 $41.14 $22.37 $8.23 73085 S Contrast x-ray of elbow 730 2.30 $118.27 $65.77 $23.65 73090 X X-ray exam of forearm.. 700 0.80 $41.14 $22.37 $8.23 73092 X X-ray exam of arm, 700 0.80 $41.14 $22.37 $8.23 infant. 73100 X X-ray exam of wrist.... 700 0.80 $41.14 $22.37 $8.23 73110 X X-ray exam of wrist.... 700 0.80 $41.14 $22.37 $8.23 73115 S Contrast x-ray of wrist 730 2.30 $118.27 $65.77 $23.65 73120 X X-ray exam of hand..... 700 0.80 $41.14 $22.37 $8.23 73130 X X-ray exam of hand..... 700 0.80 $41.14 $22.37 $8.23 73140 X X-ray exam of finger(s) 700 0.80 $41.14 $22.37 $8.23 73200 S CAT scan of arm........ 710 4.98 $256.07 $173.12 $51.21 73201 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 arm. 73202 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 arm. 73220 S Magnetic image, arm, 726 7.91 $406.73 $256.06 $81.35 hand. 73221 S Magnetic image, joint 726 7.91 $406.73 $256.06 $81.35 of arm. 73225 E Magnetic imaging/upper ......... ......... ......... ........... ........... (MRA). 73500 X X-ray exam of hip...... 700 0.80 $41.14 $22.37 $8.23 73510 X X-ray exam of hip...... 700 0.80 $41.14 $22.37 $8.23 73520 X X-ray exam of hips..... 700 0.80 $41.14 $22.37 $8.23 73525 S Contrast x-ray of hip.. 730 2.30 $118.27 $65.77 $23.65 73530 X X-ray exam of hip...... 700 0.80 $41.14 $22.37 $8.23 73540 X X-ray exam of pelvis & 700 0.80 $41.14 $22.37 $8.23 hips. 73550 X X-ray exam of thigh.... 700 0.80 $41.14 $22.37 $8.23 73560 X X-ray exam of knee, 1 700 0.80 $41.14 $22.37 $8.23 or 2. 73562 X X-ray exam of knee, 3.. 700 0.80 $41.14 $22.37 $8.23 73564 X X-ray exam of knee, 4+. 700 0.80 $41.14 $22.37 $8.23 73565 X X-ray exam of knee..... 700 0.80 $41.14 $22.37 $8.23 73580 S Contrast x-ray of knee 730 2.30 $118.27 $65.77 $23.65 joint. 73590 X X-ray exam of lower leg 700 0.80 $41.14 $22.37 $8.23 73592 X X-ray exam of leg, 700 0.80 $41.14 $22.37 $8.23 infant. 73600 X X-ray exam of ankle.... 700 0.80 $41.14 $22.37 $8.23 73610 X X-ray exam of ankle.... 700 0.80 $41.14 $22.37 $8.23 73615 S Contrast x-ray of ankle 730 2.30 $118.27 $65.77 $23.65 73620 X X-ray exam of foot..... 700 0.80 $41.14 $22.37 $8.23 73630 X X-ray exam of foot..... 700 0.80 $41.14 $22.37 $8.23 73650 X X-ray exam of heel..... 700 0.80 $41.14 $22.37 $8.23 73660 X X-ray exam of toe(s)... 700 0.80 $41.14 $22.37 $8.23 73700 S CAT scan of leg........ 710 4.98 $256.07 $173.12 $51.21 73701 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 leg. 73702 S Contrast CAT scans of 710 4.98 $256.07 $173.12 $51.21 leg. 73720 S Magnetic image, leg, 726 7.91 $406.73 $256.06 $81.35 foot. 73721 S Magnetic image, joint 726 7.91 $406.73 $256.06 $81.35 of leg. 73725 E Magnetic imaging/lower ......... ......... ......... ........... ........... (MRA). 74000 X X-ray exam of abdomen.. 700 0.80 $41.14 $22.37 $8.23 74010 X X-ray exam of abdomen.. 700 0.80 $41.14 $22.37 $8.23 74020 X X-ray exam of abdomen.. 700 0.80 $41.14 $22.37 $8.23 74022 X X-ray exam series, 700 0.80 $41.14 $22.37 $8.23 abdomen. 74150 S CAT scan of abdomen.... 710 4.98 $256.07 $173.12 $51.21 74160 S Contrast CAT scan of 710 4.98 $256.07 $173.12 $51.21 abdomen. 74170 S Contrast CAT scans, 710 4.98 $256.07 $173.12 $51.21 abdomen. 74181 S Magnetic image,abdomen 726 7.91 $406.73 $256.06 $81.35 (MRI). 74185 E Magnetic image/abdomen ......... ......... ......... ........... ........... (MRA). 74190 X X-ray exam of 706 1.43 $73.53 $39.10 $14.71 peritoneum. 74210 S Contrast xray exam of 736 1.85 $95.13 $53.79 $19.03 throat. 74220 S Contrast xray 736 1.85 $95.13 $53.79 $19.03 exam,esophagus. 74230 S Cinema xray throat/ 736 1.85 $95.13 $53.79 $19.03 esophagus. 74235 S Remove esophagus 738 3.74 $192.31 $104.86 $38.46 obstruction. 74240 S X-ray exam upper GI 736 1.85 $95.13 $53.79 $19.03 tract. 74241 S X-ray exam upper GI 736 1.85 $95.13 $53.79 $19.03 tract. 74245 S X-ray exam upper GI 736 1.85 $95.13 $53.79 $19.03 tract. 74246 S Contrast xray upper GI 736 1.85 $95.13 $53.79 $19.03 tract. 74247 S Contrast xray upper GI 736 1.85 $95.13 $53.79 $19.03 tract. 74249 S Contrast xray upper GI 736 1.85 $95.13 $53.79 $19.03 tract.

74250 S X-ray exam of small 736 1.85 $95.13 $53.79 $19.03 bowel. 74251 S X-ray exam of small 736 1.85 $95.13 $53.79 $19.03 bowel. 74260 S X-ray exam of small 736 1.85 $95.13 $53.79 $19.03 bowel. 74270 S Contrast x-ray exam of 736 1.85 $95.13 $53.79 $19.03 colon. 74280 S Contrast x-ray exam of 736 1.85 $95.13 $53.79 $19.03 colon. 74283 S Contrast x-ray exam of 736 1.85 $95.13 $53.79 $19.03 colon. 74290 S Contrast x-ray, 736 1.85 $95.13 $53.79 $19.03 gallbladder. 74291 S Contrast x-rays, 736 1.85 $95.13 $53.79 $19.03 gallbladder. 74300 C X-ray bile ducts, ......... ......... ......... ........... ........... pancreas. 74301 C X-rays at surgery add- ......... ......... ......... ........... ........... on. 74305 X X-ray bile ducts, 706 1.43 $73.53 $39.10 $14.71 pancreas. 74320 X Contrast x-ray of bile 706 1.43 $73.53 $39.10 $14.71 ducts. 74327 S X-ray for bile stone 738 3.74 $192.31 $104.86 $38.46 removal. 74328 X X-ray for bile duct 706 1.43 $73.53 $39.10 $14.71 endoscopy. 74329 X X-ray for pancreas 706 1.43 $73.53 $39.10 $14.71 endoscopy. 74330 X X-ray, bile/pancreas 706 1.43 $73.53 $39.10 $14.71 endoscopy. 74340 X X-ray guide for GI tube 716 1.39 $71.47 $40.00 $14.29 74350 X X-ray guide, stomach 706 1.43 $73.53 $39.10 $14.71 tube. 74355 X X-ray guide, intestinal 706 1.43 $73.53 $39.10 $14.71 tube. 74360 S X-ray guide, GI 738 3.74 $192.31 $104.86 $38.46 dilation. 74363 S X-ray, bile duct 738 3.74 $192.31 $104.86 $38.46 dilation. 74400 S Contrast x-ray urinary 737 2.69 $138.32 $81.81 $27.66 tract. \2\ 7440 S Contrast x-ray urinary 737 2.69 $138.32 $81.81 $27.66 5 tract. 74410 S Contrast x-ray urinary 737 2.69 $138.32 $81.81 $27.66 tract. 74415 S Contrast x-ray urinary 737 2.69 $138.32 $81.81 $27.66 tract. 74420 S Contrast x-ray urinary 737 2.69 $138.32 $81.81 $27.66 tract. 74425 S Contrast x-ray urinary 737 2.69 $138.32 $81.81 $27.66 tract. 74430 S Contrast x-ray of 737 2.69 $138.32 $81.81 $27.66 bladder. 74440 S X-ray exam male genital 737 2.69 $138.32 $81.81 $27.66 tract. 74445 S X-ray exam of penis.... 737 2.69 $138.32 $81.81 $27.66 74450 S X-ray exam urethra/ 737 2.69 $138.32 $81.81 $27.66 bladder. 74455 S X-ray exam urethra/ 737 2.69 $138.32 $81.81 $27.66 bladder. 74470 X X-ray exam of kidney 706 1.43 $73.53 $39.10 $14.71 lesion. 74475 S X-ray control catheter 738 3.74 $192.31 $104.86 $38.46 insert. 74480 S X-ray control catheter 738 3.74 $192.31 $104.86 $38.46 insert. 74485 S X-ray guide, GU 738 3.74 $192.31 $104.86 $38.46 dilation. 74710 X X-ray measurement of 700 0.80 $41.14 $22.37 $8.23 pelvis. 74740 X X-ray female genital 706 1.43 $73.53 $39.10 $14.71 tract. 74742 X X-ray fallopian tube... 706 1.43 $73.53 $39.10 $14.71 74775 S X-ray exam of perineum. 737 2.69 $138.32 $81.81 $27.66 75552 S Magnetic image, 726 7.91 $406.73 $256.06 $81.35 myocardium. 75553 S Magnetic image, 726 7.91 $406.73 $256.06 $81.35 myocardium. 75554 S Cardiac MRI/function... 726 7.91 $406.73 $256.06 $81.35 75555 S Cardiac MRI/limited 726 7.91 $406.73 $256.06 $81.35 study. 75556 E Cardiac MRI/flow ......... ......... ......... ........... ........... mapping. 75600 S Contrast x-ray exam of 739 5.33 $274.07 $150.74 $54.81 aorta. 75605 S Contrast x-ray exam of 739 5.33 $274.07 $150.74 $54.81 aorta. 75625 S Contrast x-ray exam of 739 5.33 $274.07 $150.74 $54.81 aorta. 75630 S X-ray aorta, leg 739 5.33 $274.07 $150.74 $54.81 arteries. 75650 S Artery x-rays, head & 739 5.33 $274.07 $150.74 $54.81 neck. 75658 S X-ray exam of arm 739 5.33 $274.07 $150.74 $54.81 arteries. 75660 S Artery x-rays, head & 739 5.33 $274.07 $150.74 $54.81 neck. 75662 S Artery x-rays, head & 739 5.33 $274.07 $150.74 $54.81 neck. 75665 S Artery x-rays, head & 739 5.33 $274.07 $150.74 $54.81 neck. 75671 S Artery x-rays, head & 739 5.33 $274.07 $150.74 $54.81 neck. 75676 S Artery x-rays, neck.... 739 5.33 $274.07 $150.74 $54.81 75680 S Artery x-rays, neck.... 739 5.33 $274.07 $150.74 $54.81 75685 S Artery x-rays, spine... 739 5.33 $274.07 $150.74 $54.81 75705 S Artery x-rays, spine... 739 5.33 $274.07 $150.74 $54.81 75710 S Artery x-rays, arm/leg. 739 5.33 $274.07 $150.74 $54.81 75716 S Artery x-rays, arms/ 739 5.33 $274.07 $150.74 $54.81 legs. 75722 S Artery x-rays, kidney.. 739 5.33 $274.07 $150.74 $54.81 75724 S Artery x-rays, kidneys. 739 5.33 $274.07 $150.74 $54.81 75726 S Artery x-rays, abdomen. 739 5.33 $274.07 $150.74 $54.81 75731 S Artery x-rays, adrenal 739 5.33 $274.07 $150.74 $54.81 gland. 75733 S Artery x-rays,adrenal 739 5.33 $274.07 $150.74 $54.81 glands. 75736 S Artery x-rays, pelvis.. 739 5.33 $274.07 $150.74 $54.81 75741 S Artery x-rays, lung.... 739 5.33 $274.07 $150.74 $54.81 75743 S Artery x-rays, lungs... 739 5.33 $274.07 $150.74 $54.81 75746 S Artery x-rays, lung.... 739 5.33 $274.07 $150.74 $54.81 75756 S Artery x-rays, chest... 739 5.33 $274.07 $150.74 $54.81 75774 S Artery x-ray, each 739 5.33 $274.07 $150.74 $54.81 vessel. 75790 S Visualize A-V shunt.... 739 5.33 $274.07 $150.74 $54.81 75801 X Lymph vessel x-ray, arm/ 706 1.43 $73.53 $39.10 $14.71 leg. 75803 X Lymph vessel x-ray, 706 1.43 $73.53 $39.10 $14.71 arms/legs.

75805 X Lymph vessel x-ray, 706 1.43 $73.53 $39.10 $14.71 trunk. 75807 X Lymph vessel x-ray, 706 1.43 $73.53 $39.10 $14.71 trunk. 75809 X Nonvascular shunt, x- 706 1.43 $73.53 $39.10 $14.71 ray. 75810 S Vein x-ray, spleen/ 739 5.33 $274.07 $150.74 $54.81 liver. 75820 S Vein x-ray, arm/leg.... 739 5.33 $274.07 $150.74 $54.81 75822 S Vein x-ray, arms/legs.. 739 5.33 $274.07 $150.74 $54.81 75825 S Vein x-ray, trunk...... 739 5.33 $274.07 $150.74 $54.81 75827 S Vein x-ray, chest...... 739 5.33 $274.07 $150.74 $54.81 75831 S Vein x-ray, kidney..... 739 5.33 $274.07 $150.74 $54.81 75833 S Vein x-ray, kidneys.... 739 5.33 $274.07 $150.74 $54.81 75840 S Vein x-ray, adrenal 739 5.33 $274.07 $150.74 $54.81 gland. 75842 S Vein x-ray, adrenal 739 5.33 $274.07 $150.74 $54.81 glands. 75860 S Vein x-ray, neck....... 739 5.33 $274.07 $150.74 $54.81 75870 S Vein x-ray, skull...... 739 5.33 $274.07 $150.74 $54.81 75872 S Vein x-ray, skull...... 739 5.33 $274.07 $150.74 $54.81 75880 S Vein x-ray, eye socket. 739 5.33 $274.07 $150.74 $54.81 75885 S Vein x-ray, liver...... 739 5.33 $274.07 $150.74 $54.81 75887 S Vein x-ray, liver...... 739 5.33 $274.07 $150.74 $54.81 75889 S Vein x-ray, liver...... 739 5.33 $274.07 $150.74 $54.81 75891 S Vein x-ray, liver...... 739 5.33 $274.07 $150.74 $54.81 75893 N Venous sampling by ......... ......... ......... ........... ........... catheter. 75894 C X-rays, transcatheter ......... ......... ......... ........... ........... therapy. 75896 C X-rays, transcatheter ......... ......... ......... ........... ........... therapy. 75898 X Follow-up angiogram.... 706 1.43 $73.53 $39.10 $14.71 75900 C Arterial catheter ......... ......... ......... ........... ........... exchange. 75940 C X-ray placement, vein ......... ......... ......... ........... ........... filter. 75945 C Intravascular us....... ......... ......... ......... ........... ........... 75946 C Intravascular us add-on ......... ......... ......... ........... ........... 75960 C Transcatheter intro, ......... ......... ......... ........... ........... stent. 75961 C Retrieval, broken ......... ......... ......... ........... ........... catheter. 75962 C Repair arterial ......... ......... ......... ........... ........... blockage. 75964 C Repair artery blockage, ......... ......... ......... ........... ........... each. 75966 C Repair arterial ......... ......... ......... ........... ........... blockage. 75968 C Repair artery blockage, ......... ......... ......... ........... ........... each. 75970 C Vascular biopsy........ ......... ......... ......... ........... ........... 75978 C Repair venous blockage. ......... ......... ......... ........... ........... 75980 S Contrast xray exam bile 738 3.74 $192.31 $104.86 $38.46 duct. 75982 S Contrast xray exam bile 738 3.74 $192.31 $104.86 $38.46 duct. 75984 S X-ray control catheter 738 3.74 $192.31 $104.86 $38.46 change. 75989 X Abscess drainage under 716 1.39 $71.47 $40.00 $14.29 x-ray. 75992 C Atherectomy, x-ray exam ......... ......... ......... ........... ........... 75993 C Atherectomy, x-ray exam ......... ......... ......... ........... ........... 75994 C Atherectomy, x-ray exam ......... ......... ......... ........... ........... 75995 C Atherectomy, x-ray exam ......... ......... ......... ........... ........... 75996 C Atherectomy, x-ray exam ......... ......... ......... ........... ........... 76000 X Fluoroscope examination 716 1.39 $71.47 $40.00 $14.29 76001 X Fluoroscope exam, 716 1.39 $71.47 $40.00 $14.29 extensive. 76003 X Needle localization by 716 1.39 $71.47 $40.00 $14.29 x-ray. 76010 X X-ray, nose to rectum.. 700 0.80 $41.14 $22.37 $8.23 76020 X X-rays for bone age.... 700 0.80 $41.14 $22.37 $8.23 76040 X X-rays, bone evaluation 700 0.80 $41.14 $22.37 $8.23 76061 X X-rays, bone survey.... 700 0.80 $41.14 $22.37 $8.23 76062 X X-rays, bone survey.... 700 0.80 $41.14 $22.37 $8.23 76065 X X-rays, bone evaluation 700 0.80 $41.14 $22.37 $8.23 76066 X Joint(s) survey, single 700 0.80 $41.14 $22.37 $8.23 film. 76070 E CT scan, bone density ......... ......... ......... ........... ........... study. 76075 X Dual energy x-ray study 706 1.43 $73.53 $39.10 $14.71 76076 X Dual energy x-ray study 700 0.80 $41.14 $22.37 $8.23 76078 X Photodensitometry...... 700 0.80 $41.14 $22.37 $8.23 76080 X X-ray exam of fistula.. 706 1.43 $73.53 $39.10 $14.71 76086 X X-ray of mammary duct.. 706 1.43 $73.53 $39.10 $14.71 76088 X X-ray of mammary ducts. 706 1.43 $73.53 $39.10 $14.71 76090 S Mammogram, one breast.. 746 0.69 $35.48 $19.44 $7.10 76091 S Mammogram, both breasts 746 0.69 $35.48 $19.44 $7.10 76092 A Mammogram, screening... ......... ......... ......... ........... ........... 76093 S Magnetic image, breast. 726 7.91 $406.73 $256.06 $81.35 76094 S Magnetic image, both 726 7.91 $406.73 $256.06 $81.35 breasts. 76095 X Stereotactic breast 706 1.43 $73.53 $39.10 $14.71 biopsy. 76096 X X-ray of needle wire, 706 1.43 $73.53 $39.10 $14.71 breast. 76098 X X-ray exam, breast 700 0.80 $41.14 $22.37 $8.23 specimen. 76100 X X-ray exam of body 700 0.80 $41.14 $22.37 $8.23 section. 76101 X Complex body section x- 706 1.43 $73.53 $39.10 $14.71 ray. 76102 X Complex body section x- 706 1.43 $73.53 $39.10 $14.71 rays. 76120 X Cinematic x-rays....... 700 0.80 $41.14 $22.37 $8.23 76125 X Cinematic x-rays add-on 700 0.80 $41.14 $22.37 $8.23

76140 E X-ray consultation..... ......... ......... ......... ........... ........... 76150 X X-ray exam, dry process 700 0.80 $41.14 $22.37 $8.23 76350 N Special x-ray contrast ......... ......... ......... ........... ........... study. 76355 S CAT scan for 710 4.98 $256.07 $173.12 $51.21 localization. 76360 S CAT scan for needle 710 4.98 $256.07 $173.12 $51.21 biopsy. 76365 S CAT scan for cyst 710 4.98 $256.07 $173.12 $51.21 aspiration. 76370 S CAT scan for therapy 710 4.98 $256.07 $173.12 $51.21 guide. 76375 S 3d/holograph reconstr 710 4.98 $256.07 $173.12 $51.21 add-on. 76380 S CAT scan follow-up 710 4.98 $256.07 $173.12 $51.21 study. 76390 S Mr spectroscopy........ 726 7.91 $406.73 $256.06 $81.35 76400 S Magnetic image, bone 726 7.91 $406.73 $256.06 $81.35 marrow. 76499 X Radiographic procedure. 700 0.80 $41.14 $22.37 $8.23 76506 S Echo exam of head...... 747 1.65 $84.84 $54.47 $16.97 76511 S Echo exam of eye....... 747 1.65 $84.84 $54.47 $16.97 76512 S Echo exam of eye....... 747 1.65 $84.84 $54.47 $16.97 76513 S Echo exam of eye, water 747 1.65 $84.84 $54.47 $16.97 bath. 76516 S Echo exam of eye....... 747 1.65 $84.84 $54.47 $16.97 76519 S Echo exam of eye....... 747 1.65 $84.84 $54.47 $16.97 76529 S Echo exam of eye....... 747 1.65 $84.84 $54.47 $16.97 76536 S Echo exam of head and 747 1.65 $84.84 $54.47 $16.97 neck. 76604 S Echo exam of chest..... 747 1.65 $84.84 $54.47 $16.97 76645 S Echo exam of breast.... 747 1.65 $84.84 $54.47 $16.97 76700 S Echo exam of abdomen... 747 1.65 $84.84 $54.47 $16.97 76705 S Echo exam of abdomen... 747 1.65 $84.84 $54.47 $16.97 76770 S Echo exam abdomen back 747 1.65 $84.84 $54.47 $16.97 wall. 76775 S Echo exam abdomen back 747 1.65 $84.84 $54.47 $16.97 wall. 76778 S Echo exam kidney 747 1.65 $84.84 $54.47 $16.97 transplant. 76800 S Echo exam spinal canal. 747 1.65 $84.84 $54.47 $16.97 76805 S Echo exam of pregnant 747 1.65 $84.84 $54.47 $16.97 uterus. 76810 S Echo exam of pregnant 747 1.65 $84.84 $54.47 $16.97 uterus. 76815 S Echo exam of pregnant 747 1.65 $84.84 $54.47 $16.97 uterus. 76816 S Echo exam followup or 747 1.65 $84.84 $54.47 $16.97 repeat. 76818 S Fetal biophysical 747 1.65 $84.84 $54.47 $16.97 profile. 76825 S Echo exam of fetal 957 4.04 $207.74 $114.13 $41.55 heart. 76826 S Echo exam of fetal 957 4.04 $207.74 $114.13 $41.55 heart. 76827 S Echo exam of fetal 957 4.04 $207.74 $114.13 $41.55 heart. 76828 S Echo exam of fetal 957 4.04 $207.74 $114.13 $41.55 heart. 76830 S Echo exam, transvaginal 747 1.65 $84.84 $54.47 $16.97 76831 S Echo exam, uterus...... 747 1.65 $84.84 $54.47 $16.97 76856 S Echo exam of pelvis.... 747 1.65 $84.84 $54.47 $16.97 76857 S Echo exam of pelvis.... 747 1.65 $84.84 $54.47 $16.97 76870 S Echo exam of scrotum... 747 1.65 $84.84 $54.47 $16.97 76872 S Echo exam, transrectal. 747 1.65 $84.84 $54.47 $16.97 76880 S Echo exam of extremity. 747 1.65 $84.84 $54.47 $16.97 76885 S Echo exam, infant hips. 747 1.65 $84.84 $54.47 $16.97 76886 S Echo exam, infant hips. 747 1.65 $84.84 $54.47 $16.97 76930 X Echo guide for heart 749 2.22 $114.15 $70.06 $22.83 sac tap. 76932 X Echo guide for heart 749 2.22 $114.15 $70.06 $22.83 biopsy. 76934 X Echo guide for chest 749 2.22 $114.15 $70.06 $22.83 tap. 76936 X Echo guide for artery 749 2.22 $114.15 $70.06 $22.83 repair. 76938 X Echo exam for drainage. 749 2.22 $114.15 $70.06 $22.83 76941 X Echo guide for 749 2.22 $114.15 $70.06 $22.83 transfusion. 76942 X Echo guide for biopsy.. 749 2.22 $114.15 $70.06 $22.83 76945 X Echo guide, villus 749 2.22 $114.15 $70.06 $22.83 sampling. 76946 X Echo guide for 749 2.22 $114.15 $70.06 $22.83 amniocentesis. 76948 X Echo guide, ova 749 2.22 $114.15 $70.06 $22.83 aspiration. 76950 X Echo guidance 749 2.22 $114.15 $70.06 $22.83 radiotherapy. 76960 X Echo guidance 749 2.22 $114.15 $70.06 $22.83 radiotherapy. 76965 X Echo guidance 749 2.22 $114.15 $70.06 $22.83 radiotherapy. 76970 S Ultrasound exam follow- 747 1.65 $84.84 $54.47 $16.97 up. 76975 S GI endoscopic 747 1.65 $84.84 $54.47 $16.97 ultrasound. 76986 S Echo exam at surgery... 747 1.65 $84.84 $54.47 $16.97 76999 S Echo examination 747 1.65 $84.84 $54.47 $16.97 procedure. 77261 X Radiation therapy 750 0.96 $49.36 $25.99 $9.87 planning. 77262 X Radiation therapy 750 0.96 $49.36 $25.99 $9.87 planning. 77263 X Radiation therapy 750 0.96 $49.36 $25.99 $9.87 planning. 77280 X Set radiation therapy 752 3.48 $178.94 $86.56 $35.79 field. 77285 X Set radiation therapy 752 3.48 $178.94 $86.56 $35.79 field. 77290 X Set radiation therapy 752 3.48 $178.94 $86.56 $35.79 field. 77295 X Set radiation therapy 752 3.48 $178.94 $86.56 $35.79 field. 77299 X Radiation therapy 751 1.15 $59.13 $33.22 $11.83 planning. 77300 X Radiation therapy dose 751 1.15 $59.13 $33.22 $11.83 plan. 77305 X Radiation therapy dose 751 1.15 $59.13 $33.22 $11.83 plan. 77310 X Radiation therapy dose 751 1.15 $59.13 $33.22 $11.83 plan. 77315 X Radiation therapy dose 751 1.15 $59.13 $33.22 $11.83 plan.

77321 X Radiation therapy port 751 1.15 $59.13 $33.22 $11.83 plan. 77326 X Radiation therapy dose 751 1.15 $59.13 $33.22 $11.83 plan. 77327 X Radiation therapy dose 751 1.15 $59.13 $33.22 $11.83 plan. 77328 X Radiation therapy dose 751 1.15 $59.13 $33.22 $11.83 plan. 77331 X Special radiation 751 1.15 $59.13 $33.22 $11.83 dosimetry. 77332 X Radiation treatment 751 1.15 $59.13 $33.22 $11.83 aid(s). 77333 X Radiation treatment 751 1.15 $59.13 $33.22 $11.83 aid(s). 77334 X Radiation treatment 751 1.15 $59.13 $33.22 $11.83 aid(s). 77336 X Radiation physics 750 0.96 $49.36 $25.99 $9.87 consult. 77370 X Radiation physics 750 0.96 $49.36 $25.99 $9.87 consult. 77399 X External radiation 750 0.96 $49.36 $25.99 $9.87 dosimetry. 77401 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77402 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77403 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77404 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77406 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77407 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77408 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77409 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77411 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77412 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77413 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77414 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77416 S Radiation treatment 757 2.26 $116.21 $52.43 $23.24 delivery. 77417 X Radiology port film(s). 700 0.80 $41.14 $22.37 $8.23 77419 E Weekly radiation ......... ......... ......... ........... ........... therapy. 77420 E Weekly radiation ......... ......... ......... ........... ........... therapy. 77425 E Weekly radiation ......... ......... ......... ........... ........... therapy. 77430 E Weekly radiation ......... ......... ......... ........... ........... therapy. 77431 X Radiation therapy 750 0.96 $49.36 $25.99 $9.87 management. 77432 X Stereotactic radiation 750 0.96 $49.36 $25.99 $9.87 trmt. 77470 S Special radiation 757 2.26 $116.21 $52.43 $23.24 treatment. 77499 N Radiation therapy ......... ......... ......... ........... ........... management. 77600 S Hyperthermia treatment. 758 5.08 $261.21 $137.18 $52.24 77605 S Hyperthermia treatment. 758 5.08 $261.21 $137.18 $52.24 77610 S Hyperthermia treatment. 758 5.08 $261.21 $137.18 $52.24 77615 S Hyperthermia treatment. 758 5.08 $261.21 $137.18 $52.24 77620 S Hyperthermia treatment. 758 5.08 $261.21 $137.18 $52.24 77750 S Infuse radioactive 759 7.98 $410.33 $157.97 $82.07 materials. 77761 S Radioelement 759 7.98 $410.33 $157.97 $82.07 application. 77762 S Radioelement 759 7.98 $410.33 $157.97 $82.07 application. 77763 S Radioelement 759 7.98 $410.33 $157.97 $82.07 application. 77776 S Radioelement 759 7.98 $410.33 $157.97 $82.07 application. 77777 S Radioelement 759 7.98 $410.33 $157.97 $82.07 application. 77778 S Radioelement 759 7.98 $410.33 $157.97 $82.07 application. 77781 S High intensity 759 7.98 $410.33 $157.97 $82.07 brachytherapy. 77782 S High intensity 759 7.98 $410.33 $157.97 $82.07 brachytherapy. 77783 S High intensity 759 7.98 $410.33 $157.97 $82.07 brachytherapy. 77784 S High intensity 759 7.98 $410.33 $157.97 $82.07 brachytherapy. 77789 S Radioelement 759 7.98 $410.33 $157.97 $82.07 application. 77790 N Radioelement handling.. ......... ......... ......... ........... ........... 77799 S Radium/radioisotope 759 7.98 $410.33 $157.97 $82.07 therapy. 78000 S Thyroid, single uptake. 761 1.80 $92.56 $54.01 $18.51 78001 S Thyroid, multiple 762 2.02 $103.87 $55.82 $20.77 uptakes. 78003 S Thyroid suppress/stimul 762 2.02 $103.87 $55.82 $20.77 78006 S Thyroid,imaging with 771 3.81 $195.91 $117.29 $39.18 uptake. 78007 S Thyroid, image, mult 772 4.26 $219.05 $128.37 $43.81 uptakes. 78010 S Thyroid imaging........ 771 3.81 $195.91 $117.29 $39.18 78011 S Thyroid imaging with 771 3.81 $195.91 $117.29 $39.18 flow. 78015 S Thyroid met imaging.... 771 3.81 $195.91 $117.29 $39.18 78016 S Thyroid met imaging/ 772 4.26 $219.05 $128.37 $43.81 studies. \2\ 7801 S Thyroid met imaging, 772 4.26 $219.05 $128.37 $43.81 7 mult. 78018 S Thyroid, met imaging, 772 4.26 $219.05 $128.37 $43.81 body. 78070 S Parathyroid nuclear 772 4.26 $219.05 $128.37 $43.81 imaging. 78075 S Adrenal nuclear imaging 772 4.26 $219.05 $128.37 $43.81 78099 S Endocrine nuclear 761 1.80 $92.56 $54.01 $18.51 procedure. 78102 S Bone marrow imaging, 771 3.81 $195.91 $117.29 $39.18 ltd. 78103 S Bone marrow imaging, 771 3.81 $195.91 $117.29 $39.18 mult. 78104 S Bone marrow imaging, 771 3.81 $195.91 $117.29 $39.18 body. 78110 S Plasma volume, single.. 761 1.80 $92.56 $54.01 $18.51 78111 S Plasma volume, multiple 761 1.80 $92.56 $54.01 $18.51 78120 S Red cell mass, single.. 761 1.80 $92.56 $54.01 $18.51 78121 S Red cell mass, multiple 762 2.02 $103.87 $55.82 $20.77 78122 S Blood volume........... 762 2.02 $103.87 $55.82 $20.77 78130 S Red cell survival study 762 2.02 $103.87 $55.82 $20.77

78135 S Red cell survival 762 2.02 $103.87 $55.82 $20.77 kinetics. 78140 S Red cell sequestration. 762 2.02 $103.87 $55.82 $20.77 78160 S Plasma iron turnover... 762 2.02 $103.87 $55.82 $20.77 78162 S Iron absorption exam... 762 2.02 $103.87 $55.82 $20.77 78170 S Red cell iron 762 2.02 $103.87 $55.82 $20.77 utilization. 78172 S Total body iron 762 2.02 $103.87 $55.82 $20.77 estimation. 78185 S Spleen imaging......... 771 3.81 $195.91 $117.29 $39.18 78190 S Platelet survival, 762 2.02 $103.87 $55.82 $20.77 kinetics. 78191 S Platelet survival...... 762 2.02 $103.87 $55.82 $20.77 78195 S Lymph system imaging... 772 4.26 $219.05 $128.37 $43.81 78199 S Blood/lymph nuclear 761 1.80 $92.56 $54.01 $18.51 exam. 78201 S Liver imaging.......... 771 3.81 $195.91 $117.29 $39.18 78202 S Liver imaging with flow 771 3.81 $195.91 $117.29 $39.18 78205 S Liver imaging (3D)..... 781 5.43 $279.21 $155.04 $55.84 78215 S Liver and spleen 771 3.81 $195.91 $117.29 $39.18 imaging. 78216 S Liver & spleen image, 771 3.81 $195.91 $117.29 $39.18 flow. 78220 S Liver function study... 772 4.26 $219.05 $128.37 $43.81 78223 S Hepatobiliary imaging.. 772 4.26 $219.05 $128.37 $43.81 78230 S Salivary gland imaging. 771 3.81 $195.91 $117.29 $39.18 78231 S Serial salivary imaging 771 3.81 $195.91 $117.29 $39.18 78232 S Salivary gland function 772 4.26 $219.05 $128.37 $43.81 exam. 78258 S Esophageal motility 772 4.26 $219.05 $128.37 $43.81 study. 78261 S Gastric mucosa imaging. 771 3.81 $195.91 $117.29 $39.18 78262 S Gastroesophageal reflux 772 4.26 $219.05 $128.37 $43.81 exam. 78264 S Gastric emptying study. 772 4.26 $219.05 $128.37 $43.81 78270 S Vit B-12 absorption 761 1.80 $92.56 $54.01 $18.51 exam. 78271 S Vit B-12 absorp exam, 761 1.80 $92.56 $54.01 $18.51 IF. 78272 S Vit B-12 absorp, 761 1.80 $92.56 $54.01 $18.51 combined. 78278 S Acute GI blood loss 772 4.26 $219.05 $128.37 $43.81 imaging. 78282 S GI protein loss exam... 761 1.80 $92.56 $54.01 $18.51 78290 S Meckel's divert exam... 771 3.81 $195.91 $117.29 $39.18 78291 S Leveen/shunt patency 772 4.26 $219.05 $128.37 $43.81 exam. 78299 S GI nuclear procedure... 761 1.80 $92.56 $54.01 $18.51 78300 S Bone imaging, limited 771 3.81 $195.91 $117.29 $39.18 area. 78305 S Bone imaging, multiple 771 3.81 $195.91 $117.29 $39.18 areas. 78306 S Bone imaging, whole 771 3.81 $195.91 $117.29 $39.18 body. 78315 S Bone imaging, 3 phase.. 772 4.26 $219.05 $128.37 $43.81 78320 S Bone imaging (3D)...... 781 5.43 $279.21 $155.04 $55.84 78350 X Bone mineral, single 700 0.80 $41.14 $22.37 $8.23 photon. 78351 E Bone mineral, dual ......... ......... ......... ........... ........... photon. 78399 S Musculoskeletal nuclear 771 3.81 $195.91 $117.29 $39.18 exam. 78414 S Non-imaging heart 762 2.02 $103.87 $55.82 $20.77 function. 78428 S Cardiac shunt imaging.. 771 3.81 $195.91 $117.29 $39.18 78445 S Vascular flow imaging.. 771 3.81 $195.91 $117.29 $39.18 78455 S Venous thrombosis study 762 2.02 $103.87 $55.82 $20.77 78457 S Venous thrombosis 771 3.81 $195.91 $117.29 $39.18 imaging. 78458 S Ven thrombosis images, 771 3.81 $195.91 $117.29 $39.18 bilat. 78459 S Heart muscle imaging 760 14.89 $765.64 $419.46 $153.13 (PET). 78460 S Heart muscle blood 771 3.81 $195.91 $117.29 $39.18 single. 78461 S Heart muscle blood 772 4.26 $219.05 $128.37 $43.81 multiple. 78464 S Heart image (3D) single 781 5.43 $279.21 $155.04 $55.84 78465 S Heart image (3D) 782 9.00 $462.78 $267.13 $92.56 multiple. 78466 S Heart infarct image.... 771 3.81 $195.91 $117.29 $39.18 78468 S Heart infarct image, EF 772 4.26 $219.05 $128.37 $43.81 78469 S Heart infarct image 781 5.43 $279.21 $155.04 $55.84 (3D). 78472 S Gated heart, planar 772 4.26 $219.05 $128.37 $43.81 single. 78473 S Gated heart, multiple.. 772 4.26 $219.05 $128.37 $43.81 78478 S Heart wall motion add- 771 3.81 $195.91 $117.29 $39.18 on. 78480 S Heart function add-on.. 771 3.81 $195.91 $117.29 $39.18 78481 S Heart first pass single 771 3.81 $195.91 $117.29 $39.18 78483 S Heart first pass 772 4.26 $219.05 $128.37 $43.81 multiple. 78491 E Heart image (pet) ......... ......... ......... ........... ........... single. 78492 E Heart image (pet) ......... ......... ......... ........... ........... multiple. 78499 S Cardiovascular nuclear 762 2.02 $103.87 $55.82 $20.77 exam. 78580 S Lung perfusion imaging. 771 3.81 $195.91 $117.29 $39.18 78584 S Lung V/Q image single 772 4.26 $219.05 $128.37 $43.81 breath. 78585 S Lung V/Q imaging....... 772 4.26 $219.05 $128.37 $43.81 78586 S Aerosol lung image, 771 3.81 $195.91 $117.29 $39.18 single. 78587 S Aerosol lung image, 771 3.81 $195.91 $117.29 $39.18 multiple. 78591 S Vent image, 1 breath, 1 771 3.81 $195.91 $117.29 $39.18 proj. 78593 S Vent image, 1 proj, gas 771 3.81 $195.91 $117.29 $39.18 78594 S Vent image, mult proj, 772 4.26 $219.05 $128.37 $43.81 gas. 78596 S Lung differential 772 4.26 $219.05 $128.37 $43.81 function. 78599 S Respiratory nuclear 771 3.81 $195.91 $117.29 $39.18 exam. 78600 S Brain imaging, ltd 771 3.81 $195.91 $117.29 $39.18 static.

78601 S Brain ltd imaging & 771 3.81 $195.91 $117.29 $39.18 flow. 78605 S Brain imaging, complete 771 3.81 $195.91 $117.29 $39.18 78606 S Brain imaging comp & 772 4.26 $219.05 $128.37 $43.81 flow. 78607 S Brain imaging (3D)..... 781 5.43 $279.21 $155.04 $55.84 78608 S Brain imaging (PET).... 760 14.89 $765.64 $419.46 $153.13 78609 S Brain imaging (PET).... 760 14.89 $765.64 $419.46 $153.13 78610 S Brain flow imaging only 771 3.81 $195.91 $117.29 $39.18 78615 S Cerebral blood flow 772 4.26 $219.05 $128.37 $43.81 imaging. 78630 S Cerebrospinal fluid 772 4.26 $219.05 $128.37 $43.81 scan. 78635 S CSF ventriculography... 772 4.26 $219.05 $128.37 $43.81 78645 S CSF shunt evaluation... 772 4.26 $219.05 $128.37 $43.81 78647 S Cerebrospinal fluid 781 5.43 $279.21 $155.04 $55.84 scan. 78650 S CSF leakage imaging.... 772 4.26 $219.05 $128.37 $43.81 78660 S Nuclear exam of tear 771 3.81 $195.91 $117.29 $39.18 flow. 78699 S Nervous system nuclear 771 3.81 $195.91 $117.29 $39.18 exam. 78700 S Kidney imaging, static. 771 3.81 $195.91 $117.29 $39.18 78701 S Kidney imaging with 771 3.81 $195.91 $117.29 $39.18 flow. 78704 S Imaging renogram....... 771 3.81 $195.91 $117.29 $39.18 78707 S Kidney flow & function 771 3.81 $195.91 $117.29 $39.18 image. 78708 S Kidney flow & function 772 4.26 $219.05 $128.37 $43.81 image. 78709 S Kidney flow & function 772 4.26 $219.05 $128.37 $43.81 image. 78710 S Kidney imaging (3D).... 781 5.43 $279.21 $155.04 $55.84 78715 S Renal vascular flow 771 3.81 $195.91 $117.29 $39.18 exam. 78725 S Kidney function study.. 761 1.80 $92.56 $54.01 $18.51 78730 S Urinary bladder 771 3.81 $195.91 $117.29 $39.18 retention. 78740 S Ureteral reflux study.. 772 4.26 $219.05 $128.37 $43.81 78760 S Testicular imaging..... 771 3.81 $195.91 $117.29 $39.18 78761 S Testicular imaging & 771 3.81 $195.91 $117.29 $39.18 flow. 78799 S Genitourinary nuclear 771 3.81 $195.91 $117.29 $39.18 exam. 78800 S Tumor imaging, limited 772 4.26 $219.05 $128.37 $43.81 area. 78801 S Tumor imaging, mult 772 4.26 $219.05 $128.37 $43.81 areas. 78802 S Tumor imaging, whole 772 4.26 $219.05 $128.37 $43.81 body. 78803 S Tumor imaging (3D)..... 782 9.00 $462.78 $267.13 $92.56 78805 S Abscess imaging, ltd 772 4.26 $219.05 $128.37 $43.81 area. 78806 S Abscess imaging, whole 772 4.26 $219.05 $128.37 $43.81 body. 78807 S Nuclear localization/ 782 9.00 $462.78 $267.13 $92.56 abscess. 78810 S Tumor imaging (PET).... 760 14.89 $765.64 $419.46 $153.13 78890 N Nuclear medicine data ......... ......... ......... ........... ........... proc. 78891 N Nuclear med data proc.. ......... ......... ......... ........... ........... 78990 N Provide diag ......... ......... ......... ........... ........... radionuclide(s). 78999 S Nuclear diagnostic exam 761 1.80 $92.56 $54.01 $18.51 79000 S Intial hyperthyroid 792 4.81 $247.33 $143.06 $49.47 therapy. 79001 S Repeat hyperthyroid 791 14.74 $757.93 $539.91 $151.59 therapy. 79020 S Thyroid ablation....... 792 4.81 $247.33 $143.06 $49.47 79030 S Thyroid ablation, 792 4.81 $247.33 $143.06 $49.47 carcinoma. 79035 S Thyroid metastatic 792 4.81 $247.33 $143.06 $49.47 therapy. 79100 S Hematopoetic nuclear 791 14.74 $757.93 $539.91 $151.59 therapy. 79200 S Intracavitary nuc 792 4.81 $247.33 $143.06 $49.47 treatment. 79300 S Interstitial nuclear 791 14.74 $757.93 $539.91 $151.59 therapy. 79400 S Nonhemato nuclear 791 14.74 $757.93 $539.91 $151.59 therapy. 79420 S Intravascular nuc 791 14.74 $757.93 $539.91 $151.59 therapy. 79440 S Nuclear joint therapy.. 791 14.74 $757.93 $539.91 $151.59 79900 N Provide ther ......... ......... ......... ........... ........... radiopharm(s). 79999 S Nuclear medicine 791 14.74 $757.93 $539.91 $151.59 therapy. 80049 A Metabolic panel, basic. ......... ......... ......... ........... ........... 80050 A General health panel... ......... ......... ......... ........... ........... 80051 A Electrolyte panel...... ......... ......... ......... ........... ........... 80054 A Comprehen metabolic ......... ......... ......... ........... ........... panel. 80055 A Obstetric panel........ ......... ......... ......... ........... ........... 80058 A Hepatic function panel. ......... ......... ......... ........... ........... 80059 A Hepatitis panel........ ......... ......... ......... ........... ........... 80061 A Lipid panel............ ......... ......... ......... ........... ........... 80072 A Arthritis panel........ ......... ......... ......... ........... ........... 80090 A Torch antibody panel... ......... ......... ......... ........... ........... 80091 A Thyroid panel.......... ......... ......... ......... ........... ........... 80092 A Thyroid panel w/TSH.... ......... ......... ......... ........... ........... 80100 A Drug screen............ ......... ......... ......... ........... ........... 80101 A Drug screen............ ......... ......... ......... ........... ........... 80102 A Drug confirmation...... ......... ......... ......... ........... ........... 80103 N Drug analysis, tissue ......... ......... ......... ........... ........... prep. 80150 A Assay of amikacin...... ......... ......... ......... ........... ........... 80152 A Assay of amitriptyline. ......... ......... ......... ........... ........... 80154 A Assay of ......... ......... ......... ........... ........... benzodiazepines. 80156 A Assay carbamazepine.... ......... ......... ......... ........... ........... 80158 A Assay of cyclosporine.. ......... ......... ......... ........... ...........

80160 A Assay of desipramine... ......... ......... ......... ........... ........... 80162 A Assay for digoxin...... ......... ......... ......... ........... ........... 80164 A Assay, dipropylacetic ......... ......... ......... ........... ........... acid. 80166 A Assay of doxepin....... ......... ......... ......... ........... ........... 80168 A Assay of ethosuximide.. ......... ......... ......... ........... ........... 80170 A Gentamicin............. ......... ......... ......... ........... ........... 80172 A Assay for gold......... ......... ......... ......... ........... ........... 80174 A Assay of imipramine.... ......... ......... ......... ........... ........... 80176 A Assay for lidocaine.... ......... ......... ......... ........... ........... 80178 A Assay for lithium...... ......... ......... ......... ........... ........... 80182 A Assay for nortriptyline ......... ......... ......... ........... ........... 80184 A Assay for phenobarbital ......... ......... ......... ........... ........... 80185 A Assay for phenytoin.... ......... ......... ......... ........... ........... 80186 A Assay for phenytoin, ......... ......... ......... ........... ........... free. 80188 A Assay for primidone.... ......... ......... ......... ........... ........... 80190 A Assay for procainamide. ......... ......... ......... ........... ........... 80192 A Assay for procainamide. ......... ......... ......... ........... ........... 80194 A Assay for quinidine.... ......... ......... ......... ........... ........... 80196 A Assay for salicylate... ......... ......... ......... ........... ........... 80197 A Assay for tacrolimus... ......... ......... ......... ........... ........... 80198 A Assay for theophylline. ......... ......... ......... ........... ........... 80200 A Assay for tobramycin... ......... ......... ......... ........... ........... 80201 A Assay for topiramate... ......... ......... ......... ........... ........... 80202 A Assay for vancomycin... ......... ......... ......... ........... ........... 80299 A Quantitative assay, ......... ......... ......... ........... ........... drug. 80400 A Acth stimulation panel. ......... ......... ......... ........... ........... 80402 A Acth stimulation panel. ......... ......... ......... ........... ........... 80406 A Acth stimulation panel. ......... ......... ......... ........... ........... 80408 A Aldosterone suppression ......... ......... ......... ........... ........... eval. 80410 A Calcitonin stimul panel ......... ......... ......... ........... ........... 80412 A CRH stimulation panel.. ......... ......... ......... ........... ........... 80414 A Testosterone response.. ......... ......... ......... ........... ........... 80415 A Estradiol response ......... ......... ......... ........... ........... panel. 80416 A Renin stimulation panel ......... ......... ......... ........... ........... 80417 A Renin stimulation panel ......... ......... ......... ........... ........... 80418 A Pituitary evaluation ......... ......... ......... ........... ........... panel. 80420 A Dexamethasone panel.... ......... ......... ......... ........... ........... 80422 A Glucagon tolerance ......... ......... ......... ........... ........... panel. 80424 A Glucagon tolerance ......... ......... ......... ........... ........... panel. 80426 A Gonadotropin hormone ......... ......... ......... ........... ........... panel. 80428 A Growth hormone panel... ......... ......... ......... ........... ........... 80430 A Growth hormone panel... ......... ......... ......... ........... ........... 80432 A Insulin suppression ......... ......... ......... ........... ........... panel. 80434 A Insulin tolerance panel ......... ......... ......... ........... ........... 80435 A Insulin tolerance panel ......... ......... ......... ........... ........... 80436 A Metyrapone panel....... ......... ......... ......... ........... ........... 80438 A TRH stimulation panel.. ......... ......... ......... ........... ........... 80439 A TRH stimulation panel.. ......... ......... ......... ........... ........... 80440 A TRH stimulation panel.. ......... ......... ......... ........... ........... 80500 X Lab pathology 882 0.39 $20.05 $11.75 $4.01 consultation. 80502 X Lab pathology 882 0.39 $20.05 $11.75 $4.01 consultation. 81000 A Urinalysis, nonauto, w/ ......... ......... ......... ........... ........... scope. 81001 A Urinalysis, auto, w/ ......... ......... ......... ........... ........... scope. 81002 A Urinalysis nonauto w/o ......... ......... ......... ........... ........... scope. 81003 A Urinalysis, auto, w/o ......... ......... ......... ........... ........... scope. 81005 A Urinalysis............. ......... ......... ......... ........... ........... 81007 A Urine screen for ......... ......... ......... ........... ........... bacteria. 81015 A Microscopic exam of ......... ......... ......... ........... ........... urine. 81020 A Urinalysis, glass test. ......... ......... ......... ........... ........... 81025 A Urine pregnancy test... ......... ......... ......... ........... ........... 81050 A Urinalysis, volume ......... ......... ......... ........... ........... measure. 81099 A Urinalysis test ......... ......... ......... ........... ........... procedure. 82000 A Assay blood ......... ......... ......... ........... ........... acetaldehyde. 82003 A Assay acetaminophen.... ......... ......... ......... ........... ........... 82009 A Test for acetone/ ......... ......... ......... ........... ........... ketones. 82010 A Acetone assay.......... ......... ......... ......... ........... ........... 82013 A Acetylcholinesterase ......... ......... ......... ........... ........... assay. 82024 A ACTH................... ......... ......... ......... ........... ........... 82030 A ADP & AMP.............. ......... ......... ......... ........... ........... 82040 A Assay serum albumin.... ......... ......... ......... ........... ........... 82042 A Assay urine albumin.... ......... ......... ......... ........... ........... 82043 A Microalbumin, ......... ......... ......... ........... ........... quantitative. 82044 A Microalbumin, semiquant ......... ......... ......... ........... ........... 82055 A Assay ethanol.......... ......... ......... ......... ........... ........... 82075 A Assay breath ethanol... ......... ......... ......... ........... ...........

82085 A Assay of aldolase...... ......... ......... ......... ........... ........... 82088 A Aldosterone............ ......... ......... ......... ........... ........... 82101 A Assay of urine ......... ......... ......... ........... ........... alkaloids. 82103 A Alpha-1-antitrypsin, ......... ......... ......... ........... ........... total. 82104 A Alpha-1-antitrypsin, ......... ......... ......... ........... ........... pheno. 82105 A Alpha-fetoprotein, ......... ......... ......... ........... ........... serum. 82106 A Alpha-fetoprotein; ......... ......... ......... ........... ........... amniotic. 82108 A Assay, aluminum........ ......... ......... ......... ........... ........... 82128 A Amino acids, mult qual. ......... ......... ......... ........... ........... \2\ 8213 A Amino acids analysis... ......... ......... ......... ........... ........... 0 82131 A Amino acids, single ......... ......... ......... ........... ........... quant. 82135 A Assay, aminolevulinic ......... ......... ......... ........... ........... acid. 82140 A Assay of ammonia....... ......... ......... ......... ........... ........... 82143 A Amniotic fluid scan.... ......... ......... ......... ........... ........... 82145 A Assay of amphetamines.. ......... ......... ......... ........... ........... 82150 A Assay of amylase....... ......... ......... ......... ........... ........... 82154 A Androstanediol ......... ......... ......... ........... ........... glucuronide. 82157 A Assay of ......... ......... ......... ........... ........... androstenedione. 82160 A Androsterone assay..... ......... ......... ......... ........... ........... 82163 A Assay of angiotensin II ......... ......... ......... ........... ........... 82164 A Angiotensin I enzyme ......... ......... ......... ........... ........... test. 82172 A Apolipoprotein......... ......... ......... ......... ........... ........... 82175 A Assay of arsenic....... ......... ......... ......... ........... ........... 82180 A Assay of ascorbic acid. ......... ......... ......... ........... ........... 82190 A Atomic absorption...... ......... ......... ......... ........... ........... 82205 A Assay of barbiturates.. ......... ......... ......... ........... ........... 82232 A Beta-2 protein......... ......... ......... ......... ........... ........... 82239 A Bile acids, total...... ......... ......... ......... ........... ........... 82240 A Bile acids, ......... ......... ......... ........... ........... cholylglycine. \2\ 8225 A Assay bilirubin........ ......... ......... ......... ........... ........... 0 82251 A Assay bilirubin........ ......... ......... ......... ........... ........... 82252 A Fecal bilirubin test... ......... ......... ......... ........... ........... 82270 A Test feces for blood... ......... ......... ......... ........... ........... 82273 A Test for blood, other ......... ......... ......... ........... ........... source. 82286 A Assay of bradykinin.... ......... ......... ......... ........... ........... 82300 A Assay cadmium.......... ......... ......... ......... ........... ........... 82306 A Assay of vitamin D..... ......... ......... ......... ........... ........... 82307 A Assay of vitamin D..... ......... ......... ......... ........... ........... 82308 A Assay of calcitonin.... ......... ......... ......... ........... ........... 82310 A Assay calcium.......... ......... ......... ......... ........... ........... 82330 A Assay calcium.......... ......... ......... ......... ........... ........... 82331 A Calcium infusion test.. ......... ......... ......... ........... ........... 82340 A Assay calcium in urine. ......... ......... ......... ........... ........... 82355 A Calculus (stone) ......... ......... ......... ........... ........... analysis. 82360 A Calculus (stone) assay. ......... ......... ......... ........... ........... 82365 A Calculus (stone) assay. ......... ......... ......... ........... ........... 82370 A X-ray assay,calculus ......... ......... ......... ........... ........... (stone). 82374 A Assay blood carbon ......... ......... ......... ........... ........... dioxide. 82375 A Assay blood carbon ......... ......... ......... ........... ........... monoxide. 82376 A Test for carbon ......... ......... ......... ........... ........... monoxide. 82378 A Carcinoembryonic ......... ......... ......... ........... ........... antigen. 82380 A Assay carotene......... ......... ......... ......... ........... ........... 82382 A Assay urine ......... ......... ......... ........... ........... catecholamines. 82383 A Assay blood ......... ......... ......... ........... ........... catecholamines. 82384 A Assay three ......... ......... ......... ........... ........... catecholamines. 82387 A Cathepsin-D............ ......... ......... ......... ........... ........... 82390 A Assay ceruloplasmin.... ......... ......... ......... ........... ........... 82397 A Chemiluminescent assay. ......... ......... ......... ........... ........... 82415 A Assay chloramphenicol.. ......... ......... ......... ........... ........... 82435 A Assay blood chloride... ......... ......... ......... ........... ........... 82436 A Assay urine chloride... ......... ......... ......... ........... ........... 82438 A Assay other fluid ......... ......... ......... ........... ........... chlorides. 82441 A Test for ......... ......... ......... ........... ........... chlorohydrocarbons. 82465 A Assay serum cholesterol ......... ......... ......... ........... ........... 82480 A Assay serum ......... ......... ......... ........... ........... cholinesterase. 82482 A Assay rbc ......... ......... ......... ........... ........... cholinesterase. 82485 A Assay chondroitin ......... ......... ......... ........... ........... sulfate. 82486 A Gas/liquid ......... ......... ......... ........... ........... chromatography. 82487 A Paper chromatography... ......... ......... ......... ........... ........... 82488 A Paper chromatography... ......... ......... ......... ........... ........... 82489 A Thin layer ......... ......... ......... ........... ........... chromatography. 82491 A Chromotography, ......... ......... ......... ........... ........... quantitative. 82495 A Assay chromium......... ......... ......... ......... ........... ........... 82507 A Assay citrate.......... ......... ......... ......... ........... ........... 82520 A Assay for cocaine...... ......... ......... ......... ........... ...........

82523 A Collagen crosslinks.... ......... ......... ......... ........... ........... 82525 A Assay copper........... ......... ......... ......... ........... ........... 82528 A Assay corticosterone... ......... ......... ......... ........... ........... 82530 A Cortisol, free......... ......... ......... ......... ........... ........... 82533 A Total cortisol......... ......... ......... ......... ........... ........... 82540 A Assay creatine......... ......... ......... ......... ........... ........... 82550 A Assay CK (CPK)......... ......... ......... ......... ........... ........... 82552 A Assay CPK in blood..... ......... ......... ......... ........... ........... 82553 A Creatine, MB fraction.. ......... ......... ......... ........... ........... 82554 A Creatine, isoforms..... ......... ......... ......... ........... ........... 82565 A Assay creatinine....... ......... ......... ......... ........... ........... 82570 A Assay urine creatinine. ......... ......... ......... ........... ........... 82575 A Creatinine clearance ......... ......... ......... ........... ........... test. 82585 A Assay cryofibrinogen... ......... ......... ......... ........... ........... 82595 A Assay cryoglobulin..... ......... ......... ......... ........... ........... 82600 A Assay cyanide.......... ......... ......... ......... ........... ........... 82607 A Vitamin B-12........... ......... ......... ......... ........... ........... 82608 A B-12 binding capacity.. ......... ......... ......... ........... ........... 82615 A Test for urine cystines ......... ......... ......... ........... ........... 82626 A Dehydroepiandrosterone. ......... ......... ......... ........... ........... 82627 A Dehydroepiandrosterone. ......... ......... ......... ........... ........... 82633 A Desoxycorticosterone... ......... ......... ......... ........... ........... 82634 A Deoxycortisol.......... ......... ......... ......... ........... ........... 82638 A Assay dibucaine number. ......... ......... ......... ........... ........... 82646 A Assay of ......... ......... ......... ........... ........... dihydrocodeinone. 82649 A Assay of ......... ......... ......... ........... ........... dihydromorphinone. 82651 A Dihydrotestosterone ......... ......... ......... ........... ........... assay. 82652 A Assay, dihydroxyvitamin ......... ......... ......... ........... ........... D. 82654 A Assay of dimethadione.. ......... ......... ......... ........... ........... 82664 A Electrophoretic test... ......... ......... ......... ........... ........... 82666 A Epiandrosterone assay.. ......... ......... ......... ........... ........... 82668 A Erythropoietin......... ......... ......... ......... ........... ........... 82670 A Estradiol.............. ......... ......... ......... ........... ........... 82671 A Estrogens assay........ ......... ......... ......... ........... ........... 82672 A Estrogen assay......... ......... ......... ......... ........... ........... 82677 A Estriol................ ......... ......... ......... ........... ........... 82679 A Estrone................ ......... ......... ......... ........... ........... 82690 A Ethchlorvynol.......... ......... ......... ......... ........... ........... 82693 A Ethylene glycol........ ......... ......... ......... ........... ........... 82696 A Etiocholanolone........ ......... ......... ......... ........... ........... 82705 A Fats/ ......... ......... ......... ........... ........... lipids,feces,qualitati v. 82710 A Fats/ ......... ......... ......... ........... ........... lipids,feces,quantitat i. 82715 A Fecal fat assay........ ......... ......... ......... ........... ........... 82725 A Assay blood fatty acids ......... ......... ......... ........... ........... 82728 A Assay ferritin......... ......... ......... ......... ........... ........... 82735 A Assay fluoride......... ......... ......... ......... ........... ........... 82742 A Assay of flurazepam.... ......... ......... ......... ........... ........... 82746 A Blood folic acid serum. ......... ......... ......... ........... ........... 82747 A Folic acid, RBC........ ......... ......... ......... ........... ........... 82757 A Assay semen fructose... ......... ......... ......... ........... ........... 82759 A RBC galactokinase assay ......... ......... ......... ........... ........... 82760 A Assay galactose........ ......... ......... ......... ........... ........... 82775 A Assay galactose ......... ......... ......... ........... ........... transferase. 82776 A Galactose transferase ......... ......... ......... ........... ........... test. 82784 A Assay gammaglobulin IgM ......... ......... ......... ........... ........... 82785 A Assay, gammaglobulin ......... ......... ......... ........... ........... IgE. 82787 A IgG1, 2, 3 and 4....... ......... ......... ......... ........... ........... 82800 A Blood pH............... ......... ......... ......... ........... ........... 82803 A Blood gases: pH, pO2 & ......... ......... ......... ........... ........... pCO2. 82805 A Blood gases W/02 ......... ......... ......... ........... ........... saturation. 82810 A Blood gases, O2 sat ......... ......... ......... ........... ........... only. 82820 A Hemoglobin-oxygen ......... ......... ......... ........... ........... affinity. 82926 A Assay gastric acid..... ......... ......... ......... ........... ........... 82928 A Assay gastric acid..... ......... ......... ......... ........... ........... 82938 A Gastrin test........... ......... ......... ......... ........... ........... 82941 A Assay of gastrin....... ......... ......... ......... ........... ........... 82943 A Assay of glucagon...... ......... ......... ......... ........... ........... 82946 A Glucagon tolerance test ......... ......... ......... ........... ........... 82947 A Assay quantitative, ......... ......... ......... ........... ........... glucose. 82948 A Reagent strip/blood ......... ......... ......... ........... ........... glucose. 82950 A Glucose test........... ......... ......... ......... ........... ........... 82951 A Glucose tolerance test ......... ......... ......... ........... ........... (GTT). 82952 A GTT-added samples...... ......... ......... ......... ........... ........... 82953 A Glucose-tolbutamide ......... ......... ......... ........... ........... test. 82955 A Assay G6PD enzyme...... ......... ......... ......... ........... ...........

82960 A Test for G6PD enzyme... ......... ......... ......... ........... ........... 82962 A Glucose blood test..... ......... ......... ......... ........... ........... 82963 A Glucosidase assay...... ......... ......... ......... ........... ........... 82965 A Assay GDH enzyme....... ......... ......... ......... ........... ........... 82975 A Assay glutamine........ ......... ......... ......... ........... ........... 82977 A Assay of GGT........... ......... ......... ......... ........... ........... 82978 A Glutathione assay...... ......... ......... ......... ........... ........... 82979 A Assay RBC glutathione ......... ......... ......... ........... ........... enzyme. 82980 A Assay of glutethimide.. ......... ......... ......... ........... ........... 82985 A Glycated protein....... ......... ......... ......... ........... ........... 83001 A Gonadotropin (FSH)..... ......... ......... ......... ........... ........... 83002 A Gonadotropin (LH)...... ......... ......... ......... ........... ........... 83003 A Assay growth hormone ......... ......... ......... ........... ........... (HGH). 83008 A Assay guanosine........ ......... ......... ......... ........... ........... 83010 A Quant assay haptoglobin ......... ......... ......... ........... ........... 83012 A Assay haptoglobins..... ......... ......... ......... ........... ........... 83015 A Heavy metal screen..... ......... ......... ......... ........... ........... 83018 A Quantitative screen, ......... ......... ......... ........... ........... metals. \2\ 8301 A Breath isotope test.... ......... ......... ......... ........... ........... 9 83020 A Hemoglobin ......... ......... ......... ........... ........... electrophoresis. 83026 A Hemoglobin, copper ......... ......... ......... ........... ........... sulfate. 83030 A Fetal hemoglobin assay. ......... ......... ......... ........... ........... 83033 A Fetal fecal hemoglobin ......... ......... ......... ........... ........... assay. 83036 A Glycated hemoglobin ......... ......... ......... ........... ........... test. 83045 A Blood methemoglobin ......... ......... ......... ........... ........... test. 83050 A Blood methemoglobin ......... ......... ......... ........... ........... assay. 83051 A Assay plasma hemoglobin ......... ......... ......... ........... ........... 83055 A Blood sulfhemoglobin ......... ......... ......... ........... ........... test. 83060 A Blood sulfhemoglobin ......... ......... ......... ........... ........... assay. 83065 A Hemoglobin heat assay.. ......... ......... ......... ........... ........... 83068 A Hemoglobin stability ......... ......... ......... ........... ........... screen. 83069 A Assay urine hemoglobin. ......... ......... ......... ........... ........... 83070 A Qualt assay hemosiderin ......... ......... ......... ........... ........... 83071 A Quant assay of ......... ......... ......... ........... ........... hemosiderin. 83088 A Assay histamine........ ......... ......... ......... ........... ........... 83150 A Assay for HVA.......... ......... ......... ......... ........... ........... 83491 A Assay of ......... ......... ......... ........... ........... corticosteroids. 83497 A Assay 5-HIAA........... ......... ......... ......... ........... ........... 83498 A Assay of progesterone.. ......... ......... ......... ........... ........... 83499 A Assay of progesterone.. ......... ......... ......... ........... ........... 83500 A Assay free ......... ......... ......... ........... ........... hydroxyproline. 83505 A Assay total ......... ......... ......... ........... ........... hydroxyproline. 83516 A Immunoassay, non ......... ......... ......... ........... ........... antibody. 83518 A Immunoassay, dipstick.. ......... ......... ......... ........... ........... 83519 A Immunoassay nonantibody ......... ......... ......... ........... ........... 83520 A Immunoassay, RIA....... ......... ......... ......... ........... ........... 83525 A Assay of insulin....... ......... ......... ......... ........... ........... 83527 A Assay of insulin....... ......... ......... ......... ........... ........... 83528 A Assay intrinsic factor. ......... ......... ......... ........... ........... 83540 A Assay iron............. ......... ......... ......... ........... ........... 83550 A Iron binding test...... ......... ......... ......... ........... ........... 83570 A Assay IDH enzyme....... ......... ......... ......... ........... ........... 83582 A Assay ketogenic ......... ......... ......... ........... ........... steroids. 83586 A Assay 17-(17- ......... ......... ......... ........... ........... KS)ketosteroids. 83593 A Fractionation ......... ......... ......... ........... ........... ketosteroids. 83605 A Lactic acid assay...... ......... ......... ......... ........... ........... 83615 A Lactate (LD) (LDH) ......... ......... ......... ........... ........... enzyme. 83625 A Assay LDH enzymes...... ......... ......... ......... ........... ........... 83632 A Placental lactogen..... ......... ......... ......... ........... ........... 83633 A Test urine for lactose. ......... ......... ......... ........... ........... 83634 A Assay urine for lactose ......... ......... ......... ........... ........... 83655 A Assay for lead......... ......... ......... ......... ........... ........... 83661 A Assay L/S ratio........ ......... ......... ......... ........... ........... 83662 A L/S ratio, foam ......... ......... ......... ........... ........... stability. 83670 A Assay LAP enzyme....... ......... ......... ......... ........... ........... 83690 A Assay lipase........... ......... ......... ......... ........... ........... 83715 A Assay blood ......... ......... ......... ........... ........... lipoproteins. \2\ 8371 A Assay blood ......... ......... ......... ........... ........... 7 lipoproteins. 83718 A Blood lipoprotein assay ......... ......... ......... ........... ........... 83719 A Blood lipoprotein assay ......... ......... ......... ........... ........... 83721 A Blood lipoprotein assay ......... ......... ......... ........... ........... 83727 A LRH hormone assay...... ......... ......... ......... ........... ........... 83735 A Assay magnesium........ ......... ......... ......... ........... ........... 83775 A Assay of md enzyme..... ......... ......... ......... ........... ........... 83785 A Assay of manganese..... ......... ......... ......... ........... ...........

83805 A Assay of meprobamate... ......... ......... ......... ........... ........... 83825 A Assay mercury.......... ......... ......... ......... ........... ........... 83835 A Assay metanephrines.... ......... ......... ......... ........... ........... 83840 A Assay methadone........ ......... ......... ......... ........... ........... 83857 A Assay methemalbumin.... ......... ......... ......... ........... ........... 83858 A Assay methsuximide..... ......... ......... ......... ........... ........... 83864 A Mucopolysaccharides.... ......... ......... ......... ........... ........... 83866 A Mucopolysaccharides ......... ......... ......... ........... ........... screen. 83872 A Assay synovial fluid ......... ......... ......... ........... ........... mucin. 83873 A Assay, CSF protein..... ......... ......... ......... ........... ........... 83874 A Myoglobin.............. ......... ......... ......... ........... ........... 83883 A Nephelometry, not ......... ......... ......... ........... ........... specified. 83885 A Assay for nickel....... ......... ......... ......... ........... ........... 83887 A Assay nicotine......... ......... ......... ......... ........... ........... 83890 A Molecule isolate....... ......... ......... ......... ........... ........... 83892 A Molecular diagnostics.. ......... ......... ......... ........... ........... 83894 A Molecule gel ......... ......... ......... ........... ........... electrophor. 83896 A Molecular diagnostics.. ......... ......... ......... ........... ........... 83898 A Molecule nucleic amp... ......... ......... ......... ........... ........... 83902 A Molecular diagnostics.. ......... ......... ......... ........... ........... 83912 A Genetic examination.... ......... ......... ......... ........... ........... 83915 A Assay nucleotidase..... ......... ......... ......... ........... ........... 83916 A Oligoclonal bands...... ......... ......... ......... ........... ........... 83918 A Assay organic acids ......... ......... ......... ........... ........... quant. 83925 A Opiates................ ......... ......... ......... ........... ........... 83930 A Assay blood osmolality. ......... ......... ......... ........... ........... 83935 A Assay urine osmolality. ......... ......... ......... ........... ........... 83937 A Assay for osteocalcin.. ......... ......... ......... ........... ........... 83945 A Assay oxalate.......... ......... ......... ......... ........... ........... 83970 A Assay of parathormone.. ......... ......... ......... ........... ........... 83986 A Assay body fluid ......... ......... ......... ........... ........... acidity. 83992 A Assay for phencyclidine ......... ......... ......... ........... ........... 84022 A Assay of phenothiazine. ......... ......... ......... ........... ........... 84030 A Assay blood PKU........ ......... ......... ......... ........... ........... 84035 A Assay phenylketones.... ......... ......... ......... ........... ........... 84060 A Assay acid phosphatase. ......... ......... ......... ........... ........... 84061 A Phosphatase, forensic ......... ......... ......... ........... ........... exam. 84066 A Assay prostate ......... ......... ......... ........... ........... phosphatase. 84075 A Assay alkaline ......... ......... ......... ........... ........... phosphatase. 84078 A Assay alkaline ......... ......... ......... ........... ........... phosphatase. 84080 A Assay alkaline ......... ......... ......... ........... ........... phosphatases. 84081 A Amniotic fluid enzyme ......... ......... ......... ........... ........... test. 84085 A Assay RBC PG6D enzyme.. ......... ......... ......... ........... ........... 84087 A Assay phosphohexose ......... ......... ......... ........... ........... enzymes. 84100 A Assay phosphorus....... ......... ......... ......... ........... ........... 84105 A Assay urine phosphorus. ......... ......... ......... ........... ........... 84106 A Test for ......... ......... ......... ........... ........... porphobilinogen. 84110 A Assay porphobilinogen.. ......... ......... ......... ........... ........... 84119 A Test urine for ......... ......... ......... ........... ........... porphyrins. 84120 A Assay urine porphyrins. ......... ......... ......... ........... ........... 84126 A Assay feces porphyrins. ......... ......... ......... ........... ........... 84127 A Porphyrins, feces...... ......... ......... ......... ........... ........... 84132 A Assay serum potassium.. ......... ......... ......... ........... ........... 84133 A Assay urine potassium.. ......... ......... ......... ........... ........... 84134 A Prealbumin............. ......... ......... ......... ........... ........... 84135 A Assay pregnanediol..... ......... ......... ......... ........... ........... 84138 A Assay pregnanetriol.... ......... ......... ......... ........... ........... 84140 A Assay for pregnenolone. ......... ......... ......... ........... ........... 84143 A Assay/17- ......... ......... ......... ........... ........... hydroxypregnenolone. 84144 A Assay progesterone..... ......... ......... ......... ........... ........... 84146 A Assay for prolactin.... ......... ......... ......... ........... ........... 84150 A Assay of prostaglandin. ......... ......... ......... ........... ........... 84153 A Psa total.............. ......... ......... ......... ........... ........... 84155 A Assay protein.......... ......... ......... ......... ........... ........... 84160 A Assay serum protein.... ......... ......... ......... ........... ........... 84165 A Assay serum proteins... ......... ......... ......... ........... ........... 84181 A Western blot test...... ......... ......... ......... ........... ........... 84182 A Protein, western blot ......... ......... ......... ........... ........... test. 84202 A Assay RBC ......... ......... ......... ........... ........... protoporphyrin. 84203 A Test RBC protoporphyrin ......... ......... ......... ........... ........... 84206 A Assay of proinsulin.... ......... ......... ......... ........... ........... 84207 A Assay vitamin B-6...... ......... ......... ......... ........... ........... 84210 A Assay pyruvate......... ......... ......... ......... ........... ........... 84220 A Assay pyruvate kinase.. ......... ......... ......... ........... ........... 84228 A Assay quinine.......... ......... ......... ......... ........... ...........

84233 A Assay estrogen......... ......... ......... ......... ........... ........... 84234 A Assay progesterone..... ......... ......... ......... ........... ........... 84235 A Assay endocrine hormone ......... ......... ......... ........... ........... 84238 A Assay non-endocrine ......... ......... ......... ........... ........... receptor. 84244 A Assay of renin......... ......... ......... ......... ........... ........... 84252 A Assay vitamin B-2...... ......... ......... ......... ........... ........... 84255 A Assay selenium......... ......... ......... ......... ........... ........... 84260 A Assay serotonin........ ......... ......... ......... ........... ........... 84270 A Sex hormone globulin ......... ......... ......... ........... ........... (SHBG). 84275 A Assay sialic acid...... ......... ......... ......... ........... ........... 84285 A Assay silica........... ......... ......... ......... ........... ........... 84295 A Assay serum sodium..... ......... ......... ......... ........... ........... 84300 A Assay urine sodium..... ......... ......... ......... ........... ........... 84305 A Somatomedin............ ......... ......... ......... ........... ........... 84307 A Somatostatin........... ......... ......... ......... ........... ........... 84311 A Spectrophotometry...... ......... ......... ......... ........... ........... 84315 A Body fluid specific ......... ......... ......... ........... ........... gravity. 84375 A Chromatogram assay, ......... ......... ......... ........... ........... sugars. 84392 A Assay urine sulfate.... ......... ......... ......... ........... ........... 84402 A Testosterone........... ......... ......... ......... ........... ........... 84403 A Assay total ......... ......... ......... ........... ........... testosterone. 84425 A Assay vitamin B-1...... ......... ......... ......... ........... ........... 84430 A Assay thiocyanate...... ......... ......... ......... ........... ........... 84432 A Thyroglobulin.......... ......... ......... ......... ........... ........... 84436 A Assay, total thyroxine. ......... ......... ......... ........... ........... 84437 A Assay neonatal ......... ......... ......... ........... ........... thyroxine. 84439 A Assay, free thyroxine.. ......... ......... ......... ........... ........... 84442 A Thyroid activity (TBG) ......... ......... ......... ........... ........... assay. 84443 A Assay thyroid stim ......... ......... ......... ........... ........... hormone. 84445 A Thyroid immunoglobulins ......... ......... ......... ........... ........... TSI. 84446 A Assay vitamin E........ ......... ......... ......... ........... ........... 84449 A Assay for transcortin.. ......... ......... ......... ........... ........... 84450 A Transferase (AST) ......... ......... ......... ........... ........... (SGOT). 84460 A Alanine amino (ALT) ......... ......... ......... ........... ........... (SGPT). 84466 A Transferrin............ ......... ......... ......... ........... ........... 84478 A Assay triglycerides.... ......... ......... ......... ........... ........... 84479 A Assay thyroid (t-3 or t- ......... ......... ......... ........... ........... 4). 84480 A Assay triiodothyronine ......... ......... ......... ........... ........... (t-3). 84481 A Free assay (FT-3)...... ......... ......... ......... ........... ........... 84482 A T3 reverse............. ......... ......... ......... ........... ........... 84484 A Troponin, quant........ ......... ......... ......... ........... ........... 84485 A Assay duodenal fluid ......... ......... ......... ........... ........... trypsin. 84488 A Test feces for trypsin. ......... ......... ......... ........... ........... 84490 A Assay feces for trypsin ......... ......... ......... ........... ........... 84510 A Assay tyrosine......... ......... ......... ......... ........... ........... 84512 A Troponin, qual......... ......... ......... ......... ........... ........... 84520 A Assay urea nitrogen.... ......... ......... ......... ........... ........... 84525 A Urea nitrogen semi- ......... ......... ......... ........... ........... quant. 84540 A Assay urine urea-N..... ......... ......... ......... ........... ........... 84545 A Urea-N clearance test.. ......... ......... ......... ........... ........... 84550 A Assay blood uric acid.. ......... ......... ......... ........... ........... 84560 A Assay urine uric acid.. ......... ......... ......... ........... ........... 84577 A Assay feces ......... ......... ......... ........... ........... urobilinogen. 84578 A Test urine urobilinogen ......... ......... ......... ........... ........... 84580 A Assay urine ......... ......... ......... ........... ........... urobilinogen. 84583 A Assay urine ......... ......... ......... ........... ........... urobilinogen. 84585 A Assay urine VMA........ ......... ......... ......... ........... ........... 84586 A VIP assay.............. ......... ......... ......... ........... ........... 84588 A Assay vasopressin...... ......... ......... ......... ........... ........... 84590 A Assay vitamin-A........ ......... ......... ......... ........... ........... 84597 A Assay vitamin-K........ ......... ......... ......... ........... ........... 84600 A Assay for volatiles.... ......... ......... ......... ........... ........... 84620 A Xylose tolerance test.. ......... ......... ......... ........... ........... 84630 A Assay zinc............. ......... ......... ......... ........... ........... 84681 A Assay C-peptide........ ......... ......... ......... ........... ........... 84702 A Chorionic gonadotropin ......... ......... ......... ........... ........... test. 84703 A Chorionic gonadotropin ......... ......... ......... ........... ........... assay. 84830 A Ovulation tests........ ......... ......... ......... ........... ........... 84999 A Clinical chemistry test ......... ......... ......... ........... ........... 85002 A Bleeding time test..... ......... ......... ......... ........... ........... 85007 A Differential WBC count. ......... ......... ......... ........... ........... 85008 A Nondifferential WBC ......... ......... ......... ........... ........... count. 85009 A Differential WBC count. ......... ......... ......... ........... ........... 85013 A Hematocrit............. ......... ......... ......... ........... ........... 85014 A Hematocrit............. ......... ......... ......... ........... ...........

85018 A Hemoglobin............. ......... ......... ......... ........... ........... 85021 A Automated hemogram..... ......... ......... ......... ........... ........... 85022 A Automated hemogram..... ......... ......... ......... ........... ........... 85023 A Automated hemogram..... ......... ......... ......... ........... ........... 85024 A Automated hemogram..... ......... ......... ......... ........... ........... 85025 A Automated hemogram..... ......... ......... ......... ........... ........... 85027 A Automated hemogram..... ......... ......... ......... ........... ........... \2\ 8502 A Automated hemogram..... ......... ......... ......... ........... ........... 9 \2\ 8503 A Automated hemogram..... ......... ......... ......... ........... ........... 0 85031 A Manual ......... ......... ......... ........... ........... hemogram,complete cbc. 85041 A Red blood cell (RBC) ......... ......... ......... ........... ........... count. 85044 A Reticulocyte count..... ......... ......... ......... ........... ........... 85045 A Reticulocyte count..... ......... ......... ......... ........... ........... 85048 A White blood cell (WBC) ......... ......... ......... ........... ........... count. 85060 X Blood smear 882 0.39 $20.05 $11.75 $4.01 interpretation. 85095 S Bone marrow aspiration. 121 0.63 $32.39 $21.02 $6.48 85097 X Bone marrow 882 0.39 $20.05 $11.75 $4.01 interpretation. 85102 S Bone marrow biopsy..... 121 0.63 $32.39 $21.02 $6.48 85130 A Chromogenic substrate ......... ......... ......... ........... ........... assay. 85170 A Blood clot retraction.. ......... ......... ......... ........... ........... 85175 A Blood clot lysis time.. ......... ......... ......... ........... ........... 85210 A Blood clot factor II ......... ......... ......... ........... ........... test. 85220 A Blood clot factor V ......... ......... ......... ........... ........... test. 85230 A Blood clot factor VII ......... ......... ......... ........... ........... test. 85240 A Blood clot factor VIII ......... ......... ......... ........... ........... test. 85244 A Blood clot factor VIII ......... ......... ......... ........... ........... test. 85245 A Blood clot factor VIII ......... ......... ......... ........... ........... test. 85246 A Blood clot factor VIII ......... ......... ......... ........... ........... test. 85247 A Blood clot factor VIII ......... ......... ......... ........... ........... test. 85250 A Blood clot factor IX ......... ......... ......... ........... ........... test. 85260 A Blood clot factor X ......... ......... ......... ........... ........... test. 85270 A Blood clot factor XI ......... ......... ......... ........... ........... test. 85280 A Blood clot factor XII ......... ......... ......... ........... ........... test. 85290 A Blood clot factor XIII ......... ......... ......... ........... ........... test. 85291 A Blood clot factor XIII ......... ......... ......... ........... ........... test. 85292 A Blood clot factor assay ......... ......... ......... ........... ........... 85293 A Blood clot factor assay ......... ......... ......... ........... ........... 85300 A Antithrombin III test.. ......... ......... ......... ........... ........... 85301 A Antithrombin III test.. ......... ......... ......... ........... ........... 85302 A Blood clot inhibitor ......... ......... ......... ........... ........... antigen. 85303 A Blood clot inhibitor ......... ......... ......... ........... ........... test. 85305 A Blood clot inhibitor ......... ......... ......... ........... ........... assay. 85306 A Blood clot inhibitor ......... ......... ......... ........... ........... test. 85335 A Factor inhibitor test.. ......... ......... ......... ........... ........... 85337 A Thrombomodulin......... ......... ......... ......... ........... ........... 85345 A Coagulation time....... ......... ......... ......... ........... ........... 85347 A Coagulation time....... ......... ......... ......... ........... ........... 85348 A Coagulation time....... ......... ......... ......... ........... ........... 85360 A Euglobulin lysis....... ......... ......... ......... ........... ........... 85362 A Fibrin degradation ......... ......... ......... ........... ........... products. 85366 A Fibrinogen test........ ......... ......... ......... ........... ........... 85370 A Fibrinogen test........ ......... ......... ......... ........... ........... 85378 A Fibrin degradation..... ......... ......... ......... ........... ........... 85379 A Fibrin degradation..... ......... ......... ......... ........... ........... 85384 A Fibrinogen............. ......... ......... ......... ........... ........... 85385 A Fibrinogen............. ......... ......... ......... ........... ........... 85390 A Fibrinolysins screen... ......... ......... ......... ........... ........... 85400 A Fibrinolytic plasmin... ......... ......... ......... ........... ........... 85410 A Fibrinolytic ......... ......... ......... ........... ........... antiplasmin. 85415 A Fibrinolytic ......... ......... ......... ........... ........... plasminogen. 85420 A Fibrinolytic ......... ......... ......... ........... ........... plasminogen. 85421 A Fibrinolytic ......... ......... ......... ........... ........... plasminogen. 85441 A Heinz bodies; direct... ......... ......... ......... ........... ........... 85445 A Heinz bodies; induced.. ......... ......... ......... ........... ........... 85460 A Hemoglobin, fetal...... ......... ......... ......... ........... ........... 85461 A Hemoglobin, fetal...... ......... ......... ......... ........... ........... 85475 A Hemolysin.............. ......... ......... ......... ........... ........... 85520 A Heparin assay.......... ......... ......... ......... ........... ........... 85525 A Heparin................ ......... ......... ......... ........... ........... 85530 A Heparin-protamine ......... ......... ......... ........... ........... tolerance. 85535 A Iron stain, blood cells ......... ......... ......... ........... ........... 85540 A Wbc alkaline ......... ......... ......... ........... ........... phosphatase. 85547 A RBC mechanical ......... ......... ......... ........... ........... fragility. 85549 A Muramidase............. ......... ......... ......... ........... ........... 85555 A RBC osmotic fragility.. ......... ......... ......... ........... ...........

85557 A RBC osmotic fragility.. ......... ......... ......... ........... ........... 85576 A Blood platelet ......... ......... ......... ........... ........... aggregation. 85585 A Blood platelet ......... ......... ......... ........... ........... estimation. 85590 A Platelet manual count.. ......... ......... ......... ........... ........... 85595 A Platelet count, ......... ......... ......... ........... ........... automated. 85597 A Platelet neutralization ......... ......... ......... ........... ........... 85610 A Prothrombin time....... ......... ......... ......... ........... ........... 85611 A Prothrombin test....... ......... ......... ......... ........... ........... 85612 A Viper venom prothrombin ......... ......... ......... ........... ........... time. 85613 A Russell viper venom, ......... ......... ......... ........... ........... diluted. 85635 A Reptilase test......... ......... ......... ......... ........... ........... 85651 A Rbc sed rate, nonauto.. ......... ......... ......... ........... ........... 85652 A Rbc sed rate, auto..... ......... ......... ......... ........... ........... 85660 A RBC sickle cell test... ......... ......... ......... ........... ........... 85670 A Thrombin time, plasma.. ......... ......... ......... ........... ........... 85675 A Thrombin time, titer... ......... ......... ......... ........... ........... 85705 A Thromboplastin ......... ......... ......... ........... ........... inhibition. 85730 A Thromboplastin time, ......... ......... ......... ........... ........... partial. 85732 A Thromboplastin time, ......... ......... ......... ........... ........... partial. 85810 A Blood viscosity ......... ......... ......... ........... ........... examination. 85999 A Hematology procedure... ......... ......... ......... ........... ........... 86000 A Agglutinins; febrile... ......... ......... ......... ........... ........... 86003 A Allergen specific IgE.. ......... ......... ......... ........... ........... 86005 A Allergen specific IgE.. ......... ......... ......... ........... ........... 86021 A WBC antibody ......... ......... ......... ........... ........... identification. 86022 A Platelet antibodies.... ......... ......... ......... ........... ........... 86023 A Immunoglobulin assay... ......... ......... ......... ........... ........... 86038 A Antinuclear antibodies. ......... ......... ......... ........... ........... 86039 A Antinuclear antibodies ......... ......... ......... ........... ........... (ANA). 86060 A Antistreptolysin O ......... ......... ......... ........... ........... titer. 86063 A Antistreptolysin O ......... ......... ......... ........... ........... screen. 86077 X Physician blood bank 882 0.39 $20.05 $11.75 $4.01 service. 86078 X Physician blood bank 882 0.39 $20.05 $11.75 $4.01 service. 86079 X Physician blood bank 882 0.39 $20.05 $11.75 $4.01 service. 86140 A C-reactive protein..... ......... ......... ......... ........... ........... 86147 A Cardiolipin antibody... ......... ......... ......... ........... ........... 86148 A Phospholipid antibody.. ......... ......... ......... ........... ........... 86155 A Chemotaxis assay....... ......... ......... ......... ........... ........... 86156 A Cold agglutinin screen. ......... ......... ......... ........... ........... 86157 A Cold agglutinin, titer. ......... ......... ......... ........... ........... 86160 A Complement, antigen.... ......... ......... ......... ........... ........... 86161 A Complement/function ......... ......... ......... ........... ........... activity. 86162 A Complement, total ......... ......... ......... ........... ........... (CH50). 86171 A Complement fixation, ......... ......... ......... ........... ........... each. 86185 A Counterimmunoelectropho ......... ......... ......... ........... ........... resis. 86215 A Deoxyribonuclease, ......... ......... ......... ........... ........... antibody. 86225 A DNA antibody........... ......... ......... ......... ........... ........... 86226 A DNA antibody, single ......... ......... ......... ........... ........... strand. 86235 A Nuclear antigen ......... ......... ......... ........... ........... antibody. 86243 A Fc receptor............ ......... ......... ......... ........... ........... 86255 A Fluorescent antibody; ......... ......... ......... ........... ........... screen. 86256 A Fluorescent antibody; ......... ......... ......... ........... ........... titer. 86277 A Growth hormone antibody ......... ......... ......... ........... ........... 86280 A Hemagglutination ......... ......... ......... ........... ........... inhibition. 86308 A Heterophile antibodies. ......... ......... ......... ........... ........... 86309 A Heterophile antibodies. ......... ......... ......... ........... ........... 86310 A Heterophile antibodies. ......... ......... ......... ........... ........... 86316 A Immunoassay, tumor ......... ......... ......... ........... ........... antigen. 86317 A Immunoassay, infectious ......... ......... ......... ........... ........... agent. 86318 A Immunoassay, infectious ......... ......... ......... ........... ........... agent. 86320 A Serum ......... ......... ......... ........... ........... immunoelectrophoresis. 86325 A Other ......... ......... ......... ........... ........... immunoelectrophoresis. 86327 A Immunoelectrophoresis ......... ......... ......... ........... ........... assay. 86329 A Immunodiffusion........ ......... ......... ......... ........... ........... 86331 A Immunodiffusion ......... ......... ......... ........... ........... ouchterlony. 86332 A Immune complex assay... ......... ......... ......... ........... ........... 86334 A Immunofixation ......... ......... ......... ........... ........... procedure. 86337 A Insulin antibodies..... ......... ......... ......... ........... ........... 86340 A Intrinsic factor ......... ......... ......... ........... ........... antibody. 86341 A Islet cell antibody.... ......... ......... ......... ........... ........... 86343 A Leukocyte histamine ......... ......... ......... ........... ........... release. 86344 A Leukocyte phagocytosis. ......... ......... ......... ........... ........... 86353 A Lymphocyte ......... ......... ......... ........... ........... transformation. 86359 A T cells, total count... ......... ......... ......... ........... ........... 86360 A T cell absolute count/ ......... ......... ......... ........... ........... ratio.

86361 A T cell absolute count.. ......... ......... ......... ........... ........... 86376 A Microsomal antibody.... ......... ......... ......... ........... ........... 86378 A Migration inhibitory ......... ......... ......... ........... ........... factor. 86382 A Neutralization test, ......... ......... ......... ........... ........... viral. 86384 A Nitroblue tetrazolium ......... ......... ......... ........... ........... dye. 86403 A Particle agglutination ......... ......... ......... ........... ........... test. 86406 A Particle agglutination ......... ......... ......... ........... ........... test. 86430 A Rheumatoid factor test. ......... ......... ......... ........... ........... 86431 A Rheumatoid factor, ......... ......... ......... ........... ........... quant. 86485 X Skin test, candida..... 861 0.13 $6.68 $3.62 $1.34 86490 X Coccidioidomycosis skin 861 0.13 $6.68 $3.62 $1.34 test. 86510 X Histoplasmosis skin 861 0.13 $6.68 $3.62 $1.34 test. 86580 X TB intradermal test.... 861 0.13 $6.68 $3.62 $1.34 86585 X TB tine test........... 861 0.13 $6.68 $3.62 $1.34 86586 X Skin test, unlisted.... 861 0.13 $6.68 $3.62 $1.34 86588 A Streptocollus, direct ......... ......... ......... ........... ........... screen. 86590 A Streptokinase, antibody ......... ......... ......... ........... ........... 86592 A Blood serology, ......... ......... ......... ........... ........... qualitative. 86593 A Blood serology, ......... ......... ......... ........... ........... quantitative. 86602 A Antinomyces antibody... ......... ......... ......... ........... ........... 86603 A Adenovirus, antibody... ......... ......... ......... ........... ........... 86606 A Aspergillus antibody... ......... ......... ......... ........... ........... 86609 A Bacterium, antibody.... ......... ......... ......... ........... ........... 86612 A Blastomyces, antibody.. ......... ......... ......... ........... ........... 86615 A Bordetella antibody.... ......... ......... ......... ........... ........... 86617 A Lyme disease antibody.. ......... ......... ......... ........... ........... 86618 A Lyme disease antibody.. ......... ......... ......... ........... ........... 86619 A Borrelia antibody...... ......... ......... ......... ........... ........... 86622 A Brucella, antibody..... ......... ......... ......... ........... ........... 86625 A Campylobacter, antibody ......... ......... ......... ........... ........... 86628 A Candida, antibody...... ......... ......... ......... ........... ........... 86631 A Chlamydia, antibody.... ......... ......... ......... ........... ........... 86632 A Chlamydia, IgM, ......... ......... ......... ........... ........... antibody. 86635 A Coccidioides, antibody. ......... ......... ......... ........... ........... 86638 A Q fever antibody....... ......... ......... ......... ........... ........... 86641 A Cryptococcus antibody.. ......... ......... ......... ........... ........... 86644 A CMV antibody........... ......... ......... ......... ........... ........... 86645 A CMV antibody, IgM...... ......... ......... ......... ........... ........... 86648 A Diphtheria antibody.... ......... ......... ......... ........... ........... 86651 A Encephalitis antibody.. ......... ......... ......... ........... ........... 86652 A Encephalitis antibody.. ......... ......... ......... ........... ........... 86653 A Encephalitis, antibody. ......... ......... ......... ........... ........... 86654 A Encephalitis, antibody. ......... ......... ......... ........... ........... 86658 A Enterovirus, antibody.. ......... ......... ......... ........... ........... 86663 A Epstein-barr antibody.. ......... ......... ......... ........... ........... 86664 A Epstein-barr antibody.. ......... ......... ......... ........... ........... 86665 A Epstein-barr, antibody. ......... ......... ......... ........... ........... 86668 A Francisella tularensis. ......... ......... ......... ........... ........... 86671 A Fungus, antibody....... ......... ......... ......... ........... ........... 86674 A Giardia lamblia........ ......... ......... ......... ........... ........... 86677 A Helicobacter pylori.... ......... ......... ......... ........... ........... 86682 A Helminth, antibody..... ......... ......... ......... ........... ........... 86684 A Hemophilus influenza... ......... ......... ......... ........... ........... 86687 A HTLV I................. ......... ......... ......... ........... ........... 86688 A HTLV-II................ ......... ......... ......... ........... ........... 86689 A HTLV/HIV confirmatory ......... ......... ......... ........... ........... test. 86692 A Hepatitis, delta agent. ......... ......... ......... ........... ........... 86694 A Herpes simplex test.... ......... ......... ......... ........... ........... 86695 A Herpes simplex test.... ......... ......... ......... ........... ........... 86698 A Histoplasma............ ......... ......... ......... ........... ........... 86701 A HIV-1.................. ......... ......... ......... ........... ........... 86702 A HIV-2.................. ......... ......... ......... ........... ........... 86703 A HIV-1/HIV-2, single ......... ......... ......... ........... ........... assay. 86704 A Hep b core ab test, igg ......... ......... ......... ........... ........... & m. 86705 A Hep b core ab test, igm ......... ......... ......... ........... ........... 86706 A Hepatitis b surface ab ......... ......... ......... ........... ........... test. 86707 A Hepatitis be ab test... ......... ......... ......... ........... ........... 86708 A Hep a ab test, igg & m. ......... ......... ......... ........... ........... 86709 A Hep a ab test, igm..... ......... ......... ......... ........... ........... 86710 A Influenza virus........ ......... ......... ......... ........... ........... 86713 A Legionella............. ......... ......... ......... ........... ........... 86717 A Leishmania............. ......... ......... ......... ........... ........... 86720 A Leptospira............. ......... ......... ......... ........... ........... 86723 A Listeria monocytogenes. ......... ......... ......... ........... ........... 86727 A Lymph choriomeningitis. ......... ......... ......... ........... ...........

86729 A Lympho venereum........ ......... ......... ......... ........... ........... 86732 A Mucormycosis........... ......... ......... ......... ........... ........... 86735 A Mumps.................. ......... ......... ......... ........... ........... 86738 A Mycoplasma............. ......... ......... ......... ........... ........... 86741 A Neisseria meningitidis. ......... ......... ......... ........... ........... 86744 A Nocardia............... ......... ......... ......... ........... ........... 86747 A Parvovirus............. ......... ......... ......... ........... ........... 86750 A Malaria................ ......... ......... ......... ........... ........... 86753 A Protozoa, not elsewhere ......... ......... ......... ........... ........... 86756 A Respiratory virus...... ......... ......... ......... ........... ........... 86759 A Rotavirus.............. ......... ......... ......... ........... ........... 86762 A Rubella................ ......... ......... ......... ........... ........... 86765 A Rubeola................ ......... ......... ......... ........... ........... 86768 A Salmonella............. ......... ......... ......... ........... ........... 86771 A Shigella............... ......... ......... ......... ........... ........... 86774 A Tetanus................ ......... ......... ......... ........... ........... 86777 A Toxoplasma............. ......... ......... ......... ........... ........... 86778 A Toxoplasma, IgM........ ......... ......... ......... ........... ........... 86781 A Treponema pallidum ......... ......... ......... ........... ........... confirm. 86784 A Trichinella............ ......... ......... ......... ........... ........... 86787 A Varicella-zoster....... ......... ......... ......... ........... ........... 86790 A Virus, not specified... ......... ......... ......... ........... ........... 86793 A Yersinia............... ......... ......... ......... ........... ........... 86800 A Thyroglobulin antibody. ......... ......... ......... ........... ........... 86803 A Hepatitis c ab test.... ......... ......... ......... ........... ........... 86804 A Hep c ab test, confirm. ......... ......... ......... ........... ........... 86805 A Lymphocytotoxicity ......... ......... ......... ........... ........... assay. 86806 A Lymphocytotoxicity ......... ......... ......... ........... ........... assay. 86807 A Cytotoxic antibody ......... ......... ......... ........... ........... screening. 86808 A Cytotoxic antibody ......... ......... ......... ........... ........... screening. 86812 A HLA typing, A, B, or C. ......... ......... ......... ........... ........... 86813 A HLA typing, A, B, or C. ......... ......... ......... ........... ........... 86816 A HLA typing, DR/DQ...... ......... ......... ......... ........... ........... 86817 A HLA typing, DR/DQ...... ......... ......... ......... ........... ........... 86821 A Lymphocyte culture, ......... ......... ......... ........... ........... mixed. 86822 A Lymphocyte culture, ......... ......... ......... ........... ........... primed. 86849 A Immunology procedure... ......... ......... ......... ........... ........... 86850 A RBC antibody screen.... ......... ......... ......... ........... ........... 86860 A RBC antibody elution... ......... ......... ......... ........... ........... 86870 A RBC antibody ......... ......... ......... ........... ........... identification. 86880 A Coombs test............ ......... ......... ......... ........... ........... 86885 A Coombs test............ ......... ......... ......... ........... ........... 86886 A Coombs test............ ......... ......... ......... ........... ........... 86890 A Autologous blood ......... ......... ......... ........... ........... process. 86891 A Autologous blood, op ......... ......... ......... ........... ........... salvage. 86900 A Blood typing, ABO...... ......... ......... ......... ........... ........... 86901 A Blood typing, Rh (D)... ......... ......... ......... ........... ........... 86903 A Blood typing, antigen ......... ......... ......... ........... ........... screen. 86904 A Blood typing, patient ......... ......... ......... ........... ........... serum. 86905 A Blood typing, RBC ......... ......... ......... ........... ........... antigens. 86906 A Blood typing, Rh ......... ......... ......... ........... ........... phenotype. 86910 E Blood typing, paternity ......... ......... ......... ........... ........... test. 86911 E Blood typing, antigen ......... ......... ......... ........... ........... system. 86915 A Bone marrow............ ......... ......... ......... ........... ........... 86920 A Compatibility test..... ......... ......... ......... ........... ........... 86921 A Compatibility test..... ......... ......... ......... ........... ........... 86922 A Compatibility test..... ......... ......... ......... ........... ........... 86927 A Plasma, fresh frozen... ......... ......... ......... ........... ........... 86930 A Frozen blood prep...... ......... ......... ......... ........... ........... 86931 A Frozen blood thaw...... ......... ......... ......... ........... ........... 86932 A Frozen blood, freeze/ ......... ......... ......... ........... ........... thaw. 86940 A Hemolysins/agglutinins ......... ......... ......... ........... ........... auto. 86941 A Hemolysins/agglutinins. ......... ......... ......... ........... ........... 86945 A Blood product/ ......... ......... ......... ........... ........... irradiation. 86950 A Leukacyte transfusion.. ......... ......... ......... ........... ........... 86965 A Pooling blood platelets ......... ......... ......... ........... ........... 86970 A RBC pretreatment....... ......... ......... ......... ........... ........... 86971 A RBC pretreatment....... ......... ......... ......... ........... ........... 86972 A RBC pretreatment....... ......... ......... ......... ........... ........... 86975 A RBC pretreatment, serum ......... ......... ......... ........... ........... 86976 A RBC pretreatment, serum ......... ......... ......... ........... ........... 86977 A RBC pretreatment, serum ......... ......... ......... ........... ........... 86978 A RBC pretreatment, serum ......... ......... ......... ........... ........... 86985 A Split blood or products ......... ......... ......... ........... ........... 86999 A Transfusion procedure.. ......... ......... ......... ........... ...........

87001 A Small animal ......... ......... ......... ........... ........... inoculation. 87003 A Small animal ......... ......... ......... ........... ........... inoculation. 87015 A Specimen concentration. ......... ......... ......... ........... ........... 87040 A Blood culture for ......... ......... ......... ........... ........... bacteria. 87045 A Stool culture for ......... ......... ......... ........... ........... bacteria. 87060 A Nose/throat ......... ......... ......... ........... ........... culture,bacteria. 87070 A Culture specimen, ......... ......... ......... ........... ........... bacteria. 87072 A Culture of specimen by ......... ......... ......... ........... ........... kit. 87075 A Culture specimen, ......... ......... ......... ........... ........... bacteria. 87076 A Bacteria identification ......... ......... ......... ........... ........... 87081 A Bacteria culture screen ......... ......... ......... ........... ........... 87082 A Culture of specimen by ......... ......... ......... ........... ........... kit. 87083 A Culture of specimen by ......... ......... ......... ........... ........... kit. 87084 A Culture of specimen by ......... ......... ......... ........... ........... kit. 87085 A Culture of specimen by ......... ......... ......... ........... ........... kit. 87086 A Urine culture, colony ......... ......... ......... ........... ........... count. 87087 A Urine bacteria culture. ......... ......... ......... ........... ........... 87088 A Urine bacteria culture. ......... ......... ......... ........... ........... 87101 A Skin fungus culture.... ......... ......... ......... ........... ........... 87102 A Fungus isolation ......... ......... ......... ........... ........... culture. 87103 A Blood fungus culture... ......... ......... ......... ........... ........... 87106 A Fungus identification.. ......... ......... ......... ........... ........... 87109 A Mycoplasma culture..... ......... ......... ......... ........... ........... 87110 A Culture, chlamydia..... ......... ......... ......... ........... ........... 87116 A Mycobacteria culture... ......... ......... ......... ........... ........... 87117 A Mycobacteria culture... ......... ......... ......... ........... ........... 87118 A Mycobacteria ......... ......... ......... ........... ........... identification. 87140 A Culture typing, ......... ......... ......... ........... ........... fluorescent. 87143 A Culture typing, GLC ......... ......... ......... ........... ........... method. 87145 A Culture typing, phage ......... ......... ......... ........... ........... method. 87147 A Culture typing, ......... ......... ......... ........... ........... serologic. 87151 A Culture typing, ......... ......... ......... ........... ........... serologic. 87155 A Culture typing, ......... ......... ......... ........... ........... precipitin. 87158 A Culture typing, added ......... ......... ......... ........... ........... method. 87163 A Special microbiology ......... ......... ......... ........... ........... culture. 87164 A Dark field examination. ......... ......... ......... ........... ........... 87166 A Dark field examination. ......... ......... ......... ........... ........... 87174 A Endotoxin, bacterial... ......... ......... ......... ........... ........... 87175 A Assay, endotoxin, ......... ......... ......... ........... ........... bacterial. 87176 A Endotoxin, bacterial... ......... ......... ......... ........... ........... 87177 A Ova and parasites ......... ......... ......... ........... ........... smears. 87181 A Antibiotic sensitivity, ......... ......... ......... ........... ........... each. 87184 A Antibiotic sensitivity, ......... ......... ......... ........... ........... each. 87186 A Antibiotic sensitivity, ......... ......... ......... ........... ........... MIC. 87187 A Antibiotic sensitivity, ......... ......... ......... ........... ........... MBC. 87188 A Antibiotic sensitivity, ......... ......... ......... ........... ........... each. 87190 A TB antibiotic ......... ......... ......... ........... ........... sensitivity. 87192 A Antibiotic sensitivity, ......... ......... ......... ........... ........... each. 87197 A Bactericidal level, ......... ......... ......... ........... ........... serum. 87205 A Smear, stain & ......... ......... ......... ........... ........... interpret. 87206 A Smear, stain & ......... ......... ......... ........... ........... interpret. 87207 A Smear, stain & ......... ......... ......... ........... ........... interpret. 87208 A Smear, stain & ......... ......... ......... ........... ........... interpret. 87210 A Smear, stain & ......... ......... ......... ........... ........... interpret. 87211 A Smear, stain & ......... ......... ......... ........... ........... interpret. 87220 A Tissue exam for fungi.. ......... ......... ......... ........... ........... 87230 A Assay, toxin or ......... ......... ......... ........... ........... antitoxin. 87250 A Virus inoculation for ......... ......... ......... ........... ........... test. 87252 A Virus inoculation for ......... ......... ......... ........... ........... test. 87253 A Virus inoculation for ......... ......... ......... ........... ........... test. 87260 A Adenovirus ag, dfa..... ......... ......... ......... ........... ........... 87265 A Pertussis ag, dfa...... ......... ......... ......... ........... ........... 87270 A Chylmd trach ag, dfa... ......... ......... ......... ........... ........... 87272 A Cryptosporidum ag, dfa. ......... ......... ......... ........... ........... 87274 A Herpes simplex ag, dfa. ......... ......... ......... ........... ........... 87276 A Influenza ag, dfa...... ......... ......... ......... ........... ........... 87278 A Legion pneumo ag, dfa.. ......... ......... ......... ........... ........... 87280 A Resp syncytial ag, dfa. ......... ......... ......... ........... ........... 87285 A Trepon pallidum ag, dfa ......... ......... ......... ........... ........... 87290 A Varicella ag, dfa...... ......... ......... ......... ........... ........... 87299 A Ag detection nos, dfa.. ......... ......... ......... ........... ........... 87301 A Adenovirus ag, eia..... ......... ......... ......... ........... ........... 87320 A Chylmd trach ag, eia... ......... ......... ......... ........... ........... 87324 A Clostridium ag, eia.... ......... ......... ......... ........... ........... 87328 A Cryptospor ag, eia..... ......... ......... ......... ........... ...........

87332 A Cytomegalovirus ag, eia ......... ......... ......... ........... ........... 87335 A E coli 0157 ag, eia.... ......... ......... ......... ........... ........... 87340 A Hepatitis b surface ag, ......... ......... ......... ........... ........... eia. 87350 A Hepatitis b ag, eia.... ......... ......... ......... ........... ........... 87380 A Hepatitis delta ag, eia ......... ......... ......... ........... ........... 87385 A Histoplasma capsul ag, ......... ......... ......... ........... ........... eia. 87390 A Hiv-1 ag, eia.......... ......... ......... ......... ........... ........... 87391 A Hiv-2 ag, eia.......... ......... ......... ......... ........... ........... 87420 A Resp syncytial ag, eia. ......... ......... ......... ........... ........... 87425 A Rotavirus ag, eia...... ......... ......... ......... ........... ........... 87430 A Strep a ag, eia........ ......... ......... ......... ........... ........... 87449 A Ag detect nos, eia, ......... ......... ......... ........... ........... mult. 87450 A Ag detect nos, eia, ......... ......... ......... ........... ........... single. 87470 A Bartonella, dna, dir ......... ......... ......... ........... ........... probe. 87471 A Bartonella, dna, amp ......... ......... ......... ........... ........... probe. 87472 A Bartonella, dna, quant. ......... ......... ......... ........... ........... 87475 A Lyme dis, dna, dir ......... ......... ......... ........... ........... probe. 87476 A Lyme dis, dna, amp ......... ......... ......... ........... ........... probe. 87477 A Lyme dis, dna, quant... ......... ......... ......... ........... ........... 87480 A Candida, dna, dir probe ......... ......... ......... ........... ........... 87481 A Candida, dna, amp probe ......... ......... ......... ........... ........... 87482 A Candida, dna, quant.... ......... ......... ......... ........... ........... 87485 A Chylmd pneum, dna, dir ......... ......... ......... ........... ........... probe. 87486 A Chylmd pneum, dna, amp ......... ......... ......... ........... ........... probe. 87487 A Chylmd pneum, dna, ......... ......... ......... ........... ........... quant. 87490 A Chylmd trach, dna, dir ......... ......... ......... ........... ........... probe. 87491 A Chylmd trach, dna, amp ......... ......... ......... ........... ........... probe. 87492 A Chylmd trach, dna, ......... ......... ......... ........... ........... quant. 87495 A Cytomeg, dna, dir probe ......... ......... ......... ........... ........... 87496 A Cytomeg, dna, amp probe ......... ......... ......... ........... ........... 87497 A Cytomeg, dna, quant.... ......... ......... ......... ........... ........... 87510 A Gardner vag, dna, dir ......... ......... ......... ........... ........... probe. 87511 A Gardner vag, dna, amp ......... ......... ......... ........... ........... probe. 87512 A Gardner vag, dna, quant ......... ......... ......... ........... ........... 87515 A Hepatitis b, dna, dir ......... ......... ......... ........... ........... probe. 87516 A Hepatitis b, dna, amp ......... ......... ......... ........... ........... probe. 87517 A Hepatitis b, dna, quant ......... ......... ......... ........... ........... 87520 A Hepatitis c, rna, dir ......... ......... ......... ........... ........... probe. 87521 A Hepatitis c, rna, amp ......... ......... ......... ........... ........... probe. 87522 A Hepatitis c, rna, quant ......... ......... ......... ........... ........... 87525 A Hepatitis g, dna, dir ......... ......... ......... ........... ........... probe. 87526 A Hepatitis g, dna, amp ......... ......... ......... ........... ........... probe. 87527 A Hepatitis g, dna, quant ......... ......... ......... ........... ........... 87528 A Hsv, dna, dir probe.... ......... ......... ......... ........... ........... 87529 A Hsv, dna, amp probe.... ......... ......... ......... ........... ........... 87530 A Hsv, dna, quant........ ......... ......... ......... ........... ........... 87531 A Hhv-6, dna, dir probe.. ......... ......... ......... ........... ........... 87532 A Hhv-6, dna, amp probe.. ......... ......... ......... ........... ........... 87533 A Hhv-6, dna, quant...... ......... ......... ......... ........... ........... 87534 A Hiv-1, dna, dir probe.. ......... ......... ......... ........... ........... 87535 A Hiv-1, dna, amp probe.. ......... ......... ......... ........... ........... 87536 A Hiv-1, dna, quant...... ......... ......... ......... ........... ........... 87537 A Hiv-2, dna, dir probe.. ......... ......... ......... ........... ........... 87538 A Hiv-2, dna, amp probe.. ......... ......... ......... ........... ........... 87539 A Hiv-2, dna, quant...... ......... ......... ......... ........... ........... 87540 A Legion pneumo, dna, dir ......... ......... ......... ........... ........... prob. 87541 A Legion pneumo, dna, amp ......... ......... ......... ........... ........... prob. 87542 A Legion pneumo, dna, ......... ......... ......... ........... ........... quant. 87550 A Mycobacteria, dna, dir ......... ......... ......... ........... ........... probe. 87551 A Mycobacteria, dna, amp ......... ......... ......... ........... ........... probe. 87552 A Mycobacteria, dna, ......... ......... ......... ........... ........... quant. 87555 A M.tuberculo, dna, dir ......... ......... ......... ........... ........... probe. 87556 A M.tuberculo, dna, amp ......... ......... ......... ........... ........... probe. 87557 A M.tuberculo, dna, quant ......... ......... ......... ........... ........... 87560 A M.avium-intra, dna, dir ......... ......... ......... ........... ........... prob. 87561 A M.avium-intra, dna, amp ......... ......... ......... ........... ........... prob. 87562 A M.avium-intra, dna, ......... ......... ......... ........... ........... quant. 87580 A M.pneumon, dna, dir ......... ......... ......... ........... ........... probe. 87581 A M.pneumon, dna, amp ......... ......... ......... ........... ........... probe. 87582 A M.pneumon, dna, quant.. ......... ......... ......... ........... ........... 87590 A N.gonorrhoeae, dna, dir ......... ......... ......... ........... ........... prob. 87591 A N.gonorrhoeae, dna, amp ......... ......... ......... ........... ........... prob. 87592 A N.gonorrhoeae, dna, ......... ......... ......... ........... ........... quant. 87620 A Hpv, dna, dir probe.... ......... ......... ......... ........... ........... 87621 A Hpv, dna, amp probe.... ......... ......... ......... ........... ...........

87622 A Hpv, dna, quant........ ......... ......... ......... ........... ........... 87650 A Strep a, dna, dir probe ......... ......... ......... ........... ........... 87651 A Strep a, dna, amp probe ......... ......... ......... ........... ........... 87652 A Strep a, dna, quant.... ......... ......... ......... ........... ........... 87797 A Detect agent nos, dna, ......... ......... ......... ........... ........... dir. 87798 A Detect agent nos, dna, ......... ......... ......... ........... ........... amp. 87799 A Detect agent nos, dna, ......... ......... ......... ........... ........... quant. 87810 A Chylmd trach assay w/ ......... ......... ......... ........... ........... optic. 87850 A N. gonorrhoeae assay w/ ......... ......... ......... ........... ........... optic. 87880 A Strep a assay w/optic.. ......... ......... ......... ........... ........... 87899 A Agent nos assay w/optic ......... ......... ......... ........... ........... 87999 A Microbiology procedure. ......... ......... ......... ........... ........... 88000 E Autopsy (necropsy), ......... ......... ......... ........... ........... gross. 88005 E Autopsy (necropsy), ......... ......... ......... ........... ........... gross. 88007 E Autopsy (necropsy), ......... ......... ......... ........... ........... gross. 88012 E Autopsy (necropsy), ......... ......... ......... ........... ........... gross. 88014 E Autopsy (necropsy), ......... ......... ......... ........... ........... gross. 88016 E Autopsy (necropsy), ......... ......... ......... ........... ........... gross. 88020 E Autopsy (necropsy), ......... ......... ......... ........... ........... complete. 88025 E Autopsy (necropsy), ......... ......... ......... ........... ........... complete. 88027 E Autopsy (necropsy), ......... ......... ......... ........... ........... complete. 88028 E Autopsy (necropsy), ......... ......... ......... ........... ........... complete. 88029 E Autopsy (necropsy), ......... ......... ......... ........... ........... complete. 88036 E Limited autopsy........ ......... ......... ......... ........... ........... 88037 E Limited autopsy........ ......... ......... ......... ........... ........... 88040 E Forensic autopsy ......... ......... ......... ........... ........... (necropsy). 88045 E Coroner's autopsy ......... ......... ......... ........... ........... (necropsy). 88099 E Necropsy (autopsy) ......... ......... ......... ........... ........... procedure. 88104 X Cytopathology, fluids.. 882 0.39 $20.05 $11.75 $4.01 88106 X Cytopathology, fluids.. 882 0.39 $20.05 $11.75 $4.01 88107 X Cytopathology, fluids.. 882 0.39 $20.05 $11.75 $4.01 88108 X Cytopath, concentrate 882 0.39 $20.05 $11.75 $4.01 tech. 88125 X Forensic cytopathology. 881 0.22 $11.31 $6.78 $2.26 88130 A Sex chromatin ......... ......... ......... ........... ........... identification. 88140 A Sex chromatin ......... ......... ......... ........... ........... identification. 88141 N Cytpath c/vag interpret ......... ......... ......... ........... ........... 88142 A Cytpath c/vag t/layer.. ......... ......... ......... ........... ........... 88150 A Cytpath c/vag manual... ......... ......... ......... ........... ........... 88152 A Cytpath c/vag auto redo ......... ......... ......... ........... ........... 88155 A Cytpath c/vag index add- ......... ......... ......... ........... ........... on. \2\ 8815 A Cytopath cerv/vag tbs.. ......... ......... ......... ........... ........... 6 \2\ 8815 A Cytopath cerv/vag tbs ......... ......... ......... ........... ........... 8 auto. 88160 X Cytopath smear, other 882 0.39 $20.05 $11.75 $4.01 source. 88161 X Cytopath smear, other 882 0.39 $20.05 $11.75 $4.01 source. 88162 X Cytopath smear, other 882 0.39 $20.05 $11.75 $4.01 source. 88170 S Fine needle aspiration. 121 0.63 $32.39 $21.02 $6.48 88171 S Fine needle aspiration. 121 0.63 $32.39 $21.02 $6.48 88172 X Evaluation of smear.... 882 0.39 $20.05 $11.75 $4.01 88173 X Interpretation of smear 882 0.39 $20.05 $11.75 $4.01 88180 X Cell marker study...... 882 0.39 $20.05 $11.75 $4.01 88182 X Cell marker study...... 882 0.39 $20.05 $11.75 $4.01 88199 X Cytopathology procedure 881 0.22 $11.31 $6.78 $2.26 88230 A Tissue culture, ......... ......... ......... ........... ........... lymphocyte. 88233 A Tissue culture, skin/ ......... ......... ......... ........... ........... biopsy. 88235 A Tissue culture, ......... ......... ......... ........... ........... placenta. 88237 A Tissue culture, bone ......... ......... ......... ........... ........... marrow. 88239 A Tissue culture, tumor.. ......... ......... ......... ........... ........... 88245 A Chromosome analysis, 20- ......... ......... ......... ........... ........... 25. 88248 A Chromosome analysis, 50- ......... ......... ......... ........... ........... 100. \2\ 8825 A Chromosome analysis.... ......... ......... ......... ........... ........... 0 \2\ 8826 A Chromosome analysis: 5 ......... ......... ......... ........... ........... 0 cells. 88261 A Chromosome analysis, 5. ......... ......... ......... ........... ........... 88262 A Chromosome analysis, 15- ......... ......... ......... ........... ........... 20. 88263 A Chromosome analysis, 45 ......... ......... ......... ........... ........... 88267 A Chromosome analysis: ......... ......... ......... ........... ........... placenta. 88269 A Chromosome analysis: ......... ......... ......... ........... ........... amniotic. 88280 A Chromosome karyotype ......... ......... ......... ........... ........... study. 88283 A Chromosome banding ......... ......... ......... ........... ........... study. 88285 A Chromosome count: ......... ......... ......... ........... ........... additional. 88289 A Chromosome study: ......... ......... ......... ........... ........... additional. 88299 A Cytogenetic study...... ......... ......... ......... ........... ........... 88300 X Surg path, gross....... 881 0.22 $11.31 $6.78 $2.26 88302 X Tissue exam by 882 0.39 $20.05 $11.75 $4.01 pathologist. 88304 X Tissue exam by 882 0.39 $20.05 $11.75 $4.01 pathologist. 88305 X Tissue exam by 882 0.39 $20.05 $11.75 $4.01 pathologist.

88307 X Tissue exam by 883 0.69 $35.48 $20.34 $7.10 pathologist. 88309 X Tissue exam by 883 0.69 $35.48 $20.34 $7.10 pathologist. 88311 X Decalcify tissue....... 881 0.22 $11.31 $6.78 $2.26 88312 X Special stains......... 882 0.39 $20.05 $11.75 $4.01 88313 X Special stains......... 881 0.22 $11.31 $6.78 $2.26 88314 X Histochemical stain.... 882 0.39 $20.05 $11.75 $4.01 88318 X Chemical histochemistry 882 0.39 $20.05 $11.75 $4.01 88319 X Enzyme histochemistry.. 882 0.39 $20.05 $11.75 $4.01 88321 X Microslide consultation 882 0.39 $20.05 $11.75 $4.01 88323 X Microslide consultation 882 0.39 $20.05 $11.75 $4.01 88325 X Comprehensive review of 882 0.39 $20.05 $11.75 $4.01 data. 88329 X Pathology consult in 882 0.39 $20.05 $11.75 $4.01 surgery. 88331 X Pathology consult in 882 0.39 $20.05 $11.75 $4.01 surgery. 88332 X Pathology consult in 882 0.39 $20.05 $11.75 $4.01 surgery. 88342 X Immunocytochemistry.... 882 0.39 $20.05 $11.75 $4.01 88346 X Immunofluorescent study 882 0.39 $20.05 $11.75 $4.01 88347 X Immunofluorescent study 882 0.39 $20.05 $11.75 $4.01 88348 X Electron microscopy.... 883 0.69 $35.48 $20.34 $7.10 88349 X Scanning electron 883 0.69 $35.48 $20.34 $7.10 microscopy. 88355 X Analysis, skeletal 883 0.69 $35.48 $20.34 $7.10 muscle. 88356 X Analysis, nerve........ 883 0.69 $35.48 $20.34 $7.10 88358 X Analysis, tumor........ 883 0.69 $35.48 $20.34 $7.10 88362 X Nerve teasing 883 0.69 $35.48 $20.34 $7.10 preparations. 88365 X Tissue hybridization... 883 0.69 $35.48 $20.34 $7.10 88371 A Protein, western blot ......... ......... ......... ........... ........... tissue. 88372 A Protein analysis w/ ......... ......... ......... ........... ........... probe. 88399 X Surgical pathology 881 0.22 $11.31 $6.78 $2.26 procedure. 89050 A Body fluid cell count.. ......... ......... ......... ........... ........... 89051 A Body fluid cell count.. ......... ......... ......... ........... ........... 89060 A Exam,synovial fluid ......... ......... ......... ........... ........... crystals. 89100 X Sample intestinal 928 2.91 $149.63 $79.78 $29.93 contents. 89105 X Sample intestinal 928 2.91 $149.63 $79.78 $29.93 contents. 89125 A Specimen fat stain..... ......... ......... ......... ........... ........... 89130 X Sample stomach contents 928 2.91 $149.63 $79.78 $29.93 89132 X Sample stomach contents 928 2.91 $149.63 $79.78 $29.93 89135 X Sample stomach contents 928 2.91 $149.63 $79.78 $29.93 89136 X Sample stomach contents 928 2.91 $149.63 $79.78 $29.93 89140 X Sample stomach contents 928 2.91 $149.63 $79.78 $29.93 89141 X Sample stomach contents 928 2.91 $149.63 $79.78 $29.93 89160 A Exam feces for meat ......... ......... ......... ........... ........... fibers. 89190 A Nasal smear for ......... ......... ......... ........... ........... eosinophils. 89250 A Fertilization of oocyte ......... ......... ......... ........... ........... 89251 A Culture oocyte w/ ......... ......... ......... ........... ........... embryos. 89252 A Assist oocyte ......... ......... ......... ........... ........... fertilization. 89253 A Embryo hatching........ ......... ......... ......... ........... ........... 89254 A Oocyte identification.. ......... ......... ......... ........... ........... 89255 A Prepare embryo for ......... ......... ......... ........... ........... transfer. 89256 A Prepare cryopreserved ......... ......... ......... ........... ........... embryo. 89257 A Sperm identification... ......... ......... ......... ........... ........... 89258 A Cryopreservation, ......... ......... ......... ........... ........... embryo. 89259 A Cryopreservation, sperm ......... ......... ......... ........... ........... 89260 A Sperm isolation, simple ......... ......... ......... ........... ........... 89261 A Sperm isolation, ......... ......... ......... ........... ........... complex. 89300 A Semen analysis......... ......... ......... ......... ........... ........... 89310 A Semen analysis......... ......... ......... ......... ........... ........... 89320 A Semen analysis......... ......... ......... ......... ........... ........... 89325 A Sperm antibody test.... ......... ......... ......... ........... ........... 89329 A Sperm evaluation test.. ......... ......... ......... ........... ........... 89330 A Evaluation, cervical ......... ......... ......... ........... ........... mucus. 89350 X Sputum specimen 881 0.22 $11.31 $6.78 $2.26 collection. 89355 A Exam feces for starch.. ......... ......... ......... ........... ........... 89360 X Collect sweat for test. 881 0.22 $11.31 $6.78 $2.26 89365 A Water load test........ ......... ......... ......... ........... ........... 89399 X Pathology lab procedure 881 0.22 $11.31 $6.78 $2.26 90700 X Dtap vaccine, im....... 901 0.07 $3.60 $2.49 $0.72 90701 X Dtp vaccine, im........ 901 0.07 $3.60 $2.49 $0.72 90702 X Dt vaccine, im......... 901 0.07 $3.60 $2.49 $0.72 90703 X Tetanus vaccine, im.... 901 0.07 $3.60 $2.49 $0.72 90704 X Mumps vaccine, sc...... 901 0.07 $3.60 $2.49 $0.72 90705 X Measles vaccine, sc.... 901 0.07 $3.60 $2.49 $0.72 90706 X Rubella vaccine, sc.... 901 0.07 $3.60 $2.49 $0.72 90707 X Mmr vaccine, sc........ 902 1.31 $67.36 $38.19 $13.47 90708 X Measles-rubella vaccine 901 0.07 $3.60 $2.49 $0.72 sc. 90709 X Rubella & mumps vaccine 901 0.07 $3.60 $2.49 $0.72 sc. 90710 X Mmrv vaccine, sc....... 901 0.07 $3.60 $2.49 $0.72

\2\ 9071 X Combined vaccine....... 901 0.07 $3.60 $2.49 $0.72 1 90712 X Oral poliovirus vaccine 902 1.31 $67.36 $38.19 $13.47 90713 X Poliovirus, ipv, sc.... 902 1.31 $67.36 $38.19 $13.47 \2\ 9071 X Typhoid immunization... 901 0.07 $3.60 $2.49 $0.72 4 90716 X Chicken pox vaccine, sc 902 1.31 $67.36 $38.19 $13.47 90717 X Yellow fever vaccine, 902 1.31 $67.36 $38.19 $13.47 sc. 90718 X Td vaccine, im......... 901 0.07 $3.60 $2.49 $0.72 90719 X Diphtheria vaccine, im. 901 0.07 $3.60 $2.49 $0.72 90720 X Dtp/hib vaccine, im.... 902 1.31 $67.36 $38.19 $13.47 90721 X Dtap/hib vaccine, im... 903 1.00 $51.42 $24.86 $10.28 \2\ 9072 X Influenza immunization. 901 0.07 $3.60 $2.49 $0.72 4 90725 X Cholera vaccine, 901 0.07 $3.60 $2.49 $0.72 injectable. \2\ 9072 X Rabies immunization.... 903 1.00 $51.42 $24.86 $10.28 6 90727 X Plague vaccine, im..... 903 1.00 $51.42 $24.86 $10.28 \2\ 9072 X BCG immunization....... 903 1.00 $51.42 $24.86 $10.28 8 \2\ 9073 X Hepatitis A vaccine.... 901 0.07 $3.60 $2.49 $0.72 0 90732 X Pneumococcal vaccine, 901 0.07 $3.60 $2.49 $0.72 adult. 90733 X Meningococcal vaccine, 902 1.31 $67.36 $38.19 $13.47 sc. 90735 X Encephalitis vaccine, 903 1.00 $51.42 $24.86 $10.28 sc. \2\ 9073 X Influenza B 902 1.31 $67.36 $38.19 $13.47 7 immunization. \2\ 9074 X Passive immunization, 902 1.31 $67.36 $38.19 $13.47 1 ISG. \2\ 9074 X Special passive 903 1.00 $51.42 $24.86 $10.28 2 immunization. 90744 X Hepb vaccine, ped/adol, 902 1.31 $67.36 $38.19 $13.47 im. 90745 X Hepb vaccine, adol/ 902 1.31 $67.36 $38.19 $13.47 risk, im. 90746 X Hepb vaccine, adult, im 902 1.31 $67.36 $38.19 $13.47 90747 X Hepb vaccine, ill pat, 902 1.31 $67.36 $38.19 $13.47 im. 90748 X Hepb/hib vaccine, im... 901 0.07 $3.60 $2.49 $0.72 90749 X Vaccine toxoid......... 901 0.07 $3.60 $2.49 $0.72 90780 X IV infusion therapy, 1 906 1.93 $99.24 $57.18 $19.85 hour. 90781 X IV infusion, additional 906 1.93 $99.24 $57.18 $19.85 hour. 90782 X Injection (SC)/(IM).... 907 0.74 $38.05 $11.53 $7.61 90783 X Injection (IA)......... 907 0.74 $38.05 $11.53 $7.61 90784 X Injection (IV)......... 907 0.74 $38.05 $11.53 $7.61 90788 X Injection of antibiotic 907 0.74 $38.05 $11.53 $7.61 90799 X Therapeutic/diag 907 0.74 $38.05 $11.53 $7.61 injection. \1\ 9080 S Psy dx interview....... 092 1.63 $83.81 $21.47 $16.76 1 90802 S Intac psy dx interview. 092 1.63 $83.81 $21.47 $16.76 90804 S Psytx, office (20-30).. 091 1.09 $56.05 $14.01 $11.21 90805 S Psytx, office (20-30) w/ 091 1.09 $56.05 $14.01 $11.21 e&m. 90806 S Psytx, office (45-50).. 092 1.63 $83.81 $21.47 $16.76 90807 S Psytx, office (45-50) w/ 092 1.63 $83.81 $21.47 $16.76 e&m. 90808 S Psytx, office (75-80).. 092 1.63 $83.81 $21.47 $16.76 90809 S Psytx, office (75-80) w/ 092 1.63 $83.81 $21.47 $16.76 e&m. 90810 S Intac psytx, office (20- 091 1.09 $56.05 $14.01 $11.21 30). 90811 S Intac psytx, off 20-30 091 1.09 $56.05 $14.01 $11.21 w/e&m. 90812 S Intac psytx, office (45- 092 1.63 $83.81 $21.47 $16.76 50). 90813 S Intac psytx, off 45-50 092 1.63 $83.81 $21.47 $16.76 w/e&m. 90814 S Intac psytx, office (75- 092 1.63 $83.81 $21.47 $16.76 80). 90815 S Intac psytx, off 75-80 092 1.63 $83.81 $21.47 $16.76 w/e&m. 90816 S Psytx, hosp (20-30).... 091 1.09 $56.05 $14.01 $11.21 90817 S Psytx, hosp (20-30) w/ 091 1.09 $56.05 $14.01 $11.21 e&m. 90818 S Psytx, hosp (45-50).... 092 1.63 $83.81 $21.47 $16.76 90819 S Psytx, hosp (45-50) w/ 092 1.63 $83.81 $21.47 $16.76 e&m. \1\ \2\ S Diagnostic interview... 092 1.63 $83.81 $21.47 $16.76 90820 90821 S Psytx, hosp (75-80).... 092 1.63 $83.81 $21.47 $16.76 90822 S Psytx, hosp (75-80) w/ 092 1.63 $83.81 $21.47 $16.76 e&m. 90823 S Intac psytx, hosp (20- 091 1.09 $56.05 $14.01 $11.21 30). 90824 S Intac psytx, hsp 20-30 091 1.09 $56.05 $14.01 $11.21 w/e&m. 90826 S Intac psytx, hosp (45- 092 1.63 $83.81 $21.47 $16.76 50). 90827 S Intac psytx, hsp 45-50 092 1.63 $83.81 $21.47 $16.76 w/e&m. 90828 S Intac psytx, hosp (75- 092 1.63 $83.81 $21.47 $16.76 80). 90829 S Intac psytx, hsp 75-80 092 1.63 $83.81 $21.47 $16.76 w/e&m. \1\ \2\ S Special interview...... 092 1.63 $83.81 $21.47 $16.76 90835 \1\ \2\ S Psychotherapy, 75-80 092 1.63 $83.81 $21.47 $16.76 90842 min.. \1\ \2\ S Psychotherapy, 20-30 091 1.09 $56.05 $14.01 $11.21 90843 min.. \1\ \2\ S Psychotherapy, 45-50 092 1.63 $83.81 $21.47 $16.76 90844 min.. \1\ 9084 S Psychoanalysis......... 092 1.63 $83.81 $21.47 $16.76 5 \1\ 9084 S Family psytx w/o 093 1.56 $80.22 $20.11 $16.04 6 patient. \1\ 9084 S Family psytx w/patient. 093 1.56 $80.22 $20.11 $16.04 7 \1\ 9084 S Multiple family group 094 1.31 $67.36 $19.89 $13.47 9 psytx. \1\ 9085 S Group psychotherapy.... 094 1.31 $67.36 $19.89 $13.47 3 \1\ \2\ S Individual 092 1.63 $83.81 $21.47 $16.76 90855 psychotherapy. \1\ 9085 S Intac group psytx...... 094 1.31 $67.36 $19.89 $13.47 7 \1\ 9086 X Medication management.. 090 0.85 $43.71 $12.20 $8.74 2 90865 S Narcosynthesis......... 092 1.63 $83.81 $21.47 $16.76

90870 S Electroconvulsive 919 3.09 $158.89 $80.00 $31.78 therapy. 90871 S Electroconvulsive 919 3.09 $158.89 $80.00 $31.78 therapy. 90875 E Psychophysiological ......... ......... ......... ........... ........... therapy. 90876 E Psychophysiological ......... ......... ......... ........... ........... therapy. \1\ 9088 S Hypnotherapy........... 092 1.63 $83.81 $21.47 $16.76 0 90882 E Environmental ......... ......... ......... ........... ........... manipulation. 90885 N Psy evaluation of ......... ......... ......... ........... ........... records. 90887 N Consultation with ......... ......... ......... ........... ........... family. 90889 N Preparation of report.. ......... ......... ......... ........... ........... \1\ 9089 S Psychiatric service/ 091 1.09 $56.05 $14.01 $11.21 9 therapy. \2\ 9090 S Biofeedback, 920 1.17 $60.16 $29.61 $12.03 0 electromyogram. 90901 S Biofeedback, any method 920 1.17 $60.16 $29.61 $12.03 \2\ 9090 S Biofeedback, nerve 920 1.17 $60.16 $29.61 $12.03 2 impulse. \2\ 9090 S Biofeedback, blood 920 1.17 $60.16 $29.61 $12.03 4 pressure. \2\ 9090 S Biofeedback, blood flow 920 1.17 $60.16 $29.61 $12.03 6 \2\ 9090 S Biofeedback, brain 920 1.17 $60.16 $29.61 $12.03 8 waves. \2\ 9091 S Biofeedback, oculogram. 920 1.17 $60.16 $29.61 $12.03 0 90911 S Biofeedback peri/uro/ 920 1.17 $60.16 $29.61 $12.03 rectal. \2\ 9091 S Biofeedback, 920 1.17 $60.16 $29.61 $12.03 5 unspecified. 90918 A ESRD related services, ......... ......... ......... ........... ........... month. 90919 A ESRD related services, ......... ......... ......... ........... ........... month. 90920 A ESRD related services, ......... ......... ......... ........... ........... month. 90921 A ESRD related services, ......... ......... ......... ........... ........... month. 90922 A ESRD related services, ......... ......... ......... ........... ........... day. 90923 A Esrd related services, ......... ......... ......... ........... ........... day. 90924 A Esrd related services, ......... ......... ......... ........... ........... day. 90925 A Esrd related services, ......... ......... ......... ........... ........... day. 90935 S Hemodialysis, one 926 4.22 $216.99 $69.83 $43.40 evaluation. 90937 S Hemodialysis, repeated 926 4.22 $216.99 $69.83 $43.40 eval.. 90945 S Dialysis, one 926 4.22 $216.99 $69.83 $43.40 evaluation. 90947 S Dialysis, repeated 926 4.22 $216.99 $69.83 $43.40 eval.. 90989 E Dialysis training/ ......... ......... ......... ........... ........... complete. 90993 N Dialysis training/ ......... ......... ......... ........... ........... incomplete. 90997 S Hemoperfusion.......... 926 4.22 $216.99 $69.83 $43.40 90999 S Dialysis procedure..... 926 4.22 $216.99 $69.83 $43.40 91000 X Esophageal intubation.. 928 2.91 $149.63 $79.78 $29.93 91010 X Esophagus motility 928 2.91 $149.63 $79.78 $29.93 study. 91011 X Esophagus motility 928 2.91 $149.63 $79.78 $29.93 study. 91012 X Esophagus motility 928 2.91 $149.63 $79.78 $29.93 study. 91020 X Gastric motility....... 928 2.91 $149.63 $79.78 $29.93 91030 X Acid perfusion of 928 2.91 $149.63 $79.78 $29.93 esophagus. 91032 X Esophagus, acid reflux 928 2.91 $149.63 $79.78 $29.93 test. 91033 X Prolonged acid reflux 928 2.91 $149.63 $79.78 $29.93 test. 91052 X Gastric analysis test.. 928 2.91 $149.63 $79.78 $29.93 91055 X Gastric intubation for 928 2.91 $149.63 $79.78 $29.93 smear. 91060 X Gastric saline load 928 2.91 $149.63 $79.78 $29.93 test. 91065 X Breath hydrogen test... 928 2.91 $149.63 $79.78 $29.93 91100 X Pass intestine bleeding 928 2.91 $149.63 $79.78 $29.93 tube. 91105 X Gastric intubation 928 2.91 $149.63 $79.78 $29.93 treatment. 91122 N Anal pressure record... ......... ......... ......... ........... ........... 91299 X Gastroenterology 928 2.91 $149.63 $79.78 $29.93 procedure. 92002 V Eye exam, new patient.. 913 ......... ......... ........... ........... 92004 V Eye exam, new patient.. 915 ......... ......... ........... ........... 92012 V Eye exam established pt 913 ......... ......... ........... ........... 92014 V Eye exam & treatment... 915 ......... ......... ........... ........... 92015 E Refraction............. ......... ......... ......... ........... ........... 92018 S New eye exam & 676 5.87 $301.84 $138.54 $60.37 treatment. 92019 S Eye exam & treatment... 676 5.87 $301.84 $138.54 $60.37 92020 N Special eye evaluation. ......... ......... ......... ........... ........... 92060 X Special eye evaluation. 930 1.04 $53.48 $22.83 $10.70 92065 X Orthoptic/pleoptic 930 1.04 $53.48 $22.83 $10.70 training. 92070 N Fitting of contact lens ......... ......... ......... ........... ........... 92081 X Visual field 930 1.04 $53.48 $22.83 $10.70 examination(s). 92082 X Visual field 930 1.04 $53.48 $22.83 $10.70 examination(s). 92083 X Visual field 930 1.04 $53.48 $22.83 $10.70 examination(s). 92100 N Serial tonometry ......... ......... ......... ........... ........... exam(s). 92120 X Tonography & eye 931 0.74 $38.05 $21.47 $7.61 evaluation. 92130 X Water provocation 931 0.74 $38.05 $21.47 $7.61 tonography. 92140 X Glaucoma provocative 930 1.04 $53.48 $22.83 $10.70 tests. 92225 N Special eye exam, ......... ......... ......... ........... ........... initial. 92226 N Special eye exam, ......... ......... ......... ........... ........... subsequent. 92230 X Eye exam with photos... 931 0.74 $38.05 $21.47 $7.61 92235 X Eye exam with photos... 932 2.41 $123.92 $63.73 $24.78 92240 X Icg angiography........ 931 0.74 $38.05 $21.47 $7.61 92250 X Eye exam with photos... 931 0.74 $38.05 $21.47 $7.61

92260 N Ophthalmoscopy/ ......... ......... ......... ........... ........... dynamometry. 92265 X Eye muscle evaluation.. 932 2.41 $123.92 $63.73 $24.78 92270 X Electro-oculography.... 932 2.41 $123.92 $63.73 $24.78 92275 X Electroretinography.... 981 1.22 $62.73 $34.35 $12.55 92283 X Color vision 930 1.04 $53.48 $22.83 $10.70 examination. 92284 X Dark adaptation eye 930 1.04 $53.48 $22.83 $10.70 exam. 92285 X Eye photography........ 930 1.04 $53.48 $22.83 $10.70 92286 X Internal eye 932 2.41 $123.92 $63.73 $24.78 photography. 92287 X Internal eye 932 2.41 $123.92 $63.73 $24.78 photography. 92310 E Contact lens fitting... ......... ......... ......... ........... ........... 92311 X Contact lens fitting... 936 0.48 $24.68 $9.49 $4.94 92312 X Contact lens fitting... 936 0.48 $24.68 $9.49 $4.94 92313 X Contact lens fitting... 936 0.48 $24.68 $9.49 $4.94 92314 E Prescription of contact ......... ......... ......... ........... ........... lens. 92315 X Prescription of contact 936 0.48 $24.68 $9.49 $4.94 lens. 92316 X Prescription of contact 936 0.48 $24.68 $9.49 $4.94 lens. 92317 X Prescription of contact 936 0.48 $24.68 $9.49 $4.94 lens. 92325 X Modification of contact 936 0.48 $24.68 $9.49 $4.94 lens. 92326 X Replacement of contact 936 0.48 $24.68 $9.49 $4.94 lens. 92330 X Fitting of artificial 936 0.48 $24.68 $9.49 $4.94 eye. 92335 N Fitting of artificial ......... ......... ......... ........... ........... eye. 92340 E Fitting of spectacles.. ......... ......... ......... ........... ........... 92341 E Fitting of spectacles.. ......... ......... ......... ........... ........... 92342 E Fitting of spectacles.. ......... ......... ......... ........... ........... 92352 X Special spectacles 936 0.48 $24.68 $9.49 $4.94 fitting. 92353 X Special spectacles 936 0.48 $24.68 $9.49 $4.94 fitting. 92354 X Special spectacles 936 0.48 $24.68 $9.49 $4.94 fitting. 92355 X Special spectacles 936 0.48 $24.68 $9.49 $4.94 fitting. 92358 X Eye prosthesis service. 936 0.48 $24.68 $9.49 $4.94 92370 E Repair & adjust ......... ......... ......... ........... ........... spectacles. 92371 X Repair & adjust 936 0.48 $24.68 $9.49 $4.94 spectacles. 92390 E Supply of spectacles... ......... ......... ......... ........... ........... 92391 E Supply of contact ......... ......... ......... ........... ........... lenses. 92392 E Supply of low vision ......... ......... ......... ........... ........... aids. 92393 E Supply of artificial ......... ......... ......... ........... ........... eye. 92395 E Supply of spectacles... ......... ......... ......... ........... ........... 92396 E Supply of contact ......... ......... ......... ........... ........... lenses. 92499 X Eye service or 931 0.74 $38.05 $21.47 $7.61 procedure. 92502 S Ear and throat 311 1.41 $72.50 $20.57 $14.50 examination. 92504 N Ear microscopy ......... ......... ......... ........... ........... examination. 92506 A Speech & hearing ......... ......... ......... ........... ........... evaluation. 92507 A Speech/hearing therapy. ......... ......... ......... ........... ........... 92508 A Speech/hearing therapy. ......... ......... ......... ........... ........... 92510 A Rehab for ear implant.. ......... ......... ......... ........... ........... 92511 S Nasopharyngoscopy...... 331 0.57 $29.31 $14.01 $5.86 92512 X Nasal function studies. 940 3.13 $160.94 $52.21 $32.19 92516 X Facial nerve function 940 3.13 $160.94 $52.21 $32.19 test. 92520 X Laryngeal function 940 3.13 $160.94 $52.21 $32.19 studies. 92525 A Oral function ......... ......... ......... ........... ........... evaluation. 92526 A Oral function therapy.. ......... ......... ......... ........... ........... 92531 N Spontaneous nystagmus ......... ......... ......... ........... ........... study. 92532 N Positional nystagmus ......... ......... ......... ........... ........... study. 92533 N Caloric vestibular test ......... ......... ......... ........... ........... 92534 N Optokinetic nystagmus.. ......... ......... ......... ........... ........... 92541 X Spontaneous nystagmus 940 3.13 $160.94 $52.21 $32.19 test. 92542 X Positional nystagmus 940 3.13 $160.94 $52.21 $32.19 test. 92543 X Caloric vestibular test 940 3.13 $160.94 $52.21 $32.19 92544 X Optokinetic nystagmus 940 3.13 $160.94 $52.21 $32.19 test. 92545 X Oscillating tracking 940 3.13 $160.94 $52.21 $32.19 test. 92546 X Sinusoidal rotational 940 3.13 $160.94 $52.21 $32.19 test. 92547 X Supplemental electrical 940 3.13 $160.94 $52.21 $32.19 test. 92548 X Posturography.......... 940 3.13 $160.94 $52.21 $32.19 92551 E Pure tone hearing test, ......... ......... ......... ........... ........... air. 92552 X Pure tone audiometry, 941 0.74 $38.05 $13.33 $7.61 air. 92553 X Audiometry, air & bone. 941 0.74 $38.05 $13.33 $7.61 92555 X Speech threshold 941 0.74 $38.05 $13.33 $7.61 audiometry. 92556 X Speech audiometry, 941 0.74 $38.05 $13.33 $7.61 complete. 92557 X Comprehensive hearing 942 1.46 $75.07 $22.15 $15.01 test. 92559 E Group audiometric ......... ......... ......... ........... ........... testing. 92560 E Bekesy audiometry, ......... ......... ......... ........... ........... screen. 92561 X Bekesy audiometry, 942 1.46 $75.07 $22.15 $15.01 diagnosis. 92562 X Loudness balance test.. 942 1.46 $75.07 $22.15 $15.01 92563 X Tone decay hearing test 942 1.46 $75.07 $22.15 $15.01 92564 X Sisi hearing test...... 942 1.46 $75.07 $22.15 $15.01 92565 X Stenger test, pure tone 942 1.46 $75.07 $22.15 $15.01

92567 X Tympanometry........... 941 0.74 $38.05 $13.33 $7.61 92568 X Acoustic reflex testing 942 1.46 $75.07 $22.15 $15.01 92569 X Acoustic reflex decay 942 1.46 $75.07 $22.15 $15.01 test. 92571 X Filtered speech hearing 942 1.46 $75.07 $22.15 $15.01 test. 92572 X Staggered spondaic word 942 1.46 $75.07 $22.15 $15.01 test. 92573 X Lombard test........... 942 1.46 $75.07 $22.15 $15.01 92575 X Sensorineural acuity 942 1.46 $75.07 $22.15 $15.01 test. 92576 X Synthetic sentence test 942 1.46 $75.07 $22.15 $15.01 92577 X Stenger test, speech... 942 1.46 $75.07 $22.15 $15.01 92579 X Visual audiometry (vra) 942 1.46 $75.07 $22.15 $15.01 92582 X Conditioning play 942 1.46 $75.07 $22.15 $15.01 audiometry. 92583 X Select picture 942 1.46 $75.07 $22.15 $15.01 audiometry. 92584 X Electrocochleography... 940 3.13 $160.94 $52.21 $32.19 92585 X Auditory evoked 982 1.37 $70.45 $38.42 $14.09 potential. 92587 X Evoked auditory test... 940 3.13 $160.94 $52.21 $32.19 92588 X Evoked auditory test... 940 3.13 $160.94 $52.21 $32.19 92589 X Auditory function 942 1.46 $75.07 $22.15 $15.01 test(s). 92590 E Hearing aid exam, one ......... ......... ......... ........... ........... ear. 92591 E Hearing aid exam, both ......... ......... ......... ........... ........... ears. 92592 E Hearing aid check, one ......... ......... ......... ........... ........... ear. 92593 E Hearing aid check, both ......... ......... ......... ........... ........... ears. 92594 E Electro hearing aid ......... ......... ......... ........... ........... test,one. 92595 E Electro hearingaid ......... ......... ......... ........... ........... test,both. 92596 X Ear protector 942 1.46 $75.07 $22.15 $15.01 evaluation. 92597 A Oral speech device eval ......... ......... ......... ........... ........... 92598 A Modify oral speech ......... ......... ......... ........... ........... device. 92599 X ENT procedure/service.. 941 0.74 $38.05 $13.33 $7.61 92950 S Heart/lung 947 4.11 $211.34 $106.22 $42.27 resuscitation(CPR. 92953 S Temporary external 947 4.11 $211.34 $106.22 $42.27 pacing. 92960 S Heart electroconversion 947 4.11 $211.34 $106.22 $42.27 92970 C Cardioassist, internal. ......... ......... ......... ........... ........... 92971 C Cardioassist, external. ......... ......... ......... ........... ........... 92975 C Dissolve clot, heart ......... ......... ......... ........... ........... vessel. 92977 C Dissolve clot, heart ......... ......... ......... ........... ........... vessel. 92978 C Intravas us, heart add- ......... ......... ......... ........... ........... on. 92979 C Intravas us, heart (add- ......... ......... ......... ........... ........... on). 92980 C Insert intracoronary ......... ......... ......... ........... ........... stent. 92981 C Insert intracoronary ......... ......... ......... ........... ........... stent. 92982 C Coronary artery ......... ......... ......... ........... ........... dilation. 92984 C Coronary artery ......... ......... ......... ........... ........... dilation. 92986 C Revision of aortic ......... ......... ......... ........... ........... valve. 92987 C Revision of mitral ......... ......... ......... ........... ........... valve. 92990 C Revision of pulmonary ......... ......... ......... ........... ........... valve. 92992 C Revision of heart ......... ......... ......... ........... ........... chamber. 92993 C Revision of heart ......... ......... ......... ........... ........... chamber. 92995 C Coronary atherectomy... ......... ......... ......... ........... ........... 92996 C Coronary atherectomy ......... ......... ......... ........... ........... add-on. 92997 C Pul art balloon repair, ......... ......... ......... ........... ........... perc. 92998 C Pul art balloon repair, ......... ......... ......... ........... ........... perc. 93000 N Electrocardiogram, ......... ......... ......... ........... ........... complete. 93005 X Electrocardiogram, 950 0.35 $18.00 $15.82 $3.60 tracing. 93010 N Electrocardiogram ......... ......... ......... ........... ........... report. 93012 X Transmission of ecg.... 956 1.09 $56.05 $54.47 $11.21 93014 N Report on transmitted ......... ......... ......... ........... ........... ecg. 93015 N Cardiovascular stress ......... ......... ......... ........... ........... test. 93016 N Cardiovascular stress ......... ......... ......... ........... ........... test. 93017 X Cardiovascular stress 949 1.43 $73.53 $61.92 $14.71 test. 93018 N Cardiovascular stress ......... ......... ......... ........... ........... test. 93024 X Cardiac drug stress 949 1.43 $73.53 $61.92 $14.71 test. 93040 N Rhythm ECG with report. ......... ......... ......... ........... ........... 93041 X Rhythm ECG, tracing.... 950 0.35 $18.00 $15.82 $3.60 93042 N Rhythm ECG, report..... ......... ......... ......... ........... ........... 93224 X ECG monitor/report, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93225 X ECG monitor/record, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93226 X ECG monitor/report, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93227 N ECG monitor/review, 24 ......... ......... ......... ........... ........... hrs. 93230 X ECG monitor/report, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93231 X Ecg monitor/record, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93232 X ECG monitor/report, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93233 N ECG monitor/review, 24 ......... ......... ......... ........... ........... hrs. 93235 X ECG monitor/report, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93236 X ECG monitor/report, 24 956 1.09 $56.05 $54.47 $11.21 hrs. 93237 N ECG monitor/review, 24 ......... ......... ......... ........... ........... hrs. 93268 X ECG record/review...... 956 1.09 $56.05 $54.47 $11.21 93270 X ECG recording.......... 956 1.09 $56.05 $54.47 $11.21

93271 X Ecg/monitoring and 956 1.09 $56.05 $54.47 $11.21 anaylysis. 93272 N Ecg/review, interpret ......... ......... ......... ........... ........... only. 93278 X ECG/signal-averaged.... 956 1.09 $56.05 $54.47 $11.21 93303 S Echo transthoracic..... 957 4.04 $207.74 $114.13 $41.55 93304 S Echo transthoracic..... 957 4.04 $207.74 $114.13 $41.55 93307 S Echo exam of heart..... 957 4.04 $207.74 $114.13 $41.55 93308 S Echo exam of heart..... 957 4.04 $207.74 $114.13 $41.55 93312 S Echo transesophageal... 957 4.04 $207.74 $114.13 $41.55 93313 S Echo transesophageal... 957 4.04 $207.74 $114.13 $41.55 93314 N Echo transesophageal... ......... ......... ......... ........... ........... 93315 S Echo transesophageal... 957 4.04 $207.74 $114.13 $41.55 93316 S Echo transesophageal... 957 4.04 $207.74 $114.13 $41.55 93317 N Echo transesophageal... ......... ......... ......... ........... ........... 93320 S Doppler echo exam, 957 4.04 $207.74 $114.13 $41.55 heart. 93321 S Doppler echo exam, 957 4.04 $207.74 $114.13 $41.55 heart. 93325 S Doppler color flow add- 957 4.04 $207.74 $114.13 $41.55 on. 93350 S Echo transthoracic..... 957 4.04 $207.74 $114.13 $41.55 93501 S Right heart 958 23.74 $1,220.71 $705.57 $244.14 catheterization. 93503 S Insert/place heart 958 23.74 $1,220.71 $705.57 $244.14 catheter. 93505 S Biopsy of heart lining. 958 23.74 $1,220.71 $705.57 $244.14 93508 S Cath placement, 343 8.76 $450.44 $240.24 $90.09 angiography. 93510 S Left heart 958 23.74 $1,220.71 $705.57 $244.14 catheterization. 93511 S Left heart 958 23.74 $1,220.71 $705.57 $244.14 catheterization. 93514 S Left heart 958 23.74 $1,220.71 $705.57 $244.14 catheterization. 93524 S Left heart 958 23.74 $1,220.71 $705.57 $244.14 catheterization. 93526 S Rt & Lt heart catheters 958 23.74 $1,220.71 $705.57 $244.14 93527 S Rt & Lt heart catheters 958 23.74 $1,220.71 $705.57 $244.14 93528 S Rt & Lt heart catheters 958 23.74 $1,220.71 $705.57 $244.14 93529 S Rt, Lt heart 958 23.74 $1,220.71 $705.57 $244.14 catheterization. 93530 S Rt heart cath, 958 23.74 $1,220.71 $705.57 $244.14 congenital. 93531 S R & l heart cath, 958 23.74 $1,220.71 $705.57 $244.14 congenital. 93532 S R & l heart cath, 958 23.74 $1,220.71 $705.57 $244.14 congenital. 93533 S R & l heart cath, 958 23.74 $1,220.71 $705.57 $244.14 congenital. 93536 S Insert circulation assi 958 23.74 $1,220.71 $705.57 $244.14 93539 N Injection, cardiac cath ......... ......... ......... ........... ........... 93540 N Injection, cardiac cath ......... ......... ......... ........... ........... 93541 N Injection for lung ......... ......... ......... ........... ........... angiogram. 93542 N Injection for heart x- ......... ......... ......... ........... ........... rays. 93543 N Injection for heart x- ......... ......... ......... ........... ........... rays. 93544 N Injection for ......... ......... ......... ........... ........... aortography. 93545 N Injection for coronary ......... ......... ......... ........... ........... x-rays. 93555 N Imaging, cardiac cath.. ......... ......... ......... ........... ........... 93556 N Imaging, cardiac cath.. ......... ......... ......... ........... ........... 93561 N Cardiac output ......... ......... ......... ........... ........... measurement. 93562 N Cardiac output ......... ......... ......... ........... ........... measurement. 93600 S Bundle of His recording 960 4.80 $246.82 $143.74 $49.36 93602 S Intra-atrial recording. 960 4.80 $246.82 $143.74 $49.36 93603 S Right ventricular 960 4.80 $246.82 $143.74 $49.36 recording. 93607 S Right ventricular 960 4.80 $246.82 $143.74 $49.36 recording. 93609 S Mapping of tachycardia. 960 4.80 $246.82 $143.74 $49.36 93610 S Intra-atrial pacing.... 960 4.80 $246.82 $143.74 $49.36 93612 S Intraventricular pacing 960 4.80 $246.82 $143.74 $49.36 93615 S Esophageal recording... 960 4.80 $246.82 $143.74 $49.36 93616 S Esophageal recording... 960 4.80 $246.82 $143.74 $49.36 93618 S Heart rhythm pacing.... 960 4.80 $246.82 $143.74 $49.36 93619 S Electrophysiology 960 4.80 $246.82 $143.74 $49.36 evaluation. 93620 S Electrophysiology 960 4.80 $246.82 $143.74 $49.36 evaluation. 93621 S Electrophysiology 960 4.80 $246.82 $143.74 $49.36 evaluation. 93622 S Electrophysiology 960 4.80 $246.82 $143.74 $49.36 evaluation. 93623 S Stimulation, pacing 960 4.80 $246.82 $143.74 $49.36 heart. 93624 S Electrophysiologic 960 4.80 $246.82 $143.74 $49.36 study. 93631 S Heart pacing, mapping.. 960 4.80 $246.82 $143.74 $49.36 93640 S Evaluation heart device 960 4.80 $246.82 $143.74 $49.36 93641 S Electrophysiology 960 4.80 $246.82 $143.74 $49.36 evaluation. 93642 S Electrophysiology 960 4.80 $246.82 $143.74 $49.36 evaluation. 93650 S Ablate heart dysrhythm 960 4.80 $246.82 $143.74 $49.36 focus. 93651 S Ablate heart dysrhythm 960 4.80 $246.82 $143.74 $49.36 focus. 93652 S Ablate heart dysrhythm 960 4.80 $246.82 $143.74 $49.36 focus. 93660 S Tilt table evaluation.. 960 4.80 $246.82 $143.74 $49.36 93720 X Total body 967 1.70 $87.41 $57.40 $17.48 plethysmography. 93721 X Plethysmography tracing 967 1.70 $87.41 $57.40 $17.48 93722 N Plethysmography report. ......... ......... ......... ........... ........... 93724 S Analyze pacemaker 960 4.80 $246.82 $143.74 $49.36 system. 93731 X Analyze pacemaker 966 0.39 $20.05 $12.43 $4.01 system. 93732 X Analyze pacemaker 966 0.39 $20.05 $12.43 $4.01 system.

93733 X Telephone analysis, 966 0.39 $20.05 $12.43 $4.01 pacemaker. 93734 X Analyze pacemaker 966 0.39 $20.05 $12.43 $4.01 system. 93735 X Analyze pacemaker 966 0.39 $20.05 $12.43 $4.01 system. 93736 X Telephone analysis, 966 0.39 $20.05 $12.43 $4.01 pacemaker. 93737 X Analyze cardio/ 966 0.39 $20.05 $12.43 $4.01 defibrillator. 93738 X Analyze cardio/ 966 0.39 $20.05 $12.43 $4.01 defibrillator. 93740 X Temperature gradient 967 1.70 $87.41 $57.40 $17.48 studies. 93760 E Cephalic thermogram.... ......... ......... ......... ........... ........... 93762 E Peripheral thermogram.. ......... ......... ......... ........... ........... 93770 N Measure venous pressure ......... ......... ......... ........... ........... 93784 E Ambulatory BP ......... ......... ......... ........... ........... monitoring. 93786 E Ambulatory BP recording ......... ......... ......... ........... ........... 93788 E Ambulatory BP analysis. ......... ......... ......... ........... ........... 93790 E Review/report BP ......... ......... ......... ........... ........... recording. 93797 X Cardiac rehab.......... 948 0.81 $41.65 $16.95 $8.33 93798 X Cardiac rehab/monitor.. 948 0.81 $41.65 $16.95 $8.33 93799 X Cardiovascular 967 1.70 $87.41 $57.40 $17.48 procedure. 93875 X Extracranial study..... 968 2.39 $122.89 $79.55 $24.58 93880 X Extracranial study..... 968 2.39 $122.89 $79.55 $24.58 93882 X Extracranial study..... 968 2.39 $122.89 $79.55 $24.58 93886 X Intracranial study..... 968 2.39 $122.89 $79.55 $24.58 93888 X Intracranial study..... 968 2.39 $122.89 $79.55 $24.58 93922 X Extremity study........ 967 1.70 $87.41 $57.40 $17.48 93923 X Extremity study........ 967 1.70 $87.41 $57.40 $17.48 93924 X Extremity study........ 967 1.70 $87.41 $57.40 $17.48 93925 X Lower extremity study.. 968 2.39 $122.89 $79.55 $24.58 93926 X Lower extremity study.. 968 2.39 $122.89 $79.55 $24.58 93930 X Upper extremity study.. 968 2.39 $122.89 $79.55 $24.58 93931 X Upper extremity study.. 968 2.39 $122.89 $79.55 $24.58 93965 X Extremity study........ 967 1.70 $87.41 $57.40 $17.48 93970 X Extremity study........ 968 2.39 $122.89 $79.55 $24.58 93971 X Extremity study........ 968 2.39 $122.89 $79.55 $24.58 93975 X Vascular study......... 968 2.39 $122.89 $79.55 $24.58 93976 X Vascular study......... 968 2.39 $122.89 $79.55 $24.58 93978 X Vascular study......... 968 2.39 $122.89 $79.55 $24.58 93979 X Vascular study......... 968 2.39 $122.89 $79.55 $24.58 93980 X Penile vascular study.. 968 2.39 $122.89 $79.55 $24.58 93981 X Penile vascular study.. 968 2.39 $122.89 $79.55 $24.58 93990 X Doppler flow testing... 968 2.39 $122.89 $79.55 $24.58 94010 X Breathing capacity test 971 0.98 $50.39 $26.44 $10.08 94060 X Evaluation of wheezing. 971 0.98 $50.39 $26.44 $10.08 94070 S Evaluation of wheezing. 973 1.81 $93.07 $55.82 $18.61 94150 N Vital capacity test.... ......... ......... ......... ........... ........... \2\ 9416 X Vital capacity 971 0.98 $50.39 $26.44 $10.08 0 screening. 94200 X Lung function test (MBC/ 971 0.98 $50.39 $26.44 $10.08 MVV). 94240 X Residual lung capacity. 972 1.00 $51.42 $29.38 $10.28 94250 X Expired gas collection. 971 0.98 $50.39 $26.44 $10.08 94260 X Thoracic gas volume.... 971 0.98 $50.39 $26.44 $10.08 94350 X Lung nitrogen washout 972 1.00 $51.42 $29.38 $10.28 curve. 94360 X Measure airflow 971 0.98 $50.39 $26.44 $10.08 resistance. 94370 X Breath airway closing 972 1.00 $51.42 $29.38 $10.28 volume. 94375 X Respiratory flow volume 971 0.98 $50.39 $26.44 $10.08 loop. 94400 X CO2 breathing response 971 0.98 $50.39 $26.44 $10.08 curve. 94450 X Hypoxia response curve. 971 0.98 $50.39 $26.44 $10.08 94620 S Pulmonary stress test/ 973 1.81 $93.07 $55.82 $18.61 simple. 94640 S Airway inhalation 976 0.44 $22.62 $14.69 $4.53 treatment. 94642 S Aerosol inhalation 976 0.44 $22.62 $14.69 $4.53 treatment. 94650 S Pressure breathing 976 0.44 $22.62 $14.69 $4.53 (IPPB). 94651 S Pressure breathing 976 0.44 $22.62 $14.69 $4.53 (IPPB). 94652 C Pressure breathing ......... ......... ......... ........... ........... (IPPB). 94656 C Initial ventilator mgmt ......... ......... ......... ........... ........... 94657 S Cont. ventilator....... 976 0.44 $22.62 $14.69 $4.53 94660 S Pos airway pressure, 976 0.44 $22.62 $14.69 $4.53 CPAP. 94662 S Neg pressure 976 0.44 $22.62 $14.69 $4.53 ventilation, cnp. 94664 S Aerosol or vapor 976 0.44 $22.62 $14.69 $4.53 inhalations. 94665 S Aerosol or vapor 976 0.44 $22.62 $14.69 $4.53 inhalations. 94667 S Chest wall manipulation 976 0.44 $22.62 $14.69 $4.53 94668 S Chest wall manipulation 976 0.44 $22.62 $14.69 $4.53 94680 X Exhaled air analysis: 972 1.00 $51.42 $29.38 $10.28 O2. 94681 X Exhaled air analysis: 972 1.00 $51.42 $29.38 $10.28 O2, CO2. 94690 X Exhaled air analysis... 972 1.00 $51.42 $29.38 $10.28 94720 X Monoxide diffusing 972 1.00 $51.42 $29.38 $10.28 capacity. 94725 X Membrane diffusion 972 1.00 $51.42 $29.38 $10.28 capacity. 94750 S Pulmonary compliance 973 1.81 $93.07 $55.82 $18.61 study. 94760 N Measure blood oxygen ......... ......... ......... ........... ........... level.

94761 N Measure blood oxygen ......... ......... ......... ........... ........... level. 94762 X Measure blood oxygen 971 0.98 $50.39 $26.44 $10.08 level. 94770 X Exhaled carbon dioxide 971 0.98 $50.39 $26.44 $10.08 test. 94772 S Breath recording, 973 1.81 $93.07 $55.82 $18.61 infant. 94799 X Pulmonary service/ 971 0.98 $50.39 $26.44 $10.08 procedure. 95004 X Allergy skin tests..... 977 0.56 $28.80 $11.30 $5.76 95010 X Sensitivity skin tests. 977 0.56 $28.80 $11.30 $5.76 95015 X Sensitivity skin tests. 977 0.56 $28.80 $11.30 $5.76 95024 X Allergy skin tests..... 977 0.56 $28.80 $11.30 $5.76 95027 X Skin end point 977 0.56 $28.80 $11.30 $5.76 titration. 95028 X Allergy skin tests..... 977 0.56 $28.80 $11.30 $5.76 95044 X Allergy patch tests.... 977 0.56 $28.80 $11.30 $5.76 95052 X Photo patch test....... 977 0.56 $28.80 $11.30 $5.76 95056 X Photosensitivity tests. 977 0.56 $28.80 $11.30 $5.76 95060 X Eye allergy tests...... 977 0.56 $28.80 $11.30 $5.76 95065 X Nose allergy test...... 977 0.56 $28.80 $11.30 $5.76 95070 S Bronchial allergy tests 973 1.81 $93.07 $55.82 $18.61 95071 S Bronchial allergy tests 973 1.81 $93.07 $55.82 $18.61 95075 X Ingestion challenge 928 2.91 $149.63 $79.78 $29.93 test. 95078 X Provocative testing.... 977 0.56 $28.80 $11.30 $5.76 95115 X Immunotherapy, one 978 0.30 $15.43 $3.39 $3.09 injection. 95117 X Immunotherapy 978 0.30 $15.43 $3.39 $3.09 injections. 95120 E Immunotherapy, one ......... ......... ......... ........... ........... injection. 95125 E Immunotherapy, many ......... ......... ......... ........... ........... antigens. 95130 E Immunotherapy, insect ......... ......... ......... ........... ........... venom. 95131 E Immunotherapy, insect ......... ......... ......... ........... ........... venoms. 95132 E Immunotherapy, insect ......... ......... ......... ........... ........... venoms. 95133 E Immunotherapy, insect ......... ......... ......... ........... ........... venoms. 95134 E Immunotherapy, insect ......... ......... ......... ........... ........... venoms. 95144 X Antigen therapy 978 0.30 $15.43 $3.39 $3.09 services. 95145 X Antigen therapy 978 0.30 $15.43 $3.39 $3.09 services. 95146 X Antigen therapy 978 0.30 $15.43 $3.39 $3.09 services. 95147 X Antigen therapy 978 0.30 $15.43 $3.39 $3.09 services. 95148 X Antigen therapy 978 0.30 $15.43 $3.39 $3.09 services. 95149 X Antigen therapy 901 0.07 $3.60 $2.49 $0.72 services. 95165 X Antigen therapy 978 0.30 $15.43 $3.39 $3.09 services. 95170 X Antigen therapy 901 0.07 $3.60 $2.49 $0.72 services. 95180 X Rapid desensitization.. 977 0.56 $28.80 $11.30 $5.76 95199 X Allergy immunology 977 0.56 $28.80 $11.30 $5.76 services. 95805 S Multiple sleep latency 979 10.15 $521.91 $287.25 $104.38 test. 95806 S Sleep study, unattended 979 10.15 $521.91 $287.25 $104.38 95807 S Sleep study, attended.. 979 10.15 $521.91 $287.25 $104.38 95808 S Polysomnography, 1-3... 979 10.15 $521.91 $287.25 $104.38 95810 S Polysomnography, 4 or 979 10.15 $521.91 $287.25 $104.38 more. 95811 S Polysomnography w/cpap. 979 10.15 $521.91 $287.25 $104.38 95812 S Electroencephalogram 979 10.15 $521.91 $287.25 $104.38 (EEG). 95813 S Electroencephalogram 979 10.15 $521.91 $287.25 $104.38 (EEG). 95816 S Electroencephalogram 980 2.15 $110.55 $57.86 $22.11 (EEG). 95819 S Electroencephalogram 980 2.15 $110.55 $57.86 $22.11 (EEG). 95822 S Sleep 980 2.15 $110.55 $57.86 $22.11 electroencephalogram. 95824 S Electroencephalography. 980 2.15 $110.55 $57.86 $22.11 95827 S Night 979 10.15 $521.91 $287.25 $104.38 electroencephalogram. 95829 S Surgery 980 2.15 $110.55 $57.86 $22.11 electrocorticogram. 95830 N Insert electrodes for ......... ......... ......... ........... ........... EEG. 95831 N Limb muscle testing, ......... ......... ......... ........... ........... manual. 95832 N Hand muscle testing, ......... ......... ......... ........... ........... manual. 95833 N Body muscle testing, ......... ......... ......... ........... ........... manual. 95834 N Body muscle testing, ......... ......... ......... ........... ........... manual. 95851 N Range of motion ......... ......... ......... ........... ........... measurements. 95852 N Range of motion ......... ......... ......... ........... ........... measurements. 95857 X Tensilon test.......... 981 1.22 $62.73 $34.35 $12.55 95858 X Tensilon test & myogram 982 1.37 $70.45 $38.42 $14.09 95860 X Muscle test, one limb.. 982 1.37 $70.45 $38.42 $14.09 95861 X Muscle test, two limbs. 982 1.37 $70.45 $38.42 $14.09 95863 X Muscle test, 3 limbs... 982 1.37 $70.45 $38.42 $14.09 95864 X Muscle test, 4 limbs... 982 1.37 $70.45 $38.42 $14.09 95867 X Muscle test, head or 981 1.22 $62.73 $34.35 $12.55 neck. 95868 X Muscle test, head or 982 1.37 $70.45 $38.42 $14.09 neck. 95869 X Muscle test, thor 981 1.22 $62.73 $34.35 $12.55 paraspinal. 95870 X Muscle test, non- 981 1.22 $62.73 $34.35 $12.55 paraspinal. 95872 X Muscle test, one fiber. 982 1.37 $70.45 $38.42 $14.09 95875 X Limb exercise test..... 982 1.37 $70.45 $38.42 $14.09 95900 X Motor nerve conduction 981 1.22 $62.73 $34.35 $12.55 test. 95903 X Motor nerve conduction 982 1.37 $70.45 $38.42 $14.09 test. 95904 X Sense nerve conduction 982 1.37 $70.45 $38.42 $14.09 test.

95920 C Intraop nerve test add- ......... ......... ......... ........... ........... on. 95921 X Autonomic nervous func 981 1.22 $62.73 $34.35 $12.55 test. 95922 X Autonomic nervous func 981 1.22 $62.73 $34.35 $12.55 test. 95923 X Autonomic nervous func 981 1.22 $62.73 $34.35 $12.55 test. 95925 X Somatosensory testing.. 982 1.37 $70.45 $38.42 $14.09 95926 X Somatosensory testing.. 981 1.22 $62.73 $34.35 $12.55 95927 X Somatosensory testing.. 981 1.22 $62.73 $34.35 $12.55 95930 X Visual evoked potential 981 1.22 $62.73 $34.35 $12.55 test. 95933 X Blink reflex test...... 981 1.22 $62.73 $34.35 $12.55 95934 X 'h' reflex test........ 981 1.22 $62.73 $34.35 $12.55 95936 X 'h' reflex test........ 981 1.22 $62.73 $34.35 $12.55 95937 X Neuromuscular junction 981 1.22 $62.73 $34.35 $12.55 test. 95950 X Ambulatory eeg 981 1.22 $62.73 $34.35 $12.55 monitoring. 95951 S EEG monitoring/ 979 10.15 $521.91 $287.25 $104.38 videorecord. 95953 S EEG monitoring/computer 979 10.15 $521.91 $287.25 $104.38 95954 S EEG monitoring/giving 979 10.15 $521.91 $287.25 $104.38 drugs. 95955 S EEG during surgery..... 980 2.15 $110.55 $57.86 $22.11 95956 N EEG monitoring/cable/ ......... ......... ......... ........... ........... radio. 95957 N EEG digital analysis... ......... ......... ......... ........... ........... 95958 S EEG monitoring/function 979 10.15 $521.91 $287.25 $104.38 test. 95961 C Electrode stimulation, ......... ......... ......... ........... ........... brain. 95962 C Electrode stimulation, ......... ......... ......... ........... ........... brain. 95999 N Neurological procedure. ......... ......... ......... ........... ........... \1\ 9610 X Psychological testing.. 089 4.06 $208.77 $46.10 $41.75 0 96105 X Assessment of aphasia.. 089 4.06 $208.77 $46.10 $41.75 96110 X Developmental test, lim 089 4.06 $208.77 $46.10 $41.75 96111 X Developmental test, 089 4.06 $208.77 $46.10 $41.75 extend. \1\ 9611 X Neurobehavior status 089 4.06 $208.77 $46.10 $41.75 5 exam. \1\ 9611 X Neuropsych test battery 089 4.06 $208.77 $46.10 $41.75 7 96400 S Chemotherapy, (SC)/(IM) 987 2.09 $107.47 $65.09 $21.49 96405 S Intralesional chemo 987 2.09 $107.47 $65.09 $21.49 admin. 96406 S Intralesional chemo 987 2.09 $107.47 $65.09 $21.49 admin. 96408 S Chemotherapy, push 988 4.02 $206.71 $110.29 $41.34 technique. 96410 S Chemotherapy,infusion 988 4.02 $206.71 $110.29 $41.34 method. 96412 S Chemotx infuse method 988 4.02 $206.71 $110.29 $41.34 add-on. 96414 S Chemotx infuse method 989 1.91 $98.21 $44.52 $19.64 add-on. 96420 S Chemotherapy, push 988 4.02 $206.71 $110.29 $41.34 technique. 96422 S Chemotherapy,infusion 988 4.02 $206.71 $110.29 $41.34 method. 96423 S Chemotx infuse method 988 4.02 $206.71 $110.29 $41.34 add-on. 96425 S Chemotherapy,infusion 989 1.91 $98.21 $44.52 $19.64 method. 96440 S Chemotherapy, 989 1.91 $98.21 $44.52 $19.64 intracavitary. 96445 S Chemotherapy, 989 1.91 $98.21 $44.52 $19.64 intracavitary. 96450 S Chemotherapy, into CNS. 989 1.91 $98.21 $44.52 $19.64 96520 E Pump refilling, ......... ......... ......... ........... ........... maintenance. 96530 E Pump refilling, ......... ......... ......... ........... ........... maintenance. 96542 S Chemotherapy injection. 989 1.91 $98.21 $44.52 $19.64 96545 E Provide chemotherapy ......... ......... ......... ........... ........... agent. 96549 S Chemotherapy, 987 2.09 $107.47 $65.09 $21.49 unspecified. 96900 S Ultraviolet light 990 0.43 $22.11 $8.14 $4.42 therapy. 96902 N Trichogram............. ......... ......... ......... ........... ........... 96910 S Photochemotherapy with 990 0.43 $22.11 $8.14 $4.42 UV-B. 96912 S Photochemotherapy with 990 0.43 $22.11 $8.14 $4.42 UV-A. 96913 S Photochemotherapy, UV-A 990 0.43 $22.11 $8.14 $4.42 or B. 96999 S Dermatological 990 0.43 $22.11 $8.14 $4.42 procedure. 97001 A Pt evaluation.......... ......... ......... ......... ........... ........... 97002 A Pt re-evaluation....... ......... ......... ......... ........... ........... 97003 A Ot evaluation.......... ......... ......... ......... ........... ........... 97004 A Ot re-evaluation....... ......... ......... ......... ........... ........... 97010 A Hot or cold packs ......... ......... ......... ........... ........... therapy. 97012 A Mechanical traction ......... ......... ......... ........... ........... therapy. 97014 A Electric stimulation ......... ......... ......... ........... ........... therapy. 97016 A Vasopneumatic device ......... ......... ......... ........... ........... therapy. 97018 A Paraffin bath therapy.. ......... ......... ......... ........... ........... 97020 A Microwave therapy...... ......... ......... ......... ........... ........... 97022 A Whirlpool therapy...... ......... ......... ......... ........... ........... 97024 A Diathermy treatment.... ......... ......... ......... ........... ........... 97026 A Infrared therapy....... ......... ......... ......... ........... ........... 97028 A Ultraviolet therapy.... ......... ......... ......... ........... ........... 97032 A Electrical stimulation. ......... ......... ......... ........... ........... 97033 A Electric current ......... ......... ......... ........... ........... therapy. 97034 A Contrast bath therapy.. ......... ......... ......... ........... ........... 97035 A Ultrasound therapy..... ......... ......... ......... ........... ........... 97036 A Hydrotherapy........... ......... ......... ......... ........... ........... 97039 A Physical therapy ......... ......... ......... ........... ........... treatment. 97110 A Therapeutic exercises.. ......... ......... ......... ........... ...........

97112 A Neuromuscular ......... ......... ......... ........... ........... reeducation. 97113 A Aquatic therapy/ ......... ......... ......... ........... ........... exercises. 97116 A Gait training therapy.. ......... ......... ......... ........... ........... \2\ 9712 A Manual traction therapy ......... ......... ......... ........... ........... 2 97124 A Massage therapy........ ......... ......... ......... ........... ........... 97139 A Physical medicine ......... ......... ......... ........... ........... procedure. 97150 A Group therapeutic ......... ......... ......... ........... ........... procedures. \2\ 9725 S Myofascial release..... 997 0.69 $35.48 $7.46 $7.10 0 \2\ 9726 S Regional manipulation.. 997 0.69 $35.48 $7.46 $7.10 0 \2\ 9726 S Supplemental 997 0.69 $35.48 $7.46 $7.10 1 manipulations. \2\ 9726 A Joint mobilization..... ......... ......... ......... ........... ........... 5 97504 A Orthotic training...... ......... ......... ......... ........... ........... 97520 A Prosthetic training.... ......... ......... ......... ........... ........... \1\ 9753 A Therapeutic activities. ......... ......... ......... ........... ........... 0 97535 A Self care mngment ......... ......... ......... ........... ........... training. \1\ 9753 A Community/work ......... ......... ......... ........... ........... 7 reintegration. 97542 A Wheelchair mngement ......... ......... ......... ........... ........... training. 97545 A Work hardening......... ......... ......... ......... ........... ........... 97546 A Work hardening add-on.. ......... ......... ......... ........... ........... 97703 A Prosthetic checkout.... ......... ......... ......... ........... ........... 97750 A Physical performance ......... ......... ......... ........... ........... test. \1\ 9777 A Cognitive skills ......... ......... ......... ........... ........... 0 development. 97780 E Acupuncture w/o stim... ......... ......... ......... ........... ........... 97781 E Acupuncture w/stim..... ......... ......... ......... ........... ........... 97799 A Physical medicine ......... ......... ......... ........... ........... procedure. 98925 S Osteopathic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98926 S Osteopathic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98927 S Osteopathic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98928 S Osteopathic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98929 S Osteopathic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98940 S Chiropractic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98941 S Chiropractic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98942 S Chiropractic 997 0.69 $35.48 $7.46 $7.10 manipulation. 98943 E Chiropractic ......... ......... ......... ........... ........... manipulation. 99000 E Specimen handling...... ......... ......... ......... ........... ........... 99001 N Specimen handling...... ......... ......... ......... ........... ........... 99002 E Device handling........ ......... ......... ......... ........... ........... 99024 N Post-op follow-up visit ......... ......... ......... ........... ........... 99025 N Initial surgical ......... ......... ......... ........... ........... evaluation. 99050 E Medical services after ......... ......... ......... ........... ........... hrs. 99052 E Medical services at ......... ......... ......... ........... ........... night. 99054 E Medical services, ......... ......... ......... ........... ........... unusual hrs. 99056 E Non-office medical ......... ......... ......... ........... ........... services. 99058 E Office emergency care.. ......... ......... ......... ........... ........... 99070 E Special supplies....... ......... ......... ......... ........... ........... 99071 E Patient education ......... ......... ......... ........... ........... materials. 99075 E Medical testimony...... ......... ......... ......... ........... ........... 99078 S Group health education. 921 ......... ......... ........... ........... 99080 E Special reports or ......... ......... ......... ........... ........... forms. 99082 E Unusual physician ......... ......... ......... ........... ........... travel. 99090 E Computer data analysis. ......... ......... ......... ........... ........... 99100 N Special anesthesia ......... ......... ......... ........... ........... service. 99116 N Anesthesia with ......... ......... ......... ........... ........... hypothermia. 99135 N Special anesthesia ......... ......... ......... ........... ........... procedure. 99140 N Emergency anesthesia... ......... ......... ......... ........... ........... 99141 N Sedation, iv/im or ......... ......... ......... ........... ........... inhalant. 99142 N Sedation, oral/rectal/ ......... ......... ......... ........... ........... nasal. 99175 N Induction of vomiting.. ......... ......... ......... ........... ........... 99183 S Hyperbaric oxygen 969 2.65 $136.26 $141.70 $27.25 therapy. 99185 N Regional hypothermia... ......... ......... ......... ........... ........... 99186 N Total body hypothermia. ......... ......... ......... ........... ........... 99190 C Special pump services.. ......... ......... ......... ........... ........... 99191 C Special pump services.. ......... ......... ......... ........... ........... 99192 C Special pump services.. ......... ......... ......... ........... ........... 99195 X Phlebotomy............. 999 0.43 $22.11 $11.07 $4.42 99199 N Special service or ......... ......... ......... ........... ........... report. 99201 V Office/outpatient 911 ......... ......... ........... ........... visit, new. 99202 V Office/outpatient 911 ......... ......... ........... ........... visit, new. 99203 V Office/outpatient 913 ......... ......... ........... ........... visit, new. 99204 V Office/outpatient 915 ......... ......... ........... ........... visit, new. 99205 V Office/outpatient 915 ......... ......... ........... ........... visit, new. 99211 V Office/outpatient 911 ......... ......... ........... ........... visit, est. 99212 V Office/outpatient 911 ......... ......... ........... ........... visit, est. 99213 V Office/outpatient 913 ......... ......... ........... ........... visit, est. 99214 V Office/outpatient 915 ......... ......... ........... ........... visit, est.

99215 V Office/outpatient 915 ......... ......... ........... ........... visit, est. 99217 N Observation care ......... ......... ......... ........... ........... discharge. 99218 N Observation care....... ......... ......... ......... ........... ........... 99219 N Observation care....... ......... ......... ......... ........... ........... 99220 N Observation care....... ......... ......... ......... ........... ........... 99221 E Initial hospital care.. ......... ......... ......... ........... ........... 99222 E Initial hospital care.. ......... ......... ......... ........... ........... 99223 E Initial hospital care.. ......... ......... ......... ........... ........... 99231 E Subsequent hospital ......... ......... ......... ........... ........... care. 99232 E Subsequent hospital ......... ......... ......... ........... ........... care. 99233 E Subsequent hospital ......... ......... ......... ........... ........... care. 99234 C Observ/hosp same date.. ......... ......... ......... ........... ........... 99235 C Observ/hosp same date.. ......... ......... ......... ........... ........... 99236 C Observ/hosp same date.. ......... ......... ......... ........... ........... 99238 E Hospital discharge day. ......... ......... ......... ........... ........... 99239 E Hospital discharge day. ......... ......... ......... ........... ........... 99241 V Office consultation.... 911 ......... ......... ........... ........... 99242 V Office consultation.... 911 ......... ......... ........... ........... 99243 V Office consultation.... 913 ......... ......... ........... ........... 99244 V Office consultation.... 915 ......... ......... ........... ........... 99245 V Office consultation.... 915 ......... ......... ........... ........... 99251 C Initial inpatient ......... ......... ......... ........... ........... consult. 99252 C Initial inpatient ......... ......... ......... ........... ........... consult. 99253 C Initial inpatient ......... ......... ......... ........... ........... consult. 99254 C Initial inpatient ......... ......... ......... ........... ........... consult. 99255 C Initial inpatient ......... ......... ......... ........... ........... consult. 99261 C Follow-up inpatient ......... ......... ......... ........... ........... consult. 99262 C Follow-up inpatient ......... ......... ......... ........... ........... consult. 99263 C Follow-up inpatient ......... ......... ......... ........... ........... consult. 99271 V Confirmatory 911 ......... ......... ........... ........... consultation. 99272 V Confirmatory 911 ......... ......... ........... ........... consultation. 99273 V Confirmatory 913 ......... ......... ........... ........... consultation. 99274 V Confirmatory 915 ......... ......... ........... ........... consultation. 99275 V Confirmatory 915 ......... ......... ........... ........... consultation. 99281 V Emergency dept visit... 951 ......... ......... ........... ........... 99282 V Emergency dept visit... 951 ......... ......... ........... ........... 99283 V Emergency dept visit... 953 ......... ......... ........... ........... 99284 V Emergency dept visit... 955 ......... ......... ........... ........... 99285 V Emergency dept visit... 955 ......... ......... ........... ........... 99288 E Direct advanced life ......... ......... ......... ........... ........... support. 99291 S Critical care, first 900 7.54 $387.71 $145.09 $77.54 hour. 99292 N Critical care, addt'l ......... ......... ......... ........... ........... 30 min. 99295 C Neonatal critical care. ......... ......... ......... ........... ........... 99296 C Neonatal critical care. ......... ......... ......... ........... ........... 99297 C Neonatal critical care. ......... ......... ......... ........... ........... 99301 E Nursing facility care.. ......... ......... ......... ........... ........... 99302 E Nursing facility care.. ......... ......... ......... ........... ........... 99303 E Nursing facility care.. ......... ......... ......... ........... ........... 99311 E Nursing facility care, ......... ......... ......... ........... ........... subseq. 99312 E Nursing facility care, ......... ......... ......... ........... ........... subseq. 99313 E Nursing facility care, ......... ......... ......... ........... ........... subseq. 99315 E Nursing fac discharge ......... ......... ......... ........... ........... day. 99316 E Nursing fac discharge ......... ......... ......... ........... ........... day. 99321 E Rest home visit, new ......... ......... ......... ........... ........... patient. 99322 E Rest home visit, new ......... ......... ......... ........... ........... patient. 99323 E Rest home visit, new ......... ......... ......... ........... ........... patient. 99331 E Rest home visit, estab ......... ......... ......... ........... ........... pat. 99332 E Rest home visit, estab ......... ......... ......... ........... ........... pat. 99333 E Rest home visit, estab ......... ......... ......... ........... ........... pat. 99341 E Home visit, new patient ......... ......... ......... ........... ........... 99342 E Home visit, new patient ......... ......... ......... ........... ........... 99343 E Home visit, new patient ......... ......... ......... ........... ........... 99344 E Home visit, new patient ......... ......... ......... ........... ........... 99345 E Home visit, new patient ......... ......... ......... ........... ........... 99347 E Home visit, estab ......... ......... ......... ........... ........... patient. 99348 E Home visit, estab ......... ......... ......... ........... ........... patient. 99349 E Home visit, estab ......... ......... ......... ........... ........... patient. 99350 E Home visit, estab ......... ......... ......... ........... ........... patient. 99354 N Prolonged service, ......... ......... ......... ........... ........... office. 99355 N Prolonged service, ......... ......... ......... ........... ........... office. 99356 C Prolonged service, ......... ......... ......... ........... ........... inpatient. 99357 C Prolonged service, ......... ......... ......... ........... ........... inpatient. 99358 N Prolonged serv, w/o ......... ......... ......... ........... ........... contact. 99359 N Prolonged serv, w/o ......... ......... ......... ........... ........... contact. 99360 E Physician standby ......... ......... ......... ........... ........... services.

99361 E Physician/team ......... ......... ......... ........... ........... conference. 99362 E Physician/team ......... ......... ......... ........... ........... conference. 99371 E Physician phone ......... ......... ......... ........... ........... consultation. 99372 E Physician phone ......... ......... ......... ........... ........... consultation. 99373 E Physician phone ......... ......... ......... ........... ........... consultation. 99374 E Home health care ......... ......... ......... ........... ........... supervision. 99375 E Home health care ......... ......... ......... ........... ........... supervision. 99377 E Hospice care ......... ......... ......... ........... ........... supervision. 99378 E Hospice care ......... ......... ......... ........... ........... supervision. 99379 E Nursing fac care ......... ......... ......... ........... ........... supervision. 99380 E Nursing fac care ......... ......... ......... ........... ........... supervision. 99381 E Preventive visit, new, ......... ......... ......... ........... ........... infant. 99382 E Preventive visit, new, ......... ......... ......... ........... ........... age 1-4. 99383 E Preventive visit, new, ......... ......... ......... ........... ........... age 5-11. 99384 E Preventive visit, new, ......... ......... ......... ........... ........... 12-17. 99385 E Preventive visit, new, ......... ......... ......... ........... ........... 18-39. 99386 E Preventive visit, new, ......... ......... ......... ........... ........... 40-64. 99387 E Preventive visit, new, ......... ......... ......... ........... ........... 65 & over. 99391 E Preventive visit, est, ......... ......... ......... ........... ........... infant. 99392 E Preventive visit, est, ......... ......... ......... ........... ........... age 1-4. 99393 E Preventive visit, est, ......... ......... ......... ........... ........... age 5-11. 99394 E Preventive visit, est, ......... ......... ......... ........... ........... 12-17. 99395 E Preventive visit, est, ......... ......... ......... ........... ........... 18-39. 99396 E Preventive visit, est, ......... ......... ......... ........... ........... 40-64. 99397 E Preventive visit, est, ......... ......... ......... ........... ........... 65 & over. 99401 E Preventive counseling, ......... ......... ......... ........... ........... indiv. 99402 E Preventive counseling, ......... ......... ......... ........... ........... indiv. 99403 E Preventive counseling, ......... ......... ......... ........... ........... indiv. 99404 E Preventive counseling, ......... ......... ......... ........... ........... indiv. 99411 E Preventive counseling, ......... ......... ......... ........... ........... group. 99412 E Preventive counseling, ......... ......... ......... ........... ........... group. 99420 E Health risk assessment ......... ......... ......... ........... ........... test. 99429 E Unlisted preventive ......... ......... ......... ........... ........... service. 99431 N Initial care, normal ......... ......... ......... ........... ........... newborn. 99432 N Newborn care not in ......... ......... ......... ........... ........... hospital. 99433 C Normal newborn ......... ......... ......... ........... ........... care,hospital. 99435 E Hospital NB discharge ......... ......... ......... ........... ........... day. 99436 N Attendance, birth...... ......... ......... ......... ........... ........... 99440 S Newborn resuscitation.. 947 4.11 $211.34 $106.22 $42.27 99450 E Life/disability ......... ......... ......... ........... ........... evaluation. 99455 E Disability examination. ......... ......... ......... ........... ........... 99456 E Disability examination. ......... ......... ......... ........... ........... 99499 E Unlisted E/M service... ......... ......... ......... ........... ........... A0021 E Outside state ambulance ......... ......... ......... ........... ........... serv. A0030 A Air ambulance service.. ......... ......... ......... ........... ........... A0040 A Helicopter ambulance ......... ......... ......... ........... ........... service. A0050 A Water amb service ......... ......... ......... ........... ........... emergency. A0080 E Noninterest escort in ......... ......... ......... ........... ........... non er. A0090 E Interest escort in non ......... ......... ......... ........... ........... er. A0100 E Nonemergency transport ......... ......... ......... ........... ........... taxi. A0110 E Nonemergency transport ......... ......... ......... ........... ........... bus. A0120 E Noner transport mini- ......... ......... ......... ........... ........... bus. A0130 E Noner transport wheelch ......... ......... ......... ........... ........... van. A0140 E Nonemergency transport ......... ......... ......... ........... ........... air. A0160 E Noner transport case ......... ......... ......... ........... ........... worker. A0170 E Noner transport parking ......... ......... ......... ........... ........... fees. A0180 E Noner transport lodgng ......... ......... ......... ........... ........... recip. A0190 E Noner transport meals ......... ......... ......... ........... ........... recip. A0200 E Noner transport lodgng ......... ......... ......... ........... ........... escrt. A0210 E Noner transport meals ......... ......... ......... ........... ........... escort. A0225 A Neonatal emergency ......... ......... ......... ........... ........... transport. A0300 A Ambulance basic non- ......... ......... ......... ........... ........... emer all. A0302 A Ambulance basic ......... ......... ......... ........... ........... emergeny all. A0304 A Amb adv non-er no serv ......... ......... ......... ........... ........... all. A0306 A Amb adv non-er spec ......... ......... ......... ........... ........... serv all. A0308 A Amb adv er no spec serv ......... ......... ......... ........... ........... all. A0310 A Amb adv er spec serv ......... ......... ......... ........... ........... all. A0320 A Amb basic non-er + ......... ......... ......... ........... ........... supplies. A0322 A Amb basic emerg + ......... ......... ......... ........... ........... supplies. A0324 A Adv non-er serv sep ......... ......... ......... ........... ........... mileage. A0326 A Adv non-er no serv sep ......... ......... ......... ........... ........... mile. A0328 A Adv er no serv sep ......... ......... ......... ........... ........... mileage. A0330 A Adv er spec serv sep ......... ......... ......... ........... ........... mile. A0340 A Amb basic non-er + ......... ......... ......... ........... ........... mileage. A0342 A Ambul basic emer + ......... ......... ......... ........... ........... mileage.

A0344 A Amb adv non-er no serv ......... ......... ......... ........... ........... +mile. A0346 A Amb adv non-er serv + ......... ......... ......... ........... ........... mile. A0348 A Adv emer no spec serv + ......... ......... ......... ........... ........... mile. A0350 A Adv emer spec serv + ......... ......... ......... ........... ........... mileage. A0360 A Basic non-er sep mile & ......... ......... ......... ........... ........... supp. A0362 A Basic emer sep mile & ......... ......... ......... ........... ........... supply. A0364 A Adv non-er no serv sep ......... ......... ......... ........... ........... mi&su. A0366 A Adv non-er serv sep ......... ......... ......... ........... ........... mil&supp. A0368 A Adv er no serv sep ......... ......... ......... ........... ........... mile&supp. A0370 A Adv er spec serv sep ......... ......... ......... ........... ........... mi&supp. A0380 A Basic life support ......... ......... ......... ........... ........... mileage. A0382 A Basic support routine ......... ......... ......... ........... ........... suppls. A0384 A Bls defibrillation ......... ......... ......... ........... ........... supplies. A0390 A Advanced life support ......... ......... ......... ........... ........... mileag. A0392 A Als defibrillation ......... ......... ......... ........... ........... supplies. A0394 A Als IV drug therapy ......... ......... ......... ........... ........... supplies. A0396 A Als esophageal intub ......... ......... ......... ........... ........... suppls. A0398 A Als routine disposble ......... ......... ......... ........... ........... suppls. A0420 A Ambulance waiting 1/2 ......... ......... ......... ........... ........... hr. A0422 A Ambulance 02 life ......... ......... ......... ........... ........... sustaining. A0424 A Extra ambulance ......... ......... ......... ........... ........... attendant. A0888 E Noncovered ambulance ......... ......... ......... ........... ........... mileage. A0999 A Unlisted ambulance ......... ......... ......... ........... ........... service. A4206 A 1 CC sterile syringe & ......... ......... ......... ........... ........... needle. A4207 A 2 CC sterile syringe & ......... ......... ......... ........... ........... needle. A4208 A 3 CC sterile syringe & ......... ......... ......... ........... ........... needle. A4209 A 5+ CC sterile syringe & ......... ......... ......... ........... ........... needle. A4210 E Nonneedle injection ......... ......... ......... ........... ........... device. A4211 A Supp for self-adm ......... ......... ......... ........... ........... injections. A4212 A Non coring needle or ......... ......... ......... ........... ........... stylet. A4213 A 20+ CC syringe only.... ......... ......... ......... ........... ........... A4214 A 30 CC sterile water/ ......... ......... ......... ........... ........... saline. A4215 A Sterile needle......... ......... ......... ......... ........... ........... A4220 A Infusion pump refill ......... ......... ......... ........... ........... kit. A4221 A Maint drug infus cath ......... ......... ......... ........... ........... per wk. A4222 A Drug infusion pump ......... ......... ......... ........... ........... supplies. A4230 E Infus insulin pump non ......... ......... ......... ........... ........... needl. A4231 E Infusion insulin pump ......... ......... ......... ........... ........... needle. A4232 E Syringe w/needle ......... ......... ......... ........... ........... insulin 3cc. A4244 A Alcohol or peroxide per ......... ......... ......... ........... ........... pint. A4245 A Alcohol wipes per box.. ......... ......... ......... ........... ........... A4246 A Betadine/phisohex ......... ......... ......... ........... ........... solution. A4247 A Betadine/iodine swabs/ ......... ......... ......... ........... ........... wipes. A4250 E Urine reagent strips/ ......... ......... ......... ........... ........... tablets. A4253 A Blood glucose/reagent ......... ......... ......... ........... ........... strips. A4254 A Battery for glucose ......... ......... ......... ........... ........... monitor. A4255 A Glucose monitor ......... ......... ......... ........... ........... platforms. A4256 A Calibrator solution/ ......... ......... ......... ........... ........... chips. A4258 A Lancet device each..... ......... ......... ......... ........... ........... A4259 A Lancets per box........ ......... ......... ......... ........... ........... A4260 E Levonorgestrel implant. ......... ......... ......... ........... ........... A4262 N Temporary tear duct ......... ......... ......... ........... ........... plug. A4263 A Permanent tear duct ......... ......... ......... ........... ........... plug. A4265 A Paraffin............... ......... ......... ......... ........... ........... A4270 A Disposable endoscope ......... ......... ......... ........... ........... sheath. A4300 A Cath impl vasc access ......... ......... ......... ........... ........... portal. A4301 A Implantable access syst ......... ......... ......... ........... ........... perc. A4305 A Drug delivery system ......... ......... ......... ........... ........... =50 ML. A4306 A Drug delivery system ......... ......... ......... ........... ........... 16 48 ......... ......... ......... ........... ........... sq in. A6199 A Alginate drsg wound ......... ......... ......... ........... ........... filler. A6203 A Composite drsg 16 48 sq ......... ......... ......... ........... ........... in. A6206 A Contact layer 16 48 sq ......... ......... ......... ........... ........... in. A6209 A Foam drsg 16 48 sq in w/o ......... ......... ......... ........... ........... brdr. A6212 A Foam drg 16 48 sq in w/ ......... ......... ......... ........... ........... border. A6215 A Foam dressing wound ......... ......... ......... ........... ........... filler. A6216 A Non-sterile gauze16 48 ......... ......... ......... ........... ........... sq in. A6219 A Gauze 16 48 sq in w/ ......... ......... ......... ........... ........... border. A6222 A Gauze 16 48 in no w/sal ......... ......... ......... ........... ........... w/o b. A6228 A Gauze 16 48 sq in water/ ......... ......... ......... ........... ........... salne. A6234 A Hydrocolld drg 16 48 in ......... ......... ......... ........... ........... w/o b. A6237 A Hydrocolld drg 16 48 in ......... ......... ......... ........... ........... w/bdr. A6240 A Hydrocolld drg filler ......... ......... ......... ........... ........... paste. A6241 A Hydrocolloid drg filler ......... ......... ......... ........... ........... dry. A6242 A Hydrogel drg 1648 in w/o ......... ......... ......... ........... ........... bdr. A6245 A Hydrogel drg 16 48 sq in ......... ......... ......... ........... ........... w/b. A6248 A Hydrogel drsg gel ......... ......... ......... ........... ........... filler. A6250 A Skin seal protect ......... ......... ......... ........... ........... moisturizr. A6251 A Absorpt drg 16 48 sq in ......... ......... ......... ........... ........... w/o b. A6254 A Absorpt drg 16 48 sq in ......... ......... ......... ........... ........... w/bdr. A6257 A Transparent film 16 48 ......... ......... ......... ........... ........... sq in.

A6260 A Wound cleanser any type/ ......... ......... ......... ........... ........... size. A6261 A Wound filler gel/paste / ......... ......... ......... ........... ........... oz. A6262 A Wound filler dry form / ......... ......... ......... ........... ........... gram. A6263 A Non-sterile elastic ......... ......... ......... ........... ........... gauze/yd. A6264 A Non-sterile no elastic ......... ......... ......... ........... ........... gauze. A6265 A Tape per 18 sq inches.. ......... ......... ......... ........... ........... A6266 A Impreg gauze no h20/sal/ ......... ......... ......... ........... ........... yard. A6402 A Sterile gauze 16 48 sq ......... ......... ......... ........... ........... in. A6405 A Sterile elastic gauze / ......... ......... ......... ........... ........... yd. A6406 A Sterile non-elastic ......... ......... ......... ........... ........... gauze/yd. A9150 E Misc/exper non- ......... ......... ......... ........... ........... prescript dru. A9160 E Podiatrist non-covered ......... ......... ......... ........... ........... servi. A9170 E Chiropractor non- ......... ......... ......... ........... ........... covered ser. A9190 E Misc/expe personal ......... ......... ......... ........... ........... comfort i. A9270 E Non-covered item or ......... ......... ......... ........... ........... service. A9300 E Exercise equipment..... ......... ......... ......... ........... ........... A9500 N Technetium TC 99m ......... ......... ......... ........... ........... sestamibi. A9502 N Technetium TC99M ......... ......... ......... ........... ........... tetrofosmin. A9503 N Technetium TC 99m ......... ......... ......... ........... ........... medronate. A9505 N Thallous chloride TL ......... ......... ......... ........... ........... 201/mci. A9600 N Strontium-89 chloride.. ......... ......... ......... ........... ........... B4034 A Enter feed supkit syr ......... ......... ......... ........... ........... by day. B4035 A Enteral feed supp pump ......... ......... ......... ........... ........... per d. B4036 A Enteral feed sup kit ......... ......... ......... ........... ........... grav by. B4081 A Enteral ng tubing w/ ......... ......... ......... ........... ........... stylet. B4082 A Enteral ng tubing w/o ......... ......... ......... ........... ........... stylet. B4083 A Enteral stomach tube ......... ......... ......... ........... ........... levine. B4084 A Gastrostomy/jejunostomy ......... ......... ......... ........... ........... tubi. B4085 A Gastrostomy tube w/ring ......... ......... ......... ........... ........... each. B4150 A Enteral formulae ......... ......... ......... ........... ........... category i. B4151 A Enteral formulae ......... ......... ......... ........... ........... category i-. B4152 A Enteral formulae ......... ......... ......... ........... ........... category ii. B4153 A Enteral formulae ......... ......... ......... ........... ........... category ii. B4154 A Enteral formulae ......... ......... ......... ........... ........... category IV. B4155 A Enteral formulae ......... ......... ......... ........... ........... category v. B4156 A Enteral formulae ......... ......... ......... ........... ........... category vi. B4164 A Parenteral 50% dextrose ......... ......... ......... ........... ........... solu. B4168 A Parenteral sol amino ......... ......... ......... ........... ........... acid 3.. B4172 A Parenteral sol amino ......... ......... ......... ........... ........... acid 5.. B4176 A Parenteral sol amino ......... ......... ......... ........... ........... acid 7-. B4178 A Parenteral sol amino ......... ......... ......... ........... ........... acid >. B4180 A Parenteral sol carb > ......... ......... ......... ........... ........... 50%. B4184 A Parenteral sol lipids ......... ......... ......... ........... ........... 10%. B4186 A Parenteral sol lipids ......... ......... ......... ........... ........... 20%. B4189 A Parenteral sol amino ......... ......... ......... ........... ........... acid &. B4193 A Parenteral sol 52-73 gm ......... ......... ......... ........... ........... prot. B4197 A Parenteral sol 74-100 ......... ......... ......... ........... ........... gm pro. B4199 A Parenteral sol > 100gm ......... ......... ......... ........... ........... prote. B4216 A Parenteral nutrition ......... ......... ......... ........... ........... additiv. B4220 A Parenteral supply kit ......... ......... ......... ........... ........... premix. B4222 A Parenteral supply kit ......... ......... ......... ........... ........... homemi. B4224 A Parenteral ......... ......... ......... ........... ........... administration ki. B5000 A Parenteral sol renal- ......... ......... ......... ........... ........... amirosy. B5100 A Parenteral sol hepatic- ......... ......... ......... ........... ........... fream. B5200 A Parenteral sol stres- ......... ......... ......... ........... ........... brnch c. B9000 A Enter infusion pump w/o ......... ......... ......... ........... ........... alrm. B9002 A Enteral infusion pump w/ ......... ......... ......... ........... ........... ala. B9004 A Parenteral infus pump ......... ......... ......... ........... ........... portab. B9006 A Parenteral infus pump ......... ......... ......... ........... ........... statio. B9998 A Enteral supp not ......... ......... ......... ........... ........... otherwise c. B9999 A Parenteral supp not ......... ......... ......... ........... ........... othrws c. D0120 E Periodic oral ......... ......... ......... ........... ........... evaluation. D0140 E Limit oral eval problm ......... ......... ......... ........... ........... focus. D0150 S Comprehensve oral 031 1.37 $70.45 $14.09 $14.09 evaluation. D0160 E Extensv oral eval prob ......... ......... ......... ........... ........... focus. D0210 E Intraor complete film ......... ......... ......... ........... ........... series. D0220 E Intraoral periapical ......... ......... ......... ........... ........... first f. D0230 E Intraoral periapical ea ......... ......... ......... ........... ........... add. D0240 S Intraoral occlusal film 031 1.37 $70.45 $14.09 $14.09 D0250 S Extraoral first film... 031 1.37 $70.45 $14.09 $14.09 D0260 S Extraoral ea additional 031 1.37 $70.45 $14.09 $14.09 film. D0270 S Dental bitewing single 031 1.37 $70.45 $14.09 $14.09 film. D0272 S Dental bitewings two 031 1.37 $70.45 $14.09 $14.09 films.

D0274 S Dental bitewings four 031 1.37 $70.45 $14.09 $14.09 films. D0290 E Dental film skull/ ......... ......... ......... ........... ........... facial bon. D0310 E Dental saliography..... ......... ......... ......... ........... ........... D0320 E Dental tmj arthrogram ......... ......... ......... ........... ........... incl i. D0321 E Dental other tmj films. ......... ......... ......... ........... ........... D0322 E Dental tomographic ......... ......... ......... ........... ........... survey. D0330 E Dental panoramic film.. ......... ......... ......... ........... ........... D0340 E Dental cephalometric ......... ......... ......... ........... ........... film. D0415 E Bacteriologic study.... ......... ......... ......... ........... ........... D0425 E Caries susceptibility ......... ......... ......... ........... ........... test. D0460 S Pulp vitality test..... 031 1.37 $70.45 $14.09 $14.09 D0470 E Diagnostic casts....... ......... ......... ......... ........... ........... D0471 S Diagnostic photographs. 031 1.37 $70.45 $14.09 $14.09 D0501 S Histopathologic 031 1.37 $70.45 $14.09 $14.09 examinations. D0502 S Other oral pathology 031 1.37 $70.45 $14.09 $14.09 procedu. D0999 S Unspecified diagnostic 031 1.37 $70.45 $14.09 $14.09 proce. D1110 E Dental prophylaxis ......... ......... ......... ........... ........... adult. D1120 E Dental prophylaxis ......... ......... ......... ........... ........... child. D1201 E Topical fluor w prophy ......... ......... ......... ........... ........... child. D1203 E Topical fluor w/o ......... ......... ......... ........... ........... prophy chi. D1204 E Topical fluor w/o ......... ......... ......... ........... ........... prophy adu. D1205 E Topical fluoride w/ ......... ......... ......... ........... ........... prophy a. D1310 E Nutri counsel-control ......... ......... ......... ........... ........... caries. D1320 E Tobacco counseling..... ......... ......... ......... ........... ........... D1330 E Oral hygiene ......... ......... ......... ........... ........... instruction. D1351 E Dental sealant per ......... ......... ......... ........... ........... tooth. D1510 S Space maintainer fxd 031 1.37 $70.45 $14.09 $14.09 unilat. D1515 S Fixed bilat space 031 1.37 $70.45 $14.09 $14.09 maintainer. D1520 S Remove unilat space 031 1.37 $70.45 $14.09 $14.09 maintain. D1525 S Remove bilat space 031 1.37 $70.45 $14.09 $14.09 maintain. D1550 S Recement space 031 1.37 $70.45 $14.09 $14.09 maintainer. D2110 E Amalgam one surface ......... ......... ......... ........... ........... primary. D2120 E Amalgam two surfaces ......... ......... ......... ........... ........... primary. D2130 E Amalgam three surfaces ......... ......... ......... ........... ........... prima. D2131 E Amalgam four/more surf ......... ......... ......... ........... ........... prima. D2140 E Amalgam one surface ......... ......... ......... ........... ........... permanen. D2150 E Amalgam two surfaces ......... ......... ......... ........... ........... permane. D2160 E Amalgam three surfaces ......... ......... ......... ........... ........... perma. D2161 E Amalgam 4 or > surfaces ......... ......... ......... ........... ........... perm. D2210 E Slcate cement per ......... ......... ......... ........... ........... restorat. D2330 E Resin one surface- ......... ......... ......... ........... ........... anterior. D2331 E Resin two surfaces- ......... ......... ......... ........... ........... anterior. D2332 E Resin three surfaces- ......... ......... ......... ........... ........... anterio. D2335 E Resin 4/> surf or w ......... ......... ......... ........... ........... incis an. D2336 E Composite resin crown.. ......... ......... ......... ........... ........... D2380 E Resin one surf poster ......... ......... ......... ........... ........... primar. D2381 E Resin two surf poster ......... ......... ......... ........... ........... primar. D2382 E Resin three/more surf ......... ......... ......... ........... ........... post p. D2385 E Resin one surf poster ......... ......... ......... ........... ........... perman. D2386 E Resin two surf poster ......... ......... ......... ........... ........... perman. D2387 E Resin three/more surf ......... ......... ......... ........... ........... post p. D2410 E Dental gold foil one ......... ......... ......... ........... ........... surface. D2420 E Dental gold foil two ......... ......... ......... ........... ........... surface. D2430 E Dental gold foil three ......... ......... ......... ........... ........... surfa. D2510 E Dental inlay metalic 1 ......... ......... ......... ........... ........... surf. D2520 E Dental inlay metallic 2 ......... ......... ......... ........... ........... surf. D2530 E Dental inlay metl 3/ ......... ......... ......... ........... ........... more sur. D2543 E Dental onlay metallic 3 ......... ......... ......... ........... ........... surf. D2544 E Dental onlay metl 4/ ......... ......... ......... ........... ........... more sur. D2610 E Inlay porcelain/ceramic ......... ......... ......... ........... ........... 1 su. D2620 E Inlay porcelain/ceramic ......... ......... ......... ........... ........... 2 su. D2630 E Dental onlay porc 3/ ......... ......... ......... ........... ........... more sur. D2642 E Dental onlay porcelin 2 ......... ......... ......... ........... ........... surf. D2643 E Dental onlay porcelin 3 ......... ......... ......... ........... ........... surf. D2644 E Dental onlay porc 4/ ......... ......... ......... ........... ........... more sur. D2650 E Inlay composite/resin ......... ......... ......... ........... ........... one su. D2651 E Inlay composite/resin ......... ......... ......... ........... ........... two su. D2652 E Dental inlay resin 3/ ......... ......... ......... ........... ........... mre sur. D2662 E Dental onlay resin 2 ......... ......... ......... ........... ........... surface. D2663 E Dental onlay resin 3 ......... ......... ......... ........... ........... surface. D2664 E Dental onlay resin 4/ ......... ......... ......... ........... ........... mre sur. D2710 E Crown resin laboratory. ......... ......... ......... ........... ........... D2720 E Crown resin w/ high ......... ......... ......... ........... ........... noble me. D2721 E Crown resin w/ base ......... ......... ......... ........... ........... metal. D2722 E Crown resin w/ noble ......... ......... ......... ........... ........... metal.

D2740 E Crown porcelain/ceramic ......... ......... ......... ........... ........... subs. D2750 E Crown porcelain w/ h ......... ......... ......... ........... ........... noble m. D2751 E Crown porcelain fused ......... ......... ......... ........... ........... base m. D2752 E Crown porcelain w/ ......... ......... ......... ........... ........... noble met. D2790 E Crown full cast high ......... ......... ......... ........... ........... noble m. D2791 E Crown full cast base ......... ......... ......... ........... ........... metal. D2792 E Crown full cast noble ......... ......... ......... ........... ........... metal. D2810 E Crown 3/4 cast metallic ......... ......... ......... ........... ........... D2910 E Dental recement inlay.. ......... ......... ......... ........... ........... D2920 E Dental recement crown.. ......... ......... ......... ........... ........... D2930 E Prefab stnlss steel ......... ......... ......... ........... ........... crwn pri. D2931 E Prefab stnlss steel ......... ......... ......... ........... ........... crown pe. D2932 E Prefabricated resin ......... ......... ......... ........... ........... crown. D2933 E Prefab stainless steel ......... ......... ......... ........... ........... crown. D2940 E Dental sedative filling ......... ......... ......... ........... ........... D2950 E Core build-up incl any ......... ......... ......... ........... ........... pins. D2951 E Tooth pin retention.... ......... ......... ......... ........... ........... D2952 E Post and core cast + ......... ......... ......... ........... ........... crown. D2954 E Prefab post/core + ......... ......... ......... ........... ........... crown. D2955 E Post removal........... ......... ......... ......... ........... ........... D2960 E Laminate labial veneer. ......... ......... ......... ........... ........... D2961 E Lab labial veneer resin ......... ......... ......... ........... ........... D2962 E Lab labial veneer ......... ......... ......... ........... ........... porcelain. D2970 S Temporary- fractured 031 1.37 $70.45 $14.09 $14.09 tooth. D2980 E Crown repair........... ......... ......... ......... ........... ........... D2999 S Dental unspec 031 1.37 $70.45 $14.09 $14.09 restorative pr. D3110 E Pulp cap direct........ ......... ......... ......... ........... ........... D3120 E Pulp cap indirect...... ......... ......... ......... ........... ........... D3220 E Therapeutic pulpotomy.. ......... ......... ......... ........... ........... D3230 E Pulpal therapy anterior ......... ......... ......... ........... ........... prim. D3240 E Pulpal therapy ......... ......... ......... ........... ........... posterior pri. D3310 E Anterior............... ......... ......... ......... ........... ........... D3320 E Root canal therapy 2 ......... ......... ......... ........... ........... canals. D3330 E Root canal therapy 3 ......... ......... ......... ........... ........... canals. D3346 E Retreat root canal ......... ......... ......... ........... ........... anterior. D3347 E Retreat root canal ......... ......... ......... ........... ........... bicuspid. D3348 E Retreat root canal ......... ......... ......... ........... ........... molar. D3351 E Apexification/recalc ......... ......... ......... ........... ........... initial. D3352 E Apexification/recalc ......... ......... ......... ........... ........... interim. D3353 E Apexification/recalc ......... ......... ......... ........... ........... final. D3410 E Apicoect/perirad surg ......... ......... ......... ........... ........... anter. D3421 E Root surgery bicuspid.. ......... ......... ......... ........... ........... D3425 E Root surgery molar..... ......... ......... ......... ........... ........... D3426 E Root surgery ea add ......... ......... ......... ........... ........... root. D3430 E Retrograde filling..... ......... ......... ......... ........... ........... D3450 E Root amputation........ ......... ......... ......... ........... ........... D3460 S Endodontic endosseous 031 1.37 $70.45 $14.09 $14.09 implan. D3470 E Intentional ......... ......... ......... ........... ........... replantation. D3910 E Isolation- tooth w rubb ......... ......... ......... ........... ........... dam. D3920 E Tooth splitting........ ......... ......... ......... ........... ........... D3950 E Canal prep/fitting of ......... ......... ......... ........... ........... dowel. D3960 E Bleaching of discolored ......... ......... ......... ........... ........... toot. D3999 S Endodontic procedure... 031 1.37 $70.45 $14.09 $14.09 D4210 E Gingivectomy/plasty per ......... ......... ......... ........... ........... quad. D4211 E Gingivectomy/plasty per ......... ......... ......... ........... ........... toot. D4220 E Gingival curettage per ......... ......... ......... ........... ........... quadr. D4240 E Gingival flap proc w/ ......... ......... ......... ........... ........... planin. D4249 E Crown lengthen hard ......... ......... ......... ........... ........... tissue. D4250 S Mucogingival surg per 031 1.37 $70.45 $14.09 $14.09 quadra. D4260 S Osseous surgery per 031 1.37 $70.45 $14.09 $14.09 quadrant. D4263 S Bone replce graft first 031 1.37 $70.45 $14.09 $14.09 site. D4264 S Bone replce graft each 031 1.37 $70.45 $14.09 $14.09 add. D4266 E Guided tiss regen ......... ......... ......... ........... ........... resorble. D4267 E Guided tiss regen ......... ......... ......... ........... ........... nonresorb. D4270 S Pedicle soft tissue 031 1.37 $70.45 $14.09 $14.09 graft pr. D4271 S Free soft tissue graft 031 1.37 $70.45 $14.09 $14.09 proc. D4273 S Subepithelial tissue 031 1.37 $70.45 $14.09 $14.09 graft. D4274 E Distal/proximal wedge ......... ......... ......... ........... ........... proc. D4320 E Provision splnt ......... ......... ......... ........... ........... intracoronal. D4321 E Provisional splint ......... ......... ......... ........... ........... extracoro. D4341 E Periodontal scaling & ......... ......... ......... ........... ........... root. D4355 S Full mouth debridement. 031 1.37 $70.45 $14.09 $14.09 D4381 S Localized chemo 031 1.37 $70.45 $14.09 $14.09 delivery. D4910 E Periodontal maint ......... ......... ......... ........... ........... procedures. D4920 E Unscheduled dressing ......... ......... ......... ........... ........... change.

D4999 E Unspecified periodontal ......... ......... ......... ........... ........... proc. D5110 E Dentures complete ......... ......... ......... ........... ........... maxillary. D5120 E Dentures complete ......... ......... ......... ........... ........... mandible. D5130 E Dentures immediat ......... ......... ......... ........... ........... maxillary. D5140 E Dentures immediat ......... ......... ......... ........... ........... mandible. D5211 E Dentures maxill part ......... ......... ......... ........... ........... resin. D5212 E Dentures mand part ......... ......... ......... ........... ........... resin. D5213 E Dentures maxill part ......... ......... ......... ........... ........... metal. D5214 E Dentures mandibl part ......... ......... ......... ........... ........... metal. D5281 E Removable partial ......... ......... ......... ........... ........... denture. D5410 E Dentures adjust cmplt ......... ......... ......... ........... ........... maxil. D5411 E Dentures adjust cmplt ......... ......... ......... ........... ........... mand. D5421 E Dentures adjust part ......... ......... ......... ........... ........... maxill. D5422 E Dentures adjust part ......... ......... ......... ........... ........... mandbl. D5510 E Dentur repr broken ......... ......... ......... ........... ........... compl bas. D5520 E Replace denture teeth ......... ......... ......... ........... ........... complt. D5610 E Dentures repair resin ......... ......... ......... ........... ........... base. D5620 E Rep part denture cast ......... ......... ......... ........... ........... frame. D5630 E Rep partial denture ......... ......... ......... ........... ........... clasp. D5640 E Replace part denture ......... ......... ......... ........... ........... teeth. D5650 E Add tooth to partial ......... ......... ......... ........... ........... denture. D5660 E Add clasp to partial ......... ......... ......... ........... ........... denture. D5710 E Dentures rebase cmplt ......... ......... ......... ........... ........... maxil. D5711 E Dentures rebase cmplt ......... ......... ......... ........... ........... mand. D5720 E Dentures rebase part ......... ......... ......... ........... ........... maxill. D5721 E Dentures rebase part ......... ......... ......... ........... ........... mandbl. D5730 E Denture reln cmplt ......... ......... ......... ........... ........... maxil ch. D5731 E Denture reln cmplt mand ......... ......... ......... ........... ........... chr. D5740 E Denture reln part maxil ......... ......... ......... ........... ........... chr. D5741 E Denture reln part mand ......... ......... ......... ........... ........... chr. D5750 E Denture reln cmplt max ......... ......... ......... ........... ........... lab. D5751 E Denture reln cmplt mand ......... ......... ......... ........... ........... lab. D5760 E Denture reln part maxil ......... ......... ......... ........... ........... lab. D5761 E Denture reln part mand ......... ......... ......... ........... ........... lab. D5810 E Denture interm cmplt ......... ......... ......... ........... ........... maxill. D5811 E Denture interm cmplt ......... ......... ......... ........... ........... mandbl. D5820 E Denture interm part ......... ......... ......... ........... ........... maxill. D5821 E Denture interm part ......... ......... ......... ........... ........... mandbl. D5850 E Denture tiss conditn ......... ......... ......... ........... ........... maxill. D5851 E Denture tiss condtin ......... ......... ......... ........... ........... mandbl. D5860 E Overdenture complete... ......... ......... ......... ........... ........... D5861 E Overdenture partial.... ......... ......... ......... ........... ........... D5862 E Precision attachment... ......... ......... ......... ........... ........... D5899 E Removable prosthodontic ......... ......... ......... ........... ........... proc. D5911 S Facial moulage 031 1.37 $70.45 $14.09 $14.09 sectional. D5912 S Facial moulage complete 031 1.37 $70.45 $14.09 $14.09 D5913 E Nasal prosthesis....... ......... ......... ......... ........... ........... D5914 E Auricular prosthesis... ......... ......... ......... ........... ........... D5915 E Orbital prosthesis..... ......... ......... ......... ........... ........... D5916 E Ocular prosthesis...... ......... ......... ......... ........... ........... D5919 E Facial prosthesis...... ......... ......... ......... ........... ........... D5922 E Nasal septal prosthesis ......... ......... ......... ........... ........... D5923 E Ocular prosthesis ......... ......... ......... ........... ........... interim. D5924 E Cranial prosthesis..... ......... ......... ......... ........... ........... D5925 E Facial augmentation ......... ......... ......... ........... ........... implant. D5926 E Replacement nasal ......... ......... ......... ........... ........... prosthesis. D5927 E Auricular replacement.. ......... ......... ......... ........... ........... D5928 E Orbital replacement.... ......... ......... ......... ........... ........... D5929 E Facial replacement..... ......... ......... ......... ........... ........... D5931 E Surgical obturator..... ......... ......... ......... ........... ........... D5932 E Postsurgical obturator. ......... ......... ......... ........... ........... D5933 E Refitting of obturator. ......... ......... ......... ........... ........... D5934 E Mandibular flange ......... ......... ......... ........... ........... prosthesis. D5935 E Mandibular denture ......... ......... ......... ........... ........... prosth. D5936 E Temp obturator ......... ......... ......... ........... ........... prosthesis. D5937 E Trismus appliance...... ......... ......... ......... ........... ........... D5951 E Feeding aid............ ......... ......... ......... ........... ........... D5952 E Pediatric speech aid... ......... ......... ......... ........... ........... D5953 E Adult speech aid....... ......... ......... ......... ........... ........... D5954 E Superimposed prosthesis ......... ......... ......... ........... ........... D5955 E Palatal lift prosthesis ......... ......... ......... ........... ........... D5958 E Intraoral con def inter ......... ......... ......... ........... ........... plt. D5959 E Intraoral con def mod ......... ......... ......... ........... ........... palat. D5960 E Modify speech aid ......... ......... ......... ........... ........... prosthesis. D5982 E Surgical stent......... ......... ......... ......... ........... ...........

D5983 S Radiation applicator... 031 1.37 $70.45 $14.09 $14.09 D5984 S Radiation shield....... 031 1.37 $70.45 $14.09 $14.09 D5985 S Radiation cone locator. 031 1.37 $70.45 $14.09 $14.09 D5986 E Fluoride applicator.... ......... ......... ......... ........... ........... D5987 S Commissure splint...... 031 1.37 $70.45 $14.09 $14.09 D5988 E Surgical splint........ ......... ......... ......... ........... ........... D5999 E Maxillofacial ......... ......... ......... ........... ........... prosthesis. D6010 E Odontics endosteal ......... ......... ......... ........... ........... implant. D6020 E Odontics abutment ......... ......... ......... ........... ........... placement. D6040 E Odontics eposteal ......... ......... ......... ........... ........... implant. D6050 E Odontics transosteal ......... ......... ......... ........... ........... implnt. D6055 E Implant connecting bar. ......... ......... ......... ........... ........... D6080 E Implant maintenance.... ......... ......... ......... ........... ........... D6090 E Repair implant......... ......... ......... ......... ........... ........... D6095 E Odontics repr abutment. ......... ......... ......... ........... ........... D6100 E Removal of implant..... ......... ......... ......... ........... ........... D6199 E Implant procedure...... ......... ......... ......... ........... ........... D6210 E Prosthodont high noble ......... ......... ......... ........... ........... metal. D6211 E Bridge base metal cast. ......... ......... ......... ........... ........... D6212 E Bridge noble metal cast ......... ......... ......... ........... ........... D6240 E Bridge porcelain high ......... ......... ......... ........... ........... noble. D6241 E Bridge porcelain base ......... ......... ......... ........... ........... metal. D6242 E Bridge porcelain nobel ......... ......... ......... ........... ........... metal. D6250 E Bridge resin w/high ......... ......... ......... ........... ........... noble. D6251 E Bridge resin base metal ......... ......... ......... ........... ........... D6252 E Bridge resin w/noble ......... ......... ......... ........... ........... metal. D6520 E Dental retainer two ......... ......... ......... ........... ........... surfaces. D6530 E Retainer metallic 3+ ......... ......... ......... ........... ........... surface. D6543 E Dental retainr onlay 3 ......... ......... ......... ........... ........... surf. D6544 E Dental retainr onlay 4/ ......... ......... ......... ........... ........... more. D6545 E Dental retainr cast ......... ......... ......... ........... ........... metl. D6720 E Retain crown resin w hi ......... ......... ......... ........... ........... nble. D6721 E Crown resin w/base ......... ......... ......... ........... ........... metal. D6722 E Crown resin w/noble ......... ......... ......... ........... ........... metal. D6750 E Crown porcelain high ......... ......... ......... ........... ........... noble. D6751 E Crown porcelain base ......... ......... ......... ........... ........... metal. D6752 E Crown porcelain noble ......... ......... ......... ........... ........... metal. D6780 E Crown 3/4 high noble ......... ......... ......... ........... ........... metal. D6790 E Crown full high noble ......... ......... ......... ........... ........... metal. D6791 E Crown full base metal ......... ......... ......... ........... ........... cast. D6792 E Crown full noble metal ......... ......... ......... ........... ........... cast. D6920 S Dental connector bar... 031 1.37 $70.45 $14.09 $14.09 D6930 E Dental recement bridge. ......... ......... ......... ........... ........... D6940 E Stress breaker......... ......... ......... ......... ........... ........... D6950 E Precision attachment... ......... ......... ......... ........... ........... D6970 E Post & core plus ......... ......... ......... ........... ........... retainer. D6971 E Cast post bridge ......... ......... ......... ........... ........... retainer. D6972 E Prefab post & core plus ......... ......... ......... ........... ........... reta. D6973 E Core build up for ......... ......... ......... ........... ........... retainer. D6975 E Coping metal........... ......... ......... ......... ........... ........... D6980 E Bridge repair.......... ......... ......... ......... ........... ........... D6999 E Fixed prosthodontic ......... ......... ......... ........... ........... proc. D7110 S Oral surgery single 031 1.37 $70.45 $14.09 $14.09 tooth. D7120 S Each add tooth 031 1.37 $70.45 $14.09 $14.09 extraction. D7130 S Tooth root removal..... 031 1.37 $70.45 $14.09 $14.09 D7210 S Rem imp tooth w mucoper 031 1.37 $70.45 $14.09 $14.09 flp. D7220 S Impact tooth remov soft 031 1.37 $70.45 $14.09 $14.09 tiss. D7230 S Impact tooth remov part 031 1.37 $70.45 $14.09 $14.09 bony. D7240 S Impact tooth remov comp 031 1.37 $70.45 $14.09 $14.09 bony. D7241 S Impact tooth rem bony w/ 031 1.37 $70.45 $14.09 $14.09 comp. D7250 S Tooth root removal..... 031 1.37 $70.45 $14.09 $14.09 D7260 S Oral antral fistula 031 1.37 $70.45 $14.09 $14.09 closure. D7270 E Tooth reimplantation... ......... ......... ......... ........... ........... D7272 E Tooth transplantation.. ......... ......... ......... ........... ........... D7280 E Exposure impact tooth ......... ......... ......... ........... ........... orthod. D7281 E Exposure tooth aid ......... ......... ......... ........... ........... eruption. D7285 E Biopsy of oral tissue ......... ......... ......... ........... ........... hard. D7286 E Biopsy of oral tissue ......... ......... ......... ........... ........... soft. D7290 E Repositioning of teeth. ......... ......... ......... ........... ........... D7291 S Transseptal fiberotomy. 031 1.37 $70.45 $14.09 $14.09 D7310 E Alveoplasty w/ ......... ......... ......... ........... ........... extraction. D7320 E Alveoplasty w/o ......... ......... ......... ........... ........... extraction. D7340 E Vestibuloplasty ridge ......... ......... ......... ........... ........... extens. D7350 E Vestibuloplasty exten ......... ......... ......... ........... ........... graft. D7410 E Rad exc lesion up to ......... ......... ......... ........... ........... 1.25 cm.

D7420 E Lesion > 1.25 cm....... ......... ......... ......... ........... ........... D7430 E Exc benign tumor to ......... ......... ......... ........... ........... 1.25 cm. D7431 E Benign tumor exc > 1.25 ......... ......... ......... ........... ........... cm. D7440 E Malig tumor exc to 1.25 ......... ......... ......... ........... ........... cm. D7441 E Malig tumor > 1.25 cm.. ......... ......... ......... ........... ........... D7450 E Rem odontogen cyst to ......... ......... ......... ........... ........... 1.25cm. D7451 E Rem odontogen cyst > ......... ......... ......... ........... ........... 1.25 cm. D7460 E Rem nonodonto cyst to ......... ......... ......... ........... ........... 1.25cm. D7461 E Rem nonodonto cyst > ......... ......... ......... ........... ........... 1.25 cm. D7465 E Lesion destruction..... ......... ......... ......... ........... ........... D7470 E Rem exostosis maxilla/ ......... ......... ......... ........... ........... mandib. D7480 E Partial ostectomy...... ......... ......... ......... ........... ........... D7490 E Mandible resection..... ......... ......... ......... ........... ........... D7510 E I&d absc intraoral soft ......... ......... ......... ........... ........... tiss. D7520 E I&d abscess extraoral.. ......... ......... ......... ........... ........... D7530 E Removal fb skin/areolar ......... ......... ......... ........... ........... tiss. D7540 E Removal of fb reaction. ......... ......... ......... ........... ........... D7550 E Removal of sloughed off ......... ......... ......... ........... ........... bone. D7560 E Maxillary sinusotomy... ......... ......... ......... ........... ........... D7610 E Maxilla open reduct ......... ......... ......... ........... ........... simple. D7620 E Clsd reduct simpl ......... ......... ......... ........... ........... maxilla fx. D7630 E Open red simpl mandible ......... ......... ......... ........... ........... fx. D7640 E Clsd red simpl mandible ......... ......... ......... ........... ........... fx. D7650 E Open red simp malar/ ......... ......... ......... ........... ........... zygom fx. D7660 E Clsd red simp malar/ ......... ......... ......... ........... ........... zygom fx. D7670 E Open red simple ......... ......... ......... ........... ........... alveolus fx. D7680 E Reduct simple facial ......... ......... ......... ........... ........... bone fx. D7710 E Maxilla open reduct ......... ......... ......... ........... ........... compound. D7720 E Clsd reduct compd ......... ......... ......... ........... ........... maxilla fx. D7730 E Open reduct compd ......... ......... ......... ........... ........... mandble fx. D7740 E Clsd reduct compd ......... ......... ......... ........... ........... mandble fx. D7750 E Open red comp malar/ ......... ......... ......... ........... ........... zygma fx. D7760 E Clsd red comp malar/ ......... ......... ......... ........... ........... zygma fx. D7770 E Open reduc compd ......... ......... ......... ........... ........... alveolus fx. D7780 E Reduct compnd facial ......... ......... ......... ........... ........... bone fx. D7810 E Tmj open reduct- ......... ......... ......... ........... ........... dislocation. D7820 E Closed tmp manipulation ......... ......... ......... ........... ........... D7830 E Tmj manipulation under ......... ......... ......... ........... ........... anest. D7840 E Removal of tmj condyle. ......... ......... ......... ........... ........... D7850 E Tmj meniscectomy....... ......... ......... ......... ........... ........... D7852 E Tmj repair of joint ......... ......... ......... ........... ........... disc. D7854 E Tmj excisn of joint ......... ......... ......... ........... ........... membrane. D7856 E Tmj cutting of a muscle ......... ......... ......... ........... ........... D7858 E Tmj reconstruction..... ......... ......... ......... ........... ........... D7860 E Tmj cutting into joint. ......... ......... ......... ........... ........... D7865 E Tmj reshaping ......... ......... ......... ........... ........... components. D7870 E Tmj aspiration joint ......... ......... ......... ........... ........... fluid. D7872 E Tmj diagnostic ......... ......... ......... ........... ........... arthroscopy. D7873 E Tmj arthroscopy lysis ......... ......... ......... ........... ........... adhesn. D7874 E Tmj arthroscopy disc ......... ......... ......... ........... ........... reposit. D7875 E Tmj arthroscopy ......... ......... ......... ........... ........... synovectomy. D7876 E Tmj arthroscopy ......... ......... ......... ........... ........... discectomy. D7877 E Tmj arthroscopy ......... ......... ......... ........... ........... debridement. D7880 E Occlusal orthotic ......... ......... ......... ........... ........... appliance. D7899 E Tmj unspecified therapy ......... ......... ......... ........... ........... D7910 E Dent sutur recent wnd ......... ......... ......... ........... ........... to 5cm. D7911 E Dental suture wound to ......... ......... ......... ........... ........... 5 cm. D7912 E Suture complicate wnd > ......... ......... ......... ........... ........... 5 cm. D7920 E Dental skin graft...... ......... ......... ......... ........... ........... D7940 S Reshaping bone 031 1.37 $70.45 $14.09 $14.09 orthognathic. D7941 E Bone cutting ramus ......... ......... ......... ........... ........... closed. D7942 E Bone cutting ramus open ......... ......... ......... ........... ........... D7943 E Cutting ramus open w/ ......... ......... ......... ........... ........... graft. D7944 E Bone cutting segmented. ......... ......... ......... ........... ........... D7945 E Bone cutting body ......... ......... ......... ........... ........... mandible. D7946 E Reconstruction maxilla ......... ......... ......... ........... ........... total. D7947 E Reconstruct maxilla ......... ......... ......... ........... ........... segment. D7948 E Reconstruct midface no ......... ......... ......... ........... ........... graft. D7949 E Reconstruct midface w/ ......... ......... ......... ........... ........... graft. D7950 E Mandible graft......... ......... ......... ......... ........... ........... D7955 E Repair maxillofacial ......... ......... ......... ........... ........... defects. D7960 E Frenulectomy/ ......... ......... ......... ........... ........... frenulotomy. D7970 E Excision hyperplastic ......... ......... ......... ........... ........... tissue. D7971 E Excision pericoronal ......... ......... ......... ........... ........... gingiva. D7980 E Sialolithotomy......... ......... ......... ......... ........... ...........

D7981 E Excision of salivary ......... ......... ......... ........... ........... gland. D7982 E Sialodochoplasty....... ......... ......... ......... ........... ........... D7983 E Closure of salivary ......... ......... ......... ........... ........... fistula. D7990 E Emergency tracheotomy.. ......... ......... ......... ........... ........... D7991 E Dental coronoidectomy.. ......... ......... ......... ........... ........... D7995 E Synthetic graft facial ......... ......... ......... ........... ........... bones. D7996 E Implant mandible for ......... ......... ......... ........... ........... augment. D7999 E Oral surgery procedure. ......... ......... ......... ........... ........... D8010 E Limited dental tx ......... ......... ......... ........... ........... primary. D8020 E Limited dental tx ......... ......... ......... ........... ........... transition. D8030 E Limited dental tx ......... ......... ......... ........... ........... adolescent. D8040 E Limited dental tx adult ......... ......... ......... ........... ........... D8050 E Intercep dental tx ......... ......... ......... ........... ........... primary. D8060 E Intercep dental tx ......... ......... ......... ........... ........... transitn. D8070 E Compre dental tx ......... ......... ......... ........... ........... transition. D8080 E Compre dental tx ......... ......... ......... ........... ........... adolescent. D8090 E Compre dental tx adult. ......... ......... ......... ........... ........... D8210 E Orthodontic rem ......... ......... ......... ........... ........... appliance tx. D8220 E Fixed appliance therapy ......... ......... ......... ........... ........... habt. D8660 E Preorthodontic tx visit ......... ......... ......... ........... ........... D8670 E Periodic orthodontc tx ......... ......... ......... ........... ........... visit. D8680 E Orthodontic retention.. ......... ......... ......... ........... ........... D8690 E Orthodontic treatment.. ......... ......... ......... ........... ........... D8999 E Orthodontic procedure.. ......... ......... ......... ........... ........... D9110 N Tx dental pain minor ......... ......... ......... ........... ........... proc. D9210 E Dent anesthesia w/o ......... ......... ......... ........... ........... surgery. D9211 E Regional block ......... ......... ......... ........... ........... anesthesia. D9212 E Trigeminal block ......... ......... ......... ........... ........... anesthesia. D9215 E Local anesthesia....... ......... ......... ......... ........... ........... D9220 E General anesthesia..... ......... ......... ......... ........... ........... D9221 E General anesthesia ea ......... ......... ......... ........... ........... ad 15m. D9230 N Analgesia.............. ......... ......... ......... ........... ........... D9240 E Intravenous sedation... ......... ......... ......... ........... ........... D9310 E Dental consultation.... ......... ......... ......... ........... ........... D9410 E Dental house call...... ......... ......... ......... ........... ........... D9420 E Hospital call.......... ......... ......... ......... ........... ........... D9430 E Office visit during ......... ......... ......... ........... ........... hours. D9440 E Office visit after ......... ......... ......... ........... ........... hours. D9610 E Dent therapeutic drug ......... ......... ......... ........... ........... inject. D9630 S Other drugs/medicaments 031 1.37 $70.45 $14.09 $14.09 D9910 E Dent appl desensitizing ......... ......... ......... ........... ........... med. D9920 E Behavior management.... ......... ......... ......... ........... ........... D9930 S Treatment of 031 1.37 $70.45 $14.09 $14.09 complications. D9940 S Dental occlusal guard.. 031 1.37 $70.45 $14.09 $14.09 D9941 E Fabrication athletic ......... ......... ......... ........... ........... guard. D9950 S Occlusion analysis..... 031 1.37 $70.45 $14.09 $14.09 D9951 S Limited occlusal 031 1.37 $70.45 $14.09 $14.09 adjustment. D9952 S Complete occlusal 031 1.37 $70.45 $14.09 $14.09 adjustment. D9970 E Enamel microabrasion... ......... ......... ......... ........... ........... D9999 E Adjunctive procedure... ......... ......... ......... ........... ........... E0100 A Cane adjust/fixed with ......... ......... ......... ........... ........... tip. E0105 A Cane adjust/fixed quad/ ......... ......... ......... ........... ........... 3 pro. E0110 A Crutch forearm pair.... ......... ......... ......... ........... ........... E0111 A Crutch forearm each.... ......... ......... ......... ........... ........... E0112 A Crutch underarm pair ......... ......... ......... ........... ........... wood. E0113 A Crutch underarm each ......... ......... ......... ........... ........... wood. E0114 A Crutch underarm pair no ......... ......... ......... ........... ........... wood. E0116 A Crutch underarm each no ......... ......... ......... ........... ........... wood. E0130 A Walker rigid adjust/ ......... ......... ......... ........... ........... fixed ht. E0135 A Walker folding adjust/ ......... ......... ......... ........... ........... fixed. E0141 A Rigid walker wheeled wo ......... ......... ......... ........... ........... seat. E0142 A Walker rigid wheeled ......... ......... ......... ........... ........... with se. E0143 A Walker folding wheeled ......... ......... ......... ........... ........... w/o s. E0145 A Walker whled seat/ ......... ......... ......... ........... ........... crutch att. E0146 A Folding walker wheels w ......... ......... ......... ........... ........... seat. E0147 A Walker variable wheel ......... ......... ......... ........... ........... resist. E0153 A Forearm crutch platform ......... ......... ......... ........... ........... atta. E0154 A Walker platform ......... ......... ......... ........... ........... attachment. E0155 A Walker rigd pick-up/ ......... ......... ......... ........... ........... wheel at. E0156 A Walker seat attachment. ......... ......... ......... ........... ........... E0157 A Walker crutch ......... ......... ......... ........... ........... attachment. E0158 A Walker leg extensions.. ......... ......... ......... ........... ........... E0159 A Brake for wheeled ......... ......... ......... ........... ........... walker. E0160 A Sitz type bath or ......... ......... ......... ........... ........... equipment. E0161 A Sitz bath/equipment w/ ......... ......... ......... ........... ........... faucet.

E0162 A Sitz bath chair........ ......... ......... ......... ........... ........... E0163 A Commode chair stationry ......... ......... ......... ........... ........... fxd. E0164 A Commode chair mobile ......... ......... ......... ........... ........... fixed a. E0165 A Commode chair stationry ......... ......... ......... ........... ........... det. E0166 A Commode chair mobile ......... ......... ......... ........... ........... detach. E0167 A Commode chair pail or ......... ......... ......... ........... ........... pan. E0175 A Commode chair foot rest ......... ......... ......... ........... ........... E0176 A Air pressre pad/cushion ......... ......... ......... ........... ........... nonp. E0177 A Water press pad/cushion ......... ......... ......... ........... ........... nonp. E0178 A Gel pressre pad/cushion ......... ......... ......... ........... ........... nonp. E0179 A Dry pressre pad/cushion ......... ......... ......... ........... ........... nonp. E0180 A Press pad alternating w ......... ......... ......... ........... ........... pump. E0181 A Press pad alternating w/ ......... ......... ......... ........... ........... pum. E0182 A Pressure pad ......... ......... ......... ........... ........... alternating pum. E0184 A Dry pressure mattress.. ......... ......... ......... ........... ........... E0185 A Gel pressure mattress ......... ......... ......... ........... ........... pad. E0186 A Air pressure mattress.. ......... ......... ......... ........... ........... E0187 A Water pressure mattress ......... ......... ......... ........... ........... E0188 E Synthetic sheepskin pad ......... ......... ......... ........... ........... E0189 E Lambswool sheepskin pad ......... ......... ......... ........... ........... E0191 A Protector heel or elbow ......... ......... ......... ........... ........... E0192 A Pad wheelchr low press/ ......... ......... ......... ........... ........... posit. E0193 A Powered air flotation ......... ......... ......... ........... ........... bed. E0194 A Air fluidized bed...... ......... ......... ......... ........... ........... E0196 A Gel pressure mattress.. ......... ......... ......... ........... ........... E0197 A Air pressure pad for ......... ......... ......... ........... ........... mattres. E0198 A Water pressure pad for ......... ......... ......... ........... ........... mattr. E0199 A Dry pressure pad for ......... ......... ......... ........... ........... mattres. E0200 A Heat lamp without stand ......... ......... ......... ........... ........... E0202 A Phototherapy light w/ ......... ......... ......... ........... ........... photom. E0205 A Heat lamp with stand... ......... ......... ......... ........... ........... E0210 A Electric heat pad ......... ......... ......... ........... ........... standard. E0215 A Electric heat pad moist ......... ......... ......... ........... ........... E0217 A Water circ heat pad w ......... ......... ......... ........... ........... pump. E0218 A Water circ cold pad w ......... ......... ......... ........... ........... pump. E0220 A Hot water bottle....... ......... ......... ......... ........... ........... E0225 A Hydrocollator unit..... ......... ......... ......... ........... ........... E0230 A Ice cap or collar...... ......... ......... ......... ........... ........... E0235 A Paraffin bath unit ......... ......... ......... ........... ........... portable. E0236 A Pump for water ......... ......... ......... ........... ........... circulating p. E0238 A Heat pad non-electric ......... ......... ......... ........... ........... moist. E0239 A Hydrocollator unit ......... ......... ......... ........... ........... portable. E0241 E Bath tub wall rail..... ......... ......... ......... ........... ........... E0242 E Bath tub rail floor.... ......... ......... ......... ........... ........... E0243 E Toilet rail............ ......... ......... ......... ........... ........... E0244 E Toilet seat raised..... ......... ......... ......... ........... ........... E0245 E Tub stool or bench..... ......... ......... ......... ........... ........... E0246 A Transfer tub rail ......... ......... ......... ........... ........... attachment. E0249 A Pad water circulating ......... ......... ......... ........... ........... heat u. E0250 A Hosp bed fixed ht w/ ......... ......... ......... ........... ........... mattres. E0251 A Hosp bed fixd ht w/o ......... ......... ......... ........... ........... mattres. E0255 A Hospital bed var ht w/ ......... ......... ......... ........... ........... mattr. E0256 A Hospital bed var ht w/o ......... ......... ......... ........... ........... matt. E0260 A Hosp bed semi-electr w/ ......... ......... ......... ........... ........... matt. E0261 A Hosp bed semi-electr w/ ......... ......... ......... ........... ........... o mat. E0265 A Hosp bed total electr w/ ......... ......... ......... ........... ........... mat. E0266 A Hosp bed total elec w/o ......... ......... ......... ........... ........... matt. E0270 A Hospital bed ......... ......... ......... ........... ........... institutional t. E0271 A Mattress innerspring... ......... ......... ......... ........... ........... E0272 A Mattress foam rubber... ......... ......... ......... ........... ........... E0273 A Bed board.............. ......... ......... ......... ........... ........... E0274 A Over-bed table......... ......... ......... ......... ........... ........... E0275 A Bed pan standard....... ......... ......... ......... ........... ........... E0276 A Bed pan fracture....... ......... ......... ......... ........... ........... E0277 A Powered pres-redu air ......... ......... ......... ........... ........... mattrs. E0280 A Bed cradle............. ......... ......... ......... ........... ........... E0290 A Hosp bed fx ht w/o ......... ......... ......... ........... ........... rails w/m. E0291 A Hosp bed fx ht w/o rail ......... ......... ......... ........... ........... w/o. E0292 A Hosp bed var ht w/o ......... ......... ......... ........... ........... rail w/o. E0293 A Hosp bed var ht w/o ......... ......... ......... ........... ........... rail w/. E0294 A Hosp bed semi-elect w/ ......... ......... ......... ........... ........... mattr. E0295 A Hosp bed semi-elect w/o ......... ......... ......... ........... ........... matt. E0296 A Hosp bed total elect w/ ......... ......... ......... ........... ........... matt. E0297 A Hosp bed total elect w/ ......... ......... ......... ........... ........... o mat. E0305 A Rails bed side half ......... ......... ......... ........... ........... length.

E0310 A Rails bed side full ......... ......... ......... ........... ........... length. E0315 A Bed accessory brd/tbl/ ......... ......... ......... ........... ........... supprt. E0325 A Urinal male jug-type... ......... ......... ......... ........... ........... E0326 A Urinal female jug-type. ......... ......... ......... ........... ........... E0350 A Control unit bowel ......... ......... ......... ........... ........... system. E0352 A Disposable pack w/bowel ......... ......... ......... ........... ........... syst. E0370 A Air elevator for heel.. ......... ......... ......... ........... ........... E0371 A Nonpower mattress ......... ......... ......... ........... ........... overlay. E0372 A Powered air mattress ......... ......... ......... ........... ........... overlay. E0373 A Nonpowered pressure ......... ......... ......... ........... ........... mattress. E0424 A Stationary compressed ......... ......... ......... ........... ........... gas 02. E0425 A Gas system stationary ......... ......... ......... ........... ........... compre. E0430 A Oxygen system gas ......... ......... ......... ........... ........... portable. E0431 A Portable gaseous 02.... ......... ......... ......... ........... ........... E0434 A Portable liquid 02..... ......... ......... ......... ........... ........... E0435 A Oxygen system liquid ......... ......... ......... ........... ........... portabl. E0439 A Stationary liquid 02... ......... ......... ......... ........... ........... E0440 A Oxygen system liquid ......... ......... ......... ........... ........... station. E0441 A Oxygen contents gas per/ ......... ......... ......... ........... ........... unit. E0442 A Oxygen contents liq per/ ......... ......... ......... ........... ........... unit. E0443 A Port 02 contents gas/ ......... ......... ......... ........... ........... unit. E0444 A Port 02 contents liq/ ......... ......... ......... ........... ........... unit. E0450 A Volume vent stationary/ ......... ......... ......... ........... ........... porta. E0452 A Intermit assis device w ......... ......... ......... ........... ........... cpap. E0453 A Ventilator 12 hrs/less ......... ......... ......... ........... ........... per d. E0455 A Oxygen tent excl croup/ ......... ......... ......... ........... ........... ped t. E0457 A Chest shell............ ......... ......... ......... ........... ........... E0459 A Chest wrap............. ......... ......... ......... ........... ........... E0460 A Neg press vent portabl/ ......... ......... ......... ........... ........... statn. E0462 A Rocking bed w/ or w/o ......... ......... ......... ........... ........... side r. E0480 A Percussor elect/pneum ......... ......... ......... ........... ........... home m. E0500 A Ippb all types......... ......... ......... ......... ........... ........... E0550 A Humidif extens supple w ......... ......... ......... ........... ........... ippb. E0555 A Humidifier for use w/ ......... ......... ......... ........... ........... regula. E0560 A Humidifier supplemental ......... ......... ......... ........... ........... w/ i. E0565 A Compressor air power ......... ......... ......... ........... ........... source. E0570 A Nebulizer with ......... ......... ......... ........... ........... compression. E0575 A Nebulizer ultrasonic... ......... ......... ......... ........... ........... E0580 A Nebulizer for use w/ ......... ......... ......... ........... ........... regulat. E0585 A Nebulizer w/ compressor ......... ......... ......... ........... ........... & he. E0600 A Suction pump portab hom ......... ......... ......... ........... ........... modl. E0601 A Cont airway pressure ......... ......... ......... ........... ........... device. E0605 A Vaporizer room type.... ......... ......... ......... ........... ........... E0606 A Drainage board postural ......... ......... ......... ........... ........... E0607 A Blood glucose monitor ......... ......... ......... ........... ........... home. E0608 A Apnea monitor.......... ......... ......... ......... ........... ........... E0609 A Blood gluc mon w/ ......... ......... ......... ........... ........... special fea. E0610 A Pacemaker monitr ......... ......... ......... ........... ........... audible/vis. E0615 A Pacemaker monitr ......... ......... ......... ........... ........... digital/vis. E0621 A Patient lift sling or ......... ......... ......... ........... ........... seat. E0625 A Patient lift bathroom ......... ......... ......... ........... ........... or toi. E0627 A Seat lift incorp lift- ......... ......... ......... ........... ........... chair. E0628 A Seat lift for pt furn- ......... ......... ......... ........... ........... electr. E0629 A Seat lift for pt furn- ......... ......... ......... ........... ........... non-el. E0630 A Patient lift hydraulic. ......... ......... ......... ........... ........... E0635 A Patient lift electric.. ......... ......... ......... ........... ........... E0650 A Pneuma compresor non- ......... ......... ......... ........... ........... segment. E0651 A Pneum compressor ......... ......... ......... ........... ........... segmental. E0652 A Pneum compres w/cal ......... ......... ......... ........... ........... pressure. E0655 A Pneumatic appliance ......... ......... ......... ........... ........... half arm. E0660 A Pneumatic appliance ......... ......... ......... ........... ........... full leg. E0665 A Pneumatic appliance ......... ......... ......... ........... ........... full arm. E0666 A Pneumatic appliance ......... ......... ......... ........... ........... half leg. E0667 A Seg pneumatic appl full ......... ......... ......... ........... ........... leg. E0668 A Seg pneumatic appl full ......... ......... ......... ........... ........... arm. E0669 A Seg pneumatic appli ......... ......... ......... ........... ........... half leg. E0671 A Pressure pneum appl ......... ......... ......... ........... ........... full leg. E0672 A Pressure pneum appl ......... ......... ......... ........... ........... full arm. E0673 A Pressure pneum appl ......... ......... ......... ........... ........... half leg. E0690 A Ultraviolet cabinet.... ......... ......... ......... ........... ........... E0700 A Safety equipment....... ......... ......... ......... ........... ........... E0710 A Restraints any type.... ......... ......... ......... ........... ........... E0720 A Tens two lead.......... ......... ......... ......... ........... ........... E0730 A Tens four lead......... ......... ......... ......... ........... ........... E0731 A Conductive garment for ......... ......... ......... ........... ........... tens/.

E0740 A Incontinence treatment ......... ......... ......... ........... ........... systm. E0744 A Neuromuscular stim for ......... ......... ......... ........... ........... scoli. E0745 A Neuromuscular stim for ......... ......... ......... ........... ........... shock. E0746 A Electromyograph ......... ......... ......... ........... ........... biofeedback. E0747 A Elec osteogen stim not ......... ......... ......... ........... ........... spine. E0748 A Elec osteogen stim ......... ......... ......... ........... ........... spinal. E0749 A Elec osteogen stim ......... ......... ......... ........... ........... implanted. E0751 A Pulse generator or ......... ......... ......... ........... ........... receiver. E0753 A Neurostimulator ......... ......... ......... ........... ........... electrodes. E0755 A Electronic salivary ......... ......... ......... ........... ........... reflex s. E0760 A Osteogen ultrasound ......... ......... ......... ........... ........... stimltor. E0776 A Iv pole................ ......... ......... ......... ........... ........... E0781 A External ambulatory ......... ......... ......... ........... ........... infus pu. E0782 A Non-programble infusion ......... ......... ......... ........... ........... pump. E0783 A Programmable infusion ......... ......... ......... ........... ........... pump. E0784 A Ext amb infusn pump ......... ......... ......... ........... ........... insulin. E0791 A Parenteral infusion ......... ......... ......... ........... ........... pump sta. E0840 A Tract frame attach ......... ......... ......... ........... ........... headboard. E0850 A Traction stand free ......... ......... ......... ........... ........... standing. E0855 A Cervical traction ......... ......... ......... ........... ........... equipment. E0860 A Tract equip cervical ......... ......... ......... ........... ........... tract. E0870 A Tract frame attach ......... ......... ......... ........... ........... footboard. E0880 A Trac stand free stand ......... ......... ......... ........... ........... extrem. E0890 A Traction frame attach ......... ......... ......... ........... ........... pelvic. E0900 A Trac stand free stand ......... ......... ......... ........... ........... pelvic. E0910 A Trapeze bar attached to ......... ......... ......... ........... ........... bed. E0920 A Fracture frame attached ......... ......... ......... ........... ........... to b. E0930 A Fracture frame free ......... ......... ......... ........... ........... standing. E0935 A Exercise device passive ......... ......... ......... ........... ........... moti. E0940 A Trapeze bar free ......... ......... ......... ........... ........... standing. E0941 A Gravity assisted ......... ......... ......... ........... ........... traction de. E0942 A Cervical head harness/ ......... ......... ......... ........... ........... halter. E0943 A Cervical pillow........ ......... ......... ......... ........... ........... E0944 A Pelvic belt/harness/ ......... ......... ......... ........... ........... boot. E0945 A Belt/harness extremity. ......... ......... ......... ........... ........... E0946 A Fracture frame dual w ......... ......... ......... ........... ........... cross. E0947 A Fracture frame ......... ......... ......... ........... ........... attachmnts pe. E0948 A Fracture frame ......... ......... ......... ........... ........... attachmnts ce. E0950 A Tray................... ......... ......... ......... ........... ........... E0951 A Loop heel.............. ......... ......... ......... ........... ........... E0952 A Loop tie............... ......... ......... ......... ........... ........... E0953 A Pneumatic tire......... ......... ......... ......... ........... ........... E0954 A Wheelchair semi- ......... ......... ......... ........... ........... pneumatic ca. E0958 A Whlchr att- conv 1 arm ......... ......... ......... ........... ........... drive. E0959 A Amputee adapter........ ......... ......... ......... ........... ........... E0961 A Wheelchair brake ......... ......... ......... ........... ........... extension. E0962 A Wheelchair 1 inch ......... ......... ......... ........... ........... cushion. E0963 A Wheelchair 2 inch ......... ......... ......... ........... ........... cushion. E0964 A Wheelchair 3 inch ......... ......... ......... ........... ........... cushion. E0965 A Wheelchair 4 inch ......... ......... ......... ........... ........... cushion. E0966 A Wheelchair head rest ......... ......... ......... ........... ........... extensi. E0967 A Wheelchair hand rims... ......... ......... ......... ........... ........... E0968 A Wheelchair commode seat ......... ......... ......... ........... ........... E0969 A Wheelchair narrowing ......... ......... ......... ........... ........... device. E0970 A Wheelchair no. 2 ......... ......... ......... ........... ........... footplates. E0971 A Wheelchair anti-tipping ......... ......... ......... ........... ........... devi. E0972 A Transfer board or ......... ......... ......... ........... ........... device. E0973 A Wheelchair adjustabl ......... ......... ......... ........... ........... height. E0974 A Wheelchair grade-aid... ......... ......... ......... ........... ........... E0975 A Wheelchair reinforced ......... ......... ......... ........... ........... seat u. E0976 A Wheelchair reinforced ......... ......... ......... ........... ........... back u. E0977 A Wheelchair wedge ......... ......... ......... ........... ........... cushion. E0978 A Wheelchair belt w/ ......... ......... ......... ........... ........... airplane b. E0979 A Wheelchair belt with ......... ......... ......... ........... ........... velcro. E0980 A Wheelchair safety vest. ......... ......... ......... ........... ........... E0990 A Whellchair elevating ......... ......... ......... ........... ........... leg res. E0991 A Wheelchair upholstry ......... ......... ......... ........... ........... seat. E0992 A Wheelchair solid seat ......... ......... ......... ........... ........... insert. E0993 A Wheelchair back ......... ......... ......... ........... ........... upholstery. E0994 A Wheelchair arm rest.... ......... ......... ......... ........... ........... E0995 A Wheelchair calf rest... ......... ......... ......... ........... ........... E0996 A Wheelchair tire solid.. ......... ......... ......... ........... ........... E0997 A Wheelchair caster w/ a ......... ......... ......... ........... ........... fork. E0998 A Wheelchair caster w/o a ......... ......... ......... ........... ........... fork. E0999 A Wheelchr pneumatic tire ......... ......... ......... ........... ........... w/wh.

E1000 A Wheelchair tire ......... ......... ......... ........... ........... pneumatic ca. E1001 A Wheelchair wheel....... ......... ......... ......... ........... ........... E1031 A Rollabout chair with ......... ......... ......... ........... ........... casters. E1050 A Whelchr fxd full length ......... ......... ......... ........... ........... arms. E1060 A Wheelchair detachable ......... ......... ......... ........... ........... arms. E1065 A Wheelchair power ......... ......... ......... ........... ........... attachment. E1066 A Wheelchair battery ......... ......... ......... ........... ........... charger. E1069 A Wheelchair deep cycle ......... ......... ......... ........... ........... batter. E1070 A Wheelchair detachable ......... ......... ......... ........... ........... foot r. E1083 A Hemi-wheelchair fixed ......... ......... ......... ........... ........... arms. E1084 A Hemi-wheelchair ......... ......... ......... ........... ........... detachable a. E1085 A Hemi-wheelchair fixed ......... ......... ......... ........... ........... arms. E1086 A Hemi-wheelchair ......... ......... ......... ........... ........... detachable a. E1087 A Wheelchair lightwt ......... ......... ......... ........... ........... fixed arm. E1088 A Wheelchair lightweight ......... ......... ......... ........... ........... det a. E1089 A Wheelchair lightwt ......... ......... ......... ........... ........... fixed arm. E1090 A Wheelchair lightweight ......... ......... ......... ........... ........... det a. E1091 A Wheelchair youth....... ......... ......... ......... ........... ........... E1092 A Wheelchair wide w/ leg ......... ......... ......... ........... ........... rests. E1093 A Wheelchair wide w/ foot ......... ......... ......... ........... ........... rest. E1100 A Whchr s-recl fxd arm ......... ......... ......... ........... ........... leg res. E1110 A Wheelchair semi-recl ......... ......... ......... ........... ........... detach. E1130 A Whlchr stand fxd arm ft ......... ......... ......... ........... ........... rest. E1140 A Wheelchair standard ......... ......... ......... ........... ........... detach a. E1150 A Wheelchair standard w/ ......... ......... ......... ........... ........... leg r. E1160 A Wheelchair fixed arms.. ......... ......... ......... ........... ........... E1170 A Whlchr ampu fxd arm leg ......... ......... ......... ........... ........... rest. E1171 A Wheelchair amputee w/o ......... ......... ......... ........... ........... leg r. E1172 A Wheelchair amputee ......... ......... ......... ........... ........... detach ar. E1180 A Wheelchair amputee w/ ......... ......... ......... ........... ........... foot r. E1190 A Wheelchair amputee w/ ......... ......... ......... ........... ........... leg re. E1195 A Wheelchair amputee ......... ......... ......... ........... ........... heavy dut. E1200 A Wheelchair amputee ......... ......... ......... ........... ........... fixed arm. E1210 A Whlchr moto ful arm leg ......... ......... ......... ........... ........... rest. E1211 A Wheelchair motorized w/ ......... ......... ......... ........... ........... det. E1212 A Wheelchair motorized w ......... ......... ......... ........... ........... full. E1213 A Wheelchair motorized w/ ......... ......... ......... ........... ........... det. E1220 A Whlchr special size/ ......... ......... ......... ........... ........... constrc. E1221 A Wheelchair spec size w ......... ......... ......... ........... ........... foot. E1222 A Wheelchair spec size w/ ......... ......... ......... ........... ........... leg. E1223 A Wheelchair spec size w ......... ......... ......... ........... ........... foot. E1224 A Wheelchair spec size w/ ......... ......... ......... ........... ........... leg. E1225 A Wheelchair spec sz semi- ......... ......... ......... ........... ........... recl. E1226 A Wheelchair spec sz full- ......... ......... ......... ........... ........... recl. E1227 A Wheelchair spec sz spec ......... ......... ......... ........... ........... ht a. E1228 A Wheelchair spec sz spec ......... ......... ......... ........... ........... ht b. E1230 A Power operated vehicle. ......... ......... ......... ........... ........... E1240 A Whchr litwt det arm leg ......... ......... ......... ........... ........... rest. E1250 A Wheelchair lightwt ......... ......... ......... ........... ........... fixed arm. E1260 A Wheelchair lightwt foot ......... ......... ......... ........... ........... rest. E1270 A Wheelchair lightweight ......... ......... ......... ........... ........... leg r. E1280 A Whchr h-duty det arm ......... ......... ......... ........... ........... leg res. E1285 A Wheelchair heavy duty ......... ......... ......... ........... ........... fixed. E1290 A Wheelchair hvy duty ......... ......... ......... ........... ........... detach a. E1295 A Wheelchair heavy duty ......... ......... ......... ........... ........... fixed. E1296 A Wheelchair special seat ......... ......... ......... ........... ........... heig. E1297 A Wheelchair special seat ......... ......... ......... ........... ........... dept. E1298 A Wheelchair spec seat ......... ......... ......... ........... ........... depth/w. E1300 A Whirlpool portable..... ......... ......... ......... ........... ........... E1310 A Whirlpool non-portable. ......... ......... ......... ........... ........... E1340 A Repair for DME, per 15 ......... ......... ......... ........... ........... min. E1353 A Oxygen supplies ......... ......... ......... ........... ........... regulator. E1355 A Oxygen supplies stand/ ......... ......... ......... ........... ........... rack. E1372 A Oxy suppl heater for ......... ......... ......... ........... ........... nebuliz. E1375 A Oxygen suppl nebulizer ......... ......... ......... ........... ........... porta. E1377 A Oxygen concentrator to ......... ......... ......... ........... ........... 244 c. E1378 A Oxygen concentrator to ......... ......... ......... ........... ........... 488 c. E1379 A Oxygen concentrator to ......... ......... ......... ........... ........... 732 c. E1380 A Oxygen concentrator to ......... ......... ......... ........... ........... D976 c. E1381 A Oxygen concentrat to ......... ......... ......... ........... ........... 1220 cu. E1382 A Oxygen concentrat to ......... ......... ......... ........... ........... 1464 cu. E1383 A Oxygen concentrat to ......... ......... ......... ........... ........... 1708 cu. E1384 A Oxygen concentrat to ......... ......... ......... ........... ........... 1952 cu. E1385 A Oxygen concentrator > ......... ......... ......... ........... ........... 1952 c. E1399 A Durable medical ......... ......... ......... ........... ........... equipment mi.

E1400 A Oxygen concentrator 5 ......... ......... ......... ........... ........... lite. E1405 A O2/water vapor enrich w/ ......... ......... ......... ........... ........... heat. E1406 A O2/water vapor enrich w/ ......... ......... ......... ........... ........... o he. E1510 A Kidney dialysate ......... ......... ......... ........... ........... delivry sys. E1520 A Heparin infusion pump ......... ......... ......... ........... ........... for di. E1530 A Air bubble detector for ......... ......... ......... ........... ........... dial. E1540 A Pressure alarm for ......... ......... ......... ........... ........... dialysis. E1550 A Bath conductivity meter ......... ......... ......... ........... ........... E1560 A Blood leak detector for ......... ......... ......... ........... ........... dial. E1570 A Adjustable chair for ......... ......... ......... ........... ........... esrd pt. E1575 A Transducer protector/ ......... ......... ......... ........... ........... fluid b. E1580 A Unipuncture control ......... ......... ......... ........... ........... system. E1590 A Hemodialysis machine... ......... ......... ......... ........... ........... E1592 A Auto interm peritoneal ......... ......... ......... ........... ........... dialy. E1594 A Cycler dialysis machine ......... ......... ......... ........... ........... E1600 A Deliv/install equip for ......... ......... ......... ........... ........... dial. E1610 A Reverse osmosis water ......... ......... ......... ........... ........... purifi. E1615 A Deionizer water ......... ......... ......... ........... ........... purification. E1620 A Blood pump for dialysis ......... ......... ......... ........... ........... E1625 A Water softening system. ......... ......... ......... ........... ........... E1630 A Reciprocating ......... ......... ......... ........... ........... peritoneal dia. E1632 A Wearable artificial ......... ......... ......... ........... ........... kidney. E1635 A Compact travel ......... ......... ......... ........... ........... hemodialyzer. E1636 A Sorbent cartridges for ......... ......... ......... ........... ........... dialy. E1640 A Replacement components ......... ......... ......... ........... ........... for d. E1699 A Dialysis equipment ......... ......... ......... ........... ........... unspecifi. E1700 A Jaw motion rehab system ......... ......... ......... ........... ........... E1701 A Repl cushions for jaw ......... ......... ......... ........... ........... motion. E1702 A Repl measr scales jaw ......... ......... ......... ........... ........... motion. E1800 A Adjust elbow ext/flex ......... ......... ......... ........... ........... device. E1805 A Adjust wrist ext/flex ......... ......... ......... ........... ........... device. E1810 A Adjust knee ext/flex ......... ......... ......... ........... ........... device. E1815 A Adjust ankle ext/flex ......... ......... ......... ........... ........... device. E1820 A Soft interface material ......... ......... ......... ........... ........... E1825 A Adjust finger ext/flex ......... ......... ......... ........... ........... devc. E1830 A Adjust toe ext/flex ......... ......... ......... ........... ........... device. G0001 A Drawing blood for ......... ......... ......... ........... ........... specimen. G0002 N Temporary urinary ......... ......... ......... ........... ........... catheter. G0004 X ECG transm phys review 956 1.09 $56.05 $54.47 $11.21 & int. G0005 X ECG 24 hour recording.. 956 1.09 $56.05 $54.47 $11.21 G0006 X ECG transmission & 956 1.09 $56.05 $54.47 $11.21 analysis. G0007 N ECG phy review & ......... ......... ......... ........... ........... interpret. G0008 X Admin influenza virus 901 0.07 $3.60 $2.49 $0.72 vac. G0009 X Admin pneumococcal 901 0.07 $3.60 $2.49 $0.72 vaccine. G0010 X Admin hepatitis b 902 1.31 $67.36 $38.19 $13.47 vaccine. G0015 X Post symptom ECG 956 1.09 $56.05 $54.47 $11.21 tracing. G0016 N Post symptom ECG md ......... ......... ......... ........... ........... review. G0025 X Collagen skin test kit. 881 0.22 $11.31 $6.78 $2.26 G0026 A Fecal leukocyte ......... ......... ......... ........... ........... examination. G0027 A Semen analysis......... ......... ......... ......... ........... ........... G0030 S PET imaging prev PET 760 14.89 $765.64 $419.46 $153.13 single. G0031 S PET imaging prev PET 760 14.89 $765.64 $419.46 $153.13 multple. G0032 S PET follow SPECT 78464 760 14.89 $765.64 $419.46 $153.13 singl. G0033 S PET follow SPECT 78464 760 14.89 $765.64 $419.46 $153.13 mult. G0034 S PET follow SPECT 76865 760 14.89 $765.64 $419.46 $153.13 singl. G0035 S PET follow SPECT 78465 760 14.89 $765.64 $419.46 $153.13 mult. G0036 S PET follow cornry angio 760 14.89 $765.64 $419.46 $153.13 sing. G0037 S PET follow cornry angio 760 14.89 $765.64 $419.46 $153.13 mult. G0038 S PET follow myocard perf 760 14.89 $765.64 $419.46 $153.13 sing. G0039 S PET follow myocard perf 760 14.89 $765.64 $419.46 $153.13 mult. G0040 S PET follow stress echo 760 14.89 $765.64 $419.46 $153.13 singl. G0041 S PET follow stress echo 760 14.89 $765.64 $419.46 $153.13 mult. G0042 S PET follow ventriculogm 760 14.89 $765.64 $419.46 $153.13 sing. G0043 S PET follow ventriculogm 760 14.89 $765.64 $419.46 $153.13 mult. G0044 S PET following rest ECG 760 14.89 $765.64 $419.46 $153.13 singl. G0045 S PET following rest ECG 760 14.89 $765.64 $419.46 $153.13 mult. G0046 S PET follow stress ECG 760 14.89 $765.64 $419.46 $153.13 singl. G0047 S PET follow stress ECG 760 14.89 $765.64 $419.46 $153.13 mult. G0050 S Residual urine by 747 1.65 $84.84 $54.47 $16.97 ultrasound. G0101 V CA screen;pelvic/breast 913 ......... ......... ........... ........... exam. G0104 S CA screen;flexi 446 2.54 $130.61 $64.86 $26.12 sigmoidscope.

G0105 S Colorectal scrn; hi 426 6.74 $346.57 $185.32 $69.31 risk ind. G0106 S Colon CA screen;barium 736 1.85 $95.13 $53.79 $19.03 enema. G0107 A CA screen; fecal blood ......... ......... ......... ........... ........... test. G0110 A Nett pulm-rehab educ; ......... ......... ......... ........... ........... ind. G0111 A Nett pulm-rehab educ; ......... ......... ......... ........... ........... group. G0112 A Nett;nutrition guid, ......... ......... ......... ........... ........... initial. G0113 A Nett;nutrition ......... ......... ......... ........... ........... guid,subseqnt. G0114 A Nett; psychosocial ......... ......... ......... ........... ........... consult. G0115 A Nett; psychological ......... ......... ......... ........... ........... testing. G0116 A Nett; psychosocial ......... ......... ......... ........... ........... counsel. G0120 S Colon ca scrn; barium 736 1.85 $95.13 $53.79 $19.03 enema. G0121 E Colon ca scrn not hi ......... ......... ......... ........... ........... rsk ind. G0122 E Colon ca scrn; barium ......... ......... ......... ........... ........... enema. J0120 N Tetracyclin injection.. ......... ......... ......... ........... ........... J0150 N Injection adenosine 6 ......... ......... ......... ........... ........... MG. J0170 N Adrenalin epinephrin ......... ......... ......... ........... ........... inject. J0190 N Inj biperiden lactate/5 ......... ......... ......... ........... ........... mg. J0205 N Alglucerase injection.. ......... ......... ......... ........... ........... J0207 N Amifostine............. ......... ......... ......... ........... ........... J0210 N Methyldopate hcl ......... ......... ......... ........... ........... injection. J0256 N Alpha 1 proteinase ......... ......... ......... ........... ........... inhibitor. J0270 E Alprostadil for ......... ......... ......... ........... ........... injection. J0280 N Aminophyllin 250 MG inj ......... ......... ......... ........... ........... J0290 N Ampicillin 500 MG inj.. ......... ......... ......... ........... ........... J0295 N Ampicillin sodium per ......... ......... ......... ........... ........... 1.5 gm. J0300 N Amobarbital 125 MG inj. ......... ......... ......... ........... ........... J0330 N Succinycholine chloride ......... ......... ......... ........... ........... inj. J0340 N Nandrolon ......... ......... ......... ........... ........... phenpropionate inj. J0350 N Injection anistreplase ......... ......... ......... ........... ........... 30 u. J0360 N Hydralazine hcl ......... ......... ......... ........... ........... injection. J0380 N Inj metaraminol ......... ......... ......... ........... ........... bitartrate. J0390 N Chloroquine injection.. ......... ......... ......... ........... ........... J0400 N Inj trimethaphan ......... ......... ......... ........... ........... camsylate. J0460 N Atropine sulfate ......... ......... ......... ........... ........... injection. J0470 N Dimecaprol injection... ......... ......... ......... ........... ........... J0475 N Baclofen 10 MG ......... ......... ......... ........... ........... injection. J0500 N Dicyclomine injection.. ......... ......... ......... ........... ........... J0510 N Benzquinamide injection ......... ......... ......... ........... ........... J0515 N Inj benztropine ......... ......... ......... ........... ........... mesylate. J0520 N Bethanechol chloride ......... ......... ......... ........... ........... inject. J0530 N Penicillin g benzathine ......... ......... ......... ........... ........... inj. J0540 N Penicillin g benzathine ......... ......... ......... ........... ........... inj. J0550 N Penicillin g benzathine ......... ......... ......... ........... ........... inj. J0560 N Penicillin g benzathine ......... ......... ......... ........... ........... inj. J0570 N Penicillin g benzathine ......... ......... ......... ........... ........... inj. J0580 N Penicillin g benzathine ......... ......... ......... ........... ........... inj. J0585 N Botulinum toxin a per ......... ......... ......... ........... ........... unit. J0590 N Ethylnorepinephrine hcl ......... ......... ......... ........... ........... inj. J0600 N Edetate calcium ......... ......... ......... ........... ........... disodium inj. J0610 N Calcium gluconate ......... ......... ......... ........... ........... injection. J0620 N Calcium glycer & lact/ ......... ......... ......... ........... ........... 10 ML. J0630 N Calcitonin salmon ......... ......... ......... ........... ........... injection. J0635 N Calcitriol injection... ......... ......... ......... ........... ........... J0640 X Leucovorin calcium 064 4.15 $213.39 $138.99 $42.68 injection. J0670 N Inj mepivacaine HCL/10 ......... ......... ......... ........... ........... ml. J0690 N Cefazolin sodium ......... ......... ......... ........... ........... injection. J0694 N Cefoxitin sodium ......... ......... ......... ........... ........... injection. J0695 N Cefonocid sodium ......... ......... ......... ........... ........... injection. J0696 N Ceftriaxone sodium ......... ......... ......... ........... ........... injection. J0697 N Sterile cefuroxime ......... ......... ......... ........... ........... injection. J0698 N Cefotaxime sodium ......... ......... ......... ........... ........... injection. J0702 N Betamethasone acet&sod ......... ......... ......... ........... ........... phosp. J0704 N Betamethasone sod phosp/ ......... ......... ......... ........... ........... 4 MG. J0710 N Cephapirin sodium ......... ......... ......... ........... ........... injection. J0713 N Inj ceftazidime per 500 ......... ......... ......... ........... ........... mg. J0715 N Ceftizoxime sodium/500 ......... ......... ......... ........... ........... MG. J0720 N Chloramphenicol sodium ......... ......... ......... ........... ........... injec. J0725 N Chorionic gonadotropin/ ......... ......... ......... ........... ........... 1000u. J0730 N Chlorpheniramin maleate ......... ......... ......... ........... ........... inj. J0735 N Clonidine hydrochloride ......... ......... ......... ........... ........... J0740 N Cidofovir injection.... ......... ......... ......... ........... ........... J0743 N Cilastatin sodium ......... ......... ......... ........... ........... injection. J0745 N Inj codeine phosphate / ......... ......... ......... ........... ........... 30 MG. J0760 N Colchicine injection... ......... ......... ......... ........... ........... J0770 N Colistimethate sodium ......... ......... ......... ........... ........... inj.

J0780 N Prochlorperazine ......... ......... ......... ........... ........... injection. J0800 N Corticotropin injection ......... ......... ......... ........... ........... J0810 N Cortisone injection.... ......... ......... ......... ........... ........... J0835 N Inj cosyntropin per ......... ......... ......... ........... ........... 0.25 MG. J0850 N Cytomegalovirus imm IV / ......... ......... ......... ........... ........... vial. J0895 N Deferoxamine mesylate ......... ......... ......... ........... ........... inj. J0900 N Testosterone enanthate ......... ......... ......... ........... ........... inj. J0945 N Brompheniramine maleate ......... ......... ......... ........... ........... inj. J0970 N Estradiol valerate ......... ......... ......... ........... ........... injection. J1000 N Depo-estradiol ......... ......... ......... ........... ........... cypionate inj. J1020 N Methylprednisolone 20 ......... ......... ......... ........... ........... MG inj. J1030 N Methylprednisolone 40 ......... ......... ......... ........... ........... MG inj. J1040 N Methylprednisolone 80 ......... ......... ......... ........... ........... MG inj. J1050 N Medroxyprogesterone inj ......... ......... ......... ........... ........... J1055 E Medrxyprogester acetate ......... ......... ......... ........... ........... inj. J1060 N Testosterone cypionate ......... ......... ......... ........... ........... 1 ML. J1070 N Testosterone cypionat ......... ......... ......... ........... ........... 100 MG. J1080 N Testosterone cypionat ......... ......... ......... ........... ........... 200 MG. J1090 N Testosterone cypionate ......... ......... ......... ........... ........... 50 MG. J1095 N Inj dexamethasone ......... ......... ......... ........... ........... acetate. J1100 N Dexamethosone sodium ......... ......... ......... ........... ........... phos. J1110 N Inj dihydroergotamine ......... ......... ......... ........... ........... mesylt. J1120 N Acetazolamid sodium ......... ......... ......... ........... ........... injectio. J1160 N Digoxin injection...... ......... ......... ......... ........... ........... J1165 N Phenytoin sodium ......... ......... ......... ........... ........... injection. J1170 N Hydromorphone injection ......... ......... ......... ........... ........... J1180 N Dyphylline injection... ......... ......... ......... ........... ........... J1190 N Dexrazoxane HCl ......... ......... ......... ........... ........... injection. J1200 N Diphenhydramine hcl ......... ......... ......... ........... ........... injectio. J1205 N Chlorothiazide sodium ......... ......... ......... ........... ........... inj. J1212 N Dimethyl sulfoxide 50% ......... ......... ......... ........... ........... 50 ML. J1230 N Methadone injection.... ......... ......... ......... ........... ........... J1240 N Dimenhydrinate ......... ......... ......... ........... ........... injection. J1245 N Dipyridamole injection. ......... ......... ......... ........... ........... J1250 N Inj dobutamine HCL/250 ......... ......... ......... ........... ........... mg. J1320 N Amitriptyline injection ......... ......... ......... ........... ........... J1325 N Epoprostenol injection. ......... ......... ......... ........... ........... J1330 N Ergonovine maleate ......... ......... ......... ........... ........... injection. J1362 N Erythromycin glucep/250 ......... ......... ......... ........... ........... MG. J1364 N Erythro lactobionate/ ......... ......... ......... ........... ........... 500 MG. J1380 N Estradiol valerate 10 ......... ......... ......... ........... ........... MG inj. J1390 N Estradiol valerate 20 ......... ......... ......... ........... ........... MG inj. J1410 N Inj estrogen conjugate ......... ......... ......... ........... ........... 25 MG. J1435 N Injection estrone per 1 ......... ......... ......... ........... ........... MG. J1436 N Etidronate disodium inj ......... ......... ......... ........... ........... J1440 N grastim 300 mcg ......... ......... ......... ........... ........... injeciton. J1441 N Filgrastim 480 mcg ......... ......... ......... ........... ........... injection. J1455 N Foscarnet sodium ......... ......... ......... ........... ........... injection. J1460 N Gamma globulin 1 CC inj ......... ......... ......... ........... ........... J1470 N Gamma globulin 2 CC inj ......... ......... ......... ........... ........... J1480 N Gamma globulin 3 CC inj ......... ......... ......... ........... ........... J1490 N Gamma globulin 4 CC inj ......... ......... ......... ........... ........... J1500 N Gamma globulin 5 CC inj ......... ......... ......... ........... ........... J1510 N Gamma globulin 6 CC inj ......... ......... ......... ........... ........... J1520 N Gamma globulin 7 CC inj ......... ......... ......... ........... ........... J1530 N Gamma globulin 8 CC inj ......... ......... ......... ........... ........... J1540 N Gamma globulin 9 CC inj ......... ......... ......... ........... ........... J1550 N Gamma globulin 10 CC ......... ......... ......... ........... ........... inj. J1560 N Gamma globulin > 10 CC ......... ......... ......... ........... ........... inj. J1561 N Immune globulin 500 mg. ......... ......... ......... ........... ........... J1562 N Immune globulin 5 gms.. ......... ......... ......... ........... ........... J1565 N RSV-ivig............... ......... ......... ......... ........... ........... J1570 N Ganciclovir sodium ......... ......... ......... ........... ........... injection. J1580 N Garamycin gentamicin ......... ......... ......... ........... ........... inj. J1600 N Gold sodium thiomaleate ......... ......... ......... ........... ........... inj. J1610 N Glucagon hydrochloride/ ......... ......... ......... ........... ........... 1 MG. J1620 N Gonadorelin hydroch/ ......... ......... ......... ........... ........... 100 mcg. J1626 N Granisetron HCl ......... ......... ......... ........... ........... injection. J1630 N Haloperidol injection.. ......... ......... ......... ........... ........... J1631 N Haloperidol decanoate ......... ......... ......... ........... ........... inj. J1642 N Inj heparin sodium per ......... ......... ......... ........... ........... 10 u. J1644 N Inj heparin sodium per ......... ......... ......... ........... ........... 1000u. J1645 N Dalteparin sodium...... ......... ......... ......... ........... ........... J1650 N Inj enoxaparin sodium ......... ......... ......... ........... ........... 30 mg. J1670 N Tetanus immune globulin ......... ......... ......... ........... ........... inj.

J1690 N Prednisolone tebutate ......... ......... ......... ........... ........... inj. J1700 N Hydrocortisone acetate ......... ......... ......... ........... ........... inj. J1710 N Hydrocortisone sodium ......... ......... ......... ........... ........... ph inj. J1720 N Hydrocortisone sodium ......... ......... ......... ........... ........... succ i. J1730 N Diazoxide injection.... ......... ......... ......... ........... ........... J1739 N Hydroxyprogesterone cap ......... ......... ......... ........... ........... 125. J1741 N Hydroxyprogesterone cap ......... ......... ......... ........... ........... 250. J1742 N Ibutilide fumarate ......... ......... ......... ........... ........... injection. J1760 N Iron dextran 2 CC inj.. ......... ......... ......... ........... ........... J1770 N Iron dextran 5 CC inj.. ......... ......... ......... ........... ........... J1780 N Iron dextran 10 CC inj. ......... ......... ......... ........... ........... J1785 N Injection imiglucerase / ......... ......... ......... ........... ........... unit. J1790 N Droperidol injection... ......... ......... ......... ........... ........... J1800 N Propranolol injection.. ......... ......... ......... ........... ........... J1810 N Droperidol/fentanyl inj ......... ......... ......... ........... ........... J1820 N Insulin injection...... ......... ......... ......... ........... ........... J1825 N Interferon beta-1a..... ......... ......... ......... ........... ........... J1830 N Interferon beta-1b / ......... ......... ......... ........... ........... .25 MG. J1840 N Kanamycin sulfate 500 ......... ......... ......... ........... ........... MG inj. J1850 N Kanamycin sulfate 75 MG ......... ......... ......... ........... ........... inj. J1885 N Ketorolac tromethamine ......... ......... ......... ........... ........... inj. J1890 N Cephalothin sodium ......... ......... ......... ........... ........... injection. J1910 N Kutapressin injection.. ......... ......... ......... ........... ........... J1930 N Propiomazine injection. ......... ......... ......... ........... ........... J1940 N Furosemide injection... ......... ......... ......... ........... ........... J1950 X Leuprolide acetate / 064 4.15 $213.39 $138.99 $42.68 3.75 MG. J1955 N Inj levocarnitine per 1 ......... ......... ......... ........... ........... gm. J1960 N Levorphanol tartrate ......... ......... ......... ........... ........... inj. J1970 N Methotrimeprazine ......... ......... ......... ........... ........... injection. J1980 N Hyoscyamine sulfate inj ......... ......... ......... ........... ........... J1990 N Chlordiazepoxide ......... ......... ......... ........... ........... injection. J2000 N Lidocaine injection.... ......... ......... ......... ........... ........... J2010 N Lincomycin injection... ......... ......... ......... ........... ........... J2060 N Lorazepam injection.... ......... ......... ......... ........... ........... J2150 N Mannitol injection..... ......... ......... ......... ........... ........... J2175 N Meperidine hydrochl / ......... ......... ......... ........... ........... 100 MG. J2180 N Meperidine/promethazine ......... ......... ......... ........... ........... inj. J2210 N Methylergonovin maleate ......... ......... ......... ........... ........... inj. J2240 N Metocurine iodide ......... ......... ......... ........... ........... injection. J2250 N Inj midazolam ......... ......... ......... ........... ........... hydrochloride. J2260 N Inj milrinone lactate / ......... ......... ......... ........... ........... 5 ML. J2270 N Morphine sulfate ......... ......... ......... ........... ........... injection. J2275 N Morphine sulfate ......... ......... ......... ........... ........... injection. J2300 N Inj nalbuphine ......... ......... ......... ........... ........... hydrochloride. J2310 N Inj naloxone ......... ......... ......... ........... ........... hydrochloride. J2320 N Nandrolone decanoate 50 ......... ......... ......... ........... ........... MG. J2321 N Nandrolone decanoate ......... ......... ......... ........... ........... 100 MG. J2322 N Nandrolone decanoate ......... ......... ......... ........... ........... 200 MG. J2330 N Thiothixene injection.. ......... ......... ......... ........... ........... J2350 N Niacinamide/niacin ......... ......... ......... ........... ........... injection. J2360 N Orphenadrine injection. ......... ......... ......... ........... ........... J2370 N Phenylephrine hcl ......... ......... ......... ........... ........... injection. J2400 N Chloroprocaine hcl ......... ......... ......... ........... ........... injection. J2405 N Ondansetron hcl ......... ......... ......... ........... ........... injection. J2410 N Oxymorphone hcl ......... ......... ......... ........... ........... injection. J2430 N Pamidronate disodium / ......... ......... ......... ........... ........... 30 MG. J2440 N Papaverin hcl injection ......... ......... ......... ........... ........... J2460 N Oxytetracycline ......... ......... ......... ........... ........... injection. J2480 N Hydrochlorides of opium ......... ......... ......... ........... ........... inj. J2510 N Penicillin g procaine ......... ......... ......... ........... ........... inj. J2512 N Inj pentagastrin per 2 ......... ......... ......... ........... ........... ML. J2515 N Pentobarbital sodium ......... ......... ......... ........... ........... inj. J2540 N Penicillin g potassium ......... ......... ......... ........... ........... inj. J2545 A Pentamidine isethionte/ ......... ......... ......... ........... ........... 300mg. J2550 N Promethazine hcl ......... ......... ......... ........... ........... injection. J2560 N Phenobarbital sodium ......... ......... ......... ........... ........... inj. J2590 N Oxytocin injection..... ......... ......... ......... ........... ........... J2597 N Inj desmopressin ......... ......... ......... ........... ........... acetate. J2640 N Prednisolone sodium ph ......... ......... ......... ........... ........... inj. J2650 N Prednisolone acetate ......... ......... ......... ........... ........... inj. J2670 N Totazoline hcl ......... ......... ......... ........... ........... injection. J2675 N Inj progesterone per 50 ......... ......... ......... ........... ........... MG. J2680 N Fluphenazine decanoate ......... ......... ......... ........... ........... 25 MG. J2690 N Procainamide hcl ......... ......... ......... ........... ........... injection. J2700 N Oxacillin sodium ......... ......... ......... ........... ........... injeciton.

J2710 N Neostigmine methylslfte ......... ......... ......... ........... ........... inj. J2720 N Inj protamine sulfate/ ......... ......... ......... ........... ........... 10 MG. J2725 N Inj protirelin per 250 ......... ......... ......... ........... ........... mcg. J2730 N Pralidoxime chloride ......... ......... ......... ........... ........... inj. J2760 N Phentolaine mesylate ......... ......... ......... ........... ........... inj. J2765 N Metoclopramide hcl ......... ......... ......... ........... ........... injection. J2790 N Rho d immune globulin ......... ......... ......... ........... ........... inj. J2800 N Methocarbamol injection ......... ......... ......... ........... ........... J2810 N Inj theophylline per 40 ......... ......... ......... ........... ........... MG. J2820 N Sargramostim injection. ......... ......... ......... ........... ........... J2860 N Secobarbital sodium inj ......... ......... ......... ........... ........... J2910 N Aurothioglucose ......... ......... ......... ........... ........... injeciton. J2912 N Sodium chloride ......... ......... ......... ........... ........... injection. J2920 N Methylprednisolone ......... ......... ......... ........... ........... injection. J2930 N Methylprednisolone ......... ......... ......... ........... ........... injection. J2950 N Promazine hcl injeciton ......... ......... ......... ........... ........... J2970 N Methicillin sodium ......... ......... ......... ........... ........... injection. J2995 N Inj streptokinase / ......... ......... ......... ........... ........... 250000 IU. J2996 N Alteplase recombinant ......... ......... ......... ........... ........... inj. J3000 N Streptomycin injection. ......... ......... ......... ........... ........... J3010 N Fentanyl citrate ......... ......... ......... ........... ........... injeciton. J3030 N Sumatriptan succinate / ......... ......... ......... ........... ........... 6 MG. J3070 N Pentazocine hcl ......... ......... ......... ........... ........... injeciton. J3080 N Chlorprothixene ......... ......... ......... ........... ........... injection. J3105 N Terbutaline sulfate inj ......... ......... ......... ........... ........... J3120 N Testosterone enanthate ......... ......... ......... ........... ........... inj. J3130 N Testosterone enanthate ......... ......... ......... ........... ........... inj. J3140 N Testosterone suspension ......... ......... ......... ........... ........... inj. J3150 N Testosteron propionate ......... ......... ......... ........... ........... inj. J3230 N Chlorpromazine hcl ......... ......... ......... ........... ........... injection. J3240 N Thyrotropin injection.. ......... ......... ......... ........... ........... J3250 N Trimethobenzamide hcl ......... ......... ......... ........... ........... inj. J3260 N Tobramycin sulfate ......... ......... ......... ........... ........... injection. J3265 N Injection torsemide 10 ......... ......... ......... ........... ........... mg/ml. J3270 N Imipramine hcl ......... ......... ......... ........... ........... injection. J3280 N Thiethylperazine ......... ......... ......... ........... ........... maleate inj. J3301 N Triamcinolone acetonide ......... ......... ......... ........... ........... inj. J3302 N Triamcinolone diacetate ......... ......... ......... ........... ........... inj. J3303 N Triamcinolone ......... ......... ......... ........... ........... hexacetonl inj. J3305 N Inj trimetrexate ......... ......... ......... ........... ........... glucoronate. J3310 N Perphenazine injeciton. ......... ......... ......... ........... ........... J3320 N Spectinomycn di-hcl inj ......... ......... ......... ........... ........... J3350 N Urea injection......... ......... ......... ......... ........... ........... J3360 N Diazepam injection..... ......... ......... ......... ........... ........... J3364 N Urokinase 5000 IU ......... ......... ......... ........... ........... injection. J3365 N Urokinase 250,000 IU ......... ......... ......... ........... ........... inj. J3370 N Vancomycin hcl ......... ......... ......... ........... ........... injeciton. J3390 N Methoxamine injection.. ......... ......... ......... ........... ........... J3400 N Triflupromazine hcl inj ......... ......... ......... ........... ........... J3410 N Hydroxyzine hcl ......... ......... ......... ........... ........... injeciton. J3420 N Vitamin b12 injection.. ......... ......... ......... ........... ........... J3430 N Vitamin k phytonadione ......... ......... ......... ........... ........... inj. J3450 N Mephentermine sulfate ......... ......... ......... ........... ........... inj. J3470 N Hyaluronidase injection ......... ......... ......... ........... ........... J3475 N Inj magnesium sulfate.. ......... ......... ......... ........... ........... J3480 N Inj potassium chloride. ......... ......... ......... ........... ........... J3490 N Drugs unclassified ......... ......... ......... ........... ........... injection. J3520 E Edetate disodium per ......... ......... ......... ........... ........... 150 mg. J3530 N Nasal vaccine ......... ......... ......... ........... ........... inhalation. J3535 E Metered dose inhaler ......... ......... ......... ........... ........... drug. J3570 E Laetrile amygdalin vit ......... ......... ......... ........... ........... B17. J7030 N Normal saline solution ......... ......... ......... ........... ........... infus. J7040 N Normal saline solution ......... ......... ......... ........... ........... infus. J7042 N 5% dextrose/normal ......... ......... ......... ........... ........... saline. J7050 N Normal saline solution ......... ......... ......... ........... ........... infus. J7051 N Sterile saline/water... ......... ......... ......... ........... ........... J7060 N 5% dextrose/water...... ......... ......... ......... ........... ........... J7070 N D5w infusion........... ......... ......... ......... ........... ........... J7100 N Dextran 40 infusion.... ......... ......... ......... ........... ........... J7110 N Dextran 75 infusion.... ......... ......... ......... ........... ........... J7120 N Ringers lactate ......... ......... ......... ........... ........... infusion. J7130 N Hypertonic saline ......... ......... ......... ........... ........... solution. J7190 N Factor viii............ ......... ......... ......... ........... ........... J7191 N Factor VIII (porcine).. ......... ......... ......... ........... ........... J7192 N Factor viii recombinant ......... ......... ......... ........... ...........

J7194 N Factor ix complex...... ......... ......... ......... ........... ........... J7196 N Othr hemophilia clot ......... ......... ......... ........... ........... factors. J7197 N Antithrombin iii ......... ......... ......... ........... ........... injection. J7300 E Intraut copper ......... ......... ......... ........... ........... contraceptive. J7310 N Ganciclovir long act ......... ......... ......... ........... ........... implant. J7500 N Azathiop po tab 50mg ......... ......... ......... ........... ........... 100s ea. J7501 N Azathioprine parenteral ......... ......... ......... ........... ........... J7503 N Cyclosporine parenteral ......... ......... ......... ........... ........... J7504 N Lymphocyte immune ......... ......... ......... ........... ........... globulin. J7505 N Monoclonal antibodies.. ......... ......... ......... ........... ........... J7506 N Prednisone oral........ ......... ......... ......... ........... ........... J7507 N Tacrolimus oral per 1 ......... ......... ......... ........... ........... MG. J7508 N Tacrolimus oral per 5 ......... ......... ......... ........... ........... MG. J7509 N Methylprednisolone oral ......... ......... ......... ........... ........... J7510 N Prednisolone oral per 5 ......... ......... ......... ........... ........... mg. J7599 N Immunosuppressive drug ......... ......... ......... ........... ........... noc. J7610 A Acetylcysteine 10% ......... ......... ......... ........... ........... injection. J7615 A Acetylcysteine 20% ......... ......... ......... ........... ........... injection. J7620 A Albuterol sulfate .083%/ ......... ......... ......... ........... ........... ml. J7625 A Albuterol sulfate .5% ......... ......... ......... ........... ........... inj. J7627 A Bitolterolmesylate ......... ......... ......... ........... ........... inhal sol. J7630 A Cromolyn sodium ......... ......... ......... ........... ........... injeciton. J7640 A Epinephrine injection.. ......... ......... ......... ........... ........... J7645 A Ipratropium bromide ......... ......... ......... ........... ........... .02%/ml. J7650 A Isoetharine hcl .1% inj ......... ......... ......... ........... ........... J7651 A Isoetharine hcl .125% ......... ......... ......... ........... ........... inj. J7652 A Isoetharine hcl .167% ......... ......... ......... ........... ........... inj. J7653 A Isoetharine hcl .2%/ ......... ......... ......... ........... ........... inj. J7654 A Isoetharine hcl .25% ......... ......... ......... ........... ........... inj. J7655 A Isoetharine hcl 1% inj. ......... ......... ......... ........... ........... J7660 A Isoproterenol hcl .5% ......... ......... ......... ........... ........... inj. J7665 A Isoproterenol hcl 1% ......... ......... ......... ........... ........... inj. J7670 A Metaproterenol sulfate ......... ......... ......... ........... ........... .4%. J7672 A Metaproterenol sulfate ......... ......... ......... ........... ........... .6%. J7675 A Metaproterenol sulfate ......... ......... ......... ........... ........... 5%. J7699 A Inhalation solution for ......... ......... ......... ........... ........... DME. J7799 A Non-inhalation drug for ......... ......... ......... ........... ........... DME. J8499 E Oral prescrip drug non ......... ......... ......... ........... ........... chemo. J8530 N Cyclophosphamide oral ......... ......... ......... ........... ........... 25 MG. J8560 N Etoposide oral 50 MG... ......... ......... ......... ........... ........... J8600 N Melphalan oral 2 MG.... ......... ......... ......... ........... ........... J8610 X Methotrexate oral 2.5 061 1.15 $59.13 $37.52 $11.83 MG. J8999 X Oral prescription drug 061 1.15 $59.13 $37.52 $11.83 chemo. J9000 X Doxorubic hcl 10 MG vl 062 1.78 $91.53 $36.61 $18.31 chemo. \2\ J901 X Doxorubicin hcl 50 MG 063 2.94 $151.17 $110.97 $30.24 0 inj. J9015 X Aldesleukin/single use 061 1.15 $59.13 $37.52 $11.83 vial. J9020 X Asparaginase injection. 062 1.78 $91.53 $36.61 $18.31 J9031 X Bcg live intravesical 063 2.94 $151.17 $110.97 $30.24 vac. J9040 X Bleomycin sulfate 063 2.94 $151.17 $110.97 $30.24 injection. J9045 X Carboplatin injection.. 063 2.94 $151.17 $110.97 $30.24 J9050 X Carmus bischl nitro inj 063 2.94 $151.17 $110.97 $30.24 J9060 X Cisplatin 10 MG 062 1.78 $91.53 $36.61 $18.31 injection. J9062 X Cisplatin 50 MG 063 2.94 $151.17 $110.97 $30.24 injection. J9065 X Inj cladribine per 1 MG 062 1.78 $91.53 $36.61 $18.31 J9070 X Cyclophosphamide 100 MG 061 1.15 $59.13 $37.52 $11.83 inj. J9080 X Cyclophosphamide 200 MG 061 1.15 $59.13 $37.52 $11.83 inj. J9090 X Cyclophosphamide 500 MG 061 1.15 $59.13 $37.52 $11.83 inj. J9091 X Cyclophosphamide 1.0 062 1.78 $91.53 $36.61 $18.31 grm inj. J9092 X Cyclophosphamide 2.0 062 1.78 $91.53 $36.61 $18.31 grm inj. J9093 X Cyclophosphamide 061 1.15 $59.13 $37.52 $11.83 lyophilized. J9094 X Cyclophosphamide 061 1.15 $59.13 $37.52 $11.83 lyophilized. J9095 X Cyclophosphamide 061 1.15 $59.13 $37.52 $11.83 lyophilized. J9096 X Cyclophosphamide 062 1.78 $91.53 $36.61 $18.31 lyophilized. J9097 X Cyclophosphamide 062 1.78 $91.53 $36.61 $18.31 lyophilized. J9100 X Cytarabine hcl 100 MG 061 1.15 $59.13 $37.52 $11.83 inj. J9110 X Cytarabine hcl 500 MG 061 1.15 $59.13 $37.52 $11.83 inj. J9120 X Dactinomycin 061 1.15 $59.13 $37.52 $11.83 actinomycin d. J9130 X Dacarbazine 10 MG inj.. 061 1.15 $59.13 $37.52 $11.83 J9140 X Dacarbazine 200 MG inj. 061 1.15 $59.13 $37.52 $11.83 J9150 X Daunorubicin........... 062 1.78 $91.53 $36.61 $18.31 J9165 X Diethylstilbestrol 061 1.15 $59.13 $37.52 $11.83 injection. J9170 X Docetaxel.............. 061 1.15 $59.13 $37.52 $11.83 J9181 X Etoposide 10 MG inj.... 061 1.15 $59.13 $37.52 $11.83 J9182 X Etoposide 100 MG inj... 063 2.94 $151.17 $110.97 $30.24 J9185 X Fludarabine phosphate 063 2.94 $151.17 $110.97 $30.24 inj.

J9190 X Fluorouracil injection. 061 1.15 $59.13 $37.52 $11.83 J9200 X Floxuridine injection.. 063 2.94 $151.17 $110.97 $30.24 J9201 X Gemcitabine HCl........ 061 1.15 $59.13 $37.52 $11.83 J9202 X Goserelin acetate 063 2.94 $151.17 $110.97 $30.24 implant. J9206 X Irinotecan injection... 061 1.15 $59.13 $37.52 $11.83 J9208 X Ifosfomide injection... 063 2.94 $151.17 $110.97 $30.24 J9209 X Mesna injection........ 063 2.94 $151.17 $110.97 $30.24 J9211 X Idarubicin hcl 062 1.78 $91.53 $36.61 $18.31 injeciton. J9213 X Interferon alfa-2a inj. 062 1.78 $91.53 $36.61 $18.31 J9214 X Interferon alfa-2b inj. 061 1.15 $59.13 $37.52 $11.83 J9215 X Interferon alfa-n3 inj. 061 1.15 $59.13 $37.52 $11.83 J9216 X Interferon gamma 1-b 063 2.94 $151.17 $110.97 $30.24 inj. J9217 X Leuprolide acetate 064 4.15 $213.39 $138.99 $42.68 suspnsion. J9218 X Leuprolide acetate 061 1.15 $59.13 $37.52 $11.83 injeciton. J9230 X Mechlorethamine hcl inj 061 1.15 $59.13 $37.52 $11.83 J9245 X Inj melphalan hydrochl 064 4.15 $213.39 $138.99 $42.68 50 MG. J9250 X Methotrexate sodium inj 061 1.15 $59.13 $37.52 $11.83 J9260 X Methotrexate sodium inj 061 1.15 $59.13 $37.52 $11.83 J9265 X Paclitaxel injection... 062 1.78 $91.53 $36.61 $18.31 J9266 X Pegaspargase/singl dose 061 1.15 $59.13 $37.52 $11.83 vial. J9268 X Pentostatin injection.. 062 1.78 $91.53 $36.61 $18.31 J9270 X Plicamycin 063 2.94 $151.17 $110.97 $30.24 (mithramycin) inj. J9280 X Mitomycin 5 MG inj..... 063 2.94 $151.17 $110.97 $30.24 J9290 X Mitomycin 20 MG inj.... 064 4.15 $213.39 $138.99 $42.68 J9291 X Mitomycin 40 MG inj.... 064 4.15 $213.39 $138.99 $42.68 J9293 X Mitoxantrone hydrochl / 064 4.15 $213.39 $138.99 $42.68 5 MG. J9320 X Streptozocin injection. 063 2.94 $151.17 $110.97 $30.24 J9340 X Thiotepa injection..... 063 2.94 $151.17 $110.97 $30.24 J9350 X Topotecan.............. 061 1.15 $59.13 $37.52 $11.83 J9360 X Vinblastine sulfate inj 061 1.15 $59.13 $37.52 $11.83 J9370 X Vincristine sulfate 1 062 1.78 $91.53 $36.61 $18.31 MG inj. J9375 X Vincristine sulfate 2 063 2.94 $151.17 $110.97 $30.24 MG inj. J9380 X Vincristine sulfate 5 063 2.94 $151.17 $110.97 $30.24 MG inj. J9390 X Vinorelbine tartrate/10 061 1.15 $59.13 $37.52 $11.83 mg. J9600 X Porfimer sodium........ 061 1.15 $59.13 $37.52 $11.83 J9999 X Chemotherapy drug...... 061 1.15 $59.13 $37.52 $11.83 K0001 A Standard wheelchair.... ......... ......... ......... ........... ........... K0002 A Stnd hemi (low seat) ......... ......... ......... ........... ........... whlchr. K0003 A Lightweight wheelchair. ......... ......... ......... ........... ........... K0004 A High strength ltwt ......... ......... ......... ........... ........... whlchr. K0005 A Ultralightweight ......... ......... ......... ........... ........... wheelchair. K0006 A Heavy duty wheelchair.. ......... ......... ......... ........... ........... K0007 A Extra heavy duty ......... ......... ......... ........... ........... wheelchair. K0008 A Cstm manual wheelchair/ ......... ......... ......... ........... ........... base. K0009 A Other manual wheelchair/ ......... ......... ......... ........... ........... base. K0010 A Stnd wt frame power ......... ......... ......... ........... ........... whlchr. K0011 A Stnd wt pwr whlchr w ......... ......... ......... ........... ........... control. K0012 A Ltwt portbl power ......... ......... ......... ........... ........... whlchr. K0013 A Custom power whlchr ......... ......... ......... ........... ........... base. K0014 A Other power whlchr base ......... ......... ......... ........... ........... K0015 A Detach non-adjus hght ......... ......... ......... ........... ........... armrst. K0016 A Detach adjust armrst ......... ......... ......... ........... ........... cmplete. K0017 A Detach adjust armrest ......... ......... ......... ........... ........... base. K0018 A Detach adjust armrst ......... ......... ......... ........... ........... upper. K0019 A Arm pad each........... ......... ......... ......... ........... ........... K0020 A Fixed adjust armrest ......... ......... ......... ........... ........... pair. K0021 A Anti-tipping device ......... ......... ......... ........... ........... each. K0022 A Reinforced back ......... ......... ......... ........... ........... upholstery. K0023 A Planr back insrt foam w/ ......... ......... ......... ........... ........... strp. K0024 A Plnr back insrt foam w/ ......... ......... ......... ........... ........... hrdwr. K0025 A Hook-on headrest ......... ......... ......... ........... ........... extension. K0026 A Back upholst lgtwt ......... ......... ......... ........... ........... whlchr. K0027 A Back upholst other ......... ......... ......... ........... ........... whlchr. K0028 A Fully reclining back... ......... ......... ......... ........... ........... K0029 A Reinforced seat ......... ......... ......... ........... ........... upholstery. K0030 A Solid plnr seat sngl ......... ......... ......... ........... ........... dnsfoam. K0031 A Safety belt/pelvic ......... ......... ......... ........... ........... strap. K0032 A Seat uphols lgtwt ......... ......... ......... ........... ........... whlchr. K0033 A Seat upholstery other ......... ......... ......... ........... ........... whlchr. K0034 A Heel loop each......... ......... ......... ......... ........... ........... K0035 A Heel loop with ankle ......... ......... ......... ........... ........... strap. K0036 A Toe loop each.......... ......... ......... ......... ........... ........... K0037 A High mount flip-up ......... ......... ......... ........... ........... footrest. K0038 A Leg strap each......... ......... ......... ......... ........... ........... K0039 A Leg strap h style each. ......... ......... ......... ........... ...........

K0040 A Adjustable angle ......... ......... ......... ........... ........... footplate. K0041 A Large size footplate ......... ......... ......... ........... ........... each. K0042 A Standard size footplate ......... ......... ......... ........... ........... each. K0043 A Ftrst lower extension ......... ......... ......... ........... ........... tube. K0044 A Ftrst upper hanger ......... ......... ......... ........... ........... bracket. K0045 A Footrest complete ......... ......... ......... ........... ........... assembly. K0046 A Elevat legrst low ......... ......... ......... ........... ........... extension. K0047 A Elevat legrst up hangr ......... ......... ......... ........... ........... brack. K0048 A Elevate legrest ......... ......... ......... ........... ........... complete. K0049 A Calf pad each.......... ......... ......... ......... ........... ........... K0050 A Ratchet assembly....... ......... ......... ......... ........... ........... K0051 A Cam relese assem ftrst/ ......... ......... ......... ........... ........... lgrst. K0052 A Swingaway detach ......... ......... ......... ........... ........... footrest. K0053 A Elevate footrest ......... ......... ......... ........... ........... articulate. K0054 A Seat wdth 10-12/15/17/ ......... ......... ......... ........... ........... 20 wc. K0055 A Seat dpth 15/17/18 ltwt ......... ......... ......... ........... ........... wc. K0056 A Seat ht =21 ......... ......... ......... ........... ........... ltwt wc. K0057 A Seat wdth 19/20 hvy dty ......... ......... ......... ........... ........... wc. K0058 A Seat dpth 17/18 power ......... ......... ......... ........... ........... wc. K0059 A Plastic coated handrim ......... ......... ......... ........... ........... each. K0060 A Steel handrim each..... ......... ......... ......... ........... ........... K0061 A Aluminum handrim each.. ......... ......... ......... ........... ........... K0062 A Handrim 8-10 vert/obliq ......... ......... ......... ........... ........... proj. K0063 A Hndrm 12-16 vert/obliq ......... ......... ......... ........... ........... proj. K0064 A Zero pressure tube flat ......... ......... ......... ........... ........... free. K0065 A Spoke protectors....... ......... ......... ......... ........... ........... K0066 A Solid tire any size ......... ......... ......... ........... ........... each. K0067 A Pneumatic tire any size ......... ......... ......... ........... ........... each. K0068 A Pneumatic tire tube ......... ......... ......... ........... ........... each. K0069 A Rear whl complete solid ......... ......... ......... ........... ........... tire. K0070 A Rear whl compl pneum ......... ......... ......... ........... ........... tire. K0071 A Front castr compl pneum ......... ......... ......... ........... ........... tire. K0072 A Frnt cstr cmpl sem- ......... ......... ......... ........... ........... pneum tir. K0073 A Caster pin lock each... ......... ......... ......... ........... ........... K0074 A Pneumatic caster tire ......... ......... ......... ........... ........... each. K0075 A Semi-pneumatic caster ......... ......... ......... ........... ........... tire. K0076 A Solid caster tire each. ......... ......... ......... ........... ........... K0077 A Front caster assem ......... ......... ......... ........... ........... complete. K0078 A Pneumatic caster tire ......... ......... ......... ........... ........... tube. K0079 A Wheel lock extension ......... ......... ......... ........... ........... pair. K0080 A Anti-rollback device ......... ......... ......... ........... ........... pair. K0081 A Wheel lock assembly ......... ......... ......... ........... ........... complete. K0082 A 22 nf deep cycl acid ......... ......... ......... ........... ........... battery. K0083 A 22 nf gel cell battery ......... ......... ......... ........... ........... each. K0084 A Grp 24 deep cycl acid ......... ......... ......... ........... ........... battry. K0085 A Group 24 gel cell ......... ......... ......... ........... ........... battery. K0086 A U-1 lead acid battery ......... ......... ......... ........... ........... each. K0087 A U-1 gel cell battery ......... ......... ......... ........... ........... each. K0088 A Battry chrgr acid/gel ......... ......... ......... ........... ........... cell. K0089 A Battery charger dual ......... ......... ......... ........... ........... mode. K0090 A Rear tire power ......... ......... ......... ........... ........... wheelchair. K0091 A Rear tire tube power ......... ......... ......... ........... ........... whlchr. K0092 A Rear assem cmplt powr ......... ......... ......... ........... ........... whlchr. K0093 A Rear zero pressure tire ......... ......... ......... ........... ........... tube. K0094 A Wheel tire for power ......... ......... ......... ........... ........... base. K0095 A Wheel tire tube each ......... ......... ......... ........... ........... base. K0096 A Wheel assem powr base ......... ......... ......... ........... ........... complt. K0097 A Wheel zero presure tire ......... ......... ......... ........... ........... tube. K0098 A Drive belt power ......... ......... ......... ........... ........... wheelchair. K0099 A Front caster power ......... ......... ......... ........... ........... whelchair. K0100 A Amputee adapter pair... ......... ......... ......... ........... ........... K0101 A One-arm drive ......... ......... ......... ........... ........... attachment. K0102 A Crutch and cane holder. ......... ......... ......... ........... ........... K0103 A Transfer board = 40. ......... ......... ......... ........... ........... R0070 N Transport portable x- ......... ......... ......... ........... ........... ray. R0075 N Transport port x-ray ......... ......... ......... ........... ........... multipl. R0076 N Transport portable EKG. ......... ......... ......... ........... ........... V2020 A Vision svcs frames ......... ......... ......... ........... ........... purchases. V2025 E Eyeglasses delux frames ......... ......... ......... ........... ........... V2100 A Lens spher single plano ......... ......... ......... ........... ........... 4.00. V2101 A Single visn sphere 4.12- ......... ......... ......... ........... ........... 7.00. V2102 A Singl visn sphere 7.12- ......... ......... ......... ........... ........... 20.00. V2103 A Spherocylindr 4.00d/12- ......... ......... ......... ........... ........... 2.00d. V2104 A Spherocylindr 4.00d/ ......... ......... ......... ........... ........... 2.12-4d. V2105 A Spherocylinder 4.00d/ ......... ......... ......... ........... ........... 4.25-6d. V2106 A Spherocylinder 4.00d/ ......... ......... ......... ........... ........... >6.00d. V2107 A Spherocylinder 4.25d/12- ......... ......... ......... ........... ........... 2d. V2108 A Spherocylinder 4.25d/ ......... ......... ......... ........... ........... 2.12-4d. V2109 A Spherocylinder 4.25d/ ......... ......... ......... ........... ........... 4.25-6d. V2110 A Spherocylinder 4.25d/ ......... ......... ......... ........... ........... over 6d. V2111 A Spherocylindr 7.25d/.25- ......... ......... ......... ........... ........... 2.25. V2112 A Spherocylindr 7.25d/ ......... ......... ......... ........... ........... 2.25-4d. V2113 A Spherocylindr 7.25d/ ......... ......... ......... ........... ........... 4.25-6d. V2114 A Spherocylinder over ......... ......... ......... ........... ........... 12.00d. V2115 A Lens lenticular bifocal ......... ......... ......... ........... ........... V2116 A Nonaspheric lens ......... ......... ......... ........... ........... bifocal. V2117 A Aspheric lens bifocal.. ......... ......... ......... ........... ........... V2118 A Lens aniseikonic single ......... ......... ......... ........... ........... V2199 A Lens single vision not ......... ......... ......... ........... ........... oth c. V2200 A Lens spher bifoc plano ......... ......... ......... ........... ........... 4.00d. V2201 A Lens sphere bifocal ......... ......... ......... ........... ........... 4.12-7.0. V2202 A Lens sphere bifocal ......... ......... ......... ........... ........... 7.12-20.. V2203 A Lens sphcyl bifocal ......... ......... ......... ........... ........... 4.00d/.1. V2204 A Lens sphcy bifocal ......... ......... ......... ........... ........... 4.00d/2.1. V2205 A Lens sphcy bifocal ......... ......... ......... ........... ........... 4.00d/4.2.

V2206 A Lens sphcy bifocal ......... ......... ......... ........... ........... 4.00d/ove. V2207 A Lens sphcy bifocal 4.25- ......... ......... ......... ........... ........... 7d/.. V2208 A Lens sphcy bifocal 4.25- ......... ......... ......... ........... ........... 7/2.. V2209 A Lens sphcy bifocal 4.25- ......... ......... ......... ........... ........... 7/4.. V2210 A Lens sphcy bifocal 4.25- ......... ......... ......... ........... ........... 7/ov. V2211 A Lens sphcy bifo 7.25-12/ ......... ......... ......... ........... ........... .25-. V2212 A Lens sphcyl bifo 7.25- ......... ......... ......... ........... ........... 12/2.2. V2213 A Lens sphcyl bifo 7.25- ......... ......... ......... ........... ........... 12/4.2. V2214 A Lens sphcyl bifocal ......... ......... ......... ........... ........... over 12.. V2215 A Lens lenticular bifocal ......... ......... ......... ........... ........... V2216 A Lens lenticular ......... ......... ......... ........... ........... nonaspheric. V2217 A Lens lenticular ......... ......... ......... ........... ........... aspheric bif. V2218 A Lens aniseikonic ......... ......... ......... ........... ........... bifocal. V2219 A Lens bifocal seg width ......... ......... ......... ........... ........... over. V2220 A Lens bifocal add over ......... ......... ......... ........... ........... 3.25d. V2299 A Lens bifocal speciality ......... ......... ......... ........... ........... V2300 A Lens sphere trifocal ......... ......... ......... ........... ........... 4.00d. V2301 A Lens sphere trifocal ......... ......... ......... ........... ........... 4.12-7.. V2302 A Lens sphere trifocal ......... ......... ......... ........... ........... 7.12-20. V2303 A Lens sphcy trifocal 4.0/ ......... ......... ......... ........... ........... .12-. V2304 A Lens sphcy trifocal 4.0/ ......... ......... ......... ........... ........... 2.25. V2305 A Lens sphcy trifocal 4.0/ ......... ......... ......... ........... ........... 4.25. V2306 A Lens sphcyl trifocal ......... ......... ......... ........... ........... 4.00/>6. V2307 A Lens sphcy trifocal ......... ......... ......... ........... ........... 4.25-7/.. V2308 A Lens sphc trifocal 4.25- ......... ......... ......... ........... ........... 7/2.. V2309 A Lens sphc trifocal 4.25- ......... ......... ......... ........... ........... 7/4.. V2310 A Lens sphc trifocal 4.25- ......... ......... ......... ........... ........... 7/>6. V2311 A Lens sphc trifo 7.25-12/ ......... ......... ......... ........... ........... .25-. V2312 A Lens sphc trifo 7.25-12/ ......... ......... ......... ........... ........... 2.25. V2313 A Lens sphc trifo 7.25-12/ ......... ......... ......... ........... ........... 4.25. V2314 A Lens sphcyl trifocal ......... ......... ......... ........... ........... over 12. V2315 A Lens lenticular ......... ......... ......... ........... ........... trifocal. V2316 A Lens lenticular ......... ......... ......... ........... ........... nonaspheric. V2317 A Lens lenticular ......... ......... ......... ........... ........... aspheric tri. V2318 A Lens aniseikonic ......... ......... ......... ........... ........... trifocal. V2319 A Lens trifocal seg width ......... ......... ......... ........... ........... > 28. V2320 A Lens trifocal add over ......... ......... ......... ........... ........... 3.25d. V2399 A Lens trifocal ......... ......... ......... ........... ........... speciality. V2410 A Lens variab asphericity ......... ......... ......... ........... ........... sing. V2430 A Lens variable ......... ......... ......... ........... ........... asphericity bi. V2499 A Variable asphericity ......... ......... ......... ........... ........... lens. V2500 A Contact lens pmma ......... ......... ......... ........... ........... spherical. V2501 A Cntct lens pmma-toric/ ......... ......... ......... ........... ........... prism. V2502 A Contact lens pmma ......... ......... ......... ........... ........... bifocal. V2503 A Cntct lens pmma color ......... ......... ......... ........... ........... vision. V2510 A Cntct gas permeable ......... ......... ......... ........... ........... sphericl. V2511 A Cntct toric prism ......... ......... ......... ........... ........... ballast. V2512 A Cntct lens gas permbl ......... ......... ......... ........... ........... bifocl. V2513 A Contact lens extended ......... ......... ......... ........... ........... wear. V2520 A Contact lens ......... ......... ......... ........... ........... hydrophilic. V2521 A Cntct lens hydrophilic ......... ......... ......... ........... ........... toric. V2522 A Cntct lens hydrophil ......... ......... ......... ........... ........... bifocl. V2523 A Cntct lens hydrophil ......... ......... ......... ........... ........... extend. V2530 A Contact lens gas ......... ......... ......... ........... ........... impermeable. V2531 A Contact lens gas ......... ......... ......... ........... ........... permeable. V2599 A Contact lens/es other ......... ......... ......... ........... ........... type. V2600 A Hand held low vision ......... ......... ......... ........... ........... aids. V2610 A Single lens spectacle ......... ......... ......... ........... ........... mount. V2615 A Telescop/othr compound ......... ......... ......... ........... ........... lens. V2623 A Plastic eye prosth ......... ......... ......... ........... ........... custom. V2624 A Polishing artifical eye ......... ......... ......... ........... ........... V2625 A Enlargemnt of eye ......... ......... ......... ........... ........... prosthesis. V2626 A Reduction of eye ......... ......... ......... ........... ........... prosthesis. V2627 A Scleral cover shell.... ......... ......... ......... ........... ........... V2628 A Fabrication & fitting.. ......... ......... ......... ........... ........... V2629 A Prosthetic eye other ......... ......... ......... ........... ........... type. V2630 N Anter chamber intraocul ......... ......... ......... ........... ........... lens. V2631 N Iris support intraoclr ......... ......... ......... ........... ........... lens. V2632 N Post chmbr intraocular ......... ......... ......... ........... ........... lens. V2700 A Balance lens........... ......... ......... ......... ........... ........... V2710 A Glass/plastic slab off ......... ......... ......... ........... ........... prism. V2715 A Prism lens/es.......... ......... ......... ......... ........... ........... V2718 A Fresnell prism press-on ......... ......... ......... ........... ........... lens. V2730 A Special base curve..... ......... ......... ......... ........... ........... V2740 A Rose tint plastic...... ......... ......... ......... ........... ...........

V2741 A Non-rose tint plastic.. ......... ......... ......... ........... ........... V2742 A Rose tint glass........ ......... ......... ......... ........... ........... V2743 A Non-rose tint glass.... ......... ......... ......... ........... ........... V2744 A Tint photochromatic ......... ......... ......... ........... ........... lens/es. V2750 A Anti-reflective coating ......... ......... ......... ........... ........... V2755 A UV lens/es............. ......... ......... ......... ........... ........... V2760 A Scratch resistant ......... ......... ......... ........... ........... coating. V2770 A Occluder lens/es....... ......... ......... ......... ........... ........... V2780 A Oversize lens/es....... ......... ......... ......... ........... ........... V2781 A Progressive lens per ......... ......... ......... ........... ........... lens. V2785 N Corneal tissue ......... ......... ......... ........... ........... processing. V2799 A Miscellaneous vision ......... ......... ......... ........... ........... service. V5008 E Hearing screening...... ......... ......... ......... ........... ........... V5010 E Assessment for hearing ......... ......... ......... ........... ........... aid. V5011 E Hearing aid fitting/ ......... ......... ......... ........... ........... checking. V5014 E Hearing aid repair/ ......... ......... ......... ........... ........... modifying. V5020 E Conformity evaluation.. ......... ......... ......... ........... ........... V5030 E Body-worn hearing aid ......... ......... ......... ........... ........... air. V5040 E Body-worn hearing aid ......... ......... ......... ........... ........... bone. V5050 E Body-worn hearing aid ......... ......... ......... ........... ........... in ear. V5060 E Behind ear hearing aid. ......... ......... ......... ........... ........... V5070 E Glasses air conduction. ......... ......... ......... ........... ........... V5080 E Glasses bone conduction ......... ......... ......... ........... ........... V5090 E Hearing aid dispensing ......... ......... ......... ........... ........... fee. V5100 E Body-worn bilat hearing ......... ......... ......... ........... ........... aid. V5110 E Hearing aid dispensing ......... ......... ......... ........... ........... fee. V5120 E Body-worn binaur ......... ......... ......... ........... ........... hearing aid. V5130 E In ear binaural hearing ......... ......... ......... ........... ........... aid. V5140 E Behind ear binaur ......... ......... ......... ........... ........... hearing ai. V5150 E Glasses binaural ......... ......... ......... ........... ........... hearing aid. V5160 E Dispensing fee binaural ......... ......... ......... ........... ........... V5170 E Within ear cros hearing ......... ......... ......... ........... ........... aid. V5180 E Behind ear cros hearing ......... ......... ......... ........... ........... aid. V5190 E Glasses cros hearing ......... ......... ......... ........... ........... aid. V5200 E Cros hearing aid ......... ......... ......... ........... ........... dispens fee. V5210 E In ear bicros hearing ......... ......... ......... ........... ........... aid. V5220 E Behind ear bicros ......... ......... ......... ........... ........... hearing ai. V5230 E Glasses bicros hearing ......... ......... ......... ........... ........... aid. V5240 E Dispensing fee bicros.. ......... ......... ......... ........... ........... V5299 A Hearing service........ ......... ......... ......... ........... ........... V5336 E Repair communication ......... ......... ......... ........... ........... device. V5362 A Speech screening....... ......... ......... ......... ........... ........... V5363 A Language screening..... ......... ......... ......... ........... ........... V5364 A Dysphagia screening.... ......... ......... ......... ........... ........... ---------------------------------------------------------------------------------------------------------------- \1\ This APC assignment will not apply to services furnished under a partial hospitalization program. Instead, services furnished as part of a partial hospitalization program are paid on a per-diem basis via APC 020. \2\ This code was valid in 1996 and therefore was available for use in calculating weights. However, it has since been terminated and will not be paid upon implementation. CPT codes and descriptions only are copyright 1997 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. Copyright 1994 American Dental Association. All rights reserved.

48. On pages 47761 through 47833, Addendum C is corrected to read as follows:

CPT codes and descriptions only are copyright 1997 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.

Copyright 1994 American Dental Association. All rights reserved.

Addendum C.--Proposed Hospital Outpatient Department (HOPD) Payment for Procedures by APC ---------------------------------------------------------------------------------------------------------------- Proposed National Minimum APC CPT Description Status indicator Relative payment unadjusted unadjusted HCPCS weight rate coinsurance coinsurance ---------------------------------------------------------------------------------------------------------------- 031 DENTAL PROCEDURES S 1.37 $70.45 $14.09 $14.09 031 D0150 Comprehensve oral evaluation. 031 D0240 Intraoral occlusal film. 031 D0250 Extraoral first film.... 031 D0260 Extraoral ea additional film. 031 D0270 Dental bitewing single film. 031 D0272 Dental bitewings two films. 031 D0274 Dental bitewings four films. 031 D0460 Pulp vitality test...... 031 D0471 Diagnostic photographs.. 031 D0501 Histopathologic examinations. 031 D0502 Other oral pathology procedu. 031 D0999 Unspecified diagnostic proce. 031 D1510 Space maintainer fxd unilat.

031 D1515 Fixed bilat space maintainer. 031 D1520 Remove unilat space maintain. 031 D1525 Remove bilat space maintain. 031 D1550 Recement space maintainer. 031 D2970 Temporary- fractured tooth. 031 D2999 Dental unspec restorative pr. 031 D3460 Endodontic endosseous implan. 031 D3999 Endodontic procedure.... 031 D4250 Mucogingival surg per quadra. 031 D4260 Osseous surgery per quadrant. 031 D4263 Bone replce graft first site. 031 D4264 Bone replce graft each add. 031 D4270 Pedicle soft tissue graft pr. 031 D4271 Free soft tissue graft proc. 031 D4273 Subepithelial tissue graft. 031 D4355 Full mouth debridement.. 031 D4381 Localized chemo delivery 031 D5911 Facial moulage sectional 031 D5912 Facial moulage complete. 031 D5983 Radiation applicator.... 031 D5984 Radiation shield........ 031 D5985 Radiation cone locator.. 031 D5987 Commissure splint....... 031 D6920 Dental connector bar.... 031 D7110 Oral surgery single tooth. 031 D7120 Each add tooth extraction. 031 D7130 Tooth root removal...... 031 D7210 Rem imp tooth w mucoper flp. 031 D7220 Impact tooth remov soft tiss. 031 D7230 Impact tooth remov part bony. 031 D7240 Impact tooth remov comp bony. 031 D7241 Impact tooth rem bony w/ comp. 031 D7250 Tooth root removal...... 031 D7260 Oral antral fistula closure. 031 D7291 Transseptal fiberotomy.. 031 D7940 Reshaping bone orthognathic. 031 D9630 Other drugs/medicaments. 031 D9930 Treatment of complications. 031 D9940 Dental occlusal guard... 031 D9950 Occlusion analysis...... 031 D9951 Limited occlusal adjustment. 031 D9952 Complete occlusal adjustment. 061 LEVEL I CHEMOTHERAPEUTIC AGENTS X 1.15 $59.13 $37.52 $11.83 061 J8610 Methotrexate oral 2.5 MG 061 J8999 Oral prescription drug chemo. 061 J9015 Aldesleukin/single use vial. 061 J9070 Cyclophosphamide 100 MG inj. 061 J9080 Cyclophosphamide 200 MG inj. 061 J9090 Cyclophosphamide 500 MG inj. 061 J9093 Cyclophosphamide lyophilized. 061 J9094 Cyclophosphamide lyophilized. 061 J9095 Cyclophosphamide lyophilized. 061 J9100 Cytarabine hcl 100 MG inj. 061 J9110 Cytarabine hcl 500 MG inj. 061 J9120 Dactinomycin actinomycin d. 061 J9130 Dacarbazine 10 MG inj... 061 J9140 Dacarbazine 200 MG inj.. 061 J9165 Diethylstilbestrol injection. 061 J9170 Docetaxel............... 061 J9181 Etoposide 10 MG inj..... 061 J9190 Fluorouracil injection.. 061 J9201 Gemcitabine HCl......... 061 J9206 Irinotecan injection.... 061 J9214 Interferon alfa-2b inj.. 061 J9215 Interferon alfa-n3 inj.. 061 J9218 Leuprolide acetate injeciton. 061 J9230 Mechlorethamine hcl inj. 061 J9250 Methotrexate sodium inj. 061 J9260 Methotrexate sodium inj. 061 J9266 Pegaspargase/singl dose vial. 061 J9350 Topotecan............... 061 J9360 Vinblastine sulfate inj. 061 J9390 Vinorelbine tartrate/10 mg. 061 J9600 Porfimer sodium......... 061 J9999 Chemotherapy drug.......

062 LEVEL II CHEMOTHERAPEUTIC AGENTS X 1.78 $91.53 $36.61 $18.31 062 J9000 Doxorubic hcl 10 MG vl chemo. 062 J9020 Asparaginase injection.. 062 J9060 Cisplatin 10 MG injeciton. 062 J9065 Inj cladribine per 1 MG. 062 J9091 Cyclophosphamide 1.0 grm inj. 062 J9092 Cyclophosphamide 2.0 grm inj. 062 J9096 Cyclophosphamide lyophilized. 062 J9097 Cyclophosphamide lyophilized. 062 J9150 Daunorubicin............ 062 J9211 Idarubicin hcl injeciton 062 J9213 Interferon alfa-2a inj.. 062 J9265 Paclitaxel injection.... 062 J9268 Pentostatin injection... 062 J9370 Vincristine sulfate 1 MG inj. 063 LEVEL III CHEMOTHERAPEUTIC AGENTS X 2.94 $151.17 $110.97 $30.24 \2\ 063 J9010 Doxorubicin hcl 50 MG inj. 063 J9031 Bcg live intravesical vac. 063 J9040 Bleomycin sulfate injection. 063 J9045 Carboplatin injection... 063 J9050 Carmus bischl nitro inj. 063 J9062 Cisplatin 50 MG injeciton. 063 J9182 Etoposide 100 MG inj.... 063 J9185 Fludarabine phosphate inj. 063 J9200 Floxuridine injection... 063 J9202 Goserelin acetate implant. 063 J9208 Ifosfomide injection.... 063 J9209 Mesna injection......... 063 J9216 Interferon gamma 1-b inj 063 J9270 Plicamycin (mithramycin) inj. 063 J9280 Mitomycin 5 MG inj...... 063 J9320 Streptozocin injection.. 063 J9340 Thiotepa injection...... 063 J9375 Vincristine sulfate 2 MG inj. 063 J9380 Vincristine sulfate 5 MG inj. 064 LEVEL IV CHEMOTHERAPEUTIC AGENTS X 4.15 $213.39 $138.99 $42.68 064 J0640 Leucovorin calcium injection. 064 J1950 Leuprolide acetate /3.75 MG. 064 J9217 Leuprolide acetate suspnsion. 064 J9245 Inj melphalan hydrochl 50 MG. 064 J9290 Mitomycin 20 MG inj..... 064 J9291 Mitomycin 40 MG inj..... 064 J9293 Mitoxantrone hydrochl / 5 MG. 089 NEUROPSYCHOLOGICAL TESTING X 4.06 $208.77 $46.10 $41.75 \1\ 089 96100 Psychological testing... 089 96105 Assessment of aphasia... 089 96110 Developmental test, lim. 089 96111 Developmental test, extend. \1\ 089 96115 Neurobehavior status exam. \1\ 089 96117 Neuropsych test battery. 090 MONITORING PSYCHIATRIC DRUGS X 0.85 $43.71 $12.20 $8.74 \1\ 090 90862 Medication management... 090 M0064 Visit for drug monitoring. 091 BRIEF INDIVIDUAL PSYCHOTHERAPY S 1.09 $56.05 $14.01 $11.21 091 90804 Psytx, office (20-30)... 091 90805 Psytx, office (20-30) w/ e&m. 091 90810 Intac psytx, office (20- 30). 091 90811 Intac psytx, off 20-30 w/ e&m. 091 90816 Psytx, hosp (20-30)..... 091 90817 Psytx, hosp (20-30) w/ e&m. 091 90823 Intac psytx, hosp (20- 30). 091 90824 Intac psytx, hsp 20-30 w/ e&m. \1\ \2\ 90843 Psychotherapy, 20-30 min 091 \1\ 091 90899 Psychiatric service/ therapy. 092 EXTENDED INDIVIDUAL PSYCHOTHERAPY S 1.63 $83.81 $21.47 $16.76 \1\ 092 90801 Psy dx interview........ 092 90802 Intac psy dx interview.. 092 90806 Psytx, office (45-50)... 092 90807 Psytx, office (45-50) w/ e&m. 092 90808 Psytx, office (75-80)... 092 90809 Psytx, office (75-80) w/ e&m. 092 90812 Intac psytx, office (45- 50). 092 90813 Intac psytx, off 45-50 w/ e&m. 092 90814 Intac psytx, office (75- 80). 092 90815 Intac psytx, off 75-80 w/ e&m.

092 90818 Psytx, hosp (45-50)..... 092 90819 Psytx, hosp (45-50) w/ e&m. \1\ \2\ 90820 Diagnostic interview.... 092 092 90821 Psytx, hosp (75-80)..... 092 90822 Psytx, hosp (75-80) w/ e&m. 092 90826 Intac psytx, hosp (45- 50). 092 90827 Intac psytx, hsp 45-50 w/ e&m. 092 90828 Intac psytx, hosp (75- 80). 092 90829 Intac psytx, hsp 75-80 w/ e&m. \1\ \2\ 90835 Special interview....... 092 \1\ \2\ 90842 Psychotherapy, 75-80 min 092 \1\ \2\ 90844 Psychotherapy, 45-50 min 092 \1\ 092 90845 Psychoanalysis.......... \1\ \2\ 90855 Individual psychotherapy 092 092 90865 Narcosynthesis.......... \1\ 092 90880 Hypnotherapy............ 093 FAMILY PSYCHOTHERAPY S 1.56 $80.22 $20.11 $16.04 \1\ 093 90846 Family psytx w/o patient \1\ 093 90847 Family psytx w/patient.. 094 GROUP PSYCHOTHERAPY S 1.31 $67.36 $19.89 $13.47 \1\ 094 90849 Multiple family group psytx. \1\ 094 90853 Group psychotherapy..... \1\ 094 90857 Intac group psytx....... 121 LEVEL I NEEDLE BIOPSY/ASPIRATION T 0.63 $32.39 $21.02 $6.48 121 17999 Skin tissue procedure... 121 19000 Drainage of breast lesion. 121 19001 Drain breast lesion add- on. 121 20615 Treatment of bone cyst.. 121 55000 Drainage of hydrocele... 121 60001 Aspirate/inject thyriod cyst. 121 60699 Endocrine surgery procedure. 121 85095 Bone marrow aspiration.. 121 85102 Bone marrow biopsy...... 121 88170 Fine needle aspiration.. 121 88171 Fine needle aspiration.. 122 LEVEL II NEEDLE BIOPSY/ASPIRATION T 4.59 $236.02 $113.00 $47.20 122 19100 Biopsy of breast........ 122 20206 Needle biopsy, muscle... 122 32400 Needle biopsy chest lining. 122 32405 Biopsy, lung or mediastinum. 122 38505 Needle biopsy, lymph node(s). 122 42400 Biopsy of salivary gland 122 47000 Needle biopsy of liver.. 122 47399 Liver surgery procedure. 122 48102 Needle biopsy, pancreas. 122 48999 Pancreas surgery procedure. 122 49180 Biopsy, abdominal mass.. 122 50200 Biopsy of kidney........ 122 50390 Drainage of kidney lesion. 122 54500 Biopsy of testis........ 122 54800 Biopsy of epididymis.... 122 60100 Biopsy of thyroid....... 122 62269 Needle biopsy spinal cord. 122 67415 Aspiration orbital contents. 131 LEVEL I INCISION & DRAINAGE T 1.93 $99.24 $36.61 $19.85 131 10040 Acne surgery of skin abscess. 131 10060 Drainage of skin abscess 131 10061 Drainage of skin abscess 131 10080 Drainage of pilonidal cyst. 131 10081 Drainage of pilonidal cyst. 131 10120 Remove foreign body..... 131 10140 Drainage of hematoma/ fluid. 131 10160 Puncture drainage of lesion. 131 10180 Complex drainage, wound. 131 11976 Removal of contraceptive cap. 131 20000 Incision of abscess..... 131 26010 Drainage of finger abscess. 131 26011 Drainage of finger abscess. 131 69000 Drain external ear lesion. 131 69005 Drain external ear lesion. 131 69020 Drain outer ear canal lesion. 132 LEVEL II INCISION & DRAINAGE T 5.63 $289.49 $132.89 $57.90 132 19020 Incision of breast lesion. 132 20950 Record fluid pressure,muscle. 132 21501 Drain neck/chest lesion.

132 21700 Revision of neck muscle. 132 21720 Revision of neck muscle. 132 21725 Revision of neck muscle. 132 23030 Drain shoulder lesion... 132 23031 Drain shoulder bursa.... 132 23930 Drainage of arm lesion.. 132 23931 Drainage of arm bursa... 132 27301 Drain thigh/knee lesion. 132 27603 Drain lower leg lesion.. 132 28001 Drainage of bursa of foot. 132 38300 Drainage lymph node lesion. 132 38305 Drainage lymph node lesion. 132 38999 Blood/lymph system procedure. 132 51080 Drainage of bladder abscess. 132 54015 Drain penis lesion...... 132 54115 Treatment of penis lesion. 132 55100 Drainage of scrotum abscess. 137 NAIL PROCEDURES T 0.60 $30.85 $9.27 $6.17 \2\ 137 11700 Scraping of 1-5 nails... \2\ 137 11701 Scraping of additional nails. \2\ 137 11710 Scraping of 1-5 nails... \2\ 137 11711 Scraping of additional nails. 137 11719 Trim nail(s)............ 137 11720 Debride nail, 1-5....... 137 11721 Debride nail, 6 or more. 137 11740 Drain blood from under nail. 137 11755 Biopsy, nail unit....... 141 LEVEL I DESTRUCTION OF LESION T 0.52 $26.74 $9.49 $5.35 141 17000 Destroy benign/premal lesion. \2\ 141 17001 Destruction of add'l lesions. \2\ 141 17002 Destruction of add'l lesions. 141 17003 Destroy 2-14 lesions.... \2\ 141 17100 Destruction of skin lesion. \2\ 141 17101 Destruction of 2nd lesion. \2\ 141 17102 Destruction of add'l lesions. 141 17106 Destruction of skin lesions. 141 17110 Destruct lesion, 1-14... 142 LEVEL II DESTRUCTION OF LESION T 2.94 $151.17 $54.24 $30.24 142 17004 Destroy 15 & more lesions. \2\ 142 17104 Destruction of skin lesions. \2\ 142 17105 Destruction of skin lesions. 142 17107 Destruction of skin lesions. 142 17108 Destruction of skin lesions. 142 17111 Destruct lesion, 15 or more. 151 LEVEL I DEBRIDEMENT/DESTRUCTION T 1.63 $83.81 $33.22 $16.76 151 11000 Debride infected skin... 151 11001 Debride infect skin add- on. 151 11040 Debride skin partial.... 151 11041 Debride skin full....... 151 11042 Debride skin/tissue..... \2\ 151 11050 Trim skin lesion........ \2\ 151 11051 Trim 2 to 4 skin lesions \2\ 151 11052 Trim over 4 skin lesions 151 11055 Trim skin lesion........ 151 11056 Trim 2 to 4 skin lesions 151 11057 Trim over 4 skin lesions 151 11200 Removal of skin tags.... 151 11201 Remove skin tags add-on. 151 11300 Shave skin lesion....... 151 11301 Shave skin lesion....... 151 11302 Shave skin lesion....... 151 11303 Shave skin lesion....... 151 11305 Shave skin lesion....... 151 11306 Shave skin lesion....... 151 11307 Shave skin lesion....... 151 11308 Shave skin lesion....... 151 11310 Shave skin lesion....... 151 11311 Shave skin lesion....... 151 11312 Shave skin lesion....... 151 11313 Shave skin lesion....... 151 11730 Removal of nail plate... \2\ 151 11731 Removal of second nail plate. 151 11732 Remove additional nail plate. 151 11765 Excision of nail fold, toe. 151 11900 Injection into skin lesions.

151 11901 Added skin lesions injection. 151 15783 Abrasion treatment of skin. 151 15786 Abrasion, lesion, single 151 15787 Abrasion, lesions, add- on. 151 15788 Chemical peel, face, epiderm. 151 15789 Chemical peel, face, dermal. 151 15792 Chemical peel, nonfacial 151 15793 Chemical peel, nonfacial 151 15810 Salabrasion............. 151 15850 Removal of sutures...... 151 15851 Removal of sutures...... 151 15852 Dressing change,not for burn. 151 16000 Initial treatment of burn(s). 151 16020 Treatment of burn(s).... 151 16025 Treatment of burn(s).... 151 16030 Treatment of burn(s).... \2\ 151 17200 Electrocautery of skin tags. \2\ 151 17201 Electrocautery added lesions. 151 17250 Chemical cautery, tissue 151 17260 Destruction of skin lesions. 151 17261 Destruction of skin lesions. 151 17262 Destruction of skin lesions. 151 17263 Destruction of skin lesions. 151 17264 Destruction of skin lesions. 151 17266 Destruction of skin lesions. 151 17270 Destruction of skin lesions. 151 17271 Destruction of skin lesions. 151 17272 Destruction of skin lesions. 151 17273 Destruction of skin lesions. 151 17274 Destruction of skin lesions. 151 17276 Destruction of skin lesions. 151 17280 Destruction of skin lesions. 151 17281 Destruction of skin lesions. 151 17282 Destruction of skin lesions. 151 17283 Destruction of skin lesions. 151 17284 Destruction of skin lesions. 151 17286 Destruction of skin lesions. 151 17340 Cryotherapy of skin..... 151 17360 Skin peel therapy....... 151 17380 Hair removal by electrolysis. 151 42809 Remove pharynx foreign body. 151 69220 Clean out mastoid cavity 152 LEVEL II DEBRIDEMENT/DESTRUCTION T 10.07 $517.80 $251.54 $103.56 152 16010 Treatment of burn(s).... 152 16015 Treatment of burn(s).... 152 46900 Destruction, anal lesion(s). 152 46910 Destruction, anal lesion(s). 152 46916 Cryosurgery, anal lesion(s). 152 46917 Laser surgery, anal lesion(s). 152 46922 Excision of anal lesion(s). 152 46924 Destruction, anal lesion(s). 152 54050 Destruction, penis lesion(s). 152 54055 Destruction, penis lesion(s). 152 54056 Cryosurgery, penis lesion(s). 152 54057 Laser surg, penis lesion(s). 152 54060 Excision of penis lesion(s). 152 54065 Destruction, penis lesion(s). 152 56501 Destruction, vulva lesion(s). 152 56515 Destruction, vulva lesion(s). 161 LEVEL I EXCISION/BIOPSY T 3.43 $176.37 $75.71 $35.27 161 11100 Biopsy of skin lesion... 161 11101 Biopsy, skin add-on..... 161 11400 Removal of skin lesion.. 161 11401 Removal of skin lesion.. 161 11402 Removal of skin lesion.. 161 11403 Removal of skin lesion.. 161 11420 Removal of skin lesion.. 161 11421 Removal of skin lesion.. 161 11422 Removal of skin lesion.. 161 11423 Removal of skin lesion.. 161 11440 Removal of skin lesion.. 161 11441 Removal of skin lesion.. 161 11442 Removal of skin lesion.. 161 11443 Removal of skin lesion.. 161 11600 Removal of skin lesion..

161 11601 Removal of skin lesion.. 161 11602 Removal of skin lesion.. 161 11603 Removal of skin lesion.. 161 11620 Removal of skin lesion.. 161 11621 Removal of skin lesion.. 161 11622 Removal of skin lesion.. 161 11623 Removal of skin lesion.. 161 11640 Removal of skin lesion.. 161 11641 Removal of skin lesion.. 161 11642 Removal of skin lesion.. 161 11643 Removal of skin lesion.. 161 11750 Removal of nail bed..... 161 20520 Removal of foreign body. 161 21550 Biopsy of neck/chest.... 161 21920 Biopsy soft tissue of back. 161 23065 Biopsy shoulder tissues. 161 24065 Biopsy arm/elbow soft tissue. 161 24200 Removal of arm foreign body. 161 25065 Biopsy forearm soft tissues. 161 27613 Biopsy lower leg soft tissue. 161 28190 Removal of foot foreign body. 161 56605 Biopsy of vulva/perineum 161 56606 Biopsy of vulva/perineum 161 58999 Genital surgery procedure. 161 69100 Biopsy of external ear.. 161 69105 Biopsy of external ear canal. 162 LEVEL II EXCISION/BIOPSY T 5.59 $287.44 $125.66 $57.49 162 11043 Debride tissue/muscle... 162 11044 Debride tissue/muscle/ bone. 162 11404 Removal of skin lesion.. 162 11424 Removal of skin lesion.. 162 11444 Removal of skin lesion.. 162 11604 Removal of skin lesion.. 162 11770 Removal of pilonidal lesion. 162 16035 Incision of burn scab... \2\ 162 16040 Burn wound excision..... \2\ 162 16041 Burn wound excision..... \2\ 162 16042 Burn wound excision..... 162 17304 Chemosurgery of skin lesion. 162 17305 2nd stage chemosurgery.. 162 17306 3rd stage chemosurgery.. 162 17307 Followup skin lesion therapy. 162 17310 Extensive skin chemosurgery. 162 20200 Muscle biopsy........... 162 20205 Deep muscle biopsy...... 162 20220 Bone biopsy, trocar/ needle. 162 20225 Bone biopsy, trocar/ needle. 162 20670 Removal of support implant. 162 23000 Removal of calcium deposits. 162 23075 Removal of shoulder lesion. 162 24075 Remove arm/elbow lesion. 162 25075 Removal of forearm lesion. 162 27040 Biopsy of soft tissues.. 162 27323 Biopsy thigh soft tissues. 162 28043 Excision of foot lesion. 162 37609 Temporal artery procedure. 162 37799 Vascular surgery procedure. 162 54100 Biopsy of penis......... 162 54105 Biopsy of penis......... 162 67350 Biopsy eye muscle....... 162 67399 Eye muscle surgery procedure. 162 68100 Biopsy of eyelid lining. 162 68110 Remove eyelid lining lesion. 162 68115 Remove eyelid lining lesion. 162 68135 Remove eyelid lining lesion. 162 68399 Eyelid lining surgery... 163 LEVEL III EXCISION/BIOPSY T 10.48 $538.88 $260.80 $107.78 163 10121 Remove foreign body..... 163 11010 Debride skin, fx........ 163 11011 Debride skin/muscle, fx. 163 11012 Debride skin/muscle/ bone, fx. 163 11406 Removal of skin lesion.. 163 11426 Removal of skin lesion.. 163 11446 Removal of skin lesion.. 163 11450 Removal, sweat gland lesion.

163 11451 Removal, sweat gland lesion. 163 11462 Removal, sweat gland lesion. 163 11463 Removal, sweat gland lesion. 163 11470 Removal, sweat gland lesion. 163 11471 Removal, sweat gland lesion. 163 11606 Removal of skin lesion.. 163 11624 Removal of skin lesion.. 163 11626 Removal of skin lesion.. 163 11644 Removal of skin lesion.. 163 11646 Removal of skin lesion.. 163 11752 Remove nail bed/finger tip. 163 11771 Removal of pilonidal lesion. 163 11772 Removal of pilonidal lesion. 163 11971 Remove tissue expander(s). 163 15780 Abrasion treatment of skin. 163 15781 Abrasion treatment of skin. 163 15782 Abrasion treatment of skin. 163 15811 Salabrasion............. 163 15838 Excise excessive skin tissue. 163 15920 Removal of tail bone ulcer. 163 15931 Remove sacrum pressure sore. 163 15933 Remove sacrum pressure sore. 163 15940 Removal of pressure sore 163 15941 Removal of pressure sore 163 15950 Remove thigh pressure sore. 163 15951 Remove thigh pressure sore. 163 15999 Removal of pressure sore 163 20240 Bone biopsy, excisional. 163 20245 Bone biopsy, excisional. 163 20525 Removal of foreign body. 163 20680 Removal of support implant. 163 21555 Remove lesion neck/chest 163 21556 Remove lesion neck/chest 163 21925 Biopsy soft tissue of back. 163 21930 Remove lesion, back or flank. 163 21935 Remove tumor of back.... 163 22900 Remove abdominal wall lesion. 163 22999 Abdomen surgery procedure. 163 23066 Biopsy shoulder tissues. 163 23076 Removal of shoulder lesion. 163 23077 Remove tumor of shoulder 163 23330 Remove shoulder foreign body. 163 23331 Remove shoulder foreign body. 163 24066 Biopsy arm/elbow soft tissue. 163 24076 Remove arm/elbow lesion. 163 24077 Remove tumor of arm/ elbow. 163 24201 Removal of arm foreign body. 163 25066 Biopsy forearm soft tissues. 163 25076 Removal of forearm lesion. 163 25077 Remove tumor, forearm/ wrist. 163 26115 Removal of hand lesion.. 163 26116 Removal of hand lesion.. 163 26117 Remove tumor, hand/ finger. 163 26320 Removal of implant from hand. 163 27041 Biopsy of soft tissues.. 163 27047 Remove hip/pelvis lesion 163 27048 Remove hip/pelvis lesion 163 27049 Remove tumor, hip/pelvis 163 27324 Biopsy thigh soft tissues. 163 27327 Removal of thigh lesion. 163 27328 Removal of thigh lesion. 163 27329 Remove tumor, thigh/knee 163 27372 Removal of foreign body. 163 27614 Biopsy lower leg soft tissue. 163 27618 Remove lower leg lesion. 163 27619 Remove lower leg lesion. 163 28192 Removal of foot foreign body. 163 28193 Removal of foot foreign body. 163 69110 Partial removal external ear. 163 69145 Remove ear canal lesion(s). 163 69205 Clear outer ear canal... 181 LEVEL I SKIN REPAIR T 2.17 $111.58 $44.07 $22.32 181 11760 Reconstruction of nail bed. 181 11762 Reconstruction of nail bed. 181 11920 Correct skin color defects.

181 11921 Correct skin color defects. 181 11922 Correct skin color defects. 181 11950 Therapy for contour defects. 181 11951 Therapy for contour defects. 181 11952 Therapy for contour defects. 181 11954 Therapy for contour defects. 181 12001 Repair superficial wound(s). 181 12002 Repair superficial wound(s). 181 12004 Repair superficial wound(s). 181 12005 Repair superficial wound(s). 181 12006 Repair superficial wound(s). 181 12007 Repair superficial wound(s). 181 12011 Repair superficial wound(s). 181 12013 Repair superficial wound(s). 181 12014 Repair superficial wound(s). 181 12015 Repair superficial wound(s). 181 12016 Repair superficial wound(s). 181 12017 Repair superficial wound(s). 181 12018 Repair superficial wound(s). 181 12020 Closure of split wound.. 181 12021 Closure of split wound.. 181 12031 Layer closure of wound(s). 181 12032 Layer closure of wound(s). 181 12034 Layer closure of wound(s). 181 12035 Layer closure of wound(s). 181 12036 Layer closure of wound(s). 181 12041 Layer closure of wound(s). 181 12042 Layer closure of wound(s). 181 12044 Layer closure of wound(s). 181 12045 Layer closure of wound(s). 181 12046 Layer closure of wound(s). 181 12051 Layer closure of wound(s). 181 12052 Layer closure of wound(s). 181 12053 Layer closure of wound(s). 181 12054 Layer closure of wound(s). 181 12055 Layer closure of wound(s). 181 12056 Layer closure of wound(s). 181 20500 Injection of sinus tract 182 LEVEL II SKIN REPAIR T 4.11 $211.34 $92.43 $42.27 182 13100 Repair of wound or lesion. 182 13101 Repair of wound or lesion. 182 13120 Repair of wound or lesion. 182 13121 Repair of wound or lesion. 182 13131 Repair of wound or lesion. 182 13132 Repair of wound or lesion. 182 13150 Repair of wound or lesion. 182 13151 Repair of wound or lesion. 182 13152 Repair of wound or lesion. 182 13160 Late closure of wound... 182 13300 Repair of wound or lesion. 182 43870 Repair stomach opening.. 183 LEVEL III SKIN REPAIR T 11.04 $567.68 $283.18 $113.54 183 11960 Insert tissue expander(s). 183 11970 Replace tissue expander. 183 12037 Layer closure of wound(s). 183 12047 Layer closure of wound(s). 183 12057 Layer closure of wound(s). 183 14000 Skin tissue rearrangement. 183 14001 Skin tissue rearrangement. 183 14020 Skin tissue rearrangement. 183 14021 Skin tissue rearrangement. 183 14040 Skin tissue rearrangement. 183 14041 Skin tissue rearrangement. 183 14060 Skin tissue rearrangement. 183 14061 Skin tissue rearrangement. 183 14300 Skin tissue rearrangement. 183 14350 Skin tissue rearrangement. 183 15000 Skin graft.............. 183 15050 Skin pinch graft........ 183 15100 Skin split graft........ 183 15101 Skin split graft add-on. 183 15120 Skin split graft........ 183 15121 Skin split graft add-on. 183 15200 Skin full graft......... 183 15201 Skin full graft add-on..

183 15220 Skin full graft......... 183 15221 Skin full graft add-on.. 183 15240 Skin full graft......... 183 15241 Skin full graft add-on.. 183 15260 Skin full graft......... 183 15261 Skin full graft add-on.. 183 15350 Skin homograft.......... 183 15400 Skin heterograft........ 183 15570 Form skin pedicle flap.. 183 15572 Form skin pedicle flap.. 183 15574 Form skin pedicle flap.. 183 15576 Form skin pedicle flap.. 183 15580 Attach skin pedicle graft. 183 15600 Skin graft.............. 183 15610 Skin graft.............. 183 15620 Skin graft.............. 183 15625 Skin graft.............. 183 15630 Skin graft.............. 183 15650 Transfer skin pedicle flap. 183 15775 Hair transplant punch grafts. 183 15776 Hair transplant punch grafts. 183 15819 Plastic surgery, neck... 183 15820 Revision of lower eyelid 183 15821 Revision of lower eyelid 183 15822 Revision of upper eyelid 183 15823 Revision of upper eyelid 183 15825 Removal of neck wrinkles 183 15829 Removal of skin wrinkles 183 15835 Excise excessive skin tissue. 183 20910 Remove cartilage for graft. 183 20912 Remove cartilage for graft. 183 20920 Removal of fascia for graft. 183 20922 Removal of fascia for graft. 183 20926 Removal of tissue for graft. 183 23921 Amputation follow-up surgery. 183 25929 Amputation follow-up surgery. 183 44312 Revision of ileostomy... 183 44340 Revision of colostomy... 183 65270 Repair of eye wound..... 184 LEVEL IV SKIN REPAIR T 14.85 $763.59 $397.99 $152.72 184 15732 Muscle-skin graft, head/ neck. 184 15734 Muscle-skin graft, trunk 184 15736 Muscle-skin graft, arm.. 184 15738 Muscle-skin graft, leg.. 184 15740 Island pedicle flap graft. 184 15750 Neurovascular pedicle graft. 184 15760 Composite skin graft.... 184 15770 Derma-fat-fascia graft.. 184 15824 Removal of forehead wrinkles. 184 15826 Removal of brow wrinkles 184 15828 Removal of face wrinkles 184 15831 Excise excessive skin tissue. 184 15832 Excise excessive skin tissue. 184 15833 Excise excessive skin tissue. 184 15834 Excise excessive skin tissue. 184 15836 Excise excessive skin tissue. 184 15837 Excise excessive skin tissue. 184 15839 Excise excessive skin tissue. 184 15840 Graft for face nerve palsy. 184 15841 Graft for face nerve palsy. 184 15842 Graft for face nerve palsy. 184 15845 Skin and muscle repair, face. 184 15876 Suction assisted lipectomy. 184 15877 Suction assisted lipectomy. 184 15878 Suction assisted lipectomy. 184 15879 Suction assisted lipectomy. 184 15922 Removal of tail bone ulcer. 184 15934 Remove sacrum pressure sore. 184 15935 Remove sacrum pressure sore. 184 15936 Remove sacrum pressure sore. 184 15937 Remove sacrum pressure sore. 184 15944 Removal of pressure sore 184 15945 Removal of pressure sore 184 15946 Removal of pressure sore 184 15952 Remove thigh pressure sore.

184 15953 Remove thigh pressure sore. 184 15956 Remove thigh pressure sore. 184 15958 Remove thigh pressure sore. 197 INCISION/EXCISION BREAST T 11.94 $613.95 $308.26 $122.79 197 19101 Biopsy of breast........ 197 19110 Nipple exploration...... 197 19112 Excise breast duct fistula. 197 19120 Removal of breast lesion 197 19125 Excision, breast lesion. 197 19126 Excision,addl breast lesion. 197 19140 Removal of breast tissue 197 19290 Place needle wire, breast. 197 19291 Place needle wire, breast. 197 19396 Design custom breast implant. 197 19499 Breast surgery procedure 198 BREAST RECONSTRUCTION/MASTECTOMY T 18.63 $957.95 $523.42 $191.59 198 19160 Removal of breast tissue 198 19162 Remove breast tissue, nodes. 198 19180 Removal of breast....... 198 19182 Removal of breast....... 198 19316 Suspension of breast.... 198 19318 Reduction of large breast. 198 19324 Enlarge breast.......... 198 19325 Enlarge breast with implant. 198 19328 Removal of breast implant. 198 19330 Removal of implant material. 198 19340 Immediate breast prosthesis. 198 19342 Delayed breast prosthesis. 198 19350 Breast reconstruction... 198 19355 Correct inverted nipple(s). 198 19357 Breast reconstruction... 198 19366 Breast reconstruction... 198 19370 Surgery of breast capsule. 198 19371 Removal of breast capsule. 198 19380 Revise breast reconstruction. 200 ARTHROCENTESIS & LIGAMENT/TENDON T 1.76 $90.50 $39.10 $18.10 INJECTION 200 20550 Inj tendon/ligament/cyst 200 20600 Drain/inject joint/bursa 200 20605 Drain/inject joint/bursa 200 20610 Drain/inject joint/bursa 207 CLOSED TREATMENT FRACTURE FINGER/ T 1.70 $87.41 $32.32 $17.48 TOE/TRUNK 207 21800 Treatment of rib fracture. 207 21820 Treat sternum fracture.. 207 21899 Neck/chest surgery procedure. 207 22305 Treat spine process fracture. 207 22310 Treat spine fracture.... 207 22315 Treat spine fracture.... 207 22899 Spine surgery procedure. 207 23500 Treat clavicle fracture. 207 23505 Treat clavicle fracture. 207 23520 Treat clavicle dislocation. 207 23525 Treat clavicle dislocation. 207 23540 Treat clavicle dislocation. 207 23545 Treat clavicle dislocation. 207 23570 Treat shoulderblade fracture. 207 23575 Treat shoulderblade fracture. 207 23650 Treat shoulder dislocation. 207 23929 Shoulder surgery procedure. 207 26700 Treat knuckle dislocation. 207 26720 Treat finger fracture, each. 207 26725 Treat finger fracture, each. 207 26740 Treat finger fracture, each. 207 26750 Treat finger fracture, each. 207 26755 Treat finger fracture, each. 207 26770 Treat finger dislocation 207 26989 Hand/finger surgery..... 207 27200 Treat tail bone fracture 207 27299 Pelvis/hip joint surgery 207 28490 Treat big toe fracture.. 207 28495 Treat big toe fracture.. 207 28510 Treatment of toe fracture. 207 28515 Treatment of toe fracture. 207 28630 Treat toe dislocation... 207 28660 Treat toe dislocation... 207 28899 Foot/toes surgery procedure.

207 31585 Repair of larynx fracture. 207 31599 Larynx surgery procedure 209 CLOSED TREATMENT FRACTURE/ T 1.94 $99.75 $37.74 $19.95 DISLOCATION/EXCEPT FINGER/TOE/ TRUNK 209 23600 Treat humerus fracture.. 209 23605 Treat humerus fracture.. 209 23620 Treat humerus fracture.. 209 23625 Treat humerus fracture.. 209 23665 Treat dislocation/ fracture. 209 23675 Treat dislocation/ fracture. 209 24500 Treat humerus fracture.. 209 24505 Treat humerus fracture.. 209 24530 Treat humerus fracture.. 209 24535 Treat humerus fracture.. 209 24560 Treat humerus fracture.. 209 24565 Treat humerus fracture.. 209 24576 Treat humerus fracture.. 209 24577 Treat humerus fracture.. 209 24600 Treat elbow dislocation. 209 24620 Treat elbow fracture.... 209 24640 Treat elbow dislocation. 209 24650 Treat radius fracture... 209 24655 Treat radius fracture... 209 24670 Treatment of ulna fracture. 209 24675 Treatment of ulna fracture. 209 24999 Upper arm/elbow surgery. 209 25500 Treat fracture of radius 209 25505 Treat fracture of radius 209 25520 Repair fracture of radius. 209 25530 Treat fracture of ulna.. 209 25535 Treat fracture of ulna.. 209 25560 Treat fracture radius & ulna. 209 25565 Treat fracture radius & ulna. 209 25600 Treat fracture radius/ ulna. 209 25605 Treat fracture radius/ ulna. 209 25622 Treat wrist bone fracture. 209 25624 Treat wrist bone fracture. 209 25630 Treat wrist bone fracture. 209 25635 Treat wrist bone fracture. 209 25650 Repair wrist bone fracture. 209 25660 Treat wrist dislocation. 209 25675 Treat wrist dislocation. 209 25680 Treat wrist fracture.... 209 25690 Treat wrist dislocation. 209 25999 Forearm or wrist surgery 209 26600 Treat metacarpal fracture. 209 26605 Treat metacarpal fracture. 209 26607 Treat metacarpal fracture. 209 26641 Treat thumb dislocation. 209 26645 Treat thumb fracture.... 209 26670 Treat hand dislocation.. 209 26706 Pin knuckle dislocation. 209 26742 Treat finger fracture, each. 209 27193 Treat pelvic ring fracture. 209 27220 Treat hip socket fracture. 209 27230 Treat fracture of thigh. 209 27238 Treatment of thigh fracture. 209 27246 Treatment of thigh fracture. 209 27250 Treat hip dislocation... 209 27256 Treatment of hip dislocation. 209 27265 Treatment of hip dislocation. 209 27500 Treatment of thigh fracture. 209 27501 Treatment of thigh fracture. 209 27502 Treatment of thigh fracture. 209 27503 Treatment of thigh fracture. 209 27508 Treatment of thigh fracture. 209 27510 Treatment of thigh fracture. 209 27516 Repair of thigh growth plate. 209 27517 Repair of thigh growth plate. 209 27520 Treat kneecap fracture.. 209 27530 Treatment of knee fracture. 209 27532 Treatment of knee fracture. 209 27538 Treat knee fracture(s).. 209 27550 Treat knee dislocation.. 209 27560 Treat kneecap dislocation. 209 27599 Leg surgery procedure...

209 27750 Treatment of tibia fracture. 209 27752 Treatment of tibia fracture. 209 27760 Treatment of ankle fracture. 209 27762 Treatment of ankle fracture. 209 27780 Treatment of fibula fracture. 209 27781 Treatment of fibula fracture. 209 27786 Treatment of ankle fracture. 209 27788 Treatment of ankle fracture. 209 27808 Treatment of ankle fracture. 209 27810 Treatment of ankle fracture. 209 27816 Treatment of ankle fracture. 209 27818 Treatment of ankle fracture. 209 27824 Treat lower leg fracture 209 27825 Treat lower leg fracture 209 27830 Treat lower leg dislocation. 209 27840 Treat ankle dislocation. 209 27899 Leg/ankle surgery procedure. 209 28400 Treatment of heel fracture. 209 28405 Treatment of heel fracture. 209 28430 Treatment of ankle fracture. 209 28435 Treatment of ankle fracture. 209 28450 Treat midfoot fracture, each. 209 28455 Treat midfoot fracture, each. 209 28470 Treat metatarsal fracture. 209 28475 Treat metatarsal fracture. 209 28530 Treat sesamoid bone fracture. 209 28540 Treat foot dislocation.. 209 28570 Treat foot dislocation.. 209 28600 Treat foot dislocation.. 209 31586 Repair of larynx fracture. 210 BONE/JOINT MANIPULATION UNDER T 10.06 $517.29 $279.34 $103.46 ANESTHESIA 210 22505 Manipulation of spine... 210 23655 Treat shoulder dislocation. 210 23700 Fixation of shoulder.... 210 24605 Treat elbow dislocation. 210 26675 Treat hand dislocation.. 210 26705 Treat knuckle dislocation. 210 26775 Treat finger dislocation 210 27194 Treat pelvic ring fracture. 210 27252 Treat hip dislocation... 210 27257 Treatment of hip dislocation. 210 27275 Manipulation of hip joint. 210 27552 Treat knee dislocation.. 210 27562 Treat kneecap dislocation. 210 27570 Fixation of knee joint.. 210 27831 Treat lower leg dislocation. 210 27842 Treat ankle dislocation. 210 27860 Fixation of ankle joint. 210 28545 Treat foot dislocation.. 210 28575 Treat foot dislocation.. 210 28605 Treat foot dislocation.. 210 28635 Treat toe dislocation... 210 28665 Treat toe dislocation... 216 OPEN/PERCUTANEOUS TREATMENT T 20.09 $1,033.03 $524.09 $206.61 FRACTURE OR DISLOCATION 216 21336 Repair nasal septal fracture. 216 21805 Treatment of rib fracture. 216 23515 Repair clavicle fracture 216 23530 Repair clavicle dislocation. 216 23532 Repair clavicle dislocation. 216 23550 Repair clavicle dislocation. 216 23552 Repair clavicle dislocation. 216 23585 Repair scapula fracture. 216 23615 Repair humerus fracture. 216 23616 Repair humerus fracture. 216 23630 Repair humerus fracture. 216 23660 Repair shoulder dislocation. 216 23670 Repair dislocation/ fracture. 216 23680 Repair dislocation/ fracture. 216 24515 Repair humerus fracture. 216 24516 Repair humerus fracture. 216 24538 Treat humerus fracture.. 216 24545 Repair humerus fracture. 216 24546 Repair humerus fracture. 216 24566 Treat humerus fracture.. 216 24575 Repair humerus fracture.

216 24579 Repair humerus fracture. 216 24582 Treat humerus fracture.. 216 24586 Repair elbow fracture... 216 24587 Repair elbow fracture... 216 24615 Repair elbow dislocation 216 24635 Repair elbow fracture... 216 24665 Repair radius fracture.. 216 24666 Repair radius fracture.. 216 24685 Repair ulna fracture.... 216 25515 Repair fracture of radius. 216 25525 Repair fracture of radius. 216 25526 Repair fracture of radius. 216 25545 Repair fracture of ulna. 216 25574 Treat fracture radius & ulna. 216 25575 Repair fracture radius/ ulna. 216 25611 Repair fracture radius/ ulna. 216 25620 Repair fracture radius/ ulna. 216 25628 Repair wrist bone fracture. 216 25645 Repair wrist bone fracture. 216 25670 Repair wrist dislocation 216 25676 Repair wrist dislocation 216 25685 Repair wrist fracture... 216 25695 Repair wrist dislocation 216 26608 Treat metacarpal fracture. 216 26615 Repair metacarpal fracture. 216 26650 Repair thumb fracture... 216 26665 Repair thumb fracture... 216 26676 Pin hand dislocation.... 216 26685 Repair hand dislocation. 216 26686 Repair hand dislocation. 216 26715 Repair knuckle dislocation. 216 26727 Treat finger fracture, each. 216 26735 Repair finger fracture, each. 216 26746 Repair finger fracture, each. 216 26756 Pin finger fracture, each. 216 26765 Repair finger fracture, each. 216 26776 Pin finger dislocation.. 216 26785 Repair finger dislocation. 216 27202 Repair tail bone fracture. 216 27509 Treatment of thigh fracture. 216 27556 Repair of knee dislocation. 216 27566 Repair kneecap dislocation. 216 27615 Remove tumor, lower leg. 216 27756 Repair of tibia fracture 216 27758 Repair of tibia fracture 216 27759 Repair of tibia fracture 216 27766 Repair of ankle fracture 216 27784 Repair of fibula fracture. 216 27792 Repair of ankle fracture 216 27814 Repair of ankle fracture 216 27822 Repair of ankle fracture 216 27823 Repair of ankle fracture 216 27826 Treat lower leg fracture 216 27827 Treat lower leg fracture 216 27828 Treat lower leg fracture 216 27829 Treat lower leg joint... 216 27832 Repair lower leg dislocation. 216 27846 Repair ankle dislocation 216 27848 Repair ankle dislocation 216 28406 Treatment of heel fracture. 216 28415 Repair of heel fracture. 216 28420 Repair/graft heel fracture. 216 28436 Treatment of ankle fracture. 216 28445 Repair of ankle fracture 216 28456 Repair midfoot fracture. 216 28465 Repair midfoot fracture,each. 216 28476 Repair metatarsal fracture. 216 28485 Repair metatarsal fracture. 216 28496 Repair big toe fracture. 216 28505 Repair big toe fracture. 216 28525 Repair of toe fracture.. 216 28531 Treat sesamoid bone fracture. 216 28546 Treat foot dislocation.. 216 28555 Repair foot dislocation. 216 28576 Treat foot dislocation..

216 28585 Repair foot dislocation. 216 28606 Treat foot dislocation.. 216 28615 Repair foot dislocation. 216 28636 Treat toe dislocation... 216 28645 Repair toe dislocation.. 216 28666 Treat toe dislocation... 216 28675 Repair of toe dislocation. 217 ARTHROPLASTY T 20.54 $1,056.17 $530.42 $211.23 217 24360 Reconstruct elbow joint. 217 24365 Reconstruct head of radius. \2\ 217 25330 Revise wrist joint...... \2\ 217 25331 Revise wrist joint...... 217 25332 Revise wrist joint...... 217 25447 Repair wrist joint(s)... 217 25449 Remove wrist joint implant. 217 26530 Revise knuckle joint.... 217 26535 Revise finger joint..... 217 27266 Treatment of hip dislocation. 217 27437 Revise kneecap.......... 217 27440 Revision of knee joint.. 217 27441 Revision of knee joint.. 217 27442 Revision of knee joint.. 217 27443 Revision of knee joint.. 217 27700 Revision of ankle joint. 218 ARTHROPLASTY WITH PROSTHESIS T 27.80 $1,429.48 $720.71 $285.90 218 21243 Reconstruction of jaw joint. 218 24361 Reconstruct elbow joint. 218 24362 Reconstruct elbow joint. 218 24363 Replace elbow joint..... 218 24366 Reconstruct head of radius. 218 25441 Reconstruct wrist joint. 218 25442 Reconstruct wrist joint. 218 25443 Reconstruct wrist joint. 218 25444 Reconstruct wrist joint. 218 25445 Reconstruct wrist joint. 218 25446 Wrist replacement....... 218 26531 Revise knuckle with implant. 218 26536 Revise/implant finger joint. 218 27438 Revise kneecap with implant. 226 MAXILLOFACIAL PROSTHESES T 1.56 $80.22 $21.92 $16.04 226 21076 Prepare face/oral prosthesis. 226 21077 Prepare face/oral prosthesis. 226 21079 Prepare face/oral prosthesis. 226 21080 Prepare face/oral prosthesis. 226 21081 Prepare face/oral prosthesis. 226 21082 Prepare face/oral prosthesis. 226 21083 Prepare face/oral prosthesis. 226 21084 Prepare face/oral prosthesis. 226 21086 Prepare face/oral prosthesis. 226 21087 Prepare face/oral prosthesis. 226 21088 Prepare face/oral prosthesis. 226 21089 Prepare face/oral prosthesis. 231 LEVEL I SKULL AND FACIAL BONE T 11.31 $581.56 $286.79 $116.31 PROCEDURES 231 21015 Resection of facial tumor. 231 21025 Excision of bone, lower jaw. 231 21026 Excision of facial bone(s). 231 21029 Contour of face bone lesion. 231 21030 Removal of face bone lesion. 231 21031 Remove exostosis, mandible. 231 21032 Remove exostosis, maxilla. 231 21040 Removal of jaw bone lesion. 231 21041 Removal of jaw bone lesion. 231 21100 Maxillofacial fixation.. 231 21110 Interdental fixation.... 231 21120 Reconstruction of chin.. 231 21125 Augmentation lower jaw bone. 231 21280 Revision of eyelid...... 231 21282 Revision of eyelid...... 231 21295 Revision of jaw muscle/ bone. 231 21296 Revision of jaw muscle/ bone. 231 21299 Cranio/maxillofacial surgery. 231 21300 Treatment of skull fracture. 231 21310 Treatment of nose fracture. 231 21315 Treatment of nose fracture. 231 21320 Treatment of nose fracture.

231 21325 Repair of nose fracture. 231 21337 Repair nasal septal fracture. 231 21355 Repair cheek bone fracture. 231 21400 Treat eye socket fracture. 231 21401 Repair eye socket fracture. 231 21440 Repair dental ridge fracture. 231 21451 Treat lower jaw fracture 231 21480 Reset dislocated jaw.... 231 21485 Reset dislocated jaw.... 231 21493 Treat hyoid bone fracture. 231 21494 Repair hyoid bone fracture. 231 21497 Interdental wiring...... 231 21499 Head surgery procedure.. 231 41822 Excision of gum lesion.. 231 41823 Excision of gum lesion.. 232 LEVEL II SKULL AND FACIAL BONE T 23.82 $1,224.82 $636.87 $244.96 PROCEDURES 232 21010 Incision of jaw joint... 232 21034 Removal of face bone lesion. 232 21044 Removal of jaw bone lesion. 232 21050 Removal of jaw joint.... 232 21060 Remove jaw joint cartilage. 232 21070 Remove coronoid process. 232 21121 Reconstruction of chin.. 232 21122 Reconstruction of chin.. 232 21123 Reconstruction of chin.. 232 21127 Augmentation lower jaw bone. 232 21181 Contour cranial bone lesion. 232 21206 Reconstruct upper jaw bone. 232 21208 Augmentation of facial bones. 232 21209 Reduction of facial bones. 232 21210 Face bone graft......... 232 21215 Lower jaw bone graft.... 232 21230 Rib cartilage graft..... 232 21235 Ear cartilage graft..... 232 21240 Reconstruction of jaw joint. 232 21242 Reconstruction of jaw joint. 232 21244 Reconstruction of lower jaw. 232 21245 Reconstruction of jaw... 232 21246 Reconstruction of jaw... 232 21248 Reconstruction of jaw... 232 21249 Reconstruction of jaw... 232 21260 Revise eye sockets...... 232 21267 Revise eye sockets...... 232 21270 Augmentation cheek bone. 232 21275 Revision orbitofacial bones. 232 21330 Repair of nose fracture. 232 21335 Repair of nose fracture. 232 21338 Repair nasoethmoid fracture. 232 21339 Repair nasoethmoid fracture. 232 21340 Repair of nose fracture. 232 21343 Repair of sinus fracture 232 21345 Repair of nose/jaw fracture. 232 21421 Treat mouth roof fracture. 232 21445 Repair dental ridge fracture. 232 21450 Treat lower jaw fracture 232 21452 Treat lower jaw fracture 232 21453 Treat lower jaw fracture 232 21454 Treat lower jaw fracture 232 21461 Repair lower jaw fracture. 232 21462 Repair lower jaw fracture. 232 21465 Repair lower jaw fracture. 232 21490 Repair dislocated jaw... 232 67420 Explore/treat eye socket 232 67430 Explore/treat eye socket 232 67440 Explore/drain eye socket 232 67450 Explore/biopsy eye socket. 251 LEVEL I MUSCULOSKELETAL T 13.88 $713.71 $365.89 $142.74 PROCEDURES 251 20005 Incision of deep abscess 251 20250 Open bone biopsy........ 251 20251 Open bone biopsy........ 251 20650 Insert and remove bone pin. 251 20693 Adjust bone fixation device. 251 20694 Remove bone fixation device. 251 20975 Electrical bone stimulation. 251 23100 Biopsy of shoulder joint

251 23140 Removal of bone lesion.. 251 23935 Drain arm/elbow bone lesion. 251 24100 Biopsy elbow joint lining. 251 24105 Removal of elbow bursa.. 251 24110 Remove humerus lesion... 251 24120 Remove elbow lesion..... 251 24310 Revision of arm tendon.. 251 24925 Amputation follow-up surgery. 251 25000 Incision of tendon sheath. 251 25020 Decompression of forearm 251 25028 Drainage of forearm lesion. 251 25031 Drainage of forearm bursa. 251 25035 Treat forearm bone lesion. 251 25085 Incision of wrist capsule. 251 25100 Biopsy of wrist joint... 251 25110 Remove wrist tendon lesion. 251 25115 Remove wrist/forearm lesion. 251 25116 Remove wrist/forearm lesion. 251 25248 Remove forearm foreign body. 251 25295 Release wrist/forearm tendon. 251 25907 Amputation follow-up surgery. 251 25922 Amputate hand at wrist.. 251 26990 Drainage of pelvis lesion. 251 26991 Drainage of pelvis bursa 251 27000 Incision of hip tendon.. 251 27050 Biopsy of sacroiliac joint. 251 27052 Biopsy of hip joint..... 251 27060 Removal of ischial bursa 251 27062 Remove femur lesion/ bursa. 251 27065 Removal of hip bone lesion. 251 27086 Remove hip foreign body. 251 27087 Remove hip foreign body. 251 27305 Incise thigh tendon & fascia. 251 27306 Incision of thigh tendon 251 27307 Incision of thigh tendons. 251 27340 Removal of kneecap bursa 251 27345 Removal of knee cyst.... 251 27380 Repair of kneecap tendon 251 27381 Repair/graft kneecap tendon. 251 27385 Repair of thigh muscle.. 251 27386 Repair/graft of thigh muscle. 251 27390 Incision of thigh tendon 251 27391 Incision of thigh tendons. 251 27392 Incision of thigh tendons. 251 27496 Decompression of thigh/ knee. 251 27497 Decompression of thigh/ knee. 251 27498 Decompression of thigh/ knee. 251 27499 Decompression of thigh/ knee. 251 27594 Amputation follow-up surgery. 251 27600 Decompression of lower leg. 251 27601 Decompression of lower leg. 251 27602 Decompression of lower leg. 251 27604 Drain lower leg bursa... 251 27606 Incision of achilles tendon. 251 27607 Treat lower leg bone lesion. 251 27630 Removal of tendon lesion 251 27656 Repair leg fascia defect 251 27658 Repair of leg tendon, each. 251 27659 Repair of leg tendon, each. 251 27664 Repair of leg tendon, each. 251 27675 Repair lower leg tendons 251 27704 Removal of ankle implant 251 27707 Incision of fibula...... 251 27884 Amputation follow-up surgery. 251 27892 Decompression of leg.... 251 27893 Decompression of leg.... 251 27894 Decompression of leg.... 251 28002 Treatment of foot infection. 251 28003 Treatment of foot infection. 252 LEVEL II MUSCULOSKELETAL T 19.24 $989.32 $512.34 $197.86 PROCEDURES 252 20690 Apply bone fixation device. 252 20692 Apply bone fixation device. 252 20900 Removal of bone for graft. 252 20902 Removal of bone for graft. 252 20924 Removal of tendon for graft.

252 21502 Drain chest lesion...... 252 21600 Partial removal of rib.. 252 21610 Partial removal of rib.. 252 23040 Exploratory shoulder surgery. 252 23044 Exploratory shoulder surgery. 252 23101 Shoulder joint surgery.. 252 23105 Remove shoulder joint lining. 252 23106 Incision of collarbone joint. 252 23107 Explore,treat shoulder joint. 252 23145 Removal of bone lesion.. 252 23146 Removal of bone lesion.. 252 23150 Removal of humerus lesion. 252 23155 Removal of humerus lesion. 252 23156 Removal of humerus lesion. 252 23170 Remove collarbone lesion 252 23172 Remove shoulder blade lesion. 252 23174 Remove humerus lesion... 252 23180 Remove collar bone lesion. 252 23182 Remove shoulder blade lesion. 252 23184 Remove humerus lesion... 252 23190 Partial removal of scapula. 252 23405 Incision of tendon & muscle. 252 23406 Incise tendon(s) & muscle(s). 252 24000 Exploratory elbow surgery. 252 24006 Release elbow joint..... 252 24101 Explore/treat elbow joint. 252 24102 Remove elbow joint lining. 252 24115 Remove/graft bone lesion 252 24116 Remove/graft bone lesion 252 24125 Remove/graft bone lesion 252 24126 Remove/graft bone lesion 252 24130 Removal of head of radius. 252 24134 Removal of arm bone lesion. 252 24136 Remove radius bone lesion. 252 24138 Remove elbow bone lesion 252 24140 Partial removal of arm bone. 252 24145 Partial removal of radius. 252 24147 Partial removal of elbow 252 24160 Remove elbow joint implant. 252 24164 Remove radius head implant. 252 24301 Muscle/tendon transfer.. 252 24305 Arm tendon lengthening.. 252 24350 Repair of tennis elbow.. 252 24351 Repair of tennis elbow.. 252 24352 Repair of tennis elbow.. 252 24354 Repair of tennis elbow.. 252 24356 Revision of tennis elbow 252 24400 Revision of humerus..... 252 24410 Revision of humerus..... 252 24495 Decompression of forearm 252 25023 Decompression of forearm 252 25040 Explore/treat wrist joint. 252 25101 Explore/treat wrist joint. 252 25105 Remove wrist joint lining. 252 25107 Remove wrist joint cartilage. 252 25118 Excise wrist tendon sheath. 252 25119 Partial removal of ulna. 252 25120 Removal of forearm lesion. 252 25125 Remove/graft forearm lesion. 252 25126 Remove/graft forearm lesion. 252 25130 Removal of wrist lesion. 252 25135 Remove & graft wrist lesion. 252 25136 Remove & graft wrist lesion. 252 25145 Remove forearm bone lesion. 252 25150 Partial removal of ulna. 252 25151 Partial removal of radius. 252 25230 Partial removal of radius. 252 25240 Partial removal of ulna. 252 25250 Removal of wrist prosthesis. 252 25251 Removal of wrist prosthesis. 252 25260 Repair forearm tendon/ muscle. 252 25263 Repair forearm tendon/ muscle. 252 25265 Repair forearm tendon/ muscle. 252 25270 Repair forearm tendon/ muscle. 252 25272 Repair forearm tendon/ muscle.

252 25274 Repair forearm tendon/ muscle. 252 25280 Revise wrist/forearm tendon. 252 25290 Incise wrist/forearm tendon. 252 25300 Fusion of tendons at wrist. 252 25301 Fusion of tendons at wrist. 252 25360 Revision of ulna........ 252 25365 Revise radius & ulna.... 252 25400 Repair radius or ulna... 252 25415 Repair radius & ulna.... 252 27001 Incision of hip tendon.. 252 27003 Incision of hip tendon.. 252 27066 Removal of hip bone lesion. 252 27067 Remove/graft hip bone lesion. 252 27080 Removal of tail bone.... 252 27097 Revision of hip tendon.. 252 27098 Transfer tendon to pelvis. 252 27310 Exploration of knee joint. 252 27330 Biopsy knee joint lining 252 27331 Explore/treat knee joint 252 27332 Removal of knee cartilage. 252 27333 Removal of knee cartilage. 252 27334 Remove knee joint lining 252 27335 Remove knee joint lining 252 27350 Removal of kneecap...... 252 27355 Remove femur lesion..... 252 27356 Remove femur lesion/ graft. 252 27357 Remove femur lesion/ graft. 252 27358 Remove femur lesion/ fixation. 252 27360 Partial removal leg bone(s). 252 27393 Lengthening of thigh tendon. 252 27394 Lengthening of thigh tendons. 252 27396 Transplant of thigh tendon. 252 27403 Repair of knee cartilage 252 27425 Lateral retinacular release. 252 27610 Explore/treat ankle joint. 252 27612 Exploration of ankle joint. 252 27620 Explore, treat ankle joint. 252 27625 Remove ankle joint lining. 252 27626 Remove ankle joint lining. 252 27635 Remove lower leg bone lesion. 252 27637 Remove/graft leg bone lesion. 252 27638 Remove/graft leg bone lesion. 252 27641 Partial removal of fibula. 252 27665 Repair of leg tendon, each. 252 27676 Repair lower leg tendons 252 27680 Release of lower leg tendon. 252 27681 Release of lower leg tendons. 252 27685 Revision of lower leg tendon. 252 27686 Revise lower leg tendons 252 27687 Revision of calf tendon. 252 27695 Repair of ankle ligament 252 27696 Repair of ankle ligaments. 252 27698 Repair of ankle ligament 252 27709 Incision of tibia & fibula. 252 27730 Repair of tibia epiphysis. 252 27732 Repair of fibula epiphysis. 252 27734 Repair lower leg epiphyses. 252 27740 Repair of leg epiphyses. 252 27889 Amputation of foot at ankle. 253 LEVEL III MUSCULOSKELETAL T 25.74 $1,323.55 $684.55 $264.71 PROCEDURES 253 23020 Release shoulder joint.. 253 23120 Partial removal, collar bone. 253 23130 Partial removal,shoulderbone. 253 23415 Release of shoulder ligament. 253 23480 Revision of collarbone.. 253 23485 Revision of collar bone. 253 23490 Reinforce clavicle...... 253 23491 Reinforce shoulder bones 253 23800 Fusion of shoulder joint 253 23802 Fusion of shoulder joint 253 24155 Removal of elbow joint.. 253 24320 Repair of arm tendon.... 253 24330 Revision of arm muscles. 253 24331 Revision of arm muscles. 253 24340 Repair of biceps tendon.

253 24341 Repair tendon/muscle arm 253 24342 Repair of ruptured tendon. 253 24420 Revision of humerus..... 253 24430 Repair of humerus....... 253 24435 Repair humerus with graft. 253 24470 Revision of elbow joint. 253 24498 Reinforce humerus....... 253 24800 Fusion of elbow joint... 253 24802 Fusion/graft of elbow joint. 253 25310 Transplant forearm tendon. 253 25312 Transplant forearm tendon. 253 25315 Revise palsy hand tendon(s). 253 25316 Revise palsy hand tendon(s). 253 25320 Repair/revise wrist joint. 253 25335 Realignment of hand..... 253 25337 Reconstruct ulna/ radioulnar. 253 25350 Revision of radius...... 253 25355 Revision of radius...... 253 25370 Revise radius or ulna... 253 25375 Revise radius & ulna.... 253 25425 Repair/graft radius or ulna. 253 25426 Repair/graft radius & ulna. 253 25440 Repair/graft wrist bone. 253 25450 Revision of wrist joint. 253 25455 Revision of wrist joint. 253 25490 Reinforce radius........ 253 25491 Reinforce ulna.......... 253 25492 Reinforce radius and ulna. 253 25800 Fusion of wrist joint... 253 25805 Fusion/graft of wrist joint. 253 25810 Fusion/graft of wrist joint. 253 25830 Fusion radioulnar jnt/ ulna. 253 27033 Exploration of hip joint 253 27100 Transfer of abdominal muscle. 253 27105 Transfer of spinal muscle. 253 27110 Transfer of iliopsoas muscle. 253 27111 Transfer of iliopsoas muscle. 253 27395 Lengthening of thigh tendons. 253 27397 Transplants of thigh tendons. 253 27400 Revise thigh muscles/ tendons. 253 27405 Repair of knee ligament. 253 27407 Repair of knee ligament. 253 27409 Repair of knee ligaments 253 27418 Repair degenerated kneecap. 253 27420 Revision of unstable kneecap. 253 27422 Revision of unstable kneecap. 253 27424 Revision/removal of kneecap. 253 27430 Revision of thigh muscles. 253 27435 Incision of knee joint.. 253 27640 Partial removal of tibia 253 27647 Extensive ankle/heel surgery. 253 27650 Repair achilles tendon.. 253 27652 Repair/graft achilles tendon. 253 27654 Repair of achilles tendon. 253 27690 Revise lower leg tendon. 253 27691 Revise lower leg tendon. 253 27692 Revise additional leg tendon. 253 27705 Incision of tibia....... 253 27742 Repair of leg epiphyses. 253 27745 Reinforce tibia......... 253 27870 Fusion of ankle joint... 253 27871 Fusion of tibiofibular joint. 254 LEVEL IV MUSCULOSKELETAL T 32.70 $1,681.43 $922.98 $336.29 PROCEDURES 254 23410 Repair of tendon(s)..... 254 23412 Repair of tendon(s)..... 254 23420 Repair of shoulder...... 254 23430 Repair biceps tendon.... 254 23450 Repair shoulder capsule. 254 23455 Repair shoulder capsule. 254 23460 Repair shoulder capsule. 254 23462 Repair shoulder capsule. 254 23465 Repair shoulder capsule. 254 23466 Repair shoulder capsule. 254 27427 Reconstruction, knee.... 254 27428 Reconstruction, knee....

254 27429 Reconstruction, knee.... 261 LEVEL I HAND MUSCULOSKELETAL T 10.41 $535.28 $259.00 $107.06 PROCEDURES 261 25111 Remove wrist tendon lesion. 261 25112 Reremove wrist tendon lesion. 261 25820 Fusion of hand bones.... 261 26020 Drain hand tendon sheath 261 26025 Drainage of palm bursa.. 261 26030 Drainage of palm bursa(s). 261 26034 Treat hand bone lesion.. 261 26035 Decompress fingers/hand. 261 26037 Decompress fingers/hand. 261 26055 Incise finger tendon sheath. 261 26060 Incision of finger tendon. 261 26070 Explore/treat hand joint 261 26075 Explore/treat finger joint. 261 26080 Explore/treat finger joint. 261 26100 Biopsy hand joint lining 261 26105 Biopsy finger joint lining. 261 26110 Biopsy finger joint lining. 261 26130 Remove wrist joint lining. 261 26140 Revise finger joint, each. 261 26145 Tendon excision, palm/ finger. 261 26160 Remove tendon sheath lesion. 261 26170 Removal of palm tendon, each. 261 26180 Removal of finger tendon 261 26185 Remove finger bone...... 261 26200 Remove hand bone lesion. 261 26210 Removal of finger lesion 261 26215 Remove/graft finger lesion. 261 26230 Partial removal of hand bone. 261 26235 Partial removal, finger bone. 261 26236 Partial removal, finger bone. 261 26250 Extensive hand surgery.. 261 26260 Extensive finger surgery 261 26261 Extensive finger surgery 261 26262 Partial removal of finger. 261 26410 Repair hand tendon...... 261 26418 Repair finger tendon.... 261 26432 Repair finger tendon.... 261 26433 Repair finger tendon.... 261 26437 Realignment of tendons.. 261 26440 Release palm/finger tendon. 261 26445 Release hand/finger tendon. 261 26450 Incision of palm tendon. 261 26455 Incision of finger tendon. 261 26460 Incise hand/finger tendon. 261 26471 Fusion of finger tendons 261 26474 Fusion of finger tendons 261 26476 Tendon lengthening...... 261 26477 Tendon shortening....... 261 26478 Lengthening of hand tendon. 261 26479 Shortening of hand tendon. 261 26500 Hand tendon reconstruction. 261 26508 Release thumb contracture. 261 26520 Release knuckle contracture. 261 26525 Release finger contracture. 261 26540 Repair hand joint....... 261 26542 Repair hand joint with graft. 261 26560 Repair of web finger.... 261 26587 Reconstruct extra finger 261 26593 Release muscles of hand. 261 26951 Amputation of finger/ thumb. 261 26952 Amputation of finger/ thumb. 262 LEVEL II HAND MUSCULOSKELETAL T 18.07 $929.16 $475.96 $185.83 PROCEDURES 262 25210 Removal of wrist bone... 262 25215 Removal of wrist bones.. 262 25825 Fusion hand bones with graft. 262 26040 Release palm contracture 262 26045 Release palm contracture 262 26121 Release palm contracture 262 26123 Release palm contracture 262 26125 Release palm contracture 262 26135 Revise finger joint, each. 262 26205 Remove/graft bone lesion 262 26255 Extensive hand surgery..

262 26350 Repair finger/hand tendon. 262 26352 Repair/graft hand tendon 262 26356 Repair finger/hand tendon. 262 26357 Repair finger/hand tendon. 262 26358 Repair/graft hand tendon 262 26370 Repair finger/hand tendon. 262 26372 Repair/graft hand tendon 262 26373 Repair finger/hand tendon. 262 26390 Revise hand/finger tendon. 262 26392 Repair/graft hand tendon 262 26412 Repair/graft hand tendon 262 26415 Excision, hand/finger tendon. 262 26416 Graft hand or finger tendon. 262 26420 Repair/graft finger tendon. 262 26426 Repair finger/hand tendon. 262 26428 Repair/graft finger tendon. 262 26434 Repair/graft finger tendon. 262 26442 Release palm & finger tendon. 262 26449 Release forearm/hand tendon. 262 26480 Transplant hand tendon.. 262 26483 Transplant/graft hand tendon. 262 26485 Transplant palm tendon.. 262 26489 Transplant/graft palm tendon. 262 26490 Revise thumb tendon..... 262 26492 Tendon transfer with graft. 262 26494 Hand tendon/muscle transfer. 262 26496 Revise thumb tendon..... 262 26497 Finger tendon transfer.. 262 26498 Finger tendon transfer.. 262 26499 Revision of finger...... 262 26502 Hand tendon reconstruction. 262 26504 Hand tendon reconstruction. 262 26510 Thumb tendon transfer... 262 26516 Fusion of knuckle joint. 262 26517 Fusion of knuckle joints 262 26518 Fusion of knuckle joints 262 26541 Repair hand joint with graft. 262 26545 Reconstruct finger joint 262 26546 Repair non-union hand... 262 26548 Reconstruct finger joint 262 26550 Construct thumb replacement. 262 26555 Positional change of finger. 262 26561 Repair of web finger.... 262 26562 Repair of web finger.... 262 26565 Correct metacarpal flaw. 262 26567 Correct finger deformity 262 26568 Lengthen metacarpal/ finger. 262 26580 Repair hand deformity... 262 26585 Repair finger deformity. 262 26590 Repair finger deformity. 262 26591 Repair muscles of hand.. 262 26596 Excision constricting tissue. 262 26597 Release of scar contracture. 262 26820 Thumb fusion with graft. 262 26841 Fusion of thumb......... 262 26842 Thumb fusion with graft. 262 26843 Fusion of hand joint.... 262 26844 Fusion/graft of hand joint. 262 26850 Fusion of knuckle....... 262 26852 Fusion of knuckle with graft. 262 26860 Fusion of finger joint.. 262 26861 Fusion of finger joint,added. 262 26862 Fusion/graft of finger joint. 262 26863 Fuse/graft added joint.. 262 26910 Amputate metacarpal bone 271 LEVEL I FOOT MUSCULOSKELETAL T 14.12 $726.05 $365.44 $145.21 PROCEDURES 271 27605 Incision of achilles tendon. 271 28005 Treat foot bone lesion.. 271 28008 Incision of foot fascia. 271 28010 Incision of toe tendon.. 271 28011 Incision of toe tendons. 271 28020 Exploration of a foot joint. 271 28022 Exploration of a foot joint. 271 28024 Exploration of a toe joint. 271 28045 Excision of foot lesion.

271 28046 Resection of tumor, foot 271 28050 Biopsy of foot joint lining. 271 28052 Biopsy of foot joint lining. 271 28054 Biopsy of toe joint lining. 271 28080 Removal of foot lesion.. 271 28086 Excise foot tendon sheath. 271 28088 Excise foot tendon sheath. 271 28090 Removal of foot lesion.. 271 28092 Removal of toe lesions.. 271 28100 Removal of ankle/heel lesion. 271 28104 Removal of foot lesion.. 271 28108 Removal of toe lesions.. 271 28111 Part removal of metatarsal. 271 28112 Part removal of metatarsal. 271 28113 Part removal of metatarsal. 271 28114 Removal of metatarsal heads. 271 28116 Revision of foot........ 271 28118 Removal of heel bone.... 271 28119 Removal of heel spur.... 271 28120 Part removal of ankle/ heel. 271 28122 Partial removal of foot bone. 271 28124 Partial removal of toe.. 271 28126 Partial removal of toe.. 271 28130 Removal of ankle bone... 271 28140 Removal of metatarsal... 271 28150 Removal of toe.......... 271 28153 Partial removal of toe.. 271 28160 Partial removal of toe.. 271 28171 Extensive foot surgery.. 271 28173 Extensive foot surgery.. 271 28175 Extensive foot surgery.. 271 28200 Repair of foot tendon... 271 28208 Repair of foot tendon... 271 28210 Repair/graft of foot tendon. 271 28220 Release of foot tendon.. 271 28222 Release of foot tendons. 271 28225 Release of foot tendon.. 271 28226 Release of foot tendons. 271 28230 Incision of foot tendon(s). 271 28232 Incision of toe tendon.. 271 28234 Incision of foot tendon. 271 28240 Release of big toe...... 271 28270 Release of foot contracture. 271 28272 Release of toe joint, each. 271 28280 Fusion of toes.......... 271 28285 Repair of hammertoe..... 271 28286 Repair of hammertoe..... 271 28310 Revision of big toe..... 271 28312 Revision of toe......... 271 28313 Repair deformity of toe. 271 28315 Removal of sesamoid bone 271 28340 Resect enlarged toe tissue. 271 28341 Resect enlarged toe..... 271 28737 Revision of foot bones.. 271 28750 Fusion of big toe joint. 271 28755 Fusion of big toe joint. 271 28810 Amputation toe & metatarsal. 271 28820 Amputation of toe....... 271 28825 Partial amputation of toe. 271 29893 Scope, plantar fasciotomy. 272 LEVEL II FOOT MUSCULOSKELETAL T 16.11 $828.38 $411.09 $165.68 PROCEDURES 272 28060 Partial removal foot fascia. 272 28062 Removal of foot fascia.. 272 28070 Removal of foot joint lining. 272 28072 Removal of foot joint lining. 272 28102 Remove/graft foot lesion 272 28103 Remove/graft foot lesion 272 28106 Remove/graft foot lesion 272 28107 Remove/graft foot lesion 272 28202 Repair/graft of foot tendon. 272 28238 Revision of foot tendon. 272 28250 Revision of foot fascia. 272 28260 Release of midfoot joint 272 28261 Revision of foot tendon. 272 28262 Revision of foot and ankle.

272 28264 Release of midfoot joint 272 28288 Partial removal of foot bone. 272 28300 Incision of heel bone... 272 28302 Incision of ankle bone.. 272 28304 Incision of midfoot bones. 272 28305 Incise/graft midfoot bones. 272 28306 Incision of metatarsal.. 272 28307 Incision of metatarsal.. 272 28308 Incision of metatarsal.. 272 28309 Incision of metatarsals. 272 28320 Repair of foot bones.... 272 28322 Repair of metatarsals... 272 28344 Repair extra toe(s)..... 272 28345 Repair webbed toe(s).... 272 28360 Reconstruct cleft foot.. 272 28705 Fusion of foot bones.... 272 28715 Fusion of foot bones.... 272 28725 Fusion of foot bones.... 272 28730 Fusion of foot bones.... 272 28735 Fusion of foot bones.... 272 28740 Fusion of foot bones.... 272 28760 Fusion of big toe joint. 276 BUNION PROCEDURES T 19.00 $976.98 $495.39 $195.40 276 28110 Part removal of metatarsal. 276 28290 Correction of bunion.... 276 28292 Correction of bunion.... 276 28293 Correction of bunion.... 276 28294 Correction of bunion.... 276 28296 Correction of bunion.... 276 28297 Correction of bunion.... 276 28298 Correction of bunion.... 276 28299 Correction of bunion.... 280 DIAGNOSTIC ARTHROSCOPY T 22.15 $1,138.95 $581.72 $227.79 280 29800 Jaw arthroscopy/surgery. 280 29815 Shoulder arthroscopy.... 280 29830 Elbow arthroscopy....... 280 29840 Wrist arthroscopy....... 280 29870 Knee arthroscopy, diagnostic. 280 29909 Arthroscopy of joint.... 281 LEVEL I SURGICAL ARTHROSCOPY T 22.37 $1,150.27 $589.18 $230.05 281 29804 Jaw arthroscopy/surgery. 281 29819 Shoulder arthroscopy/ surgery. 281 29820 Shoulder arthroscopy/ surgery. 281 29821 Shoulder arthroscopy/ surgery. 281 29822 Shoulder arthroscopy/ surgery. 281 29823 Shoulder arthroscopy/ surgery. 281 29825 Shoulder arthroscopy/ surgery. 281 29826 Shoulder arthroscopy/ surgery. 281 29834 Elbow arthroscopy/ surgery. 281 29835 Elbow arthroscopy/ surgery. 281 29836 Elbow arthroscopy/ surgery. 281 29837 Elbow arthroscopy/ surgery. 281 29838 Elbow arthroscopy/ surgery. 281 29843 Wrist arthroscopy/ surgery. 281 29844 Wrist arthroscopy/ surgery. 281 29845 Wrist arthroscopy/ surgery. 281 29846 Wrist arthroscopy/ surgery. 281 29847 Wrist arthroscopy/ surgery. 281 29848 Wrist endoscopy/surgery. 281 29860 Hip arthroscopy, dx..... 281 29861 Hip arthroscopy/surgery. 281 29862 Hip arthroscopy/surgery. 281 29863 Hip arthroscopy/surgery. 281 29874 Knee arthroscopy/surgery 281 29875 Knee arthroscopy/surgery 281 29877 Knee arthroscopy/surgery 281 29879 Knee arthroscopy/surgery 281 29880 Knee arthroscopy/surgery 281 29881 Knee arthroscopy/surgery 281 29884 Knee arthroscopy/surgery 281 29886 Knee arthroscopy/surgery 281 29894 Ankle arthroscopy/ surgery. 281 29895 Ankle arthroscopy/ surgery. 281 29897 Ankle arthroscopy/ surgery. 281 29898 Ankle arthroscopy/ surgery.

282 LEVEL II SURGICAL ARTHROSCOPY T 23.65 $1,216.08 $609.97 $243.22 282 29871 Knee arthroscopy/ drainage. 282 29876 Knee arthroscopy/surgery 282 29882 Knee arthroscopy/surgery 282 29883 Knee arthroscopy/surgery 282 29885 Knee arthroscopy/surgery 282 29887 Knee arthroscopy/surgery 282 29891 Ankle arthroscopy/ surgery. 286 ARTHROSCOPICALLY-AIDED PROCEDURES T 27.69 $1,423.82 $791.90 $284.76 286 29850 Knee arthroscopy/surgery 286 29851 Knee arthroscopy/surgery 286 29855 Tibial arthroscopy/ surgery. 286 29856 Tibial arthroscopy/ surgery. 286 29888 Knee arthroscopy/surgery 286 29889 Knee arthroscopy/surgery 286 29892 Ankle arthroscopy/ surgery. 311 LEVEL I ENT PROCEDURES T 1.41 $72.50 $20.57 $14.50 311 30000 Drainage of nose lesion. 311 30020 Drainage of nose lesion. 311 30100 Intranasal biopsy....... 311 30110 Removal of nose polyp(s) 311 30117 Removal of intranasal lesion. 311 30124 Removal of nose lesion.. 311 30210 Nasal sinus therapy..... 311 30220 Insert nasal septal button. 311 30300 Remove nasal foreign body. 311 30560 Release of nasal adhesions. 311 31000 Irrigation maxillary sinus. 311 31002 Irrigation sphenoid sinus. 311 31603 Incision of windpipe.... 311 31605 Incision of windpipe.... 311 40490 Biopsy of lip........... 311 40799 Lip surgery procedure... 311 40800 Drainage of mouth lesion 311 40801 Drainage of mouth lesion 311 40804 Removal foreign body, mouth. 311 40805 Removal foreign body, mouth. 311 40806 Incision of lip fold.... 311 40808 Biopsy of mouth lesion.. 311 40810 Excision of mouth lesion 311 40812 Excise/repair mouth lesion. 311 40820 Treatment of mouth lesion. 311 40899 Mouth surgery procedure. 311 41000 Drainage of mouth lesion 311 41005 Drainage of mouth lesion 311 41100 Biopsy of tongue........ 311 41105 Biopsy of tongue........ 311 41108 Biopsy of floor of mouth 311 41110 Excision of tongue lesion. 311 41115 Excision of tongue fold. 311 41599 Tongue and mouth surgery 311 41805 Removal foreign body, gum. 311 41806 Removal foreign body,jawbone. 311 41820 Excision, gum, each quadrant. 311 41821 Excision of gum flap.... 311 41825 Excision of gum lesion.. 311 41826 Excision of gum lesion.. 311 41828 Excision of gum lesion.. 311 41830 Removal of gum tissue... 311 41850 Treatment of gum lesion. 311 41870 Gum graft............... 311 41872 Repair gum.............. 311 41874 Repair tooth socket..... 311 41899 Dental surgery procedure 311 42000 Drainage mouth roof lesion. 311 42100 Biopsy roof of mouth.... 311 42104 Excision lesion, mouth roof. 311 42106 Excision lesion, mouth roof. 311 42140 Excision of uvula....... 311 42160 Treatment mouth roof lesion. 311 42280 Preparation, palate mold 311 42281 Insertion, palate prosthesis. 311 42299 Palate/uvula surgery.... 311 42330 Removal of salivary stone. 311 42335 Removal of salivary stone.

311 42650 Dilation of salivary duct. 311 42660 Dilation of salivary duct. 311 42665 Ligation of salivary duct. 311 42699 Salivary surgery procedure. 311 69200 Clear outer ear canal... 311 69210 Remove impacted ear wax. 311 69222 Clean out mastoid cavity 311 69399 Outer ear surgery procedure. 311 69400 Inflate middle ear canal 311 69405 Catheterize middle ear canal. 311 69410 Inset middle ear baffle. 311 69420 Incision of eardrum..... 311 69424 Remove ventilating tube. 311 69540 Remove ear lesion....... 311 69610 Repair of eardrum....... 311 69799 Middle ear surgery procedure. 311 92502 Ear and throat examination. 312 LEVEL II ENT PROCEDURES T 7.07 $363.54 $170.86 $72.71 312 30801 Cauterization inner nose 312 30802 Cauterization inner nose 312 30930 Therapy fracture of nose 312 31612 Puncture/clear windpipe. 312 40830 Repair mouth laceration. 312 40831 Repair mouth laceration. 312 41250 Repair tongue laceration 312 41251 Repair tongue laceration 312 41252 Repair tongue laceration 312 41500 Fixation of tongue...... 312 41510 Tongue to lip surgery... 312 41800 Drainage of gum lesion.. 312 42300 Drainage of salivary gland. 312 42305 Drainage of salivary gland. 312 42310 Drainage of salivary gland. 312 42320 Drainage of salivary gland. 312 42405 Biopsy of salivary gland 312 42700 Drainage of tonsil abscess. 312 42720 Drainage of throat abscess. 312 42800 Biopsy of throat........ 312 42802 Biopsy of throat........ 312 42804 Biopsy of upper nose/ throat. 312 42806 Biopsy of upper nose/ throat. 312 42808 Excise pharynx lesion... 312 60000 Drain thyroid/tongue cyst. 312 69421 Incision of eardrum..... 312 69433 Create eardrum opening.. 312 69436 Create eardrum opening.. 313 LEVEL III ENT PROCEDURES T 15.46 $794.95 $407.70 $158.99 313 30115 Removal of nose polyp(s) 313 30118 Removal of intranasal lesion. 313 30120 Revision of nose........ 313 30125 Removal of nose lesion.. 313 30130 Removal of turbinate bones. 313 30140 Removal of turbinate bones. 313 30150 Partial removal of nose. 313 30160 Removal of nose......... 313 30310 Remove nasal foreign body. 313 30320 Remove nasal foreign body. 313 30430 Revision of nose........ 313 30520 Repair of nasal septum.. 313 30540 Repair nasal defect..... 313 30580 Repair upper jaw fistula 313 30600 Repair mouth/nose fistula. 313 30620 Intranasal reconstruction. 313 30630 Repair nasal septum defect. 313 31020 Exploration maxillary sinus. 313 31030 Exploration maxillary sinus. 313 31032 Explore sinus, remove polyps. 313 31050 Exploration sphenoid sinus. 313 31051 Sphenoid sinus surgery.. 313 31070 Exploration of frontal sinus. 313 31200 Removal of ethmoid sinus 313 31320 Diagnostic incision larynx. 313 31595 Larynx nerve surgery.... 313 31611 Surgery/speech prosthesis. 313 31613 Repair windpipe opening.

313 31614 Repair windpipe opening. 313 31820 Closure of windpipe lesion. 313 31825 Repair of windpipe defect. 313 31830 Revise windpipe scar.... 313 40500 Partial excision of lip. 313 40510 Partial excision of lip. 313 40520 Partial excision of lip. 313 40525 Reconstruct lip with flap. 313 40527 Reconstruct lip with flap. 313 40530 Partial removal of lip.. 313 40650 Repair lip.............. 313 40652 Repair lip.............. 313 40654 Repair lip.............. 313 40814 Excise/repair mouth lesion. 313 40816 Excision of mouth lesion 313 40818 Excise oral mucosa for graft. 313 40819 Excise lip or cheek fold 313 40840 Reconstruction of mouth. 313 40842 Reconstruction of mouth. 313 41006 Drainage of mouth lesion 313 41007 Drainage of mouth lesion 313 41008 Drainage of mouth lesion 313 41009 Drainage of mouth lesion 313 41010 Incision of tongue fold. 313 41015 Drainage of mouth lesion 313 41016 Drainage of mouth lesion 313 41017 Drainage of mouth lesion 313 41018 Drainage of mouth lesion 313 41112 Excision of tongue lesion. 313 41113 Excision of tongue lesion. 313 41114 Excision of tongue lesion. 313 41116 Excision of mouth lesion 313 41120 Partial removal of tongue. 313 41520 Reconstruction, tongue fold. 313 41827 Excision of gum lesion.. 313 42107 Excision lesion, mouth roof. 313 42120 Remove palate/lesion.... 313 42180 Repair palate........... 313 42182 Repair palate........... 313 42200 Reconstruct cleft palate 313 42205 Reconstruct cleft palate 313 42215 Reconstruct cleft palate 313 42220 Reconstruct cleft palate 313 42235 Repair palate........... 313 42260 Repair nose to lip fistula. 313 42325 Create salivary cyst drain. 313 42326 Create salivary cyst drain. 313 42340 Removal of salivary stone. 313 42408 Excision of salivary cyst. 313 42409 Drainage of salivary cyst. 313 42410 Excise parotid gland/ lesion. 313 42440 Excision submaxillary gland. 313 42450 Excision sublingual gland. 313 42500 Repair salivary duct.... 313 42505 Repair salivary duct.... 313 42507 Parotid duct diversion.. 313 42508 Parotid duct diversion.. 313 42510 Parotid duct diversion.. 313 42600 Closure of salivary fistula. 313 42725 Drainage of throat abscess. 313 42810 Excision of neck cyst... 313 42815 Excision of neck cyst... 313 42900 Repair throat wound..... 313 42950 Reconstruction of throat 313 42955 Surgical opening of throat. 313 42962 Control throat bleeding. 313 42972 Control nose/throat bleeding. 313 43020 Incision of esophagus... 313 43030 Throat muscle surgery... 313 69120 Removal of external ear. 313 69140 Remove ear canal lesion(s). 313 69300 Revise external ear..... 313 69440 Exploration of middle ear. 313 69450 Eardrum revision........ 313 69620 Repair of eardrum.......

314 LEVEL IV ENT PROCEDURES T 25.15 $1,293.21 $687.72 $258.64 314 30400 Reconstruction of nose.. 314 30410 Reconstruction of nose.. 314 30420 Reconstruction of nose.. 314 30435 Revision of nose........ 314 30450 Revision of nose........ 314 30460 Revision of nose........ 314 30462 Revision of nose........ 314 30545 Repair nasal defect..... 314 31040 Exploration behind upper jaw. 314 31075 Exploration of frontal sinus. 314 31080 Removal of frontal sinus 314 31081 Removal of frontal sinus 314 31084 Removal of frontal sinus 314 31085 Removal of frontal sinus 314 31086 Removal of frontal sinus 314 31087 Removal of frontal sinus 314 31090 Exploration of sinuses.. 314 31201 Removal of ethmoid sinus 314 31205 Removal of ethmoid sinus 314 31300 Removal of larynx lesion 314 31400 Revision of larynx...... 314 31420 Removal of epiglottis... 314 31588 Revision of larynx...... 314 31590 Reinnervate larynx...... 314 31750 Repair of windpipe...... 314 31755 Repair of windpipe...... 314 40700 Repair cleft lip/nasal.. 314 40701 Repair cleft lip/nasal.. 314 40702 Repair cleft lip/nasal.. 314 40720 Repair cleft lip/nasal.. 314 40761 Repair cleft lip/nasal.. 314 40843 Reconstruction of mouth. 314 40844 Reconstruction of mouth. 314 40845 Reconstruction of mouth. 314 42210 Reconstruct cleft palate 314 42225 Reconstruct cleft palate 314 42226 Lengthening of palate... 314 42227 Lengthening of palate... 314 42415 Excise parotid gland/ lesion. 314 42420 Excise parotid gland/ lesion. 314 42425 Excise parotid gland/ lesion. 314 42509 Parotid duct diversion.. 314 42842 Extensive surgery of throat. 314 42844 Extensive surgery of throat. 314 42890 Partial removal of pharynx. 314 42892 Revision of pharyngeal walls. 314 69150 Extensive ear canal surgery. 314 69310 Rebuild outer ear canal. 314 69320 Rebuild outer ear canal. 314 69501 Mastoidectomy........... 314 69502 Mastoidectomy........... 314 69505 Remove mastoid structures. 314 69511 Extensive mastoid surgery. 314 69530 Extensive mastoid surgery. 314 69550 Remove ear lesion....... 314 69552 Remove ear lesion....... 314 69601 Mastoid surgery revision 314 69602 Mastoid surgery revision 314 69603 Mastoid surgery revision 314 69604 Mastoid surgery revision 314 69605 Mastoid surgery revision 314 69631 Repair eardrum structures. 314 69632 Rebuild eardrum structures. 314 69633 Rebuild eardrum structures. 314 69635 Repair eardrum structures. 314 69636 Rebuild eardrum structures. 314 69637 Rebuild eardrum structures. 314 69641 Revise middle ear & mastoid. 314 69642 Revise middle ear & mastoid. 314 69643 Revise middle ear & mastoid. 314 69644 Revise middle ear & mastoid. 314 69645 Revise middle ear & mastoid. 314 69646 Revise middle ear & mastoid. 314 69650 Release middle ear bone.

314 69660 Revise middle ear bone.. 314 69661 Revise middle ear bone.. 314 69662 Revise middle ear bone.. 314 69666 Repair middle ear structures. 314 69667 Repair middle ear structures. 314 69670 Remove mastoid air cells 314 69676 Remove middle ear nerve. 314 69700 Close mastoid fistula... 314 69711 Remove/repair hearing aid. 314 69720 Release facial nerve.... 314 69725 Release facial nerve.... 314 69740 Repair facial nerve..... 314 69745 Repair facial nerve..... 314 69801 Incise inner ear........ 314 69802 Incise inner ear........ 314 69805 Explore inner ear....... 314 69806 Explore inner ear....... 314 69820 Establish inner ear window. 314 69840 Revise inner ear window. 314 69905 Remove inner ear........ 314 69910 Remove inner ear & mastoid. 314 69915 Incise inner ear nerve.. 314 69949 Inner ear surgery procedure. 317 IMPLANTATION OF COCHLEAR DEVICE T 317 69930 Implant cochlear device. 318 NASAL CAUTERIZATION/PACKING T 2.07 $106.44 $38.87 $21.29 318 30901 Control of nosebleed.... 318 30903 Control of nosebleed.... 318 30905 Control of nosebleed.... 318 30906 Repeat control of nosebleed. 318 30999 Nasal surgery procedure. 318 42960 Control throat bleeding. 318 42970 Control nose/throat bleeding. 318 42999 Throat surgery procedure 319 TONSIL/ADENOID PROCEDURES T 16.20 $833.00 $463.53 $166.60 319 42820 Remove tonsils and adenoids. 319 42821 Remove tonsils and adenoids. 319 42825 Removal of tonsils...... 319 42826 Removal of tonsils...... 319 42830 Removal of adenoids..... 319 42831 Removal of adenoids..... 319 42835 Removal of adenoids..... 319 42836 Removal of adenoids..... 319 42860 Excision of tonsil tags. 319 42870 Excision of lingual tonsil. 320 THORACENTESIS/LAVAGE PROCEDURES T 3.09 $158.89 $80.91 $31.78 320 32000 Drainage of chest....... 320 32002 Treatment of collapsed lung. 320 32020 Insertion of chest tube. 320 32420 Puncture/clear lung..... 320 32960 Therapeutic pneumothorax 320 32999 Chest surgery procedure. 320 33010 Drainage of heart sac... 320 33011 Repeat drainage of heart sac. 320 33999 Cardiac surgery procedure. 320 49080 Puncture, peritoneal cavity. 320 49081 Removal of abdominal fluid. 331 LEVEL I ENDOSCOPY UPPER AIRWAY T 0.57 $29.31 $14.01 $5.86 331 31231 Nasal endoscopy, dx..... 331 31299 Sinus surgery procedure. 331 31505 Diagnostic laryngoscopy. 331 31575 Diagnostic laryngoscopy. 331 31579 Diagnostic laryngoscopy. 331 92511 Nasopharyngoscopy....... 332 LEVEL II ENDOSCOPY UPPER AIRWAY T 9.67 $497.23 $242.72 $99.45 332 31233 Nasal/sinus endoscopy, dx. 332 31235 Nasal/sinus endoscopy, dx. 332 31237 Nasal/sinus endoscopy, surg. 332 31238 Nasal/sinus endoscopy, surg. 332 31240 Nasal/sinus endoscopy, surg. 332 31510 Laryngoscopy with biopsy 332 31511 Remove foreign body, larynx. 332 31512 Removal of larynx lesion 332 31513 Injection into vocal cord. 332 31515 Laryngoscopy for aspiration.

332 31520 Diagnostic laryngoscopy. 332 31525 Diagnostic laryngoscopy. 332 31526 Diagnostic laryngoscopy. 332 31528 Laryngoscopy and dilatation. 332 31529 Laryngoscopy and dilatation. 332 31576 Laryngoscopy with biopsy 332 31577 Remove foreign body, larynx. 332 31578 Removal of larynx lesion 332 31700 Insertion of airway catheter. 332 31717 Bronchial brush biopsy.. 332 31720 Clearance of airways.... 332 31730 Intro windpipe wire/tube 333 LEVEL III ENDOSCOPY UPPER AIRWAY T 16.81 $864.37 $461.04 $172.87 333 31239 Nasal/sinus endoscopy, surg. 333 31254 Revision of ethmoid sinus. 333 31255 Removal of ethmoid sinus 333 31256 Exploration maxillary sinus. 333 31267 Endoscopy, maxillary sinus. 333 31276 Sinus surgical endoscopy 333 31287 Nasal/sinus endoscopy, surg. 333 31288 Nasal/sinus endoscopy, surg. 333 31527 Laryngoscopy for treatment. 333 31530 Operative laryngoscopy.. 333 31531 Operative laryngoscopy.. 333 31535 Operative laryngoscopy.. 333 31536 Operative laryngoscopy.. 333 31540 Operative laryngoscopy.. 333 31541 Operative laryngoscopy.. 333 31560 Operative laryngoscopy.. 333 31561 Operative laryngoscopy.. 333 31570 Laryngoscopy with injection. 333 31571 Laryngoscopy with injection. 336 ENDOSCOPY LOWER AIRWAY T 7.24 $372.28 $195.49 $74.46 336 31615 Visualization of windpipe. 336 31622 Dx bronchoscope/wash.... 336 31625 Bronchoscopy with biopsy 336 31628 Bronchoscopy with biopsy 336 31629 Bronchoscopy with biopsy 336 31630 Bronchoscopy with repair 336 31631 Bronchoscopy with dilation. 336 31635 Remove foreign body, airway. 336 31640 Bronchoscopy & remove lesion. 336 31641 Bronchoscopy, treat blockage. 336 31645 Bronchoscopy, clear airways. 336 31646 Bronchoscopy,reclear airways. 336 31656 Bronchoscopy,inject for xray. 336 31899 Airways surgical procedure. 339 INJECTION OF SCLEROSING SOLUTION T 0.98 $50.39 $19.66 $10.08 339 36468 Injection(s); spider veins. 339 36469 Injection(s); spider veins. 339 36470 Injection therapy of vein. 339 36471 Injection therapy of veins. 339 45520 Treatment of rectal prolapse. 341 LEVEL I NEEDLE AND CATHETER T 0.09 $4.63 $2.49 $0.93 PLACEMENT 341 36410 Drawing blood........... 341 36420 Establish access to vein 341 36425 Establish access to vein 342 LEVEL II NEEDLE AND CATHETER T 2.61 $134.21 $68.70 $26.84 PLACEMENT 342 36010 Place catheter in vein.. 342 36011 Place catheter in vein.. 342 36012 Place catheter in vein.. 342 36013 Place catheter in artery 342 36014 Place catheter in artery 342 36015 Place catheter in artery 342 36100 Establish access to artery. 342 36120 Establish access to artery. 342 36140 Establish access to artery. 342 36160 Establish access to aorta. 342 36200 Place catheter in aorta. 342 36500 Insertion of catheter, vein. 342 36620 Insertion catheter, artery. 342 36625 Insertion catheter, artery. 342 38794 Access thoracic lymph duct. 343 LEVEL III NEEDLE AND CATHETER T 8.76 $450.44 $240.24 $90.09 PLACEMENT 343 36215 Place catheter in artery

343 36216 Place catheter in artery 343 36217 Place catheter in artery 343 36218 Place catheter in artery 343 36245 Place catheter in artery 343 36246 Place catheter in artery 343 36247 Place catheter in artery 343 36248 Place catheter in artery 343 36481 Insertion of catheter, vein. 343 93508 Cath placement, angiography. 346 PLACEMENT TRANSVENOUS CATHS/ T 4.63 $238.07 $121.59 $47.61 CUTDOWN 346 36488 Insertion of catheter, vein. 346 36489 Insertion of catheter, vein. 346 36490 Insertion of catheter, vein. 346 36491 Insertion of catheter, vein. 346 36493 Repositioning of cvc.... 346 36640 Insertion catheter, artery. 347 INJECTION PROCEDURES FOR T 2.57 $132.15 $62.38 $26.43 INTERVENTIONAL RADIOLOGY 347 19030 Injection for breast x- ray. 347 20501 Inject sinus tract for x- ray. 347 21116 Injection, jaw joint x- ray. 347 23350 Injection for shoulder x- ray. 347 24220 Injection for elbow x- ray. 347 25246 Injection for wrist x- ray. 347 27093 Injection for hip x-ray. 347 27095 Injection for hip x-ray. 347 27370 Injection for knee x-ray 347 27648 Injection for ankle x- ray. 347 30200 Injection treatment of nose. 347 31708 Instill airway contrast dye. 347 31710 Insertion of airway catheter. 347 31715 Injection for bronchus x- ray. 347 36005 Injection, venography... 347 38200 Injection for spleen x- ray. 347 38790 Injection for lymphatic x-ray. 347 42550 Injection for salivary x- ray. 347 47500 Injection for liver x- rays. 347 47505 Injection for liver x- rays. 347 49400 Air injection into abdomen. 347 49424 Assess cyst, contrast inj. 347 49427 Injection, abdominal shunt. 347 50392 Insert kidney drain..... 347 50393 Insert ureteral tube.... 347 50394 Injection for kidney x- ray. 347 50395 Create passage to kidney 347 50684 Injection for ureter x- ray. 347 50690 Injection for ureter x- ray. 347 51600 Injection for bladder x- ray. 347 51605 Preparation for bladder xray. 347 51610 Injection for bladder x- ray. 347 54230 Prepare penis study..... 347 55300 Preparation,sperm duct x- ray. 347 58340 Catheter for hysterography. 347 62284 Injection for myelogram. 347 62290 Inject for spine disk x- ray. 347 62291 Inject for spine disk x- ray. 347 68850 Injection for tear sac x- ray. 360 REMOVAL/REVISION, PACEMAKER/ T 6.04 $310.58 $138.54 $62.12 VASCULAR DEVICE 360 33222 Pacemaker aicd pocket... 360 33223 Pacemaker aicd pocket... 360 36261 Revision of infusion pump. 360 36262 Removal of infusion pump 360 36299 Vessel injection procedure. 360 36531 Revision of infusion pump. 360 36532 Removal of infusion pump 360 36534 Revision of access port. 360 36535 Removal of access port.. 360 37203 Transcatheter retrieval. 367 VASCULAR LIGATION T 17.02 $875.17 $441.15 $175.03 367 30915 Ligation nasal sinus artery. 367 30920 Ligation upper jaw artery. 367 37618 Ligation of extremity artery. 367 37650 Revision of major vein.. 367 37700 Revise leg vein......... 367 37720 Removal of leg vein..... 367 37730 Removal of leg veins....

367 37735 Removal of leg veins/ lesion. 367 37760 Revision of leg veins... 367 37780 Revision of leg vein.... 367 37785 Revise secondary varicosity. 368 VASCULAR REPAIR/FISTULA T 22.59 $1,161.58 $647.49 $232.32 CONSTRUCTION 368 35188 Repair blood vessel lesion. 368 35207 Repair blood vessel lesion. 368 35875 Removal of clot in graft 368 35876 Removal of clot in graft 368 36260 Insertion of infusion pump. 368 36530 Insertion of infusion pump. 368 36533 Insertion of access port 368 36800 Insertion of cannula.... 368 36810 Insertion of cannula.... 368 36815 Insertion of cannula.... 368 36821 Artery-vein fusion...... 368 36825 Artery-vein graft....... 368 36830 Artery-vein graft....... 368 36832 Av fistula revision..... 368 36835 Artery to vein shunt.... 368 36860 External cannula declotting. 368 36861 Cannula declotting...... 368 37607 Ligation of fistula..... 369 BLOOD AND BLOOD PRODUCT EXCHANGE T 6.33 $325.49 $155.49 $65.10 369 36430 Blood transfusion service. 369 36440 Blood transfusion service. 369 36450 Exchange transfusion service. 369 36455 Exchange transfusion service. 369 36460 Transfusion service, fetal. 369 36520 Plasma and/or cell exchange. 369 36522 Photopheresis........... 369 38230 Bone marrow collection.. 369 38231 Stem cell collection.... 369 Q0068 Extracorpeal plasmapheresis. 396 LYMPH NODE EXCISIONS T 12.98 $667.43 $334.48 $133.49 396 38308 Incision of lymph channels. 396 38500 Biopsy/removal,lymph node(s). 396 38510 Biopsy/removal,lymph node(s). 396 38520 Biopsy/removal,lymph node(s). 396 38525 Biopsy/removal,lymph node(s). 396 38530 Biopsy/removal,lymph node(s). 396 38550 Removal neck/armpit lesion. 397 THYROID/LYMPHADENECTOMY T 19.12 $983.15 $542.17 $196.63 PROCEDURES 397 38542 Explore deep node(s), neck. 397 38555 Removal neck/armpit lesion. 397 38740 Remove armpit lymph nodes. 397 38745 Remove armpits lymph nodes. 397 38760 Remove groin lymph nodes 397 60200 Remove thyroid lesion... 397 60210 Partial excision thyroid 397 60220 Partial removal of thyroid. 397 60225 Partial removal of thyroid. 397 60240 Removal of thyroid...... 397 60280 Remove thyroid duct lesion. 397 60281 Remove thyroid duct lesion. 406 ESOPHAGEAL DILATION WITHOUT T 4.17 $214.42 $106.67 $42.88 ENDOSCOPY 406 43450 Dilate esophagus........ 406 43453 Dilate esophagus........ 406 43456 Dilate esophagus........ 406 43458 Dilation of esophagus... 406 43499 Esophagus surgery procedure. 407 ESOPHAGOSCOPY T 6.89 $354.28 $189.39 $70.86 407 43204 Esophagus endoscopy & inject. 407 43205 Esophagus endoscopy/ ligation. 407 43215 Esophagus endoscopy..... 407 43216 Esophagus endoscopy/ lesion. 407 43217 Esophagus endoscopy..... 407 43220 Esophagus endoscopy, dilation. 407 43226 Esophagus endoscopy, dilation. 407 43227 Esophagus endoscopy, repair. 417 DIAGNOSTIC UPPER GI ENDOSCOPY T 6.35 $326.52 $179.22 $65.30 417 43200 Esophagus endoscopy..... 417 43202 Esophagus endoscopy, biopsy. 417 43234 Upper GI endoscopy, exam 417 43235 Upper gi endoscopy, diagnosis.

417 43239 Upper GI endoscopy, biopsy. 417 43600 Biopsy of stomach....... 417 44100 Biopsy of bowel......... 418 THERAPEUTIC UPPER GI ENDOSCOPY T 7.44 $382.56 $213.57 $76.51 418 43241 Upper GI endoscopy with tube. 418 43243 Upper GI endoscopy & inject. 418 43244 Upper GI endoscopy/ ligation. 418 43245 Operative upper GI endoscopy. 418 43246 Place gastrostomy tube.. 418 43247 Operative upper GI endoscopy. 418 43248 Upper GI endoscopy/ guidewire. 418 43249 Esophagus endoscopy,dilation. 418 43250 Upper GI endoscopy/tumor 418 43251 Operative upper GI endoscopy. 418 43255 Operative upper GI endoscopy. 418 43750 Place gastrostomy tube.. 419 SMALL INTESTINE ENDOSCOPY T 6.83 $351.20 $164.08 $70.24 419 44360 Small bowel endoscopy... 419 44361 Small bowel endoscopy,biopsy. 419 44363 Small bowel endoscopy... 419 44364 Small bowel endoscopy... 419 44365 Small bowel endoscopy... 419 44366 Small bowel endoscopy... 419 44372 Small bowel endoscopy... 419 44373 Small bowel endoscopy... 419 44376 Small bowel endoscopy... 419 44377 Small bowel endoscopy... 419 44378 Small bowel endoscopy... 419 44799 Intestine surgery procedure. 426 DIAGNOSTIC LOWER GI ENDOSCOPY T 6.74 $346.57 $185.32 $69.31 426 44380 Small bowel endoscopy... 426 44382 Small bowel endoscopy... 426 44385 Endoscopy of bowel pouch 426 44386 Endoscopy, bowel pouch, biopsy. 426 44388 Colon endoscopy......... 426 44389 Colonoscopy with biopsy. 426 45378 Diagnostic colonoscopy.. 426 45380 Colonoscopy and biopsy.. 426 G0105 Colorectal scrn; hi risk ind. 427 THERAPEUTIC LOWER GI ENDOSCOPY T 8.09 $415.99 $222.84 $83.20 427 44390 Colonoscopy for foreign body. 427 44391 Colonoscopy for bleeding 427 44392 Colonoscopy & polypectomy. 427 44394 Colonoscopy w/snare..... 427 45355 Surgical colonoscopy.... 427 45379 Colonoscopy............. 427 45382 Colonoscopy,control bleeding. 427 45384 Colonoscopy............. 427 45385 Colonoscopy, lesion removal. 437 THERAPEUTIC ANOSCOPY T 6.54 $336.29 $173.79 $67.26 437 46606 Anoscopy and biopsy..... 437 46608 Anoscopy; remove foreign body. 437 46610 Anoscopy; remove lesion. 437 46611 Anoscopy................ 437 46612 Anoscopy; remove lesions 437 46614 Anoscopy; control bleeding. 437 46615 Anoscopy................ 446 DIAGNOSTIC SIGMOIDOSCOPY T 2.54 $130.61 $64.86 $26.12 446 45300 Proctosigmoidoscopy..... 446 45305 Proctosigmoidoscopy; biopsy. 446 45330 Sigmoidoscopy, diagnostic. 446 45331 Sigmoidoscopy and biopsy 446 G0104 CA screen; flexi sigmoidscope. 447 THERAPEUTIC PROCTOSIGMOIDOSCOPY T 7.06 $363.03 $191.87 $72.61 447 45303 Proctosigmoidoscopy..... 447 45307 Proctosigmoidoscopy..... 447 45308 Proctosigmoidoscopy..... 447 45309 Proctosigmoidoscopy..... 447 45315 Proctosigmoidoscopy..... 447 45317 Proctosigmoidoscopy..... 447 45320 Proctosigmoidoscopy..... 447 45321 Proctosigmoidoscopy..... 448 THERAPEUTIC FLEXIBLE T 5.28 $271.50 $139.22 $54.30 SIGMOIDOSCOPY 448 45332 Sigmoidoscopy........... 448 45333 Sigmoidoscopy & polypectomy.

448 45334 Sigmoidoscopy for bleeding. 448 45337 Sigmoidoscopy, decompression. 448 45338 Sigmoidoscopy........... 449 COMPLEX GI ENDOSCOPY T 7.63 $392.33 $213.57 $78.47 449 43219 Esophagus endoscopy..... 449 43228 Esophagus endoscopy, ablation. 449 43258 Operative upper GI endoscopy. 449 43259 Endoscopic ultrasound exam. 449 43272 Endoscopy, bile duct/ pancreas. 449 44369 Small bowel endoscopy... 449 44393 Colonoscopy, lesion removal. 449 45339 Sigmoidoscopy........... 449 45383 Colonoscopy, lesion removal. 451 LEVEL I ANAL/RECTAL PROCEDURES T 2.42 $124.44 $53.56 $24.89 451 46070 Incision of anal septum. 451 46083 Incise external hemorrhoid. 451 46220 Removal of anal tab..... 451 46221 Ligation of hemorrhoid(s). 451 46230 Removal of anal tabs.... 451 46320 Removal of hemorrhoid clot. 451 46500 Injection into hemorrhoids. 451 46934 Destruction of hemorrhoids. 451 46935 Destruction of hemorrhoids. 451 46936 Destruction of hemorrhoids. 451 46940 Treatment of anal fissure. 451 46942 Treatment of anal fissure. 451 46945 Ligation of hemorrhoids. 451 46946 Ligation of hemorrhoids. 452 LEVEL II ANAL/RECTAL PROCEDURES T 4.52 $232.42 $103.06 $46.48 452 45000 Drainage of pelvic abscess. 452 45005 Drainage of rectal abscess. 452 45020 Drainage of rectal abscess. 452 45100 Biopsy of rectum........ 452 45900 Reduction of rectal prolapse. 452 45905 Dilation of anal sphincter. 452 45910 Dilation of rectal narrowing. 452 45915 Remove rectal obstruction. 452 45999 Rectum surgery procedure 452 46030 Removal of rectal marker 452 46040 Incision of rectal abscess. 452 46050 Incision of anal abscess 452 46080 Incision of anal sphincter. 452 46210 Removal of anal crypt... 452 46754 Removal of suture from anus. 452 46999 Anus surgery procedure.. 453 LEVEL III ANAL/RECTAL PROCEDURES T 16.26 $836.09 $440.47 $167.22 453 45108 Removal of anorectal lesion. 453 45150 Excision of rectal stricture. 453 45160 Excision of rectal lesion. 453 45170 Excision of rectal lesion. 453 45190 Destruction, rectal tumor. 453 45500 Repair of rectum........ 453 45505 Repair of rectum........ 453 45560 Repair of rectocele..... 453 46045 Incision of rectal abscess. 453 46060 Incision of rectal abscess. 453 46200 Removal of anal fissure. 453 46211 Removal of anal crypts.. 453 46250 Hemorrhoidectomy........ 453 46255 Hemorrhoidectomy........ 453 46257 Remove hemorrhoids & fissure. 453 46258 Remove hemorrhoids & fistula. 453 46260 Hemorrhoidectomy........ 453 46261 Remove hemorrhoids & fissure. 453 46262 Remove hemorrhoids & fistula. 453 46270 Removal of anal fistula. 453 46275 Removal of anal fistula. 453 46280 Removal of anal fistula. 453 46285 Removal of anal fistula. 453 46288 Repair anal fistula..... 453 46700 Repair of anal stricture 453 46750 Repair of anal sphincter 453 46753 Reconstruction of anus.. 453 46760 Repair of anal sphincter 453 46761 Repair of anal sphincter

453 46762 Implant artificial sphincter. 453 46937 Cryotherapy of rectal lesion. 453 46938 Cryotherapy of rectal lesion. 456 ENDOSCOPIC RETROGRADE CHOLANGIO- T 9.61 $494.15 $249.05 $98.83 PANCREATOGRAPHY (ERCP) 456 43260 Endoscopy, bile duct/ pancreas. 456 43261 Endoscopy, bile duct/ pancreas. 456 43262 Endoscopy, bile duct/ pancreas. 456 43263 Endoscopy, bile duct/ pancreas. 456 43264 Endoscopy, bile duct/ pancreas. 456 43265 Endoscopy, bile duct/ pancreas. 456 43267 Endoscopy, bile duct/ pancreas. 456 43268 Endoscopy, bile duct/ pancreas. 456 43269 Endoscopy, bile duct/ pancreas. 456 43271 Endoscopy, bile duct/ pancreas. 458 PERCUTANEOUS BILIARY ENDOSCOPIC T 6.81 $350.17 $181.70 $70.03 PROCEDURES 458 47510 Insert catheter, bile duct. 458 47511 Insert bile duct drain.. 458 47552 Biliary endoscopy, thru skin. 458 47553 Biliary endoscopy, thru skin. 458 47554 Biliary endoscopy, thru skin. 458 47555 Biliary endoscopy, thru skin. 458 47556 Biliary endoscopy, thru skin. 458 47630 Remove bile duct stone.. 459 PERITONEAL AND ABDOMINAL T 17.85 $917.85 $497.88 $183.57 PROCEDURES 459 49085 Remove abdomen foreign body. 459 49250 Excision of umbilicus... 459 49420 Insert abdominal drain.. 459 49421 Insert abdominal drain.. 459 49423 Exchange drainage cath.. 459 49426 Revise abdomen-venous shunt. 466 HERNIA/HYDROCELE PROCEDURES T 20.67 $1,062.85 $556.64 $212.57 466 49495 Repair inguinal hernia, init. 466 49496 Repair inguinal hernia, init. 466 49500 Repair inguinal hernia.. 466 49501 Repair inguinal hernia, init. 466 49505 Repair inguinal hernia.. 466 49507 Repair, inguinal hernia. 466 49520 Rerepair inguinal hernia 466 49521 Repair inguinal hernia, rec. 466 49525 Repair inguinal hernia.. 466 49540 Repair lumbar hernia.... 466 49550 Repair femoral hernia... 466 49553 Repair femoral hernia, init. 466 49555 Repair femoral hernia... 466 49557 Repair femoral hernia, recur. 466 49560 Repair abdominal hernia. 466 49561 Repair incisional hernia 466 49565 Rerepair abdominal hernia. 466 49566 Repair incisional hernia 466 49568 Hernia repair w/mesh.... 466 49570 Repair epigastric hernia 466 49572 Repair, epigastric hernia. 466 49580 Repair umbilical hernia. 466 49582 Repair umbilical hernia. 466 49585 Repair umbilical hernia. 466 49587 Repair umbilical hernia. 466 49590 Repair abdominal hernia. 466 49600 Repair umbilical lesion. 466 51500 Removal of bladder cyst. 466 55040 Removal of hydrocele.... 466 55041 Removal of hydroceles... 470 TUBE PROCEDURES T 2.19 $112.61 $54.92 $22.52 470 31502 Change of windpipe airway. 470 43760 Change gastrostomy tube. 470 43761 Reposition gastrostomy tube. 470 43999 Stomach surgery procedure. 470 47525 Change bile duct catheter. 470 47530 Revise, reinsert bile tube. 470 47999 Bile tract surgery procedure. 470 49422 Remove perm cannula/ catheter. 470 49429 Removal of shunt........ 470 49999 Abdomen surgery procedure. 470 50688 Change of ureter tube... 470 51705 Change of bladder tube.. 470 51710 Change of bladder tube..

521 LEVEL I CYSTOURETHROSCOPY AND T 4.89 $251.44 $110.06 $50.29 OTHER GENITOURINARY PROCEDURES 521 50398 Change kidney tube...... 521 52000 Cystoscopy.............. 521 52265 Cystoscopy & treatment.. 522 LEVEL II CYSTOURETHROSCOPY AND T 10.15 $521.91 $259.45 $104.38 OTHER GENITOURINARY PROCEDURES 522 50551 Kidney endoscopy........ 522 50553 Kidney endoscopy........ 522 50555 Kidney endoscopy & biopsy. 522 50557 Kidney endoscopy & treatment. 522 50559 Renal endoscopy; radiotracer. 522 50561 Kidney endoscopy & treatment. 522 52005 Cystoscopy & ureter catheter. 522 52007 Cystoscopy and biopsy... 522 52010 Cystoscopy & duct catheter. 522 52204 Cystoscopy.............. 522 52214 Cystoscopy and treatment 522 52224 Cystoscopy and treatment 522 52260 Cystoscopy & treatment.. 522 52270 Cystoscopy & revise urethra. 522 52275 Cystoscopy & revise urethra. 522 52276 Cystoscopy and treatment 522 52281 Cystoscopy and treatment 522 52283 Cystoscopy and treatment 522 52285 Cystoscopy and treatment 522 52290 Cystoscopy and treatment 522 52300 Cystoscopy and treatment 522 52301 Cystoscopy and treatment 522 52305 Cystoscopy and treatment 522 52310 Cystoscopy and treatment 522 52315 Cystoscopy and treatment 522 52327 Cystoscopy, inject material. 522 52510 Dilation prostatic urethra. 522 53605 Dilate urethra stricture 523 LEVEL III CYSTOURETHROSCOPY AND T 16.35 $840.72 $438.89 $168.14 OTHER GENITOURINARY PROCEDURES 523 50951 Endoscopy of ureter..... 523 50953 Endoscopy of ureter..... 523 50955 Ureter endoscopy & biopsy. 523 50957 Ureter endoscopy & treatment. 523 50959 Ureter endoscopy & tracer. 523 50961 Ureter endoscopy & treatment. 523 51020 Incise & treat bladder.. 523 51030 Incise & treat bladder.. 523 51040 Incise & drain bladder.. 523 51045 Incise bladder, drain ureter. 523 51050 Removal of bladder stone 523 51065 Removal of ureter stone. 523 51520 Removal of bladder lesion. 523 51880 Repair of bladder opening. 523 52234 Cystoscopy and treatment 523 52235 Cystoscopy and treatment 523 52240 Cystoscopy and treatment 523 52250 Cystoscopy & radiotracer 523 52277 Cystoscopy and treatment 523 52282 Cystoscopy, implant stent. 523 52317 Remove bladder stone.... 523 52318 Remove bladder stone.... 523 52320 Cystoscopy and treatment 523 52325 Cystoscopy, stone removal. 523 52330 Cystoscopy and treatment 523 52332 Cystoscopy and treatment 523 52334 Create passage to kidney 523 52335 Endoscopy of urinary tract. 523 52336 Cystoscopy, stone removal. 523 52338 Cystoscopy and treatment 523 52339 Cystoscopy and treatment 523 52340 Cystoscopy and treatment 523 52450 Incision of prostate.... 523 52500 Revision of bladder neck 523 52606 Control postop bleeding. 523 52640 Relieve bladder contracture. 523 52700 Drainage of prostate abscess. 523 55720 Drainage of prostate abscess. 523 55725 Drainage of prostate abscess. 523 55859 Percut/needle insert, pros.

524 LEVEL IV CYSTOURETHROSCOPY AND T 27.20 $1,398.62 $824.90 $279.72 OTHER GENITOURINARY PROCEDURES 524 52337 Cystoscopy, stone removal. 524 52601 Prostatectomy (TURP).... 524 52612 Prostatectomy, first stage. 524 52614 Prostatectomy, second stage. 524 52620 Remove residual prostate 524 52630 Remove prostate regrowth 524 52647 Laser surgery of prostate. 524 52648 Laser surgery of prostate. 524 53850 Prostatic microwave thermotx. 524 53852 Prostatic rf thermotx... 527 LITHOTRIPSY T 43.48 $2,235.74 $1,372.95 $447.15 527 50590 Fragmenting of kidney stone. 529 SIMPLE URINARY STUDIES AND T 2.33 $119.81 $59.66 $23.96 PROCEDURES 529 50396 Measure kidney pressure. 529 50686 Measure ureter pressure. 529 51725 Simple cystometrogram... 529 51726 Complex cystometrogram.. 529 51736 Urine flow measurement.. 529 51741 Electro-uroflowmetry, first. 529 51772 Urethra pressure profile 529 51784 Anal/urinary muscle study. 529 51785 Anal/urinary muscle study. 529 51792 Urinary reflex study.... 529 51795 Urine voiding pressure study. 529 51797 Intraabdominal pressure test. 529 54240 Penis study............. 529 54250 Penis study............. 530 GENITOURINARY PROCEDURES T 2.46 $126.49 $53.34 $25.30 530 51000 Drainage of bladder..... 530 51005 Drainage of bladder..... 530 51010 Drainage of bladder..... 530 51700 Irrigation of bladder... 530 51720 Treatment of bladder lesion. 530 53600 Dilate urethra stricture 530 53601 Dilate urethra stricture 530 53620 Dilate urethra stricture 530 53621 Dilate urethra stricture \2\ 530 53640 Relieve bladder retention. 530 53660 Dilation of urethra..... 530 53661 Dilation of urethra..... 530 53675 Insert urinary catheter. 530 53899 Urology surgery procedure. 530 54200 Treatment of penis lesion. 530 54220 Treatment of penis lesion. 530 54231 Dynamic cavernosometry.. 530 54235 Penile injection........ 530 54450 Preputial stretching.... 530 55899 Genital surgery procedure. 531 LEVEL I URETHRAL PROCEDURES T 18.59 $955.90 $531.55 $191.18 531 51715 Endoscopic injection/ implant. 531 53000 Incision of urethra..... 531 53010 Incision of urethra..... 531 53020 Incision of urethra..... 531 53025 Incision of urethra..... 531 53040 Drainage of urethra abscess. 531 53060 Drainage of urethra abscess. 531 53080 Drainage of urinary leakage. 531 53200 Biopsy of urethra....... 531 53250 Removal of urethra gland 531 53260 Treatment of urethra lesion. 531 53265 Treatment of urethra lesion. 531 53270 Removal of urethra gland 531 53275 Repair of urethra defect 531 53442 Remove perineal prosthesis. 531 53502 Repair of urethra injury 531 53505 Repair of urethra injury 531 53510 Repair of urethra injury 531 53665 Dilation of urethra..... 531 54000 Slitting of prepuce..... 531 54001 Slitting of prepuce..... 532 LEVEL II URETHRAL PROCEDURES T 23.02 $1,183.69 $588.50 $236.74 532 53210 Removal of urethra...... 532 53215 Removal of urethra...... 532 53220 Treatment of urethra lesion. 532 53230 Removal of urethra lesion.

532 53235 Removal of urethra lesion. 532 53240 Surgery for urethra pouch. 532 53400 Revise urethra, 1st stage. 532 53405 Revise urethra, 2nd stage. 532 53410 Reconstruction of urethra. 532 53420 Reconstruct urethra, stage 1. 532 53425 Reconstruct urethra, stage 2. 532 53430 Reconstruction of urethra. 532 53447 Remove artificial sphincter. 532 53449 Correct artificial sphincter. 532 53450 Revision of urethra..... 532 53460 Revision of urethra..... 532 53515 Repair of urethra injury 532 53520 Repair of urethra defect 536 CIRCUMCISION T 12.89 $662.80 $321.60 $132.56 536 54150 Circumcision............ 536 54152 Circumcision............ 536 54160 Circumcision............ 536 54161 Circumcision............ 537 PENILE PROCEDURES T 28.65 $1,473.18 $872.36 $294.64 537 37790 Penile venous occlusion. 537 54110 Treatment of penis lesion. 537 54111 Treat penis lesion, graft. 537 54112 Treat penis lesion, graft. 537 54120 Partial removal of penis 537 54205 Treatment of penis lesion. 537 54300 Revision of penis....... 537 54304 Revision of penis....... 537 54308 Reconstruction of urethra. 537 54312 Reconstruction of urethra. 537 54316 Reconstruction of urethra. 537 54318 Reconstruction of urethra. 537 54322 Reconstruction of urethra. 537 54324 Reconstruction of urethra. 537 54326 Reconstruction of urethra. 537 54328 Revise penis, urethra... 537 54340 Secondary urethral surgery. 537 54344 Secondary urethral surgery. 537 54348 Secondary urethral surgery. 537 54352 Reconstruct urethra, penis. 537 54360 Penis plastic surgery... 537 54380 Repair penis............ 537 54385 Repair penis............ 537 54402 Remove penis prosthesis. 537 54407 Remove multi-comp prosthesis. 537 54409 Revise penis prosthesis. 537 54420 Revision of penis....... 537 54435 Revision of penis....... 537 54440 Repair of penis......... 538 INSERTION OF PENILE PROSTHESIS T 48.41 $2,489.24 $1,563.47 $497.85 538 53440 Correct bladder function 538 53445 Correct urine flow control. 538 54400 Insert semi-rigid prosthesis. 538 54401 Insert self-contd prosthesis. 538 54405 Insert multi-comp prosthesis. 546 TESTES/EPIDIDYMIS PROCEDURES T 16.54 $850.49 $449.51 $170.10 546 54505 Biopsy of testis........ 546 54510 Removal of testis lesion 546 54520 Removal of testis....... 546 54530 Removal of testis....... 546 54550 Exploration for testis.. 546 54600 Reduce testis torsion... 546 54620 Suspension of testis.... 546 54640 Suspension of testis.... 546 54660 Revision of testis...... 546 54670 Repair testis injury.... 546 54680 Relocation of testis(es) 546 54700 Drainage of scrotum..... 546 54820 Exploration of epididymis. 546 54830 Remove epididymis lesion 546 54840 Remove epididymis lesion 546 54860 Removal of epididymis... 546 54861 Removal of epididymis... 546 54900 Fusion of spermatic ducts. 546 54901 Fusion of spermatic ducts.

546 55060 Repair of hydrocele..... 546 55110 Explore scrotum......... 546 55120 Removal of scrotum lesion. 546 55150 Removal of scrotum...... 546 55175 Revision of scrotum..... 546 55180 Revision of scrotum..... 546 55200 Incision of sperm duct.. 546 55250 Removal of sperm duct(s) 546 55400 Repair of sperm duct.... 546 55450 Ligation of sperm duct.. 546 55500 Removal of hydrocele.... 546 55520 Removal of sperm cord lesion. 546 55530 Revise spermatic cord veins. 546 55535 Revise spermatic cord veins. 546 55540 Revise hernia & sperm veins. 546 55680 Remove sperm pouch lesion. 547 PROSTATE BIOPSY T 4.39 $225.73 $125.20 $45.15 547 55700 Biopsy of prostate...... 547 55705 Biopsy of prostate...... 550 SURGICAL HYSTEROSCOPY T 16.46 $846.37 $445.22 $169.27 550 56351 Hysteroscopy; biopsy.... 550 56352 Hysteroscopy; lysis..... 550 56353 Hysteroscopy; resect septum. 550 56354 Hysteroscopy; remove myoma. 550 56355 Hysteroscopy; remove impact. 550 56356 Hysteroscopy; ablation.. 551 LEVEL I LAPAROSCOPY T 24.61 $1,265.45 $701.73 $253.09 551 56300 Laparoscopy; diagnostic. 551 56301 Laparoscopy; tubal cautery. 551 56302 Laparoscopy; tubal block 551 56303 Laparoscopy; excise lesions. 551 56304 Laparoscopy; lysis...... 551 56305 Laparoscopy; biopsy..... 551 56306 Laparoscopy; aspiration. 551 56346 Laparoscopic gastrostomy \2\ 551 56360 Peritoneoscopy.......... \2\ 551 56361 Peritoneoscopy w/biopsy. 552 LEVEL II LAPAROSCOPY T 37.09 $1,907.17 $1,053.84 $381.43 552 56307 Laparoscopy; remove adnexa. 552 56309 Laparoscopy; remove myoma. 552 56311 Laparoscopic lymph node biop. 552 56312 Laparoscopic lymphadenectomy. 552 56313 Laparoscopic lymphadenectomy. 552 56316 Laparoscopic hernia repair. 552 56317 Laparoscopic hernia repair. 552 56318 Laparoscopic orchiectomy 552 56320 Laparoscopy, spermatic veins. 552 56343 Laparoscopic salpingostomy. 552 56344 Laparoscopic fimbrioplasty. 552 56362 Laparoscopy w/cholangio. 552 56363 Laparoscopy w/biopsy.... 561 LEVEL I FEMALE REPRODUCTIVE T 1.46 $75.07 $24.41 $15.01 PROCEDURES 561 56405 I & D of vulva/perineum. 561 56420 Drainage of gland abscess. 561 56441 Lysis of labial lesion(s). 561 57061 Destruction vagina lesion(s). 561 57100 Biopsy of vagina........ 561 57150 Treat vagina infection.. 561 57160 Insertion of pessary/ device. 561 57170 Fitting of diaphragm/cap 561 57180 Treat vaginal bleeding.. 561 57452 Examination of vagina... 561 57454 Vagina examination & biopsy. 561 57500 Biopsy of cervix........ 561 57505 Endocervical curettage.. 561 57510 Cauterization of cervix. 561 57511 Cryocautery of cervix... 561 57513 Laser surgery of cervix. 561 57800 Dilation of cervical canal. 561 58100 Biopsy of uterus lining. 561 58301 Remove intrauterine device. 561 59200 Insert cervical dilator. 561 Q0091 Obtaining screen pap smear. 562 LEVEL II FEMALE REPRODUCTIVE T 12.30 $632.47 $325.44 $126.49 PROCEDURES 562 56350 Hysteroscopy; diagnostic

562 56399 Laparoscopy procedure... 562 56440 Surgery for vulva lesion 562 56700 Partial removal of hymen 562 56720 Incision of hymen....... 562 56740 Remove vagina gland lesion. 562 56800 Repair of vagina........ 562 56810 Repair of perineum...... 562 57000 Exploration of vagina... 562 57010 Drainage of pelvic abscess. 562 57020 Drainage of pelvic fluid 562 57065 Destruction vagina lesion(s). 562 57105 Biopsy of vagina........ 562 57130 Remove vagina lesion.... 562 57135 Remove vagina lesion.... 562 57200 Repair of vagina........ 562 57210 Repair vagina/perineum.. 562 57230 Repair of urethral lesion. 562 57400 Dilation of vagina...... 562 57410 Pelvic examination...... 562 57415 Removal vaginal foreign body. 562 57460 Cervix excision......... 562 57700 Revision of cervix...... 562 57720 Revision of cervix...... 562 58345 Reopen fallopian tube... 562 58350 Reopen fallopian tube... 562 58970 Retrieval of oocyte..... 562 59300 Episiotomy or vaginal repair. 562 59320 Revision of cervix...... 562 59871 Remove cerclage suture.. 563 LEVEL III FEMALE REPRODUCTIVE T 16.50 $848.43 $461.72 $169.69 PROCEDURES 563 56620 Partial removal of vulva 563 56625 Complete removal of vulva. 563 57220 Revision of urethra..... 563 57240 Repair bladder & vagina. 563 57250 Repair rectum & vagina.. 563 57260 Repair of vagina........ 563 57265 Extensive repair of vagina. 563 57268 Repair of bowel bulge... 563 57284 Repair paravaginal defect. 563 57288 Repair bladder defect... 563 57289 Repair bladder & vagina. 563 57291 Construction of vagina.. 563 57300 Repair rectum-vagina fistula. 563 57520 Conization of cervix.... 563 57522 Conization of cervix.... 563 57530 Removal of cervix....... 563 57550 Removal of residual cervix. 563 57555 Remove cervix, repair vagina. 563 57556 Remove cervix, repair bowel. 563 58145 Removal of uterus lesion 563 58800 Drainage of ovarian cyst(s). 563 58820 Open drain ovary abscess 567 D & C T 13.18 $677.72 $360.70 $135.54 567 57820 D&c of residual cervix.. 567 58120 Dilation and curettage (D&C). 567 59160 D&C after delivery...... 568 INFERTILITY PROCEDURES T 2.79 $143.46 $55.60 $28.69 568 55870 Electroejaculation...... 568 58321 Artificial insemination. 568 58322 Artificial insemination. 568 58323 Sperm washing........... 568 58974 Transfer of embryo...... 568 58976 Transfer of embryo...... 578 PREGNANCY AND NEONATAL CARE T 1.17 $60.16 $32.77 $12.03 PROCEDURES 578 59000 Amniocentesis........... 578 59012 Fetal cord puncture, prenatal. 578 59015 Chorion biopsy.......... 578 59020 Fetal contract stress test. 578 59025 Fetal non-stress test... 578 59030 Fetal scalp blood sample 578 59050 Fetal monitor w/report.. 578 59899 Maternity care procedure 580 VAGINAL DELIVERY T 4.31 $221.62 $44.32 $44.32 580 59409 Obstetrical care........ 580 59412 Antepartum manipulation.

580 59414 Deliver placenta........ 580 59612 Vbac delivery only...... 586 THERAPEUTIC ABORTION T 11.98 $616.01 $409.29 $123.20 586 59840 Abortion................ 586 59841 Abortion................ 587 SPONTANEOUS ABORTION T 12.96 $666.40 $347.14 $133.28 587 59812 Treatment of miscarriage 587 59820 Care of miscarriage..... 587 59821 Treatment of miscarriage 587 59870 Evacuate mole of uterus. 600 SPINAL TAP T 2.41 $123.92 $61.47 $24.78 600 62270 Spinal fluid tap, diagnostic. 600 62272 Drain spinal fluid...... 601 LEVEL I NERVOUS SYSTEM INJECTIONS T 3.00 $154.26 $74.13 $30.85 601 64400 Injection for nerve block. 601 64402 Injection for nerve block. 601 64405 Injection for nerve block. 601 64408 Injection for nerve block. 601 64410 Injection for nerve block. 601 64412 Injection for nerve block. 601 64413 Injection for nerve block. 601 64415 Injection for nerve block. 601 64417 Injection for nerve block. 601 64418 Injection for nerve block. 601 64420 Injection for nerve block. 601 64421 Injection for nerve block. 601 64425 Injection for nerve block. 601 64430 Injection for nerve block. 601 64435 Injection for nerve block. 601 64440 Injection for nerve block. 601 64441 Injection for nerve block. 601 64442 Injection for nerve block. 601 64443 Inject, nerve block add- on. 601 64445 Injection for nerve block. 601 64450 Injection for nerve block. 601 64505 Injection for nerve block. 601 64508 Injection for nerve block. 601 64510 Injection for nerve block. 601 64520 Injection for nerve block. 601 64530 Injection for nerve block. 601 64600 Injection treatment of nerve. 601 64605 Injection treatment of nerve. 601 64610 Injection treatment of nerve. 601 64612 Destroy nerve, face muscle. 601 64613 Destroy nerve, spine muscle. 601 64620 Injection treatment of nerve. 601 64622 Injection treatment of nerve. 601 64623 Inject, tx of nerve add- on. 601 64630 Injection treatment of nerve. 601 64640 Injection treatment of nerve. 601 64680 Injection treatment of nerve. 601 64999 Nervous system surgery.. 602 LEVEL II NERVOUS SYSTEM T 3.19 $164.03 $87.01 $32.81 INJECTIONS 602 61000 Remove cranial cavity fluid. 602 61001 Remove cranial cavity fluid. 602 61020 Remove brain cavity fluid. 602 61026 Injection into brain canal. 602 61050 Remove brain canal fluid 602 61055 Injection into brain canal. 602 61070 Brain canal shunt procedure. 602 62194 Replace/irrigate catheter. 602 62225 Replace/irrigate catheter. 602 62268 Drain spinal cord cyst.. 602 62273 Treat lumbar spine lesion. 602 62274 Inject spinal anesthetic 602 62275 Inject spinal anesthetic 602 62276 Inject spinal anesthetic 602 62277 Inject spinal anesthetic 602 62278 Inject spinal anesthetic 602 62279 Inject spinal anesthetic 602 62280 Treat spinal cord lesion 602 62281 Treat spinal cord lesion 602 62282 Treat spinal canal lesion. 602 62288 Injection into spinal canal. 602 62289 Injection into spinal canal.

602 62292 Injection into disk lesion. 602 62294 Injection into spinal artery. 602 62298 Injection into spinal canal. 616 IMPLANTATION OF NEUROSTIMULATOR T 11.85 $609.33 $329.06 $121.87 ELECTRODES 616 63650 Implant neuroelectrodes. 616 64553 Implant neuroelectrodes. 616 64555 Implant neuroelectrodes. 616 64560 Implant neuroelectrodes. 616 64565 Implant neuroelectrodes. 616 64573 Implant neuroelectrodes. 616 64575 Implant neuroelectrodes. 616 64577 Implant neuroelectrodes. 616 64580 Implant neuroelectrodes. 617 REVISION/REMOVAL NEUROLOGICAL T 11.31 $581.56 $280.01 $116.31 DEVICE 617 62230 Replace/revise brain shunt. 617 62350 Implant spinal catheter. 617 62355 Remove spinal canal catheter. 617 62365 Remove spine infusion device. 617 63660 Revise/remove neuroelectrode. 617 63688 Revise/remove neuroreceiver. 617 63744 Revision of spinal shunt 617 63746 Removal of spinal shunt. 617 64585 Revise/remove neuroelectrode. 617 64595 Revise/remove neuroreceiver. 618 IMPLANTATION OF NEUROLOGICAL T 24.78 $1,274.19 $808.18 $254.84 DEVICE 618 61215 Insert brain-fluid device. 618 61885 Implant neuroreceiver... 618 62360 Insert spine infusion device. 618 62361 Implant spine infusion pump. 618 62362 Implant spine infusion pump. 618 63685 Implant neuroreceiver... 618 64590 Implant neuroreceiver... 631 LEVEL I NERVE PROCEDURES T 12.70 $653.03 $329.06 $130.61 631 27315 Partial removal, thigh nerve. 631 27320 Partial removal, thigh nerve. 631 28030 Removal of foot nerve... 631 28035 Decompression of tibia nerve. 631 61790 Treat trigeminal nerve.. 631 62287 Percutaneous diskectomy. 631 63600 Remove spinal cord lesion. 631 63610 Stimulation of spinal cord. 631 63615 Remove lesion of spinal cord. 631 64702 Revise finger/toe nerve. 631 64704 Revise hand/foot nerve.. 631 64708 Revise arm/leg nerve.... 631 64712 Revision of sciatic nerve. 631 64713 Revision of arm nerve(s) 631 64714 Revise low back nerve(s) 631 64716 Revision of cranial nerve. 631 64718 Revise ulnar nerve at elbow. 631 64719 Revise ulnar nerve at wrist. 631 64721 Carpal tunnel surgery... 631 64722 Relieve pressure on nerve(s). 631 64726 Release foot/toe nerve.. 631 64727 Internal nerve revision. 631 64732 Incision of brow nerve.. 631 64734 Incision of cheek nerve. 631 64736 Incision of chin nerve.. 631 64738 Incision of jaw nerve... 631 64740 Incision of tongue nerve 631 64742 Incision of facial nerve 631 64744 Incise nerve, back of head. 631 64746 Incise diaphragm nerve.. 631 64761 Incision of pelvis nerve 631 64771 Sever cranial nerve..... 631 64772 Incision of spinal nerve 631 64774 Remove skin nerve lesion 631 64776 Remove digit nerve lesion. 631 64778 Digit nerve surgery add- on. 631 64782 Remove limb nerve lesion 631 64783 Limb nerve surgery add- on. 631 64784 Remove nerve lesion..... 631 64787 Implant nerve end....... 631 64788 Remove skin nerve lesion 631 64790 Removal of nerve lesion.

631 64795 Biopsy of nerve......... \2\ 631 64830 Microrepair of nerve.... 632 LEVEL II NERVE PROCEDURES T 16.48 $847.40 $453.58 $169.48 632 64786 Remove sciatic nerve lesion. 632 64792 Removal of nerve lesion. 632 64831 Repair of digit nerve... 632 64832 Repair nerve add-on..... 632 64834 Repair of hand or foot nerve. 632 64835 Repair of hand or foot nerve. 632 64836 Repair of hand or foot nerve. 632 64837 Repair nerve add-on..... 632 64840 Repair of leg nerve..... 632 64856 Repair/transpose nerve.. 632 64857 Repair arm/leg nerve.... 632 64858 Repair sciatic nerve.... 632 64859 Nerve surgery........... 632 64861 Repair of arm nerves.... 632 64862 Repair of low back nerves. 632 64864 Repair of facial nerve.. 632 64865 Repair of facial nerve.. 632 64870 Fusion of facial/other nerve. 632 64872 Subsequent repair of nerve. 632 64874 Repair & revise nerve add-on. 632 64876 Repair nerve; shorten bone. 632 64885 Nerve graft, head or neck. 632 64886 Nerve graft, head or neck. 632 64890 Nerve graft, hand or foot. 632 64891 Nerve graft, hand or foot. 632 64892 Nerve graft, arm or leg. 632 64893 Nerve graft, arm or leg. 632 64895 Nerve graft, hand or foot. 632 64896 Nerve graft, hand or foot. 632 64897 Nerve graft, arm or leg. 632 64898 Nerve graft, arm or leg. 632 64901 Nerve graft add-on...... 632 64902 Nerve graft add-on...... 632 64905 Nerve pedicle transfer.. 632 64907 Nerve pedicle transfer.. 648 LASER RETINAL PROCEDURES T 3.76 $193.34 $93.56 $38.67 648 67105 Repair, detached retina. 648 67145 Treatment of retina..... 648 67210 Treatment of retinal lesion. 648 67228 Treatment of retinal lesion. 649 LASER EYE PROCEDURES EXCEPT T 4.37 $224.71 $111.64 $44.94 RETINAL 649 65855 Laser surgery of eye.... 649 65860 Incise inner eye adhesions. 649 66761 Revision of iris........ 649 66762 Revision of iris........ 649 66770 Removal of inner eye lesion. 649 66821 After cataract laser surgery. 649 66999 Eye surgery procedure... 649 67031 Laser surgery, eye strands. 649 67299 Eye surgery procedure... 651 LEVEL I ANTERIOR SEGMENT EYE T 6.85 $352.23 $171.99 $70.45 PROCEDURES 651 65272 Repair of eye wound..... 651 65275 Repair of eye wound..... 651 65286 Repair of eye wound..... 651 65420 Removal of eye lesion... 651 65436 Curette/treat cornea.... 651 65450 Treatment of corneal lesion. 651 65772 Correction of astigmatism. 651 65810 Drainage of eye......... 651 65815 Drainage of eye......... 651 65820 Relieve inner eye pressure. 651 66130 Remove eye lesion....... 651 66500 Incision of iris........ 651 66505 Incision of iris........ 651 66600 Remove iris and lesion.. 651 66625 Removal of iris......... 651 66630 Removal of iris......... 651 66700 Destruction, ciliary body. 651 66710 Destruction, ciliary body. 651 66720 Destruction, ciliary body. 651 66820 Incision, secondary cataract. 651 66825 Reposition intraocular lens.

652 LEVEL II ANTERIOR SEGMENT EYE T 16.35 $840.72 $433.92 $168.14 PROCEDURES 652 65235 Remove foreign body from eye. 652 65280 Repair of eye wound..... 652 65285 Repair of eye wound..... 652 65400 Removal of eye lesion... 652 65426 Removal of eye lesion... 652 65770 Revise cornea with implant. 652 65775 Correction of astigmatism. 652 65850 Incision of eye......... 652 65865 Incise inner eye adhesions. 652 65870 Incise inner eye adhesions. 652 65875 Incise inner eye adhesions. 652 65880 Incise inner eye adhesions. 652 65900 Remove eye lesion....... 652 65920 Remove implant from eye. 652 65930 Remove blood clot from eye. 652 66150 Glaucoma surgery........ 652 66155 Glaucoma surgery........ 652 66160 Glaucoma surgery........ 652 66165 Glaucoma surgery........ 652 66170 Glaucoma surgery........ 652 66172 Incision of eye......... 652 66180 Implant eye shunt....... 652 66185 Revise eye shunt........ 652 66225 Repair/graft eye lesion. 652 66250 Follow-up surgery of eye 652 66605 Removal of iris......... 652 66635 Removal of iris......... 652 66680 Repair iris & ciliary body. 652 66682 Repair iris and ciliary body. 652 66740 Destruction, ciliary body. 652 66830 Removal of lens lesion.. 652 68130 Remove eyelid lining lesion. 652 68330 Revise eyelid lining.... 652 68360 Revise eyelid lining.... 652 68362 Revise eyelid lining.... 667 CATARACT PROCEDURES T 20.35 $1,046.40 $538.11 $209.28 667 66840 Removal of lens material 667 66850 Removal of lens material 667 66852 Removal of lens material 667 66920 Extraction of lens...... 667 66930 Extraction of lens...... 667 66940 Extraction of lens...... 668 CATARACT PROCEDURES WITH IOL T 22.02 $1,132.27 $617.21 $226.45 INSERT 668 66983 Remove cataract, insert lens. 668 66984 Remove cataract, insert lens. 668 66985 Insert lens prosthesis.. 668 66986 Exchange lens prosthesis 670 CORNEAL TRANSPLANT T 30.78 $1,582.71 $885.92 $316.54 670 65710 Corneal transplant...... 670 65730 Corneal transplant...... 670 65750 Corneal transplant...... 670 65755 Corneal transplant...... 676 POSTERIOR SEGMENT EYE PROCEDURES T 5.87 $301.84 $138.54 $60.37 676 65260 Remove foreign body from eye. 676 65265 Remove foreign body from eye. 676 66220 Repair eye lesion....... 676 67005 Partial removal of eye fluid. 676 67010 Partial removal of eye fluid. 676 67015 Release of eye fluid.... 676 67030 Incise inner eye strands 676 67101 Repair, detached retina. 676 67110 Repair detached retina.. 676 67115 Release, encircling material. 676 67120 Remove eye implant material. 676 67121 Remove eye implant material. 676 67141 Treatment of retina..... 676 67208 Treatment of retinal lesion. 676 67218 Treatment of retinal lesion. 676 67227 Treatment of retinal lesion. 676 92018 New eye exam & treatment 676 92019 Eye exam & treatment.... 677 STRABISMUS/MUSCLE PROCEDURES T 16.11 $828.38 $428.95 $165.68 677 65290 Repair of eye socket wound. 677 67311 Revise eye muscle.......

677 67312 Revise two eye muscles.. 677 67314 Revise eye muscle....... 677 67316 Revise two eye muscles.. 677 67318 Revise eye muscle(s).... 677 67320 Revise eye muscle(s) add- on. 677 67331 Eye surgery follow-up add-on. 677 67332 Rerevise eye muscles add- on. 677 67334 Revise eye muscle w/ suture. 677 67335 Eye suture during surgery. 677 67340 Revise eye muscle add-on 677 67343 Release eye tissue...... 681 LEVEL I EYE PROCEDURES T 1.65 $84.84 $30.51 $16.97 681 65125 Revise ocular implant... 681 65205 Remove foreign body from eye. 681 65210 Remove foreign body from eye. 681 65220 Remove foreign body from eye. 681 65222 Remove foreign body from eye. 681 65430 Corneal smear........... 681 65435 Curette/treat cornea.... 681 65600 Revision of cornea...... 681 67345 Destroy nerve of eye muscle. 681 67500 Inject/treat eye socket. 681 67505 Inject/treat eye socket. 681 67515 Inject/treat eye socket. 681 67599 Orbit surgery procedure. 681 68200 Treat eyelid by injection. 681 68761 Close tear duct opening. 681 68899 Tear duct system surgery 682 LEVEL II EYE PROCEDURES T 3.41 $175.34 $80.68 $35.07 682 67028 Injection eye drug...... 682 67700 Drainage of eyelid abscess. 682 67710 Incision of eyelid...... 682 67800 Remove eyelid lesion.... 682 67801 Remove eyelid lesions... 682 67805 Remove eyelid lesions... 682 67810 Biopsy of eyelid........ 682 67820 Revise eyelashes........ 682 67825 Revise eyelashes........ 682 67840 Remove eyelid lesion.... 682 67850 Treat eyelid lesion..... 682 67875 Closure of eyelid by suture. 682 67915 Repair eyelid defect.... 682 67922 Repair eyelid defect.... 682 67930 Repair eyelid wound..... 682 67938 Remove eyelid foreign body. 682 67999 Revision of eyelid...... 682 68020 Incise/drain eyelid lining. 682 68040 Treatment of eyelid lesions. 682 68400 Incise/drain tear gland. 682 68420 Incise/drain tear sac... 682 68440 Incise tear duct opening 682 68530 Clearance of tear duct.. 682 68705 Revise tear duct opening 682 68760 Close tear duct opening. \2\ 682 68800 Dilate tear duct opening(s). 682 68801 Dilate tear duct opening 682 68840 Explore/irrigate tear ducts. 683 LEVEL III EYE PROCEDURES T 9.56 $491.58 $252.44 $98.32 683 65175 Removal of ocular implant. 683 65410 Biopsy of cornea........ 683 65800 Drainage of eye......... 683 65805 Drainage of eye......... 683 66020 Injection treatment of eye. 683 66030 Injection treatment of eye. 683 67025 Replace eye fluid....... 683 67715 Incision of eyelid fold. 683 67830 Revise eyelashes........ 683 67880 Revision of eyelid...... 683 67935 Repair eyelid wound..... 683 68510 Biopsy of tear gland.... 683 68525 Biopsy of tear sac...... 683 68810 Probe nasolacrimal duct. \2\ 683 68820 Explore tear duct system \2\ 683 68825 Explore tear duct system \2\ 683 68830 Reopen tear duct channel

684 LEVEL IV EYE PROCEDURES T 13.26 $681.83 $341.94 $136.37 684 65091 Revise eye.............. 684 65093 Revise eye with implant. 684 65101 Removal of eye.......... 684 65103 Remove eye/insert implant. 684 65105 Remove eye/attach implant. 684 65130 Insert ocular implant... 684 65135 Insert ocular implant... 684 65140 Attach ocular implant... 684 65150 Revise ocular implant... 684 65155 Reinsert ocular implant. 684 67250 Reinforce eye wall...... 684 67255 Reinforce/graft eye wall 684 67400 Explore/biopsy eye socket. 684 67405 Explore/drain eye socket 684 67412 Explore/treat eye socket 684 67413 Explore/treat eye socket 684 67550 Insert eye socket implant. 684 67560 Revise eye socket implant. 684 67808 Remove eyelid lesion(s). 684 67835 Revise eyelashes........ 684 67882 Revision of eyelid...... 684 67900 Repair brow defect...... 684 67901 Repair eyelid defect.... 684 67902 Repair eyelid defect.... 684 67903 Repair eyelid defect.... 684 67904 Repair eyelid defect.... 684 67906 Repair eyelid defect.... 684 67908 Repair eyelid defect.... 684 67909 Revise eyelid defect.... 684 67911 Revise eyelid defect.... 684 67914 Repair eyelid defect.... 684 67916 Repair eyelid defect.... 684 67917 Repair eyelid defect.... 684 67921 Repair eyelid defect.... 684 67923 Repair eyelid defect.... 684 67924 Repair eyelid defect.... 684 67950 Revision of eyelid...... 684 67961 Revision of eyelid...... 684 67966 Revision of eyelid...... 684 67971 Reconstruction of eyelid 684 67973 Reconstruction of eyelid 684 67974 Reconstruction of eyelid 684 67975 Reconstruction of eyelid 684 68320 Revise/graft eyelid lining. 684 68325 Revise/graft eyelid lining. 684 68326 Revise/graft eyelid lining. 684 68328 Revise/graft eyelid lining. 684 68335 Revise/graft eyelid lining. 684 68340 Separate eyelid adhesions. 684 68500 Removal of tear gland... 684 68505 Partial removal tear gland. 684 68520 Removal of tear sac..... 684 68540 Remove tear gland lesion 684 68550 Remove tear gland lesion 684 68700 Repair tear ducts....... 684 68720 Create tear sac drain... 684 68745 Create tear duct drain.. 684 68750 Create tear duct drain.. 684 68770 Close tear system fistula. 684 68811 Probe nasolacrimal duct. 684 68815 Probe nasolacrimal duct. 690 VITRECTOMY T 30.39 $1,562.65 $845.69 $312.53 690 67027 Implant eye drug system. 690 67036 Removal of inner eye fluid. 690 67038 Strip retinal membrane.. 690 67039 Laser treatment of retina. 690 67040 Laser treatment of retina. 690 67107 Repair detached retina.. 690 67108 Repair detached retina.. 690 67112 Re-repair detached retina. 700 PLAIN FILM X 0.80 $41.14 $22.37 $8.23 700 70030 X-ray eye for foreign body. 700 70100 X-ray exam of jaw....... 700 70110 X-ray exam of jaw.......

700 70120 X-ray exam of mastoids.. 700 70130 X-ray exam of mastoids.. 700 70134 X-ray exam of middle ear 700 70140 X-ray exam of facial bones. 700 70150 X-ray exam of facial bones. 700 70160 X-ray exam of nasal bones. 700 70190 X-ray exam of eye sockets. 700 70200 X-ray exam of eye sockets. 700 70210 X-ray exam of sinuses... 700 70220 X-ray exam of sinuses... 700 70240 X-ray exam pituitary saddle. 700 70250 X-ray exam of skull..... 700 70260 X-ray exam of skull..... 700 70300 X-ray exam of teeth..... 700 70310 X-ray exam of teeth..... 700 70320 Full mouth x-ray of teeth. 700 70328 X-ray exam of jaw joint. 700 70330 X-ray exam of jaw joints 700 70350 X-ray head for orthodontia. 700 70355 Panoramic x-ray of jaws. 700 70360 X-ray exam of neck...... 700 70380 X-ray exam of salivary gland. 700 71010 Chest x-ray............. 700 71015 X-ray exam of chest..... 700 71020 Chest x-ray............. 700 71021 Chest x-ray............. 700 71022 Chest x-ray............. 700 71030 Chest x-ray............. 700 71035 Chest x-ray............. 700 71100 X-ray exam of ribs...... 700 71101 X-ray exam of ribs, chest. 700 71110 X-ray exam of ribs...... 700 71111 X-ray exam of ribs, chest. 700 71120 X-ray exam of breastbone 700 71130 X-ray exam of breastbone 700 72010 X-ray exam of spine..... 700 72020 X-ray exam of spine..... 700 72040 X-ray exam of neck spine 700 72050 X-ray exam of neck spine 700 72052 X-ray exam of neck spine 700 72069 X-ray exam of trunk spine. 700 72070 X-ray exam of thorax spine. 700 72072 X-ray exam of thoracic spine. 700 72074 X-ray exam of thoracic spine. 700 72080 X-ray exam of trunk spine. 700 72090 X-ray exam of trunk spine. 700 72100 X-ray exam of lower spine. 700 72110 X-ray exam of lower spine. 700 72114 X-ray exam of lower spine. 700 72120 X-ray exam of lower spine. 700 72170 X-ray exam of pelvis.... 700 72190 X-ray exam of pelvis.... 700 72200 X-ray exam sacroiliac joints. 700 72202 X-ray exam sacroiliac joints. 700 72220 X-ray exam of tailbone.. 700 73000 X-ray exam of collarbone 700 73010 X-ray exam of shoulder blade. 700 73020 X-ray exam of shoulder.. 700 73030 X-ray exam of shoulder.. 700 73050 X-ray exam of shoulders. 700 73060 X-ray exam of humerus... 700 73070 X-ray exam of elbow..... 700 73080 X-ray exam of elbow..... 700 73090 X-ray exam of forearm... 700 73092 X-ray exam of arm, infant. 700 73100 X-ray exam of wrist..... 700 73110 X-ray exam of wrist..... 700 73120 X-ray exam of hand...... 700 73130 X-ray exam of hand...... 700 73140 X-ray exam of finger(s). 700 73500 X-ray exam of hip....... 700 73510 X-ray exam of hip....... 700 73520 X-ray exam of hips...... 700 73530 X-ray exam of hip....... 700 73540 X-ray exam of pelvis & hips.

700 73550 X-ray exam of thigh..... 700 73560 X-ray exam of knee, 1 or 2. 700 73562 X-ray exam of knee, 3... 700 73564 X-ray exam of knee, 4+.. 700 73565 X-ray exam of knee...... 700 73590 X-ray exam of lower leg. 700 73592 X-ray exam of leg, infant. 700 73600 X-ray exam of ankle..... 700 73610 X-ray exam of ankle..... 700 73620 X-ray exam of foot...... 700 73630 X-ray exam of foot...... 700 73650 X-ray exam of heel...... 700 73660 X-ray exam of toe(s).... 700 74000 X-ray exam of abdomen... 700 74010 X-ray exam of abdomen... 700 74020 X-ray exam of abdomen... 700 74022 X-ray exam series, abdomen. 700 74710 X-ray measurement of pelvis. 700 76010 X-ray, nose to rectum... 700 76020 X-rays for bone age..... 700 76040 X-rays, bone evaluation. 700 76061 X-rays, bone survey..... 700 76062 X-rays, bone survey..... 700 76065 X-rays, bone evaluation. 700 76066 Joint(s) survey, single film. 700 76076 Dual energy x-ray study. 700 76078 Photodensitometry....... 700 76098 X-ray exam, breast specimen. 700 76100 X-ray exam of body section. 700 76120 Cinematic x-rays........ 700 76125 Cinematic x-rays add-on. 700 76150 X-ray exam, dry process. 700 76499 Radiographic procedure.. 700 77417 Radiology port film(s).. 700 78350 Bone mineral, single photon. 706 MISCELLANEOUS RADIOLOGICAL X 1.43 $73.53 $39.10 $14.71 PROCEDURES 706 70170 X-ray exam of tear duct. 706 70373 Contrast x-ray of larynx 706 70390 X-ray exam of salivary duct. 706 71040 Contrast x-ray of bronchi. 706 71060 Contrast x-ray of bronchi. 706 74190 X-ray exam of peritoneum 706 74305 X-ray bile ducts, pancreas. 706 74320 Contrast x-ray of bile ducts. 706 74328 X-ray for bile duct endoscopy. 706 74329 X-ray for pancreas endoscopy. 706 74330 X-ray, bile/pancreas endoscopy. 706 74350 X-ray guide, stomach tube. 706 74355 X-ray guide, intestinal tube. 706 74470 X-ray exam of kidney lesion. 706 74740 X-ray female genital tract. 706 74742 X-ray fallopian tube.... 706 75801 Lymph vessel x-ray, arm/ leg. 706 75803 Lymph vessel x-ray,arms/ legs. 706 75805 Lymph vessel x-ray, trunk. 706 75807 Lymph vessel x-ray, trunk. 706 75809 Nonvascular shunt, x-ray 706 75898 Follow-up angiogram..... 706 76075 Dual energy x-ray study. 706 76080 X-ray exam of fistula... 706 76086 X-ray of mammary duct... 706 76088 X-ray of mammary ducts.. 706 76095 Stereotactic breast biopsy. 706 76096 X-ray of needle wire, breast. 706 76101 Complex body section x- ray. 706 76102 Complex body section x- rays. 710 COMPUTERIZED AXIAL TOMOGRAPHY S 4.98 $256.07 $173.12 $51.21 710 70450 CAT scan of head or brain. 710 70460 Contrast CAT scan of head. 710 70470 Contrast CAT scans of head. 710 70480 CAT scan of skull....... 710 70481 Contrast CAT scan of skull. 710 70482 Contrast CAT scans of skull. 710 70486 CAT scan of face, jaw... 710 70487 Contrast CAT scan, face/ jaw.

710 70488 Contrast CAT scans face/ jaw. 710 70490 CAT scan of neck tissue. 710 70491 Contrast CAT of neck tissue. 710 70492 Contrast CAT of neck tissue. 710 71250 Cat scan of chest....... 710 71260 Contrast CAT scan of chest. 710 71270 Contrast CAT scans of chest. 710 72125 CAT scan of neck spine.. 710 72126 Contrast CAT scan of neck. 710 72127 Contrast CAT scans of neck. 710 72128 CAT scan of thorax spine 710 72129 Contrast CAT scan of thorax. 710 72130 Contrast CAT scans of thorax. 710 72131 CAT scan of lower spine. 710 72132 Contrast CAT of lower spine. 710 72133 Contrast CAT scans,low spine. 710 72192 CAT scan of pelvis...... 710 72193 Contrast CAT scan of pelvis. 710 72194 Contrast CAT scans of pelvis. 710 73200 CAT scan of arm......... 710 73201 Contrast CAT scan of arm 710 73202 Contrast CAT scans of arm. 710 73700 CAT scan of leg......... 710 73701 Contrast CAT scan of leg 710 73702 Contrast CAT scans of leg. 710 74150 CAT scan of abdomen..... 710 74160 Contrast CAT scan of abdomen. 710 74170 Contrast CAT scans, abdomen. 710 76355 CAT scan for localization. 710 76360 CAT scan for needle biopsy. 710 76365 CAT scan for cyst aspiration. 710 76370 CAT scan for therapy guide. 710 76375 3d/holograph reconstr add-on. 710 76380 CAT scan follow-up study 716 FLUOROSCOPY X 1.39 $71.47 $40.00 $14.29 716 70370 Throat x-ray & fluoroscopy. 716 70371 Speech evaluation, complex. 716 71023 Chest x-ray and fluoroscopy. 716 71034 Chest x-ray & fluoroscopy. 716 71036 X-ray guidance for biopsy. \2\ 716 71038 X-ray guidance for biopsy. 716 71090 X-ray & pacemaker insertion. 716 74340 X-ray guide for GI tube. 716 75989 Abscess drainage under x- ray. 716 76000 Fluoroscope examination. 716 76001 Fluoroscope exam, extensive. 716 76003 Needle localization by x- ray. 720 MAGNETIC RESONANCE ANGIOGRAPHY S 6.37 $327.55 $204.98 $65.51 720 70541 Magnetic image, head (MRA). 726 MAGNETIC RESONANCE IMAGING S 7.91 $406.73 $256.06 $81.35 726 70336 Magnetic image jaw joint 726 70540 Magnetic image, face, neck. 726 70551 Magnetic image, brain (MRI). 726 70552 Magnetic image, brain (MRI). 726 70553 Magnetic image, brain... 726 71550 Magnetic image, chest... 726 72141 Magnetic image, neck spine. 726 72142 Magnetic image, neck spine. 726 72146 Magnetic image, chest spine. 726 72147 Magnetic image, chest spine. 726 72148 Magnetic image, lumbar spine. 726 72149 Magnetic image, lumbar spine. 726 72156 Magnetic image, neck spine. 726 72157 Magnetic image, chest spine. 726 72158 Magnetic image, lumbar spine. 726 72196 Magnetic image, pelvis.. 726 73220 Magnetic image, arm, hand. 726 73221 Magnetic image, joint of arm. 726 73720 Magnetic image, leg, foot. 726 73721 Magnetic image, joint of leg. 726 74181 Magnetic image, abdomen (MRI). 726 75552 Magnetic image, myocardium. 726 75553 Magnetic image, myocardium. 726 75554 Cardiac MRI/function.... 726 75555 Cardiac MRI/limited study.

726 76093 Magnetic image, breast.. 726 76094 Magnetic image, both breasts. 726 76390 Mr spectroscopy......... 726 76400 Magnetic image, bone marrow. 728 MYELOGRAPHY S 3.50 $179.97 $91.98 $35.99 728 70010 Contrast x-ray of brain. 728 70015 Contrast x-ray of brain. 728 72240 Contrast x-ray of neck spine. 728 72255 Contrast x-ray thorax spine. 728 72265 Contrast x-ray lower spine. 728 72270 Contrast x-ray of spine. 728 72285 X-ray of neck spine disk 728 72295 X-ray of lower spine disk. 730 ARTHOGRAPHY S 2.30 $118.27 $65.77 $23.65 730 70332 X-ray exam of jaw joint. 730 73040 Contrast x-ray of shoulder. 730 73085 Contrast x-ray of elbow. 730 73115 Contrast x-ray of wrist. 730 73525 Contrast x-ray of hip... 730 73580 Contrast x-ray of knee joint. 730 73615 Contrast x-ray of ankle. 736 DIGESTIVE RADIOLOGY S 1.85 $95.13 $53.79 $19.03 736 74210 Contrast xray exam of throat. 736 74220 Contrast xray exam, esophagus. 736 74230 Cinema xray throat/ esophagus. 736 74240 X-ray exam upper GI tract. 736 74241 X-ray exam upper GI tract. 736 74245 X-ray exam upper GI tract. 736 74246 Contrast x-ray upper GI tract. 736 74247 Contrast x-ray upper GI tract. 736 74249 Contrast x-ray upper GI tract. 736 74250 X-ray exam of small bowel. 736 74251 X-ray exam of small bowel. 736 74260 X-ray exam of small bowel. 736 74270 Contrast x-ray exam of colon. 736 74280 Contrast x-ray exam of colon. 736 74283 Contrast x-ray exam of colon. 736 74290 Contrast x-ray, gallbladder. 736 74291 Contrast x-rays, gallbladder. 736 G0106 Colon CA screen; barium enema. 736 G0120 Colon ca scrn; barium enema. 737 DIAGNOSTIC UROGRAPHY S 2.69 $138.32 $81.81 $27.66 737 74400 Contrast x-ray urinary tract. \2\ 737 74405 Contrast x-ray urinary tract. 737 74410 Contrast x-ray urinary tract. 737 74415 Contrast x-ray urinary tract. 737 74420 Contrast x-ray urinary tract. 737 74425 Contrast x-ray urinary tract. 737 74430 Contrast x-ray of bladder. 737 74440 X-ray exam male genital tract. 737 74445 X-ray exam of penis..... 737 74450 X-ray exam urethra/ bladder. 737 74455 X-ray exam urethra/ bladder. 737 74775 X-ray exam of perineum.. 738 THERAPEUTIC RADIOLOGIC PROCEDURES S 3.74 $192.31 $104.86 $38.46 738 74235 Remove esophagus obstruction. 738 74327 X-ray for bile stone removal. 738 74360 X-ray guide, GI dilation 738 74363 X-ray, bile duct dilation. 738 74475 X-ray control catheter insert. 738 74480 X-ray control catheter insert. 738 74485 X-ray guide, GU dilation 738 75980 Contrast x-ray exam bile duct. 738 75982 Contrast x-ray exam bile duct. 738 75984 X-ray control catheter change. 739 DIAGNOSTIC ANGIOGRAPHY AND S 5.33 $274.07 $150.74 $54.81 VENOGRAPHY 739 75600 Contrast x-ray exam of aorta. 739 75605 Contrast x-ray exam of aorta. 739 75625 Contrast x-ray exam of aorta. 739 75630 X-ray aorta, leg arteries. 739 75650 Artery x-rays, head & neck. 739 75658 X-ray exam of arm arteries. 739 75660 Artery x-rays, head & neck. 739 75662 Artery x-rays, head & neck. 739 75665 Artery x-rays, head & neck.

739 75671 Artery x-rays, head & neck. 739 75676 Artery x-rays, neck..... 739 75680 Artery x-rays, neck..... 739 75685 Artery x-rays, spine.... 739 75705 Artery x-rays, spine.... 739 75710 Artery x-rays, arm/leg.. 739 75716 Artery x-rays, arms/legs 739 75722 Artery x-rays, kidney... 739 75724 Artery x-rays, kidneys.. 739 75726 Artery x-rays, abdomen.. 739 75731 Artery x-rays, adrenal gland. 739 75733 Artery x-rays, adrenal glands. 739 75736 Artery x-rays, pelvis... 739 75741 Artery x-rays, lung..... 739 75743 Artery x-rays, lungs.... 739 75746 Artery x-rays, lung..... 739 75756 Artery x-rays, chest.... 739 75774 Artery x-ray, each vessel. 739 75790 Visualize A-V shunt..... 739 75810 Vein x-ray, spleen/liver 739 75820 Vein x-ray, arm/leg..... 739 75822 Vein x-ray, arms/legs... 739 75825 Vein x-ray, trunk....... 739 75827 Vein x-ray, chest....... 739 75831 Vein x-ray, kidney...... 739 75833 Vein x-ray, kidneys..... 739 75840 Vein x-ray, adrenal gland. 739 75842 Vein x-ray, adrenal glands. 739 75860 Vein x-ray, neck........ 739 75870 Vein x-ray, skull....... 739 75872 Vein x-ray, skull....... 739 75880 Vein x-ray, eye socket.. 739 75885 Vein x-ray, liver....... 739 75887 Vein x-ray, liver....... 739 75889 Vein x-ray, liver....... 739 75891 Vein x-ray, liver....... 746 MAMMOGRAPHY S 0.69 $35.48 $19.44 $7.10 746 76090 Mammogram, one breast... 746 76091 Mammogram, both breasts. 747 DIAGNOSTIC ULTRASOUND EXCEPT S 1.65 $84.84 $54.47 $16.97 VASCULAR 747 76506 Echo exam of head....... 747 76511 Echo exam of eye........ 747 76512 Echo exam of eye........ 747 76513 Echo exam of eye, water bath. 747 76516 Echo exam of eye........ 747 76519 Echo exam of eye........ 747 76529 Echo exam of eye........ 747 76536 Echo exam of head and neck. 747 76604 Echo exam of chest...... 747 76645 Echo exam of breast..... 747 76700 Echo exam of abdomen.... 747 76705 Echo exam of abdomen.... 747 76770 Echo exam abdomen back wall. 747 76775 Echo exam abdomen back wall. 747 76778 Echo exam kidney transplant. 747 76800 Echo exam spinal canal.. 747 76805 Echo exam of pregnant uterus. 747 76810 Echo exam of pregnant uterus. 747 76815 Echo exam of pregnant uterus. 747 76816 Echo exam followup or repeat. 747 76818 Fetal biophysical profile. 747 76830 Echo exam, transvaginal. 747 76831 Echo exam, uterus....... 747 76856 Echo exam of pelvis..... 747 76857 Echo exam of pelvis..... 747 76870 Echo exam of scrotum.... 747 76872 Echo exam, transrectal.. 747 76880 Echo exam of extremity.. 747 76885 Echo exam, infant hips.. 747 76886 Echo exam, infant hips.. 747 76970 Ultrasound exam follow- up. 747 76975 GI endoscopic ultrasound 747 76986 Echo exam at surgery.... 747 76999 Echo examination procedure. 747 G0050 Residual urine by ultrasound.

749 GUIDANCE UNDER ULTRASOUND X 2.22 $114.15 $70.06 $22.83 749 76930 Echo guide for heart sac tap. 749 76932 Echo guide for heart biopsy. 749 76934 Echo guide for chest tap 749 76936 Echo guide for artery repair. 749 76938 Echo exam for drainage.. 749 76941 Echo guide for transfusion. 749 76942 Echo guide for biopsy... 749 76945 Echo guide, villus sampling. 749 76946 Echo guide for amniocentesis. 749 76948 Echo guide, ova aspiration. 749 76950 Echo guidance radiotherapy. 749 76960 Echo guidance radiotherapy. 749 76965 Echo guidance radiotherapy. 750 THERAPEUTIC RADIATION TREATMENT X 0.96 $49.36 $25.99 $9.87 PLANNING 750 77261 Radiation therapy planning. 750 77262 Radiation therapy planning. 750 77263 Radiation therapy planning. 750 77336 Radiation physics consult. 750 77370 Radiation physics consult. 750 77399 External radiation dosimetry. 750 77431 Radiation therapy management. 750 77432 Stereotactic radiation trmt. 751 LEVEL I THERAPEUTIC RADIATION X 1.15 $59.13 $33.22 $11.83 TREATMENT PREPARATION 751 77299 Radiation therapy planning. 751 77300 Radiation therapy dose plan. 751 77305 Radiation therapy dose plan. 751 77310 Radiation therapy dose plan. 751 77315 Radiation therapy dose plan. 751 77321 Radiation therapy port plan. 751 77326 Radiation therapy dose plan. 751 77327 Radiation therapy dose plan. 751 77328 Radiation therapy dose plan. 751 77331 Special radiation dosimetry. 751 77332 Radiation treatment aid(s). 751 77333 Radiation treatment aid(s). 751 77334 Radiation treatment aid(s). 752 LEVEL II THERAPEUTIC RADIATION X 3.48 $178.94 $86.56 $35.79 TREATMENT PREPARATION 752 77280 Set radiation therapy field. 752 77285 Set radiation therapy field. 752 77290 Set radiation therapy field. 752 77295 Set radiation therapy field. 757 RADIATION THERAPY S 2.26 $116.21 $52.43 $23.24 757 61793 Focus radiation beam.... 757 77401 Radiation treatment delivery. 757 77402 Radiation treatment delivery. 757 77403 Radiation treatment delivery. 757 77404 Radiation treatment delivery. 757 77406 Radiation treatment delivery. 757 77407 Radiation treatment delivery. 757 77408 Radiation treatment delivery. 757 77409 Radiation treatment delivery. 757 77411 Radiation treatment delivery. 757 77412 Radiation treatment delivery. 757 77413 Radiation treatment delivery. 757 77414 Radiation treatment delivery. 757 77416 Radiation treatment delivery. 757 77470 Special radiation treatment. 758 HYPERTHERMIC THERAPIES S 5.08 $261.21 $137.18 $52.24 758 77600 Hyperthermia treatment.. 758 77605 Hyperthermia treatment.. 758 77610 Hyperthermia treatment.. 758 77615 Hyperthermia treatment.. 758 77620 Hyperthermia treatment.. 759 BRACHYTHERAPY AND COMPLEX S 7.98 $410.33 $157.97 $82.07 RADIOELEMENT APPLICATIONS 759 77750 Infuse radioactive materials. 759 77761 Radioelement application 759 77762 Radioelement application 759 77763 Radioelement application 759 77776 Radioelement application 759 77777 Radioelement application 759 77778 Radioelement application 759 77781 High intensity brachytherapy. 759 77782 High intensity brachytherapy. 759 77783 High intensity brachytherapy.

759 77784 High intensity brachytherapy. 759 77789 Radioelement application 759 77799 Radium/radioisotope therapy. 760 PET SCANS S 14.89 $765.64 $419.46 $153.13 760 78459 Heart muscle imaging (PET). 760 78608 Brain imaging (PET)..... 760 78609 Brain imaging (PET)..... 760 78810 Tumor imaging (PET)..... 760 G0030 PET imaging prev PET single. 760 G0031 PET imaging prev PET multple. 760 G0032 PET follow SPECT 78464 singl. 760 G0033 PET follow SPECT 78464 mult. 760 G0034 PET follow SPECT 76865 singl. 760 G0035 PET follow SPECT 78465 mult. 760 G0036 PET follow cornry angio sing. 760 G0037 PET follow cornry angio mult. 760 G0038 PET follow myocard perf sing. 760 G0039 PET follow myocard perf mult. 760 G0040 PET follow stress echo singl. 760 G0041 PET follow stress echo mult. 760 G0042 PET follow ventriculogm sing. 760 G0043 PET follow ventriculogm mult. 760 G0044 PET following rest ECG singl. 760 G0045 PET following rest ECG mult. 760 G0046 PET follow stress ECG singl. 760 G0047 PET follow stress ECG mult. 761 STANDARD NON-IMAGING NUCLEAR S 1.80 $92.56 $54.01 $18.51 MEDICINE 761 78000 Thyroid, single uptake.. 761 78099 Endocrine nuclear procedure. 761 78110 Plasma volume, single... 761 78111 Plasma volume, multiple. 761 78120 Red cell mass, single... 761 78199 Blood/lymph nuclear exam 761 78270 Vit B-12 absorption exam 761 78271 Vit B-12 absorp exam, IF 761 78272 Vit B-12 absorp, combined. 761 78282 GI protein loss exam.... 761 78299 GI nuclear procedure.... 761 78725 Kidney function study... 761 78999 Nuclear diagnostic exam. 762 COMPLEX NON-IMAGING NUCLEAR S 2.02 $103.87 $55.82 $20.77 MEDICINE 762 78001 Thyroid, multiple uptakes. 762 78003 Thyroid suppress/stimul. 762 78121 Red cell mass, multiple. 762 78122 Blood volume............ 762 78130 Red cell survival study. 762 78135 Red cell survival kinetics. 762 78140 Red cell sequestration.. 762 78160 Plasma iron turnover.... 762 78162 Iron absorption exam.... 762 78170 Red cell iron utilization. 762 78172 Total body iron estimation. 762 78190 Platelet survival, kinetics. 762 78191 Platelet survival....... 762 78414 Non-imaging heart function. 762 78455 Venous thrombosis study. 762 78499 Cardiovascular nuclear exam. 771 STANDARD PLANAR NUCLEAR MEDICINE S 3.81 $195.91 $117.29 $39.18 771 78006 Thyroid,imaging with uptake. 771 78010 Thyroid imaging......... 771 78011 Thyroid imaging with flow. 771 78015 Thyroid met imaging..... 771 78102 Bone marrow imaging, ltd 771 78103 Bone marrow imaging, mult. 771 78104 Bone marrow imaging, body. 771 78185 Spleen imaging.......... 771 78201 Liver imaging........... 771 78202 Liver imaging with flow. 771 78215 Liver and spleen imaging 771 78216 Liver & spleen image, flow. 771 78230 Salivary gland imaging.. 771 78231 Serial salivary imaging. 771 78261 Gastric mucosa imaging.. 771 78290 Meckels divert exam..... 771 78300 Bone imaging, limited area.

771 78305 Bone imaging, multiple areas. 771 78306 Bone imaging, whole body 771 78399 Musculoskeletal nuclear exam. 771 78428 Cardiac shunt imaging... 771 78445 Vascular flow imaging... 771 78457 Venous thrombosis imaging. 771 78458 Ven thrombosis images, bilat. 771 78460 Heart muscle blood single. 771 78466 Heart infarct image..... 771 78478 Heart wall motion add-on 771 78480 Heart function add-on... 771 78481 Heart first pass single. 771 78580 Lung perfusion imaging.. 771 78586 Aerosol lung image, single. 771 78587 Aerosol lung image, multiple. 771 78591 Vent image, 1 breath, 1 proj. 771 78593 Vent image, 1 proj, gas. 771 78599 Respiratory nuclear exam 771 78600 Brain imaging, ltd static. 771 78601 Brain ltd imaging & flow 771 78605 Brain imaging, complete. 771 78610 Brain flow imaging only. 771 78660 Nuclear exam of tear flow. 771 78699 Nervous system nuclear exam. 771 78700 Kidney imaging, static.. 771 78701 Kidney imaging with flow 771 78704 Imaging renogram........ 771 78707 Kidney flow & function image. 771 78715 Renal vascular flow exam 771 78730 Urinary bladder retention. 771 78760 Testicular imaging...... 771 78761 Testicular imaging & flow. 771 78799 Genitourinary nuclear exam. 772 COMPLEX PLANAR NUCLEAR MEDICINE S 4.26 $219.05 $128.37 $43.81 772 78007 Thyroid, image, mult uptakes. 772 78016 Thyroid met imaging/ studies. \2\ 772 78017 Thyroid met imaging, mult. 772 78018 Thyroid, met imaging, body. 772 78070 Parathyroid nuclear imaging. 772 78075 Adrenal nuclear imaging. 772 78195 Lymph system imaging.... 772 78220 Liver function study.... 772 78223 Hepatobiliary imaging... 772 78232 Salivary gland function exam. 772 78258 Esophageal motility study. 772 78262 Gastroesophageal reflux exam. 772 78264 Gastric emptying study.. 772 78278 Acute GI blood loss imaging. 772 78291 Leveen/shunt patency exam. 772 78315 Bone imaging, 3 phase... 772 78461 Heart muscle blood multiple. 772 78468 Heart infarct image, EF. 772 78472 Gated heart, planar single. 772 78473 Gated heart, multiple... 772 78483 Heart first pass multiple. 772 78584 Lung V/Q image single breath. 772 78585 Lung V/Q imaging........ 772 78594 Vent image, mult proj, gas. 772 78596 Lung differential function. 772 78606 Brain imaging comp & flow. 772 78615 Cerebral blood flow imaging. 772 78630 Cerebrospinal fluid scan 772 78635 CSF ventriculography.... 772 78645 CSF shunt evaluation.... 772 78650 CSF leakage imaging..... 772 78708 Kidney flow & function image. 772 78709 Kidney flow & function image. 772 78740 Ureteral reflux study... 772 78800 Tumor imaging, limited area. 772 78801 Tumor imaging, mult areas. 772 78802 Tumor imaging, whole body. 772 78805 Abscess imaging, ltd area. 772 78806 Abscess imaging, whole body. 781 STANDARD SPECT NUCLEAR MEDICINE S 5.43 $279.21 $155.04 $55.84 781 78205 Liver imaging (3D)......

781 78320 Bone imaging (3D)....... 781 78464 Heart image (3D) single. 781 78469 Heart infarct image (3D) 781 78607 Brain imaging (3D)...... 781 78647 Cerebrospinal fluid scan 781 78710 Kidney imaging (3D)..... 782 COMPLEX SPECT NUCLEAR MEDICINE S 9.00 $462.78 $267.13 $92.56 782 78465 Heart image (3D) multiple. 782 78803 Tumor imaging (3D)...... 782 78807 Nuclear localization/ abscess. 791 STANDARD THERAPEUTIC NUCLEAR S 14.74 $757.93 $539.91 $151.59 MEDICINE 791 79001 Repeat hyperthyroid therapy. 791 79100 Hematopoetic nuclear therapy. 791 79300 Interstitial nuclear therapy. 791 79400 Nonhemato nuclear therapy. 791 79420 Intravascular nuc therapy. 791 79440 Nuclear joint therapy... 791 79999 Nuclear medicine therapy 792 COMPLEX THERAPEUTIC NUCLEAR S 4.81 $247.33 $143.06 $49.47 MEDICINE 792 79000 Intial hyperthyroid therapy. 792 79020 Thyroid ablation........ 792 79030 Thyroid ablation, carcinoma. 792 79035 Thyroid metastatic therapy. 792 79200 Intracavitary nuc treatment. 861 IMMUNOLOGY TESTS X 0.13 $6.68 $3.62 $1.34 861 86485 Skin test, candida...... 861 86490 Coccidioidomycosis skin test. 861 86510 Histoplasmosis skin test 861 86580 TB intradermal test..... 861 86585 TB tine test............ 861 86586 Skin test, unlisted..... 881 LEVEL I PATHOLOGY X 0.22 $11.31 $6.78 $2.26 881 88125 Forensic cytopathology.. 881 88199 Cytopathology procedure. 881 88300 Surg path, gross........ 881 88311 Decalcify tissue........ 881 88313 Special stains.......... 881 88399 Surgical pathology procedure. 881 89350 Sputum specimen collection. 881 89360 Collect sweat for test.. 881 89399 Pathology lab procedure. 881 G0025 Collagen skin test kit.. 882 LEVEL II PATHOLOGY X 0.39 $20.05 $11.75 $4.01 882 80500 Lab pathology consultation. 882 80502 Lab pathology consultation. 882 85060 Blood smear interpretation. 882 85097 Bone marrow interpretation. 882 86077 Physician blood bank service. 882 86078 Physician blood bank service. 882 86079 Physician blood bank service. 882 88104 Cytopathology, fluids... 882 88106 Cytopathology, fluids... 882 88107 Cytopathology, fluids... 882 88108 Cytopath, concentrate tech. 882 88160 Cytopath smear, other source. 882 88161 Cytopath smear, other source. 882 88162 Cytopath smear, other source. 882 88172 Evaluation of smear..... 882 88173 Interpretation of smear. 882 88180 Cell marker study....... 882 88182 Cell marker study....... 882 88302 Tissue exam by pathologist. 882 88304 Tissue exam by pathologist. 882 88305 Tissue exam by pathologist. 882 88312 Special stains.......... 882 88314 Histochemical stain..... 882 88318 Chemical histochemistry. 882 88319 Enzyme histochemistry... 882 88321 Microslide consultation. 882 88323 Microslide consultation. 882 88325 Comprehensive review of data. 882 88329 Pathology consult in surgery. 882 88331 Pathology consult in surgery. 882 88332 Pathology consult in surgery. 882 88342 Immunocytochemistry.....

882 88346 Immunofluorescent study. 882 88347 Immunofluorescent study. 883 LEVEL III PATHOLOGY X 0.69 $35.48 $20.34 $7.10 883 88307 Tissue exam by pathologist. 883 88309 Tissue exam by pathologist. 883 88348 Electron microscopy..... 883 88349 Scanning electron microscopy. 883 88355 Analysis, skeletal muscle. 883 88356 Analysis, nerve......... 883 88358 Analysis, tumor......... 883 88362 Nerve teasing preparations. 883 88365 Tissue hybridization.... 900 CRITICAL CARE S 7.54 $387.71 $145.09 $77.54 900 99291 Critical care, first hour. 901 LEVEL I IMMUNIZATION X 0.07 $3.60 $2.49 $0.72 901 90700 Dtap vaccine, im........ 901 90701 Dtp vaccine, im......... 901 90702 Dt vaccine, im.......... 901 90703 Tetanus vaccine, im..... 901 90704 Mumps vaccine, sc....... 901 90705 Measles vaccine, sc..... 901 90706 Rubella vaccine, sc..... 901 90708 Measles-rubella vaccine sc. 901 90709 Rubella & mumps vaccine sc. 901 90710 Mmrv vaccine, sc........ \2\ 901 90711 Combined vaccine........ \2\ 901 90714 Typhoid immunization.... 901 90718 Td vaccine, im.......... 901 90719 Diphtheria vaccine, im.. \2\ 901 90724 Influenza immunization.. 901 90725 Cholera vaccine, injectable. \2\ 901 90730 Hepatitis A vaccine..... 901 90732 Pneumococcal vaccine, adult. 901 90748 Hepb/hib vaccine, im.... 901 90749 Vaccine toxoid.......... 901 95149 Antigen therapy services 901 95170 Antigen therapy services 901 G0008 Admin influenza virus vac. 901 G0009 Admin pneumococcal vaccine. 901 Q0034 Admin of influenza vaccine. 902 LEVEL II IMMUNIZATION X 1.31 $67.36 $38.19 $13.47 902 90707 Mmr vaccine, sc......... 902 90712 Oral poliovirus vaccine. 902 90713 Poliovirus, ipv, sc..... 902 90716 Chicken pox vaccine, sc. 902 90717 Yellow fever vaccine, sc 902 90720 Dtp/hib vaccine, im..... 902 90733 Meningococcal vaccine, sc. \2\ 902 90737 Influenza B immunization \2\ 902 90741 Passive immunization, ISG. 902 90744 Hepb vaccine, ped/adol, im. 902 90745 Hepb vaccine, adol/risk, im. 902 90746 Hepb vaccine, adult, im. 902 90747 Hepb vaccine, ill pat, im. 902 G0010 Admin hepatitis b vaccine. 903 LEVEL III IMMUNIZATION X 1.00 $51.42 $24.86 $10.28 903 90721 Dtap/hib vaccine, im.... \2\ 903 90726 Rabies immunization..... 903 90727 Plague vaccine, im...... \2\ 903 90728 BCG immunization........ 903 90735 Encephalitis vaccine, sc \2\ 903 90742 Special passive immunization. 906 INFUSION THERAPY EXCEPT X 1.93 $99.24 $57.18 $19.85 CHEMOTHERAPY 906 36680 Insert needle, bone cavity. 906 90780 IV infusion therapy, 1 hour. 906 90781 IV infusion, additional hour. 906 Q0081 Infusion ther other than che. 907 INTRAMUSCULAR INJECTIONS X 0.74 $38.05 $11.53 $7.61 907 90782 Injection (SC)/(IM)..... 907 90783 Injection (IA).......... 907 90784 Injection (IV).......... 907 90788 Injection of antibiotic. 907 90799 Therapeutic/diag injection. 919 ELECTROCONVULSIVE THERAPY S 3.09 $158.89 $80.00 $31.78 919 90870 Electroconvulsive therapy.

919 90871 Electroconvulsive therapy. 920 BIOFEEDBACK AND OTHER TRAINING S 1.17 $60.16 $29.61 $12.03 \2\ 920 90900 Biofeedback, electromyogram. 920 90901 Biofeedback, any method. \2\ 920 90902 Biofeedback, nerve impulse. \2\ 920 90904 Biofeedback, blood pressure. \2\ 920 90906 Biofeedback, blood flow. \2\ 920 90908 Biofeedback, brain waves \2\ 920 90910 Biofeedback, oculogram.. 920 90911 Biofeedback peri/uro/ rectal. \2\ 920 90915 Biofeedback, unspecified 921 DIABETES EDUCATION S 921 99078 Group health education.. 926 DIALYSIS FOR OTHER THAN ESRD S 4.22 $216.99 $69.83 $43.40 PATIENTS 926 90935 Hemodialysis, one evaluation. 926 90937 Hemodialysis, repeated eval.. 926 90945 Dialysis, one evaluation 926 90947 Dialysis, repeated eval. 926 90997 Hemoperfusion........... 926 90999 Dialysis procedure...... 928 ALIMENTARY TESTS X 2.91 $149.63 $79.78 $29.93 928 89100 Sample intestinal contents. 928 89105 Sample intestinal contents. 928 89130 Sample stomach contents. 928 89132 Sample stomach contents. 928 89135 Sample stomach contents. 928 89136 Sample stomach contents. 928 89140 Sample stomach contents. 928 89141 Sample stomach contents. 928 91000 Esophageal intubation... 928 91010 Esophagus motility study 928 91011 Esophagus motility study 928 91012 Esophagus motility study 928 91020 Gastric motility........ 928 91030 Acid perfusion of esophagus. 928 91032 Esophagus, acid reflux test. 928 91033 Prolonged acid reflux test. 928 91052 Gastric analysis test... 928 91055 Gastric intubation for smear. 928 91060 Gastric saline load test 928 91065 Breath hydrogen test.... 928 91100 Pass intestine bleeding tube. 928 91105 Gastric intubation treatment. 928 91299 Gastroenterology procedure. 928 95075 Ingestion challenge test 930 MINOR EYE EXAMINATIONS X 1.04 $53.48 $22.83 $10.70 930 92060 Special eye evaluation.. 930 92065 Orthoptic/pleoptic training. 930 92081 Visual field examination(s). 930 92082 Visual field examination(s). 930 92083 Visual field examination(s). 930 92140 Glaucoma provocative tests. 930 92283 Color vision examination 930 92284 Dark adaptation eye exam 930 92285 Eye photography......... 931 LEVEL I EYE TESTS X 0.74 $38.05 $21.47 $7.61 931 92120 Tonography & eye evaluation. 931 92130 Water provocation tonography. 931 92230 Eye exam with photos.... 931 92240 Icg angiography......... 931 92250 Eye exam with photos.... 931 92499 Eye service or procedure 932 LEVEL II EYE TESTS X 2.41 $123.92 $63.73 $24.78 932 92235 Eye exam with photos.... 932 92265 Eye muscle evaluation... 932 92270 Electro-oculography..... 932 92286 Internal eye photography 932 92287 Internal eye photography 936 FITTING OF VISION AIDS X 0.48 $24.68 $9.49 $4.94 936 92311 Contact lens fitting.... 936 92312 Contact lens fitting.... 936 92313 Contact lens fitting.... 936 92315 Prescription of contact lens. 936 92316 Prescription of contact lens. 936 92317 Prescription of contact lens.

936 92325 Modification of contact lens. 936 92326 Replacement of contact lens. 936 92330 Fitting of artificial eye. 936 92352 Special spectacles fitting. 936 92353 Special spectacles fitting. 936 92354 Special spectacles fitting. 936 92355 Special spectacles fitting. 936 92358 Eye prosthesis service.. 936 92371 Repair & adjust spectacles. 940 OTORHINOLARYNGOLOGIC FUNCTION X 3.13 $160.94 $52.21 $32.19 TESTS 940 92512 Nasal function studies.. 940 92516 Facial nerve function test. 940 92520 Laryngeal function studies. 940 92541 Spontaneous nystagmus test. 940 92542 Positional nystagmus test. 940 92543 Caloric vestibular test. 940 92544 Optokinetic nystagmus test. 940 92545 Oscillating tracking test. 940 92546 Sinusoidal rotational test. 940 92547 Supplemental electrical test. 940 92548 Posturography........... 940 92584 Electrocochleography.... 940 92587 Evoked auditory test.... 940 92588 Evoked auditory test.... 941 LEVEL I AUDIOMETRY X 0.74 $38.05 $13.33 $7.61 941 92552 Pure tone audiometry, air. 941 92553 Audiometry, air & bone.. 941 92555 Speech threshold audiometry. 941 92556 Speech audiometry, complete. 941 92567 Tympanometry............ 941 92599 ENT procedure/service... 942 LEVEL II AUDIOMETRY X 1.46 $75.07 $22.15 $15.01 942 92557 Comprehensive hearing test. 942 92561 Bekesy audiometry, diagnosis. 942 92562 Loudness balance test... 942 92563 Tone decay hearing test. 942 92564 Sisi hearing test....... 942 92565 Stenger test, pure tone. 942 92568 Acoustic reflex testing. 942 92569 Acoustic reflex decay test. 942 92571 Filtered speech hearing test. 942 92572 Staggered spondaic word test. 942 92573 Lombard test............ 942 92575 Sensorineural acuity test. 942 92576 Synthetic sentence test. 942 92577 Stenger test, speech.... 942 92579 Visual audiometry (vra). 942 92582 Conditioning play audiometry. 942 92583 Select picture audiometry. 942 92589 Auditory function test(s). 942 92596 Ear protector evaluation 947 RESUSCITATION AND CARDIOVERSION S 4.11 $211.34 $106.22 $42.27 947 31500 Insert emergency airway. 947 92950 Heart/lung resuscitation(CPR. 947 92953 Temporary external pacing. 947 92960 Heart electroconversion. 947 99440 Newborn resuscitation... 948 CARDIAC REHABILITATION X 0.81 $41.65 $16.95 $8.33 948 93797 Cardiac rehab........... 948 93798 Cardiac rehab/monitor... 949 CARDIOVASCULAR STRESS TEST X 1.43 $73.53 $61.92 $14.71 949 93017 Cardiovascular stress test. 949 93024 Cardiac drug stress test 950 ELECTROCARDIOGRAM (ECG) X 0.35 $18.00 $15.82 $3.60 950 93005 Electrocardiogram, tracing. 950 93041 Rhythm ECG, tracing..... 950 Q0035 Cardiokymography........ 956 CONTINUOUS ECG AND BLOOD PRESSURE X 1.09 $56.05 $54.47 $11.21 MONITORING 956 93012 Transmission of ecg..... 956 93224 ECG monitor/report, 24 hrs. 956 93225 ECG monitor/record, 24 hrs. 956 93226 ECG monitor/report, 24 hrs. 956 93230 ECG monitor/report, 24 hrs. 956 93231 ECG monitor/record, 24 hrs. 956 93232 ECG monitor/report, 24 hrs.

956 93235 ECG monitor/report, 24 hrs. 956 93236 ECG monitor/report, 24 hrs. 956 93268 ECG record/review....... 956 93270 ECG recording........... 956 93271 ECG/monitoring and anaylysis. 956 93278 ECG/signal-averaged..... 956 G0004 ECG transm phys review & int. 956 G0005 ECG 24 hour recording... 956 G0006 ECG transmission & analysis. 956 G0015 Post symptom ECG tracing 957 ECHOCARDIOGRAPHY S 4.04 $207.74 $114.13 $41.55 957 76825 Echo exam of fetal heart 957 76826 Echo exam of fetal heart 957 76827 Echo exam of fetal heart 957 76828 Echo exam of fetal heart 957 93303 Echo transthoracic...... 957 93304 Echo transthoracic...... 957 93307 Echo exam of heart...... 957 93308 Echo exam of heart...... 957 93312 Echo transesophageal.... 957 93313 Echo transesophageal.... 957 93315 Echo transesophageal.... 957 93316 Echo transesophageal.... 957 93320 Doppler echo exam, heart 957 93321 Doppler echo exam, heart 957 93325 Doppler color flow add- on. 957 93350 Echo transthoracic...... 958 DIAGNOSTIC CARDIAC S 23.74 $1,220.71 $705.57 $244.14 CATHETERIZATION 958 93501 Right heart catheterization. 958 93503 Insert/place heart catheter. 958 93505 Biopsy of heart lining.. 958 93510 Left heart catheterization. 958 93511 Left heart catheterization. 958 93514 Left heart catheterization. 958 93524 Left heart catheterization. 958 93526 Rt & Lt heart catheters. 958 93527 Rt & Lt heart catheters. 958 93528 Rt & Lt heart catheters. 958 93529 Rt, Lt heart catheterization. 958 93530 Rt heart cath, congenital. 958 93531 R & l heart cath, congenital. 958 93532 R & l heart cath, congenital. 958 93533 R & l heart cath, congenital. 958 93536 Insert circulation assi. 960 CARDIAC ELECTROPHYSIOLOGIC TESTS/ S 4.80 $246.82 $143.74 $49.36 PROCEDURES 960 93600 Bundle of His recording. 960 93602 Intra-atrial recording.. 960 93603 Right ventricular recording. 960 93607 Right ventricular recording. 960 93609 Mapping of tachycardia.. 960 93610 Intra-atrial pacing..... 960 93612 Intraventricular pacing. 960 93615 Esophageal recording.... 960 93616 Esophageal recording.... 960 93618 Heart rhythm pacing..... 960 93619 Electrophysiology evaluation. 960 93620 Electrophysiology evaluation. 960 93621 Electrophysiology evaluation. 960 93622 Electrophysiology evaluation. 960 93623 Stimulation, pacing heart. 960 93624 Electrophysiologic study 960 93631 Heart pacing, mapping... 960 93640 Evaluation heart device. 960 93641 Electrophysiology evaluation. 960 93642 Electrophysiology evaluation. 960 93650 Ablate heart dysrhythm focus. 960 93651 Ablate heart dysrhythm focus. 960 93652 Ablate heart dysrhythm focus. 960 93660 Tilt table evaluation... 960 93724 Analyze pacemaker system 966 ELECTRONIC ANALYSIS OF PACEMAKERS/ X 0.39 $20.05 $12.43 $4.01 OTHER DEVICES 966 62367 Analyze spine infusion pump. 966 62368 Analyze spine infusion pump. \2\ 966 63690 Analysis of neuroreceiver. \2\ 966 63691 Analysis of neuroreceiver.

966 93731 Analyze pacemaker system 966 93732 Analyze pacemaker system 966 93733 Telephone analysis, pacemaker. 966 93734 Analyze pacemaker system 966 93735 Analyze pacemaker system 966 93736 Telephone analysis, pacemaker. 966 93737 Analyze cardio/ defibrillator. 966 93738 Analyze cardio/ defibrillator. 967 NON-INVASIVE VASCULAR STUDIES X 1.70 $87.41 $57.40 $17.48 967 93720 Total body plethysmography. 967 93721 Plethysmography tracing. 967 93740 Temperature gradient studies. 967 93799 Cardiovascular procedure 967 93922 Extremity study......... 967 93923 Extremity study......... 967 93924 Extremity study......... 967 93965 Extremity study......... 968 VASCULAR ULTRASOUND X 2.39 $122.89 $79.55 $24.58 968 93875 Extracranial study...... 968 93880 Extracranial study...... 968 93882 Extracranial study...... 968 93886 Intracranial study...... 968 93888 Intracranial study...... 968 93925 Lower extremity study... 968 93926 Lower extremity study... 968 93930 Upper extremity study... 968 93931 Upper extremity study... 968 93970 Extremity study......... 968 93971 Extremity study......... 968 93975 Vascular study.......... 968 93976 Vascular study.......... 968 93978 Vascular study.......... 968 93979 Vascular study.......... 968 93980 Penile vascular study... 968 93981 Penile vascular study... 968 93990 Doppler flow testing.... 969 HYPERBARIC OXYGEN S 2.65 $136.26 $141.70 $27.25 969 99183 Hyperbaric oxygen therapy. 971 LEVEL I PULMONARY TESTS X 0.98 $50.39 $26.44 $10.08 971 94010 Breathing capacity test. 971 94060 Evaluation of wheezing.. \2\ 971 94160 Vital capacity screening 971 94200 Lung function test (MBC/ MVV). 971 94250 Expired gas collection.. 971 94260 Thoracic gas volume..... 971 94360 Measure airflow resistance. 971 94375 Respiratory flow volume loop. 971 94400 CO2 breathing response curve. 971 94450 Hypoxia response curve.. 971 94762 Measure blood oxygen level. 971 94770 Exhaled carbon dioxide test. 971 94799 Pulmonary service/ procedure. 972 LEVEL II PULMONARY TESTS X 1.00 $51.42 $29.38 $10.28 972 94240 Residual lung capacity.. 972 94350 Lung nitrogen washout curve. 972 94370 Breath airway closing volume. 972 94680 Exhaled air analysis: O2 972 94681 Exhaled air analysis: O2,CO2. 972 94690 Exhaled air analysis.... 972 94720 Monoxide diffusing capacity. 972 94725 Membrane diffusion capacity. 973 LEVEL III PULMONARY TESTS S 1.81 $93.07 $55.82 $18.61 973 94070 Evaluation of wheezing.. 973 94620 Pulmonary stress test/ simple. 973 94750 Pulmonary compliance study. 973 94772 Breath recording, infant 973 95070 Bronchial allergy tests. 973 95071 Bronchial allergy tests. 976 PULMONARY THERAPY S 0.44 $22.62 $14.69 $4.53 976 94640 Airway inhalation treatment. 976 94642 Aerosol inhalation treatment. 976 94650 Pressure breathing (IPPB). 976 94651 Pressure breathing (IPPB). 976 94657 Cont. ventilator........ 976 94660 Pos airway pressure, CPAP.

976 94662 Neg pressure ventilation, cnp. 976 94664 Aerosol or vapor inhalations. 976 94665 Aerosol or vapor inhalations. 976 94667 Chest wall manipulation. 976 94668 Chest wall manipulation. 977 ALLERGY TESTS X 0.56 $28.80 $11.30 $5.76 977 95004 Allergy skin tests...... 977 95010 Sensitivity skin tests.. 977 95015 Sensitivity skin tests.. 977 95024 Allergy skin tests...... 977 95027 Skin end point titration 977 95028 Allergy skin tests...... 977 95044 Allergy patch tests..... 977 95052 Photo patch test........ 977 95056 Photosensitivity tests.. 977 95060 Eye allergy tests....... 977 95065 Nose allergy test....... 977 95078 Provocative testing..... 977 95180 Rapid desensitization... 977 95199 Allergy immunology services. 978 ALLERGY INJECTIONS X 0.30 $15.43 $3.39 $3.09 978 95115 Immunotherapy, one injection. 978 95117 Immunotherapy injections 978 95144 Antigen therapy services 978 95145 Antigen therapy services 978 95146 Antigen therapy services 978 95147 Antigen therapy services 978 95148 Antigen therapy services 978 95165 Antigen therapy services 979 EXTENDED EEG STUDIES AND SLEEP S 10.15 $521.91 $287.25 $104.38 STUDIES 979 95805 Multiple sleep latency test. 979 95806 Sleep study, unattended. 979 95807 Sleep study, attended... 979 95808 Polysomnography, 1-3.... 979 95810 Polysomnography, 4 or more. 979 95811 Polysomnography w/cpap.. 979 95812 Electroencephalogram (EEG). 979 95813 Electroencephalogram (EEG). 979 95827 Night electroencephalogram. 979 95951 EEG monitoring/ videorecord. 979 95953 EEG monitoring/computer. 979 95954 EEG monitoring/giving drugs. 979 95958 EEG monitoring/function test. 980 ELECTROENCEPHALOGRAM S 2.15 $110.55 $57.86 $22.11 980 95816 Electroencephalogram (EEG). 980 95819 Electroencephalogram (EEG). 980 95822 Sleep electroencephalogram. 980 95824 Electroencephalography.. 980 95829 Surgery electrocorticogram. 980 95955 EEG during surgery...... 981 LEVEL I NERVE AND MUSCLE TESTS X 1.22 $62.73 $34.35 $12.55 981 92275 Electroretinography..... 981 95857 Tensilon test........... 981 95867 Muscle test, head or neck. 981 95869 Muscle test, thor paraspinal. 981 95870 Muscle test, non- paraspinal. 981 95900 Motor nerve conduction test. 981 95921 Autonomic nervous func test. 981 95922 Autonomic nervous func test. 981 95923 Autonomic nervous func test. 981 95926 Somatosensory testing... 981 95927 Somatosensory testing... 981 95930 Visual evoked potential test. 981 95933 Blink reflex test....... 981 95934 `h' reflex test......... 981 95936 `h' reflex test......... 981 95937 Neuromuscular junction test. 981 95950 Ambulatory eeg monitoring. 982 LEVEL II NERVE AND MUSCLE TESTS X 1.37 $70.45 $38.42 $14.09 982 92585 Auditory evoked potential. 982 95858 Tensilon test & myogram. 982 95860 Muscle test, one limb... 982 95861 Muscle test, two limbs.. 982 95863 Muscle test, 3 limbs.... 982 95864 Muscle test, 4 limbs....

982 95868 Muscle test, head or neck. 982 95872 Muscle test, one fiber.. 982 95875 Limb exercise test...... 982 95903 Motor nerve conduction test. 982 95904 Sense nerve conduction test. 982 95925 Somatosensory testing... 987 SUBCUTANEOUS OR INTRAMUSCULAR S 2.09 $107.47 $65.09 $21.49 CHEMOTHERAPY 987 96400 Chemotherapy, (SC)/(IM). 987 96405 Intralesional chemo admin. 987 96406 Intralesional chemo admin. 987 96549 Chemotherapy, unspecified. 987 Q0083 Chemo by other than infusion. 988 CHEMOTHERAPY EXCEPT BY EXTENDED S 4.02 $206.71 $110.29 $41.34 INFUSION 988 96408 Chemotherapy, push technique. 988 96410 Chemotherapy, infusion method. 988 96412 Chemotx infuse method add-on. 988 96420 Chemotherapy, push technique. 988 96422 Chemotherapy, infusion method. 988 96423 Chemotx infuse method add-on. 989 CHEMOTHERAPY BY EXTENDED INFUSION S 1.91 $98.21 $44.52 $19.64 989 96414 Chemotx infuse method add-on. 989 96425 Chemotherapy, infusion method. 989 96440 Chemotherapy, intracavitary. 989 96445 Chemotherapy, intracavitary. 989 96450 Chemotherapy, into CNS.. 989 96542 Chemotherapy injection.. 989 Q0084 Chemotherapy by infusion 989 Q0085 Chemo by both infusion and o. 990 PHOTOCHEMOTHERAPY S 0.43 $22.11 $8.14 $4.42 990 96900 Ultraviolet light therapy. 990 96910 Photochemotherapy with UV-B. 990 96912 Photochemotherapy with UV-A. 990 96913 Photochemotherapy, UV-A or B. 990 96999 Dermatological procedure 997 MANIPULATION THERAPY S 0.69 $35.48 $7.46 $7.10 \2\ 997 97250 Myofascial release...... \2\ 997 97260 Regional manipulation... \2\ 997 97261 Supplemental manipulations. 997 98925 Osteopathic manipulation 997 98926 Osteopathic manipulation 997 98927 Osteopathic manipulation 997 98928 Osteopathic manipulation 997 98929 Osteopathic manipulation 997 98940 Chiropractic manipulation. 997 98941 Chiropractic manipulation. 997 98942 Chiropractic manipulation. 999 THERAPEUTIC PHLEBOTOMY X 0.43 $22.11 $11.07 $4.42 999 99195 Phlebotomy.............. ---------------------------------------------------------------------------------------------------------------- \1\ This APC assignment will not apply to services furnished under a partial hospitalization program. Instead, services furnished as part of a partial hospitalization program are paid on a per-diem basis via APC 020. \2\ This code was valid in 1996 and therefore was available for use in calculating weights. However, it has since been terminated and will not be paid upon implementation. CPT codes and descriptions only are copyright 1997 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. Copyright 1994 American Dental Association. All rights reserved.

49. On page 47834, Addendum D is corrected to read as follows:

Addendum D.--Summary of Medical APCs ---------------------------------------------------------------------------------------------------------------- APC Code Description ---------------------------------------------------------------------------------------------------------------- 911 Low Level Clinic Visits 99201 Office/outpatient visit, new 99202 Office/outpatient visit, new 99211 Office/outpatient visit, est 99212 Office/outpatient visit, est 99241 Office consultation 99242 Office consultation 99271 Confirmatory consultation 99272 Confirmatory consultation 913 Mid Level Clinic Visits 92002 Eye exam, new patient 92012 Eye exam established pt 99203 Office/outpatient visit, new

99213 Office/outpatient visit, est 99243 Office consultation 99273 Confirmatory consultation G0101 Cancer Screening Exam, Women 915 High Level Clinic Visits 92004 Eye exam, new patient 92014 Eye exam & treatment 99204 Office/outpatient visit, new 99205 Office/outpatient visit, new 99214 Office/outpatient visit, est 99215 Office/outpatient visit, est 99244 Office consultation 99245 Office consultation 99274 Confirmatory consultation 99275 Confirmatory consultation 951 Low Level Emergency Visits 99281 Emergency dept visit 99282 Emergency dept visit 953 Mid Level Emergency Visits 99283 Emergency dept visit 955 High Level Emergency Visits 99284 Emergency dept visit 99285 Emergency dept visit ---------------------------------------------------------------------------------------------------------------- Note: CPT codes and descriptions only are copyright 1997 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.

50. On pages 47996 through 48005, Addendum G is corrected to read as follows:

Addendum G.--CPT Codes Which Would Be Paid Only as Inpatient Procedures ------------------------------------------------------------------------ CPT\1\ HCPCS\2\ HOPD status indicator Description ------------------------------------------------------------------------ 00174 C Anesth, pharyngeal surgery 00176 C Anesth, pharyngeal surgery 00192 C Anesth, facial bone surgery 00214 C Anesth, skull drainage 00215 C Anesth, skull fracture 00404 C Anesth, surgery of breast 00406 C Anesth, surgery of breast 00452 C Anesth, surgery of shoulder 00474 C Anesth, surgery of rib(s) 00524 C Anesth, chest drainage 00530 C Anesth, pacemaker insertion 00540 C Anesth, chest surgery 00542 C Anesth, release of lung 00544 C Anesth, chest lining removal 00546 C Anesth, lung, chest wall surg 00560 C Anesth, open heart surgery 00562 C Anesth, open heart surgery 00580 C Anesth, heart/lung transplant 00604 C Anesth, surgery of vertebra 00622 C Anesth, removal of nerves 00632 C Anesth, removal of nerves 00634 C Anesth for chemonucleolysis 00670 C Anesth, spine, cord surgery 00792 C Anesth, part liver removal 00794 C Anesth, pancreas removal 00796 C Anesth, for liver transplant 00802 C Anesth, fat layer removal 00844 C Anesth, pelvis surgery 00846 C Anesth, hysterectomy 00848 C Anesth, pelvic organ surg 00850 C Anesth, cesarean section 00855 C Anesth, hysterectomy 00857 C Analgesia, labor & c-section 00864 C Anesth, removal of bladder 00865 C Anesth, removal of prostate 00866 C Anesth, removal of adrenal 00868 C Anesth, kidney transplant 00882 C Anesth, major vein ligation 00884 C Anesth, major vein revision 00904 C Anesth, perineal surgery 00908 C Anesth, removal of prostate 00928 C Anesth, removal of testis 00932 C Anesth, amputation of penis 00934 C Anesth, penis, nodes removal 00936 C Anesth, penis, nodes removal 00944 C Anesth, vaginal hysterectomy 00955 C Analgesia, vaginal delivery 01140 C Anesth, amputation at pelvis 01150 C Anesth, pelvic tumor surgery 01190 C Anesth, pelvis nerve removal 01212 C Anesth, hip disarticulation 01214 C Anesth, replacement of hip 01232 C Anesth, amputation of femur 01234 C Anesth, radical femur surg 01272 C Anesth, femoral artery surg 01274 C Anesth, femoral embolectomy 01402 C Anesth, replacement of knee 01404 C Anesth, amputation at knee 01442 C Anesth, knee artery surg 01444 C Anesth, knee artery repair 01486 C Anesth, ankle replacement 01502 C Anesth, lowerleg embolectomy 01632 C Anesth, surgery of shoulder 01634 C Anesth, shoulder joint amput 01636 C Anesth, forequarter amput 01638 C Anesth, shoulder replacement 01652 C Anesth, shoulder vessel surg 01654 C Anesth, shoulder vessel surg 01656 C Anesth, arm-leg vessel surg 01756 C Anesth, radical humerus surg 01772 C Anesth, upperarm embolectomy 01782 C Anesth, upperarm vein repair 01842 C Anesth, lowerarm embolectomy 01852 C Anesth, lowerarm vein repair 01902 C Anesth, burr holes, skull 01904 C Anesth, skull x-ray inject 01916 C Anesth, head arteriogram 01918 C Anesth, limb arteriogram 01921 C Anesth, vessel surgery 01990 C Support for organ donor 15755 C Microvascular flap graft 15756 C Free muscle flap, microvasc 15757 C Free skin flap, microvasc 15758 C Free fascial flap, microvasc 19200 C Removal of breast 19220 C Removal of breast 19240 C Removal of breast 19260 C Removal of chest wall lesion 19271 C Revision of chest wall 19272 C Extensive chest wall surgery 19361 C Breast reconstruction 19364 C Breast reconstruction 19367 C Breast reconstruction 19368 C Breast reconstruction 19369 C Breast reconstruction 20100 C Explore wound, neck 20101 C Explore wound, chest 20102 C Explore wound, abdomen 20103 C Explore wound, extremity 20150 C Excise epiphyseal bar 20660 C Apply,remove fixation device 20661 C Application of head brace 20662 C Application of pelvis brace 20663 C Application of thigh brace 20664 C Halo brace application 20802 C Replantation, arm, complete 20805 C Replant forearm, complete 20808 C Replantation, hand, complete 20816 C Replantation digit, complete 20822 C Replantation digit, complete 20824 C Replantation thumb, complete 20827 C Replantation thumb, complete 20838 C Replantation, foot, complete 20930 C Spinal bone allograft 20931 C Spinal bone allograft 20936 C Spinal bone autograft 20937 C Spinal bone autograft 20938 C Spinal bone autograft 20955 C Fibula bone graft, microvasc 20956 C Iliac bone graft, microvasc 20957 C Mt bone graft, microvasc 20960 C Microvascular rib graft 20962 C Other bone graft, microvasc 20969 C Bone/skin graft, microvasc

20970 C Bone/skin graft, iliac crest 20971 C Bone-skin graft, rib 20972 C Bone-skin graft, metatarsal 20973 C Bone-skin graft, great toe 21045 C Extensive jaw surgery 21137 C Reduction of forehead 21138 C Reduction of forehead 21139 C Reduction of forehead 21141 C Reconstruct midface, lefort 21142 C Reconstruct midface, lefort 21143 C Reconstruct midface, lefort 21145 C Reconstruct midface, lefort 21146 C Reconstruct midface, lefort 21147 C Reconstruct midface, lefort 21150 C Reconstruct midface, lefort 21151 C Reconstruct midface, lefort 21154 C Reconstruct midface, lefort 21155 C Reconstruct midface, lefort 21159 C Reconstruct midface, lefort 21160 C Reconstruct midface, lefort 21172 C Reconstruct orbit/forehead 21175 C Reconstruct orbit/forehead 21179 C Reconstruct entire forehead 21180 C Reconstruct entire forehead 21182 C Reconstruct cranial bone 21183 C Reconstruct cranial bone 21184 C Reconstruct cranial bone 21188 C Reconstruction of midface 21193 C Reconstruct lower jaw bone 21194 C Reconstruct lower jaw bone 21195 C Reconstruct lower jaw bone 21196 C Reconstruct lower jaw bone 21198 C Reconstruct lower jaw bone 21247 C Reconstruct lower jaw bone 21255 C Reconstruct lower jaw bone 21256 C Reconstruction of orbit 21261 C Revise eye sockets 21263 C Revise eye sockets 21268 C Revise eye sockets 21344 C Repair of sinus fracture 21346 C Repair of nose/jaw fracture 21347 C Repair of nose/jaw fracture 21348 C Repair of nose/jaw fracture 21356 C Repair cheek bone fracture 21360 C Repair cheek bone fracture 21365 C Repair cheek bone fracture 21366 C Repair cheek bone fracture 21385 C Repair eye socket fracture 21386 C Repair eye socket fracture 21387 C Repair eye socket fracture 21390 C Repair eye socket fracture 21395 C Repair eye socket fracture 21406 C Repair eye socket fracture 21407 C Repair eye socket fracture 21408 C Repair eye socket fracture 21422 C Repair mouth roof fracture 21423 C Repair mouth roof fracture 21431 C Treat craniofacial fracture 21432 C Repair craniofacial fracture 21433 C Repair craniofacial fracture 21435 C Repair craniofacial fracture 21436 C Repair craniofacial fracture 21470 C Repair lower jaw fracture 21495 C Repair hyoid bone fracture 21510 C Drainage of bone lesion 21557 C Remove tumor, neck or chest 21615 C Removal of rib 21616 C Removal of rib and nerves 21620 C Partial removal of sternum 21627 C Sternal debridement 21630 C Extensive sternum surgery 21632 C Extensive sternum surgery 21705 C Revision of neck muscle/rib 21740 C Reconstruction of sternum 21750 C Repair of sternum separation 21810 C Treatment of rib fracture(s) 21825 C Repair sternum fracture 22100 C Remove part of neck vertebra 22101 C Remove part, thorax vertebra 22102 C Remove part, lumbar vertebra 22103 C Remove extra spine segment 22110 C Remove part of neck vertebra 22112 C Remove part, thorax vertebra 22114 C Remove part, lumbar vertebra 22116 C Remove extra spine segment 22210 C Revision of neck spine 22212 C Revision of thorax spine 22214 C Revision of lumbar spine 22216 C Revise, extra spine segment 22220 C Revision of neck spine 22222 C Revision of thorax spine 22224 C Revision of lumbar spine 22226 C Revise, extra spine segment 22325 C Repair of spine fracture 22326 C Repair neck spine fracture 22327 C Repair thorax spine fracture 22328 C Repair each add spine fx 22548 C Neck spine fusion 22554 C Neck spine fusion 22556 C Thorax spine fusion 22558 C Lumbar spine fusion 22585 C Additional spinal fusion 22590 C Spine & skull spinal fusion 22595 C Neck spinal fusion 22600 C Neck spine fusion 22610 C Thorax spine fusion 22612 C Lumbar spine fusion 22614 C Spine fusion, extra segment 22630 C Lumbar spine fusion 22632 C Spine fusion, extra segment 22800 C Fusion of spine 22802 C Fusion of spine 22804 C Fusion of spine 22808 C Fusion of spine 22810 C Fusion of spine 22812 C Fusion of spine 22818 C Kyphectomy, 1-2 segments 22819 C Kyphectomy, 3 & more segment 22830 C Exploration of spinal fusion 22840 C Insert spine fixation device 22841 C Insert spine fixation device 22842 C Insert spine fixation device 22843 C Insert spine fixation device 22844 C Insert spine fixation device 22845 C Insert spine fixation device 22846 C Insert spine fixation device 22847 C Insert spine fixation device 22848 C Insert pelvic fixationdevice 22849 C Reinsert spinal fixation 22850 C Remove spine fixation device 22851 C Apply spine prosth device 22852 C Remove spine fixation device 22855 C Remove spine fixation device 23035 C Drain shoulder bone lesion 23125 C Removal of collarbone 23195 C Removal of head of humerus 23200 C Removal of collar bone 23210 C Removal of shoulderblade 23220 C Partial removal of humerus 23221 C Partial removal of humerus 23222 C Partial removal of humerus 23332 C Remove shoulder foreign body 23395 C Muscle transfer, shoulder/arm 23397 C Muscle transfers 23400 C Fixation of shoulder blade 23440 C Removal/transplant tendon 23470 C Reconstruct shoulder joint 23472 C Reconstruct shoulder joint 23900 C Amputation of arm & girdle 23920 C Amputation at shoulder joint 24149 C Radical resection of elbow 24150 C Extensive humerus surgery 24151 C Extensive humerus surgery 24152 C Extensive radius surgery 24153 C Extensive radius surgery 24900 C Amputation of upper arm 24920 C Amputation of upper arm 24930 C Amputation follow-up surgery 24931 C Amputate upper arm & implant 24935 C Revision of amputation 24940 C Revision of upper arm 25170 C Extensive forearm surgery 25390 C Shorten radius/ulna 25391 C Lengthen radius/ulna 25392 C Shorten radius & ulna 25393 C Lengthen radius & ulna 25405 C Repair/graft radius or ulna 25420 C Repair/graft radius & ulna 25900 C Amputation of forearm 25905 C Amputation of forearm 25909 C Amputation follow-up surgery 25915 C Amputation of forearm 25920 C Amputate hand at wrist 25924 C Amputation follow-up surgery 25927 C Amputation of hand 25931 C Amputation follow-up surgery 26551 C Great toe-hand transfer 26552 C Construct thumb replacement 26553 C Single toe-hand transfer 26554 C Double toe-hand transfer 26556 C Toe joint transfer 26557 C Construct finger replacement 26558 C Added finger surgery 26559 C Added finger surgery 26992 C Drainage of bone lesion 27005 C Incision of hip tendon 27006 C Incision of hip tendons 27025 C Incision of hip/thigh fascia 27030 C Drainage of hip joint 27035 C Denervation of hip joint 27036 C Excision of hip joint/muscle 27054 C Removal of hip joint lining 27070 C Partial removal of hip bone 27071 C Partial removal of hip bone 27075 C Extensive hip surgery 27076 C Extensive hip surgery 27077 C Extensive hip surgery 27078 C Extensive hip surgery 27079 C Extensive hip surgery 27090 C Removal of hip prosthesis 27091 C Removal of hip prosthesis 27120 C Reconstruction of hip socket 27122 C Reconstruction of hip socket 27125 C Partial hip replacement 27130 C Total hip replacement 27132 C Total hip replacement 27134 C Revise hip joint replacement 27137 C Revise hip joint replacement 27138 C Revise hip joint replacement 27140 C Transplant of femur ridge 27146 C Incision of hip bone 27147 C Revision of hip bone 27151 C Incision of hip bones 27156 C Revision of hip bones 27158 C Revision of pelvis 27161 C Incision of neck of femur 27165 C Incision/fixation of femur 27170 C Repair/graft femur head/neck

27175 C Treat slipped epiphysis 27176 C Treat slipped epiphysis 27177 C Repair slipped epiphysis 27178 C Repair slipped epiphysis 27179 C Revise head/neck of femur 27181 C Repair slipped epiphysis 27185 C Revision of femur epiphysis 27187 C Reinforce hip bones 27215 C Pelvic fracture(s) treatment 27216 C Treat pelvic ring fracture 27217 C Treat pelvic ring fracture 27218 C Treat pelvic ring fracture 27222 C Treat hip socket fracture 27226 C Treat hip wall fracture 27227 C Treat hip fracture(s) 27228 C Treat hip fracture(s) 27232 C Treat fracture of thigh 27235 C Repair of thigh fracture 27236 C Repair of thigh fracture 27240 C Treatment of thigh fracture 27244 C Repair of thigh fracture 27245 C Repair of thigh fracture 27248 C Repair of thigh fracture 27253 C Repair of hip dislocation 27254 C Repair of hip dislocation 27258 C Repair of hip dislocation 27259 C Repair of hip dislocation 27280 C Fusion of sacroiliac joint 27282 C Fusion of pubic bones 27284 C Fusion of hip joint 27286 C Fusion of hip joint 27290 C Amputation of leg at hip 27295 C Amputation of leg at hip 27303 C Drainage of bone lesion 27365 C Extensive leg surgery 27445 C Revision of knee joint 27446 C Revision of knee joint 27447 C Total knee replacement 27448 C Incision of thigh 27450 C Incision of thigh 27454 C Realignment of thigh bone 27455 C Realignment of knee 27457 C Realignment of knee 27465 C Shortening of thigh bone 27466 C Lengthening of thigh bone 27468 C Shorten/lengthen thighs 27470 C Repair of thigh 27472 C Repair/graft of thigh 27475 C Surgery to stop leg growth 27477 C Surgery to stop leg growth 27479 C Surgery to stop leg growth 27485 C Surgery to stop leg growth 27486 C Revise knee joint replace 27487 C Revise knee joint replace 27488 C Removal of knee prosthesis 27495 C Reinforce thigh 27506 C Repair of thigh fracture 27507 C Treatment of thigh fracture 27511 C Treatment of thigh fracture 27513 C Treatment of thigh fracture 27514 C Repair of thigh fracture 27519 C Repair of thigh growth plate 27524 C Repair of kneecap fracture 27535 C Treatment of knee fracture 27536 C Repair of knee fracture 27540 C Repair of knee fracture 27557 C Repair of knee dislocation 27558 C Repair of knee dislocation 27580 C Fusion of knee 27590 C Amputate leg at thigh 27591 C Amputate leg at thigh 27592 C Amputate leg at thigh 27596 C Amputation follow-up surgery 27598 C Amputate lower leg at knee 27645 C Extensive lower leg surgery 27646 C Extensive lower leg surgery 27702 C Reconstruct ankle joint 27703 C Reconstruction, ankle joint 27712 C Realignment of lower leg 27715 C Revision of lower leg 27720 C Repair of tibia 27722 C Repair/graft of tibia 27724 C Repair/graft of tibia 27725 C Repair of lower leg 27727 C Repair of lower leg 27880 C Amputation of lower leg 27881 C Amputation of lower leg 27882 C Amputation of lower leg 27886 C Amputation follow-up surgery 27888 C Amputation of foot at ankle 28800 C Amputation of midfoot 28805 C Amputation thru metatarsal 31225 C Removal of upper jaw 31230 C Removal of upper jaw 31290 C Nasal/sinus endoscopy, surg 31291 C Nasal/sinus endoscopy, surg 31292 C Nasal/sinus endoscopy, surg 31293 C Nasal/sinus endoscopy, surg 31294 C Nasal/sinus endoscopy, surg 31360 C Removal of larynx 31365 C Removal of larynx 31367 C Partial removal of larynx 31368 C Partial removal of larynx 31370 C Partial removal of larynx 31375 C Partial removal of larynx 31380 C Partial removal of larynx 31382 C Partial removal of larynx 31390 C Removal of larynx & pharynx 31395 C Reconstruct larynx & pharynx 31580 C Revision of larynx 31582 C Revision of larynx 31584 C Repair of larynx fracture 31587 C Revision of larynx 31600 C Incision of windpipe 31601 C Incision of windpipe 31610 C Incision of windpipe 31725 C Clearance of airways 31760 C Repair of windpipe 31766 C Reconstruction of windpipe 31770 C Repair/graft of bronchus 31775 C Reconstruct bronchus 31780 C Reconstruct windpipe 31781 C Reconstruct windpipe 31785 C Remove windpipe lesion 31786 C Remove windpipe lesion 31800 C Repair of windpipe injury 31805 C Repair of windpipe injury 32005 C Treat lung lining chemically 32035 C Exploration of chest 32036 C Exploration of chest 32095 C Biopsy through chest wall 32100 C Exploration/biopsy of chest 32110 C Explore/repair chest 32120 C Re-exploration of chest 32124 C Explore chest,free adhesions 32140 C Removal of lung lesion(s) 32141 C Remove/treat lung lesions 32150 C Removal of lung lesion(s) 32151 C Remove lung foreign body 32160 C Open chest heart massage 32200 C Open drainage, lung lesion 32201 C Percut drainage, lung lesion 32215 C Treat chest lining 32220 C Release of lung 32225 C Partial release of lung 32310 C Removal of chest lining 32320 C Free/remove chest lining 32402 C Open biopsy chest lining 32440 C Removal of lung 32442 C Sleeve pneumonectomy 32445 C Removal of lung 32480 C Partial removal of lung 32482 C Bilobectomy 32484 C Segmentectomy 32486 C Sleeve lobectomy 32488 C Completion pneumonectomy 32491 C Lung volume reduction 32500 C Partial removal of lung 32501 C Repair bronchus (add-on) 32520 C Remove lung & revise chest 32522 C Remove lung & revise chest 32525 C Remove lung & revise chest 32540 C Removal of lung lesion 32601 C Thoracoscopy, diagnostic 32602 C Thoracoscopy, diagnostic 32603 C Thoracoscopy, diagnostic 32604 C Thoracoscopy, diagnostic 32605 C Thoracoscopy, diagnostic 32606 C Thoracoscopy, diagnostic 32650 C Thoracoscopy, surgical 32651 C Thoracoscopy, surgical 32652 C Thoracoscopy, surgical 32653 C Thoracoscopy, surgical 32654 C Thoracoscopy, surgical 32655 C Thoracoscopy, surgical 32656 C Thoracoscopy, surgical 32657 C Thoracoscopy, surgical 32658 C Thoracoscopy, surgical 32659 C Thoracoscopy, surgical 32660 C Thoracoscopy, surgical 32661 C Thoracoscopy, surgical 32662 C Thoracoscopy, surgical 32663 C Thoracoscopy, surgical 32664 C Thoracoscopy, surgical 32665 C Thoracoscopy, surgical 32800 C Repair lung hernia 32810 C Close chest after drainage 32815 C Close bronchial fistula 32820 C Reconstruct injured chest 32850 C Donor pneumonectomy 32851 C Lung transplant, single 32852 C Lung transplant w/bypass 32853 C Lung transplant, double 32854 C Lung transplant w/bypass 32900 C Removal of rib(s) 32905 C Revise & repair chest wall 32906 C Revise & repair chest wall 32940 C Revision of lung 33015 C Incision of heart sac 33020 C Incision of heart sac 33025 C Incision of heart sac 33030 C Partial removal of heart sac 33031 C Partial removal of heart sac 33050 C Removal of heart sac lesion 33120 C Removal of heart lesion 33130 C Removal of heart lesion 33200 C Insertion of heart pacemaker 33201 C Insertion of heart pacemaker 33206 C Insertion of heart pacemaker 33207 C Insertion of heart pacemaker 33208 C Insertion of heart pacemaker 33210 C Insertion of heart electrode 33211 C Insertion of heart electrode 33212 C Insertion of pulse generator 33213 C Insertion of pulse generator 33214 C Upgrade of pacemaker system 33216 C Revision implanted electrode 33217 C Insert/revise electrode 33218 C Repair pacemaker electrodes

33220 C Repair pacemaker electrode 33233 C Removal of pacemaker system 33234 C Removal of pacemaker system 33235 C Removal pacemaker electrode 33236 C Remove electrode/thoracotomy 33237 C Remove electrode/thoracotomy 33238 C Remove electrode/thoracotomy 33240 C Insert/replace pulse gener 33241 C Remove pulse generator only 33242 C Repair pulse generator/leads 33243 C Remove generator/thoracotomy 33244 C Remove generator 33245 C Implant heart defibrillator 33246 C Implant heart defibrillator 33247 C Insert/replace leads 33249 C Insert/replace leads/gener 33250 C Ablate heart dysrhythm focus 33251 C Ablate heart dysrhythm focus 33253 C Reconstruct atria 33261 C Ablate heart dysrhythm focus 33300 C Repair of heart wound 33305 C Repair of heart wound 33310 C Exploratory heart surgery 33315 C Exploratory heart surgery 33320 C Repair major blood vessel(s) 33321 C Repair major vessel 33322 C Repair major blood vessel(s) 33330 C Insert major vessel graft 33332 C Insert major vessel graft 33335 C Insert major vessel graft 33400 C Repair of aortic valve 33401 C Valvuloplasty, open 33403 C Valvuloplasty, w/cp bypass 33404 C Prepare heart-aorta conduit 33405 C Replacement of aortic valve 33406 C Replacement, aortic valve 33411 C Replacement of aortic valve 33412 C Replacement of aortic valve 33413 C Replacement, aortic valve 33414 C Repair, aortic valve 33415 C Revision, subvalvular tissue 33416 C Revise ventricle muscle 33417 C Repair of aortic valve 33420 C Revision of mitral valve 33422 C Revision of mitral valve 33425 C Repair of mitral valve 33426 C Repair of mitral valve 33427 C Repair of mitral valve 33430 C Replacement of mitral valve 33460 C Revision of tricuspid valve 33463 C Valvuloplasty, tricuspid 33464 C Valvuloplasty, tricuspid 33465 C Replace tricuspid valve 33468 C Revision of tricuspid valve 33470 C Revision of pulmonary valve 33471 C Valvotomy, pulmonary valve 33472 C Revision of pulmonary valve 33474 C Revision of pulmonary valve 33475 C Replacement, pulmonary valve 33476 C Revision of heart chamber 33478 C Revision of heart chamber 33496 C Repair, prosth valve clot 33500 C Repair heart vessel fistula 33501 C Repair heart vessel fistula 33502 C Coronary artery correction 33503 C Coronary artery graft 33504 C Coronary artery graft 33505 C Repair artery w/tunnel 33506 C Repair artery, translocation 33510 C CABG, vein, single 33511 C CABG, vein, two 33512 C CABG, vein, three 33513 C CABG, vein, four 33514 C CABG, vein, five 33516 C CABG, vein, six+ 33517 C CABG, artery-vein, single 33518 C CABG, artery-vein, two 33519 C CABG, artery-vein, three 33521 C CABG, artery-vein, four 33522 C CABG, artery-vein, five 33523 C CABG, artery-vein, six+ 33530 C Coronary artery, bypass/reop 33533 C CABG, arterial, single 33534 C CABG, arterial, two 33535 C CABG, arterial, three 33536 C CABG, arterial, four+ 33542 C Removal of heart lesion 33545 C Repair of heart damage 33572 C Open coronary endarterectomy 33600 C Closure of valve 33602 C Closure of valve 33606 C Anastomosis/artery-aorta 33608 C Repair anomaly w/conduit 33610 C Repair by enlargement 33611 C Repair double ventricle 33612 C Repair double ventricle 33615 C Repair (simple fontan) 33617 C Repair by modified fontan 33619 C Repair single ventricle 33641 C Repair heart septum defect 33645 C Revision of heart veins 33647 C Repair heart septum defects 33660 C Repair of heart defects 33665 C Repair of heart defects 33670 C Repair of heart chambers 33681 C Repair heart septum defect 33684 C Repair heart septum defect 33688 C Repair heart septum defect 33690 C Reinforce pulmonary artery 33692 C Repair of heart defects 33694 C Repair of heart defects 33697 C Repair of heart defects 33702 C Repair of heart defects 33710 C Repair of heart defects 33720 C Repair of heart defect 33722 C Repair of heart defect 33730 C Repair heart-vein defect(s) 33732 C Repair heart-vein defect 33735 C Revision of heart chamber 33736 C Revision of heart chamber 33737 C Revision of heart chamber 33750 C Major vessel shunt 33755 C Major vessel shunt 33762 C Major vessel shunt 33764 C Major vessel shunt & graft 33766 C Major vessel shunt 33767 C Major vessel shunt 33770 C Repair great vessels defect 33771 C Repair great vessels defect 33774 C Repair great vessels defect 33775 C Repair great vessels defect 33776 C Repair great vessels defect 33777 C Repair great vessels defect 33778 C Repair great vessels defect 33779 C Repair great vessels defect 33780 C Repair great vessels defect 33781 C Repair great vessels defect 33786 C Repair arterial trunk 33788 C Revision of pulmonary artery 33800 C Aortic suspension 33802 C Repair vessel defect 33803 C Repair vessel defect 33813 C Repair septal defect 33814 C Repair septal defect 33820 C Revise major vessel 33822 C Revise major vessel 33824 C Revise major vessel 33840 C Remove aorta constriction 33845 C Remove aorta constriction 33851 C Remove aorta constriction 33852 C Repair septal defect 33853 C Repair septal defect 33860 C Ascending aorta graft 33861 C Ascending aorta graft 33863 C Ascending aorta graft 33870 C Transverse aortic arch graft 33875 C Thoracic aorta graft 33877 C Thoracoabdominal graft 33910 C Remove lung artery emboli 33915 C Remove lung artery emboli 33916 C Surgery of great vessel 33917 C Repair pulmonary artery 33918 C Repair pulmonary atresia 33919 C Repair pulmonary atresia 33920 C Repair pulmonary atresia 33922 C Transect pulmonary artery 33924 C Remove pulmonary shunt 33930 C Removal of donor heart/lung 33935 C Transplantation, heart/lung 33940 C Removal of donor heart 33945 C Transplantation of heart 33960 C External circulation assist 33961 C External circulation assist 33970 C Aortic circulation assist 33971 C Aortic circulation assist 33973 C Insert balloon device 33974 C Remove intra-aortic balloon 33975 C Implant ventricular device 33976 C Implant ventricular device 33977 C Remove ventricular device 33978 C Remove ventricular device 34001 C Removal of artery clot 34051 C Removal of artery clot 34101 C Removal of artery clot 34111 C Removal of arm artery clot 34151 C Removal of artery clot 34201 C Removal of artery clot 34203 C Removal of leg artery clot 34401 C Removal of vein clot 34421 C Removal of vein clot 34451 C Removal of vein clot 34471 C Removal of vein clot 34490 C Removal of vein clot 34501 C Repair valve, femoral vein 34502 C Reconstruct, vena cava 34510 C Transposition of vein valve 34520 C Cross-over vein graft 34530 C Leg vein fusion 35001 C Repair defect of artery 35002 C Repair artery rupture, neck 35005 C Repair defect of artery 35011 C Repair defect of artery 35013 C Repair artery rupture, arm 35021 C Repair defect of artery 35022 C Repair artery rupture, chest 35045 C Repair defect of arm artery 35081 C Repair defect of artery 35082 C Repair artery rupture, aorta 35091 C Repair defect of artery 35092 C Repair artery rupture, aorta 35102 C Repair defect of artery

35103 C Repair artery rupture, groin 35111 C Repair defect of artery 35112 C Repair artery rupture, spleen 35121 C Repair defect of artery 35122 C Repair artery rupture, belly 35131 C Repair defect of artery 35132 C Repair artery rupture, groin 35141 C Repair defect of artery 35142 C Repair artery rupture, thigh 35151 C Repair defect of artery 35152 C Repair artery rupture, knee 35161 C Repair defect of artery 35162 C Repair artery rupture 35180 C Repair blood vessel lesion 35182 C Repair blood vessel lesion 35184 C Repair blood vessel lesion 35189 C Repair blood vessel lesion 35190 C Repair blood vessel lesion 35201 C Repair blood vessel lesion 35206 C Repair blood vessel lesion 35211 C Repair blood vessel lesion 35216 C Repair blood vessel lesion 35221 C Repair blood vessel lesion 35226 C Repair blood vessel lesion 35231 C Repair blood vessel lesion 35236 C Repair blood vessel lesion 35241 C Repair blood vessel lesion 35246 C Repair blood vessel lesion 35251 C Repair blood vessel lesion 35256 C Repair blood vessel lesion 35261 C Repair blood vessel lesion 35266 C Repair blood vessel lesion 35271 C Repair blood vessel lesion 35276 C Repair blood vessel lesion 35281 C Repair blood vessel lesion 35286 C Repair blood vessel lesion 35301 C Rechanneling of artery 35311 C Rechanneling of artery 35321 C Rechanneling of artery 35331 C Rechanneling of artery 35341 C Rechanneling of artery 35351 C Rechanneling of artery 35355 C Rechanneling of artery 35361 C Rechanneling of artery 35363 C Rechanneling of artery 35371 C Rechanneling of artery 35372 C Rechanneling of artery 35381 C Rechanneling of artery 35390 C Reoperation, carotid add-on 35400 C Angioscopy 35450 C Repair arterial blockage 35452 C Repair arterial blockage 35454 C Repair arterial blockage 35456 C Repair arterial blockage 35458 C Repair arterial blockage 35459 C Repair arterial blockage 35460 C Repair venous blockage 35470 C Repair arterial blockage 35471 C Repair arterial blockage 35472 C Repair arterial blockage 35473 C Repair arterial blockage 35474 C Repair arterial blockage 35475 C Repair arterial blockage 35476 C Repair venous blockage 35480 C Atherectomy, open 35481 C Atherectomy, open 35482 C Atherectomy, open 35483 C Atherectomy, open 35484 C Atherectomy, open 35485 C Atherectomy, open 35490 C Atherectomy, percutaneous 35491 C Atherectomy, percutaneous 35492 C Atherectomy, percutaneous 35493 C Atherectomy, percutaneous 35494 C Atherectomy, percutaneous 35495 C Atherectomy, percutaneous 35501 C Artery bypass graft 35506 C Artery bypass graft 35507 C Artery bypass graft 35508 C Artery bypass graft 35509 C Artery bypass graft 35511 C Artery bypass graft 35515 C Artery bypass graft 35516 C Artery bypass graft 35518 C Artery bypass graft 35521 C Artery bypass graft 35526 C Artery bypass graft 35531 C Artery bypass graft 35533 C Artery bypass graft 35536 C Artery bypass graft 35541 C Artery bypass graft 35546 C Artery bypass graft 35548 C Artery bypass graft 35549 C Artery bypass graft 35551 C Artery bypass graft 35556 C Artery bypass graft 35558 C Artery bypass graft 35560 C Artery bypass graft 35563 C Artery bypass graft 35565 C Artery bypass graft 35566 C Artery bypass graft 35571 C Artery bypass graft 35582 C Vein bypass graft 35583 C Vein bypass graft 35585 C Vein bypass graft 35587 C Vein bypass graft 35601 C Artery bypass graft 35606 C Artery bypass graft 35612 C Artery bypass graft 35616 C Artery bypass graft 35621 C Artery bypass graft 35623 C Bypass graft, not vein 35626 C Artery bypass graft 35631 C Artery bypass graft 35636 C Artery bypass graft 35641 C Artery bypass graft 35642 C Artery bypass graft 35645 C Artery bypass graft 35646 C Artery bypass graft 35650 C Artery bypass graft 35651 C Artery bypass graft 35654 C Artery bypass graft 35656 C Artery bypass graft 35661 C Artery bypass graft 35663 C Artery bypass graft 35665 C Artery bypass graft 35666 C Artery bypass graft 35671 C Artery bypass graft 35681 C Composite bypass graft 35691 C Arterial transposition 35693 C Arterial transposition 35694 C Arterial transposition 35695 C Arterial transposition 35700 C Reoperation, bypass graft 35701 C Exploration, carotid artery 35721 C Exploration, femoral artery 35741 C Exploration popliteal artery 35761 C Exploration of artery/vein 35800 C Explore neck vessels 35820 C Explore chest vessels 35840 C Explore abdominal vessels 35860 C Explore limb vessels 35870 C Repair vessel graft defect 35901 C Excision, graft, neck 35903 C Excision, graft, extremity 35905 C Excision, graft, thorax 35907 C Excision, graft, abdomen 36510 C Insertion of catheter, vein 36660 C Insertion catheter, artery 36822 C Insertion of cannula(s) 36834 C Repair A-V aneurysm 37140 C Revision of circulation 37145 C Revision of circulation 37160 C Revision of circulation 37180 C Revision of circulation 37181 C Splice spleen/kidney veins 37195 C Thrombolytic therapy, stroke 37200 C Transcatheter biopsy 37201 C Transcatheter therapy infuse 37202 C Transcatheter therapy infuse 37204 C Transcatheter occlusion 37205 C Transcatheter stent 37206 C Transcatheter stent add-on 37207 C Transcatheter stent 37208 C Transcatheter stent add-on 37209 C Exchange arterial catheter 37250 C Intravascular us 37251 C Intravascular us 37565 C Ligation of neck vein 37600 C Ligation of neck artery 37605 C Ligation of neck artery 37606 C Ligation of neck artery 37615 C Ligation of neck artery 37616 C Ligation of chest artery 37617 C Ligation of abdomen artery 37620 C Revision of major vein 37660 C Revision of major vein 37788 C Revascularization, penis 38100 C Removal of spleen, total 38101 C Removal of spleen, partial 38102 C Removal of spleen, total 38115 C Repair of ruptured spleen 38240 C Bone marrow/stem transplant 38241 C Bone marrow/stem transplant 38380 C Thoracic duct procedure 38381 C Thoracic duct procedure 38382 C Thoracic duct procedure 38562 C Removal, pelvic lymph nodes 38564 C Removal, abdomen lymph nodes 38700 C Removal of lymph nodes, neck 38720 C Removal of lymph nodes, neck 38724 C Removal of lymph nodes, neck 38746 C Remove thoracic lymph nodes 38747 C Remove abdominal lymph nodes 38765 C Remove groin lymph nodes 38770 C Remove pelvis lymph nodes 38780 C Remove abdomen lymph nodes 39000 C Exploration of chest 39010 C Exploration of chest 39200 C Removal chest lesion 39220 C Removal chest lesion 39400 C Visualization of chest 39499 C Chest procedure 39501 C Repair diaphragm laceration 39502 C Repair paraesophageal hernia 39503 C Repair of diaphragm hernia 39520 C Repair of diaphragm hernia 39530 C Repair of diaphragm hernia 39531 C Repair of diaphragm hernia 39540 C Repair of diaphragm hernia 39541 C Repair of diaphragm hernia 39545 C Revision of diaphragm 39599 C Diaphragm surgery procedure

41130 C Partial removal of tongue 41135 C Tongue and neck surgery 41140 C Removal of tongue 41145 C Tongue removal; neck surgery 41150 C Tongue, mouth, jaw surgery 41153 C Tongue, mouth, neck surgery 41155 C Tongue, jaw, & neck surgery 42145 C Repair, palate, pharynx/uvula 42426 C Excise parotid gland/lesion 42845 C Extensive surgery of throat 42880 C Excise nose/throat lesion 42894 C Revision of pharyngeal walls 42953 C Repair throat, esophagus 42961 C Control throat bleeding 42971 C Control nose/throat bleeding 43045 C Incision of esophagus 43100 C Excision of esophagus lesion 43101 C Excision of esophagus lesion 43107 C Removal of esophagus 43108 C Removal of esophagus 43112 C Removal of esophagus 43113 C Removal of esophagus 43116 C Partial removal of esophagus 43117 C Partial removal of esophagus 43118 C Partial removal of esophagus 43121 C Partial removal of esophagus 43122 C Parital removal of esophagus 43123 C Partial removal of esophagus 43124 C Removal of esophagus 43130 C Removal of esophagus pouch 43135 C Removal of esophagus pouch 43300 C Repair of esophagus 43305 C Repair esophagus and fistula 43310 C Repair of esophagus 43312 C Repair esophagus and fistula 43320 C Fuse esophagus & stomach 43324 C Revise esophagus & stomach 43325 C Revise esophagus & stomach 43326 C Revise esophagus & stomach 43330 C Repair of esophagus 43331 C Repair of esophagus 43340 C Fuse esophagus & intestine 43341 C Fuse esophagus & intestine 43350 C Surgical opening, esophagus 43351 C Surgical opening, esophagus 43352 C Surgical opening, esophagus 43360 C Gastrointestinal repair 43361 C Gastrointestinal repair 43400 C Ligate esophagus veins 43401 C Esophagus surgery for veins 43405 C Ligate/staple esophagus 43410 C Repair esophagus wound 43415 C Repair esophagus wound 43420 C Repair esophagus opening 43425 C Repair esophagus opening 43460 C Pressure treatment esophagus 43496 C Free jejunum flap, microvasc 43500 C Surgical opening of stomach 43501 C Surgical repair of stomach 43502 C Surgical repair of stomach 43510 C Surgical opening of stomach 43520 C Incision of pyloric muscle 43605 C Biopsy of stomach 43610 C Excision of stomach lesion 43611 C Excision of stomach lesion 43620 C Removal of stomach 43621 C Removal of stomach 43622 C Removal of stomach 43631 C Removal of stomach, partial 43632 C Removal stomach, partial 43633 C Removal stomach, partial 43634 C Removal stomach, partial 43635 C Partial removal of stomach 43638 C Partial removal of stomach 43639 C Removal stomach, partial 43640 C Vagotomy & pylorus repair 43641 C Vagotomy & pylorus repair 43800 C Reconstruction of pylorus 43810 C Fusion of stomach and bowel 43820 C Fusion of stomach and bowel 43825 C Fusion of stomach and bowel 43830 C Place gastrostomy tube 43831 C Place gastrostomy tube 43832 C Place gastrostomy tube 43840 C Repair of stomach lesion 43842 C Gastroplasty for obesity 43843 C Gastroplasty for obesity 43846 C Gastric bypass for obesity 43847 C Gastric bypass for obesity 43848 C Revision gastroplasty 43850 C Revise stomach-bowel fusion 43855 C Revise stomach-bowel fusion 43860 C Revise stomach-bowel fusion 43865 C Revise stomach-bowel fusion 43880 C Repair stomach-bowel fistula 44005 C Freeing of bowel adhesion 44010 C Incision of small bowel 44015 C Insert needle catheter, bowel 44020 C Exploration of small bowel 44021 C Decompress small bowel 44025 C Incision of large bowel 44050 C Reduce bowel obstruction 44055 C Correct malrotation of bowel 44110 C Excision of bowel lesion(s) 44111 C Excision of bowel lesion(s) 44120 C Removal of small intestine 44121 C Removal of small intestine 44125 C Removal of small intestine 44130 C Bowel to bowel fusion 44139 C Mobilization of colon 44140 C Partial removal of colon 44141 C Partial removal of colon 44143 C Partial removal of colon 44144 C Partial removal of colon 44145 C Partial removal of colon 44146 C Partial removal of colon 44147 C Partial removal of colon 44150 C Removal of colon 44151 C Removal of colon/ileostomy 44152 C Removal of colon/ileostomy 44153 C Removal of colon/ileostomy 44155 C Removal of colon 44156 C Removal of colon/ileostomy 44160 C Removal of colon 44300 C Open bowel to skin 44310 C Ileostomy/jejunostomy 44314 C Revision of ileostomy 44316 C Devise bowel pouch 44320 C Colostomy 44322 C Colostomy with biopsies 44345 C Revision of colostomy 44346 C Revision of colostomy 44500 C Intro, gastrointestinal tube 44602 C Suture, small intestine 44603 C Suture, small intestine 44604 C Suture, large intestine 44605 C Repair of bowel lesion 44615 C Intestinal stricturoplasty 44620 C Repair bowel opening 44625 C Repair bowel opening 44626 C Repair bowel opening 44640 C Repair bowel-skin fistula 44650 C Repair bowel fistula 44660 C Repair bowel-bladder fistula 44661 C Repair bowel-bladder fistula 44680 C Surgical revision, intestine 44700 C Suspend bowel w/prosthesis 44800 C Excision of bowel pouch 44820 C Excision of mesentery lesion 44850 C Repair of mesentery 44899 C Bowel surgery procedure 44900 C Drain, app abscess, open 44901 C Drain, app abscess, perc 44950 C Appendectomy 44955 C Appendectomy add-on 44960 C Appendectomy 45110 C Removal of rectum 45111 C Partial removal of rectum 45112 C Removal of rectum 45113 C Partial proctectomy 45114 C Partial removal of rectum 45116 C Partial removal of rectum 45119 C Remove, rectum w/reservoir 45120 C Removal of rectum 45121 C Removal of rectum and colon 45123 C Partial proctectomy 45130 C Excision of rectal prolapse 45135 C Excision of rectal prolapse 45540 C Correct rectal prolapse 45541 C Correct rectal prolapse 45550 C Repair rectum;remove sigmoid 45562 C Exploration/repair of rectum 45563 C Exploration/repair of rectum 45800 C Repair rectumbladder fistula 45805 C Repair fistula; colostomy 45820 C Repair rectourethral fistula 45825 C Repair fistula; colostomy 46705 C Repair of anal stricture 46715 C Repair of anovaginal fistula 46716 C Repair of anovaginal fistula 46730 C Construction of absent anus 46735 C Construction of absent anus 46740 C Construction of absent anus 46742 C Repair, imperforated anus 46744 C Repair, cloacal anomaly 46746 C Repair, cloacal anomaly 46748 C Repair, cloacal anomaly 46751 C Repair of anal sphincter 47001 C Needle biopsy, liver add-on 47010 C Open drainage, liver lesion 47011 C Percut drain, liver lesion 47015 C Inject/aspirate liver cyst 47100 C Wedge biopsy of liver 47120 C Partial removal of liver 47122 C Extensive removal of liver 47125 C Partial removal of liver 47130 C Partial removal of liver 47133 C Removal of donor liver 47134 C Partial removal, donor liver 47135 C Transplantation of liver 47136 C Transplantation of liver 47300 C Surgery for liver lesion 47350 C Repair liver wound 47360 C Repair liver wound 47361 C Repair liver wound 47362 C Repair liver wound 47400 C Incision of liver duct 47420 C Incision of bile duct 47425 C Incision of bile duct 47460 C Incise bile duct sphincter 47480 C Incision of gallbladder 47490 C Incision of gallbladder 47550 C Bile duct endoscopy add-on 47600 C Removal of gallbladder 47605 C Removal of gallbladder 47610 C Removal of gallbladder 47612 C Removal of gallbladder 47620 C Removal of gallbladder 47700 C Exploration of bile ducts

47701 C Bile duct revision 47711 C Excision of bile duct tumor 47712 C Excision of bile duct tumor 47715 C Excision of bile duct cyst 47716 C Fusion of bile duct cyst 47720 C Fuse gallbladder & bowel 47721 C Fuse upper gi structures 47740 C Fuse gallbladder & bowel 47741 C Fuse gallbladder & bowel 47760 C Fuse bile ducts and bowel 47765 C Fuse liver ducts & bowel 47780 C Fuse bile ducts and bowel 47785 C Fuse bile ducts and bowel 47800 C Reconstruction of bile ducts 47801 C Placement, bile duct support 47802 C Fuse liver duct & intestine 47900 C Suture bile duct injury 48000 C Drainage of abdomen 48001 C Placement of drain, pancreas 48005 C Resect/debride pancreas 48020 C Removal of pancreatic stone 48100 C Biopsy of pancreas 48120 C Removal of pancreas lesion 48140 C Partial removal of pancreas 48145 C Partial removal of pancreas 48146 C Pancreatectomy 48148 C Removal of pancreatic duct 48150 C Partial removal of pancreas 48152 C Pancreatectomy 48153 C Pancreatectomy 48154 C Pancreatectomy 48155 C Removal of pancreas 48180 C Fuse pancreas and bowel 48400 C Injection, intraop add-on 48500 C Surgery of pancreas cyst 48510 C Drain pancreatic pseudocyst 48511 C Drain pancreatic pseudocyst 48520 C Fuse pancreas cyst and bowel 48540 C Fuse pancreas cyst and bowel 48545 C Pancreatorrhaphy 48547 C Duodenal exclusion 48556 C Removal, allograft pancreas 49000 C Exploration of abdomen 49002 C Reopening of abdomen 49010 C Exploration behind abdomen 49020 C Drain abdominal abscess 49021 C Drain abdominal abscess 49040 C Open drainage abdom abscess 49041 C Percut drain abdom abscess 49060 C Open drain retroper abscess 49061 C Percutdrain retroper abscess 49062 C Drain to peritoneal cavity 49200 C Removal of abdominal lesion 49201 C Removal of abdominal lesion 49215 C Excise sacral spine tumor 49220 C Multiple surgery, abdomen 49255 C Removal of omentum 49425 C Insert abdomen-venous drain 49428 C Ligation of shunt 49605 C Repair umbilical lesion 49606 C Repair umbilical lesion 49610 C Repair umbilical lesion 49611 C Repair umbilical lesion 49900 C Repair of abdominal wall 49905 C Omental flap 49906 C Free omental flap, microvasc 50010 C Exploration of kidney 50020 C Open drain renal abscess 50021 C Percut drain renal abscess 50040 C Drainage of kidney 50045 C Exploration of kidney 50060 C Removal of kidney stone 50065 C Incision of kidney 50070 C Incision of kidney 50075 C Removal of kidney stone 50080 C Removal of kidney stone 50081 C Removal of kidney stone 50100 C Revise kidney blood vessels 50120 C Exploration of kidney 50125 C Explore and drain kidney 50130 C Removal of kidney stone 50135 C Exploration of kidney 50205 C Biopsy of kidney 50220 C Removal of kidney 50225 C Removal of kidney 50230 C Removal of kidney 50234 C Removal of kidney & ureter 50236 C Removal of kidney & ureter 50240 C Partial removal of kidney 50280 C Removal of kidney lesion 50290 C Removal of kidney lesion 50300 C Removal of donor kidney 50320 C Removal of donor kidney 50340 C Removal of kidney 50360 C Transplantation of kidney 50365 C Transplantation of kidney 50370 C Remove transplanted kidney 50380 C Reimplantation of kidney 50400 C Revision of kidney/ureter 50405 C Revision of kidney/ureter 50500 C Repair of kidney wound 50520 C Close kidney-skin fistula 50525 C Repair renal-abdomen fistula 50526 C Repair renal-abdomen fistula 50540 C Revision of horseshoe kidney 50570 C Kidney endoscopy 50572 C Kidney endoscopy 50574 C Kidney endoscopy & biopsy 50575 C Kidney endoscopy 50576 C Kidney endoscopy & treatment 50578 C Renal endoscopy; radiotracer 50580 C Kidney endoscopy & treatment 50600 C Exploration of ureter 50605 C Insert ureteral support 50610 C Removal of ureter stone 50620 C Removal of ureter stone 50630 C Removal of ureter stone 50650 C Removal of ureter 50660 C Removal of ureter 50700 C Revision of ureter 50715 C Release of ureter 50722 C Release of ureter 50725 C Release/revise ureter 50727 C Revise ureter 50728 C Revise ureter 50740 C Fusion of ureter & kidney 50750 C Fusion of ureter & kidney 50760 C Fusion of ureters 50770 C Splicing of ureters 50780 C Reimplant ureter in bladder 50782 C Reimplant ureter in bladder 50783 C Reimplant ureter in bladder 50785 C Reimplant ureter in bladder 50800 C Implant ureter in bowel 50810 C Fusion of ureter & bowel 50815 C Urine shunt to bowel 50820 C Construct bowel bladder 50825 C Construct bowel bladder 50830 C Revise urine flow 50840 C Replace ureter by bowel 50845 C Appendico-vesicostomy 50860 C Transplant ureter to skin 50900 C Repair of ureter 50920 C Closure ureter/skin fistula 50930 C Closure ureter/bowel fistula 50940 C Release of ureter 50970 C Ureter endoscopy 50972 C Ureter endoscopy & catheter 50974 C Ureter endoscopy & biopsy 50976 C Ureter endoscopy & treatment 50978 C Ureter endoscopy & tracer 50980 C Ureter endoscopy & treatment 51060 C Removal of ureter stone 51525 C Removal of bladder lesion 51530 C Removal of bladder lesion 51535 C Repair of ureter lesion 51550 C Partial removal of bladder 51555 C Partial removal of bladder 51565 C Revise bladder & ureter(s) 51570 C Removal of bladder 51575 C Removal of bladder & nodes 51580 C Remove bladder; revise tract 51585 C Removal of bladder & nodes 51590 C Remove bladder; revise tract 51595 C Remove bladder; revise tract 51596 C Remove bladder, create pouch 51597 C Removal of pelvic structures 51800 C Revision of bladder/urethra 51820 C Revision of urinary tract 51840 C Attach bladder/urethra 51841 C Attach bladder/urethra 51845 C Repair bladder neck 51860 C Repair of bladder wound 51865 C Repair of bladder wound 51900 C Repair bladder/vagina lesion 51920 C Close bladder-uterus fistula 51925 C Hysterectomy/bladder repair 51940 C Correction of bladder defect 51960 C Revision of bladder & bowel 51980 C Construct bladder opening 53085 C Drainage of urinary leakage 53415 C Reconstruction of urethra 53443 C Reconstruction of urethra 54125 C Removal of penis 54130 C Remove penis & nodes 54135 C Remove penis & nodes 54332 C Revise penis, urethra 54336 C Revise penis, urethra 54390 C Repair penis and bladder 54430 C Revision of penis 54535 C Extensive testis surgery 54560 C Exploration for testis 54650 C Orchiopexy (Fowler-Stephens) 55600 C Incise sperm duct pouch 55605 C Incise sperm duct pouch 55650 C Remove sperm duct pouch 55801 C Removal of prostate 55810 C Extensive prostate surgery 55812 C Extensive prostate surgery 55815 C Extensive prostate surgery 55821 C Removal of prostate 55831 C Removal of prostate 55840 C Extensive prostate surgery 55842 C Extensive prostate surgery 55845 C Extensive prostate surgery 55860 C Surgical exposure, prostate 55862 C Extensive prostate surgery 55865 C Extensive prostate surgery 56308 C Laparoscopy; hysterectomy 56310 C Laparoscopic enterolysis 56314 C Lapar; drain lymphocele 56315 C Laparoscopic appendectomy 56322 C Laparoscopy, vagus nerves 56323 C Laparoscopy, vagus nerves 56324 C Laparoscopy, cholecystoenter 56340 C Laparoscopic cholecystectomy 56341 C Laparoscopic cholecystectomy

56342 C Laparoscopic cholecystectomy 56345 C Laparoscopic splenectomy 56347 C Laparoscopic jejunostomy 56348 C Laparo; resect intestine 56349 C Laparoscopy; fundoplasty 56630 C Extensive vulva surgery 56631 C Extensive vulva surgery 56632 C Extensive vulva surgery 56633 C Extensive vulva surgery 56634 C Extensive vulva surgery 56637 C Extensive vulva surgery 56640 C Extensive vulva surgery 56805 C Repair clitoris 57108 C Partial removal of vagina 57110 C Remove vagina wall, complete 57120 C Closure of vagina 57270 C Repair of bowel pouch 57280 C Suspension of vagina 57282 C Repair of vaginal prolapse 57292 C Construct vagina with graft 57305 C Repair rectum-vagina fistula 57307 C Fistula repair & colostomy 57308 C Fistula repair, transperine 57310 C Repair urethrovaginal lesion 57311 C Repair urethrovaginal lesion 57320 C Repair bladder-vagina lesion 57330 C Repair bladder-vagina lesion 57335 C Repair vagina 57531 C Removal of cervix, radical 57540 C Removal of residual cervix 57545 C Remove cervix, repair pelvis 58140 C Removal of uterus lesion 58150 C Total hysterectomy 58152 C Total hysterectomy 58180 C Partial hysterectomy 58200 C Extensive hysterectomy 58210 C Extensive hysterectomy 58240 C Removal of pelvis contents 58260 C Vaginal hysterectomy 58262 C Vaginal hysterectomy 58263 C Vaginal hysterectomy 58267 C Hysterectomy & vagina repair 58270 C Hysterectomy & vagina repair 58275 C Hysterectomy, revise vagina 58280 C Hysterectomy, revise vagina 58285 C Extensive hysterectomy 58400 C Suspension of uterus 58410 C Suspension of uterus 58520 C Repair of ruptured uterus 58540 C Revision of uterus 58600 C Division of fallopian tube 58605 C Division of fallopian tube 58611 C Ligate oviduct(s) add-on 58615 C Occlude fallopian tube(s) 58700 C Removal of fallopian tube 58720 C Removal of ovary/tube(s) 58740 C Revise fallopian tube(s) 58750 C Repair oviduct 58752 C Revise ovarian tube(s) 58760 C Remove tubal obstruction 58770 C Create new tubal opening 58805 C Drainage of ovarian cyst(s) 58822 C Percut drain ovary abscess 58823 C Percut drain pelvic abscess 58825 C Transposition, ovary(s) 58900 C Biopsy of ovary(s) 58920 C Partial removal of ovary(s) 58925 C Removal of ovarian cyst(s) 58940 C Removal of ovary(s) 58943 C Removal of ovary(s) 58950 C Resect ovarian malignancy 58951 C Resect ovarian malignancy 58952 C Resect ovarian malignancy 58960 C Exploration of abdomen 59100 C Remove uterus lesion 59120 C Treat ectopic pregnancy 59121 C Treat ectopic pregnancy 59130 C Treat ectopic pregnancy 59135 C Treat ectopic pregnancy 59136 C Treat ectopic pregnancy 59140 C Treat ectopic pregnancy 59150 C Treat ectopic pregnancy 59151 C Treat ectopic pregnancy 59325 C Revision of cervix 59350 C Repair of uterus 59514 C Cesarean delivery only 59525 C Remove uterus after cesarean 59620 C Attempted vbac delivery only 59830 C Treat uterus infection 59850 C Abortion 59851 C Abortion 59852 C Abortion 59855 C Abortion 59856 C Abortion 59857 C Abortion 59866 C Abortion 60212 C Parital thyroid excision 60252 C Removal of thyroid 60254 C Extensive thyroid surgery 60260 C Repeat thyroid surgery 60270 C Removal of thyroid 60271 C Removal of thyroid 60500 C Explore parathyroid glands 60502 C Re-explore parathyroids 60505 C Explore parathyroid glands 60512 C Autotransplant, parathyroid 60520 C Removal of thymus gland 60521 C Removal thymus gland 60522 C Removal of thymus gland 60540 C Explore adrenal gland 60545 C Explore adrenal gland 60600 C Remove carotid body lesion 60605 C Remove carotid body lesion 61105 C Twist drill hole 61106 C Drill skull for exam/surgery 61107 C Drill skull for implantation 61108 C Drill skull for drainage 61120 C Burr hole for puncture 61130 C Pierce skull, exam/surgery 61140 C Pierce skull for biopsy 61150 C Pierce skull for drainage 61151 C Pierce skull for drainage 61154 C Pierce skull, remove clot 61156 C Pierce skull for drainage 61210 C Pierce skull; implant device 61250 C Pierce skull & explore 61253 C Pierce skull & explore 61304 C Open skull for exploration 61305 C Open skull for exploration 61312 C Open skull for drainage 61313 C Open skull for drainage 61314 C Open skull for drainage 61315 C Open skull for drainage 61320 C Open skull for drainage 61321 C Open skull for drainage 61330 C Decompress eye socket 61332 C Explore/biopsy eye socket 61333 C Explore orbit; remove lesion 61334 C Explore orbit; remove object 61340 C Relieve cranial pressure 61343 C Incise skull, pressure relief 61345 C Relieve cranial pressure 61440 C Incise skull for surgery 61450 C Incise skull for surgery 61458 C Incise skull for brain wound 61460 C Incise skull for surgery 61470 C Incise skull for surgery 61480 C Incise skull for surgery 61490 C Incise skull for surgery 61500 C Removal of skull lesion 61501 C Remove infected skull bone 61510 C Removal of brain lesion 61512 C Remove brain lining lesion 61514 C Removal of brain abscess 61516 C Removal of brain lesion 61518 C Removal of brain lesion 61519 C Remove brain lining lesion 61520 C Removal of brain lesion 61521 C Removal of brain lesion 61522 C Removal of brain abscess 61524 C Removal of brain lesion 61526 C Removal of brain lesion 61530 C Removal of brain lesion 61531 C Implant brain electrodes 61533 C Implant brain electrodes 61534 C Removal of brain lesion 61535 C Remove brain electrodes 61536 C Removal of brain lesion 61538 C Removal of brain tissue 61539 C Removal of brain tissue 61541 C Incision of brain tissue 61542 C Removal of brain tissue 61543 C Removal of brain tissue 61544 C Remove & treat brain lesion 61545 C Excision of brain tumor 61546 C Removal of pituitary gland 61548 C Removal of pituitary gland 61550 C Release of skull seams 61552 C Release of skull seams 61556 C Incise skull/sutures 61557 C Incise skull/sutures 61558 C Excision of skull/sutures 61559 C Excision of skull/sutures 61563 C Excision of skull tumor 61564 C Excision of skull tumor 61570 C Remove brain foreign body 61571 C Incise skull for brain wound 61575 C Skull base/brainstem surgery 61576 C Skull base/brainstem surgery 61580 C Craniofacial approach, skull 61581 C Craniofacial approach, skull 61582 C Craniofacial approach, skull 61583 C Craniofacial approach, skull 61584 C Orbitocranial approach/skull 61585 C Orbitocranial approach/skull 61586 C Resect nasopharynx, skull 61590 C Infratemporal approach/skull 61591 C Infratemporal approach/skull 61592 C Orbitocranial approach/skull 61595 C Transtemporal approach/skull 61596 C Transcochlear approach/skull 61597 C Transcondylar approach/skull 61598 C Transpetrosal approach/skull 61600 C Resect/excise cranial lesion 61601 C Resect/excise cranial lesion 61605 C Resect/excise cranial lesion 61606 C Resect/excise cranial lesion 61607 C Resect/excise cranial lesion 61608 C Resect/excise cranial lesion 61609 C Transect, artery, sinus 61610 C Transect, artery, sinus 61611 C Transect, artery, sinus 61612 C Transect, artery, sinus 61613 C Remove aneurysm, sinus 61615 C Resect/excise lesion, skull 61616 C Resect/excise lesion, skull 61618 C Repair dura 61619 C Repair dura 61624 C Occlusion/embolization cath

61626 C Occlusion/embolization cath 61680 C Intracranial vessel surgery 61682 C Intracranial vessel surgery 61684 C Intracranial vessel surgery 61686 C Intracranial vessel surgery 61690 C Intracranial vessel surgery 61692 C Intracranial vessel surgery 61700 C Inner skull vessel surgery 61702 C Inner skull vessel surgery 61703 C Clamp neck artery 61705 C Revise circulation to head 61708 C Revise circulation to head 61710 C Revise circulation to head 61711 C Fusion of skull arteries 61712 C Skull or spine microsurgery 61720 C Incise skull/brain surgery 61735 C Incise skull/brain surgery 61750 C Incise skull; brain biopsy 61751 C Brain biopsy with cat scan 61760 C Implant brain electrodes 61770 C Incise skull for treatment 61791 C Treat trigeminal tract 61795 C Brain surgery using computer 61850 C Implant neuroelectrodes 61855 C Implant neuroelectrodes 61860 C Implant neuroelectrodes 61865 C Implant neuroelectrodes 61870 C Implant neuroelectrodes 61875 C Implant neuroelectrodes 61880 C Revise/remove neuroelectrode 61888 C Revise/remove neuroreceiver 62000 C Repair of skull fracture 62005 C Repair of skull fracture 62010 C Treatment of head injury 62100 C Repair brain fluid leakage 62115 C Reduction of skull defect 62116 C Reduction of skull defect 62117 C Reduction of skull defect 62120 C Repair skull cavity lesion 62121 C Incise skull repair 62140 C Repair of skull defect 62141 C Repair of skull defect 62142 C Remove skull plate/flap 62143 C Replace skull plate/flap 62145 C Repair of skull & brain 62146 C Repair of skull with graft 62147 C Repair of skull with graft 62180 C Establish brain cavity shunt 62190 C Establish brain cavity shunt 62192 C Establish brain cavity shunt 62200 C Establish brain cavity shunt 62201 C Establish brain cavity shunt 62220 C Establish brain cavity shunt 62223 C Establish brain cavity shunt 62256 C Remove brain cavity shunt 62258 C Replace brain cavity shunt 62351 C Implant spinal catheter 63001 C Removal of spinal lamina 63003 C Removal of spinal lamina 63005 C Removal of spinal lamina 63011 C Removal of spinal lamina 63012 C Removal of spinal lamina 63015 C Removal of spinal lamina 63016 C Removal of spinal lamina 63017 C Removal of spinal lamina 63020 C Neck spine disk surgery 63030 C Low back disk surgery 63035 C Spinal disk surgery add-on 63040 C Neck spine disk surgery 63042 C Low back disk surgery 63045 C Removal of spinal lamina 63046 C Removal of spinal lamina 63047 C Removal of spinal lamina 63048 C Remove spinal lamina add-on 63055 C Decompress spinal cord 63056 C Decompress spinal cord 63057 C Decompress spine cord add-on 63064 C Decompress spinal cord 63066 C Decompress spine cord add-on 63075 C Neck spine disk surgery 63076 C Neck spine disk surgery 63077 C Spine disk surgery, thorax 63078 C Spine disk surgery, thorax 63081 C Removal of vertebral body 63082 C Remove vertebral body add-on 63085 C Removal of vertebral body 63086 C Remove vertebral body add-on 63087 C Removal of vertebral body 63088 C Remove vertebral body add-on 63090 C Removal of vertebral body 63091 C Remove vertebral body add-on 63170 C Incise spinal cord tract(s) 63172 C Drainage of spinal cyst 63173 C Drainage of spinal cyst 63180 C Revise spinal cord ligaments 63182 C Revise spinal cord ligaments 63185 C Incise spinal column/nerves 63190 C Incise spinal column/nerves 63191 C Incise spinal column/nerves 63194 C Incise spinal column & cord 63195 C Incise spinal column & cord 63196 C Incise spinal column & cord 63197 C Incise spinal column & cord 63198 C Incise spinal column & cord 63199 C Incise spinal column & cord 63200 C Release of spinal cord 63250 C Revise spinal cord vessels 63251 C Revise spinal cord vessels 63252 C Revise spinal cord vessels 63265 C Excise intraspinal lesion 63266 C Excise intraspinal lesion 63267 C Excise intraspinal lesion 63268 C Excise intraspinal lesion 63270 C Excise intraspinal lesion 63271 C Excise intraspinal lesion 63272 C Excise intraspinal lesion 63273 C Excise intraspinal lesion 63275 C Biopsy/excise spinal tumor 63276 C Biopsy/excise spinal tumor 63277 C Biopsy/excise spinal tumor 63278 C Biopsy/excise spinal tumor 63280 C Biopsy/excise spinal tumor 63281 C Biopsy/excise spinal tumor 63282 C Biopsy/excise spinal tumor 63283 C Biopsy/excise spinal tumor 63285 C Biopsy/excise spinal tumor 63286 C Biopsy/excise spinal tumor 63287 C Biopsy/excise spinal tumor 63290 C Biopsy/excise spinal tumor 63300 C Removal of vertebral body 63301 C Removal of vertebral body 63302 C Removal of vertebral body 63303 C Removal of vertebral body 63304 C Removal of vertebral body 63305 C Removal of vertebral body 63306 C Removal of vertebral body 63307 C Removal of vertebral body 63308 C Remove vertebral body add-on 63655 C Implant neuroelectrodes 63700 C Repair of spinal herniation 63702 C Repair of spinal herniation 63704 C Repair of spinal herniation 63706 C Repair of spinal herniation 63707 C Repair spinal fluid leakage 63709 C Repair spinal fluid leakage 63710 C Graft repair of spine defect 63740 C Install spinal shunt 63741 C Install spinal shunt 64752 C Incision of vagus nerve 64755 C Incision of stomach nerves 64760 C Incision of vagus nerve 64763 C Incise hip/thigh nerve 64766 C Incise hip/thigh nerve 64802 C Remove sympathetic nerves 64804 C Remove sympathetic nerves 64809 C Remove sympathetic nerves 64818 C Remove sympathetic nerves 64820 C Remove sympathetic nerves 64866 C Fusion of facial/other nerve 64868 C Fusion of facial/other nerve 65110 C Removal of eye 65112 C Remove eye, revise socket 65114 C Remove eye, revise socket 65273 C Repair of eye wound 67414 C Explore/decompress eye socke 67445 C Explore/decompress eye socke 67570 C Decompress optic nerve 69155 C Extensive ear/neck surgery 69535 C Remove part of temporal bone 69554 C Remove ear lesion 69950 C Incise inner ear nerve 69955 C Release facial nerve 69960 C Release inner ear canal 69970 C Remove inner ear lesion 69979 C Temporal bone surgery 74300 C X-ray bile ducts, pancreas 74301 C X-rays at surgery add-on 75894 C X-rays, transcatheter therapy 75896 C X-rays, transcatheter therapy 75900 C Arterial catheter exchange 75940 C X-ray placement, vein filter 75945 C Intravascular us 75946 C Intravascular us add-on 75960 C Transcatheter intro, stent 75961 C Retrieval, broken catheter 75962 C Repair arterial blockage 75964 C Repair artery blockage, each 75966 C Repair arterial blockage 75968 C Repair artery blockage, each 75970 C Vascular biopsy 75978 C Repair venous blockage 75992 C Atherectomy, x-ray exam 75993 C Atherectomy, x-ray exam 75994 C Atherectomy, x-ray exam 75995 C Atherectomy, x-ray exam 75996 C Atherectomy, x-ray exam 92970 C Cardioassist, internal 92971 C Cardioassist, external 92975 C Dissolve clot, heart vessel 92977 C Dissolve clot, heart vessel 92978 C Intravas us, heart add-on 92979 C Intravas us, heart (add-on) 92980 C Insert intracoronary stent 92981 C Insert intracoronary stent 92982 C Coronary artery dilation 92984 C Coronary artery dilation 92986 C Revision of aortic valve 92987 C Revision of mitral valve 92990 C Revision of pulmonary valve 92992 C Revision of heart chamber

92993 C Revision of heart chamber 92995 C Coronary atherectomy 92996 C Coronary atherectomy add-on 92997 C Pul art balloon repair, perc 92998 C Pul art balloon repair, perc 94652 C Pressure breathing (IPPB) 94656 C Initial ventilator mgmt 95920 C Intraop nerve test add-on 95961 C Electrode stimulation, brain 95962 C Electrode stimulation, brain 99190 C Special pump services 99191 C Special pump services 99192 C Special pump services 99234 C Observ/hosp same date 99235 C Observ/hosp same date 99236 C Observ/hosp same date 99251 C Initial inpatient consult 99252 C Initial inpatient consult 99253 C Initial inpatient consult 99254 C Initial inpatient consult 99255 C Initial inpatient consult 99261 C Follow-up inpatient consult 99262 C Follow-up inpatient consult 99263 C Follow-up inpatient consult 99295 C Neonatal critical care 99296 C Neonatal critical care 99297 C Neonatal critical care 99356 C Prolonged service, inpatient 99357 C Prolonged service, inpatient 99433 C Normal newborn care,hospital ------------------------------------------------------------------------ \1\ CPT codes and descriptions only are copyright 1997 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. \2\ Copyright 1994 American Dental Association. All rights reserved.

51. On pages 48005 through 48030, Addendum I is corrected to read as follows:

Addendum I.--Service Mix Indices by Hospital ------------------------------------------------------------------------ Hospital SMI ------------------------------------------------------------------------ 10001.......................................................... 2.87 10004.......................................................... 1.70 10005.......................................................... 2.04 10006.......................................................... 2.81 10007.......................................................... 1.56 10008.......................................................... 1.77 10009.......................................................... 1.47 10010.......................................................... 2.30 10011.......................................................... 2.42 10012.......................................................... 2.01 10015.......................................................... 2.11 10016.......................................................... 2.49 10018.......................................................... 6.17 10019.......................................................... 2.24 10021.......................................................... 1.64 10022.......................................................... 1.86 10023.......................................................... 2.47 10024.......................................................... 2.75 10025.......................................................... 2.02 10027.......................................................... 1.00 10029.......................................................... 2.98 10031.......................................................... 1.85 10032.......................................................... 1.27 10033.......................................................... 1.47 10034.......................................................... 2.41 10035.......................................................... 2.82 10036.......................................................... 2.42 10038.......................................................... 4.13 10039.......................................................... 2.05 10040.......................................................... 2.42 10043.......................................................... 2.17 10044.......................................................... 2.03 10045.......................................................... 1.82 10046.......................................................... 2.00 10047.......................................................... 1.55 10049.......................................................... 2.86 10050.......................................................... 1.79 10051.......................................................... 1.49 10052.......................................................... 1.48 10053.......................................................... 1.88 10054.......................................................... 1.79 10055.......................................................... 2.63 10056.......................................................... 2.61 10058.......................................................... 1.16 10059.......................................................... 1.76 10061.......................................................... 2.48 10062.......................................................... 1.64 10064.......................................................... 3.07 10065.......................................................... 2.25 10066.......................................................... 1.32 10068.......................................................... 1.35 10069.......................................................... 2.15 10072.......................................................... 2.44 10073.......................................................... 2.43 10078.......................................................... 2.31 10079.......................................................... 2.33 10080.......................................................... 1.05 10081.......................................................... 2.33 10083.......................................................... 2.10 10084.......................................................... 3.82 10087.......................................................... 2.56 10089.......................................................... 2.42 10090.......................................................... 2.33 10091.......................................................... 1.55 10092.......................................................... 2.36 10094.......................................................... 2.36 10095.......................................................... 1.36 10097.......................................................... 1.92 10098.......................................................... 1.68 10099.......................................................... 1.89 10100.......................................................... 2.58 10101.......................................................... 2.26 10102.......................................................... 1.23 10103.......................................................... 2.19 10104.......................................................... 2.47 10108.......................................................... 1.82 10109.......................................................... 2.17 10110.......................................................... 1.14 10112.......................................................... 1.73 10113.......................................................... 2.55 10114.......................................................... 2.24 10115.......................................................... 1.40 10117.......................................................... 1.19 10118.......................................................... 2.43 10119.......................................................... 2.05 10120.......................................................... 1.91 10123.......................................................... 2.90 10124.......................................................... 3.20 10125.......................................................... 1.38 10126.......................................................... 2.00 10127.......................................................... 3.04 10128.......................................................... 1.28 10129.......................................................... 1.76 10130.......................................................... 1.59 10131.......................................................... 2.58 10134.......................................................... 1.44 10137.......................................................... 1.41 10138.......................................................... 1.21 10139.......................................................... 2.54 10143.......................................................... 1.80 10144.......................................................... 2.52 10145.......................................................... 1.51 10146.......................................................... 2.79 10148.......................................................... 1.83 10149.......................................................... 2.67 10150.......................................................... 1.99 10152.......................................................... 2.08 10155.......................................................... 1.50 13025.......................................................... 1.76 13027.......................................................... 1.08 13028.......................................................... 0.89 13300.......................................................... 1.38 14000.......................................................... 1.26 14002.......................................................... 1.20 20001.......................................................... 2.64 20002.......................................................... 1.99 20004.......................................................... 1.80 20005.......................................................... 1.03 20006.......................................................... 1.87 20007.......................................................... 0.84 20008.......................................................... 2.08 20009.......................................................... 1.03 20010.......................................................... 0.53 20011.......................................................... 0.98 20012.......................................................... 3.12 20013.......................................................... 1.76 20014.......................................................... 1.70 20017.......................................................... 3.05 20024.......................................................... 1.78 20025.......................................................... 1.00 24001.......................................................... 1.40 30001.......................................................... 2.48 30002.......................................................... 2.35 30003.......................................................... 1.98 30004.......................................................... 0.83 30006.......................................................... 2.66 30007.......................................................... 2.48 30009.......................................................... 1.32 30010.......................................................... 2.44 30011.......................................................... 3.35 30012.......................................................... 1.86 30014.......................................................... 2.89 30016.......................................................... 1.75 30017.......................................................... 2.70 30018.......................................................... 2.90 30019.......................................................... 2.27 30022.......................................................... 1.64 30023.......................................................... 2.67 30024.......................................................... 3.42 30025.......................................................... 1.66 30027.......................................................... 1.62 30030.......................................................... 2.79 30033.......................................................... 2.36 30034.......................................................... 1.24 30035.......................................................... 2.92 30036.......................................................... 2.27

30037.......................................................... 3.90 30038.......................................................... 3.06 30040.......................................................... 1.83 30041.......................................................... 1.23 30043.......................................................... 2.41 30044.......................................................... 1.97 30047.......................................................... 1.57 30049.......................................................... 0.75 30054.......................................................... 0.84 30055.......................................................... 2.33 30059.......................................................... 2.44 30060.......................................................... 2.14 30061.......................................................... 1.90 30062.......................................................... 2.33 30064.......................................................... 2.43 30065.......................................................... 2.75 30067.......................................................... 1.56 30068.......................................................... 2.35 30069.......................................................... 2.80 30080.......................................................... 2.53 30083.......................................................... 2.40 30085.......................................................... 2.32 30086.......................................................... 2.18 30087.......................................................... 3.31 30088.......................................................... 2.05 30089.......................................................... 2.52 30092.......................................................... 2.52 30093.......................................................... 1.60 30094.......................................................... 1.96 30095.......................................................... 2.95 33025.......................................................... 1.61 33026.......................................................... 1.81 33028.......................................................... 1.49 34004.......................................................... 1.34 34008.......................................................... 1.57 34009.......................................................... 1.31 34010.......................................................... 1.31 34013.......................................................... 1.33 34015.......................................................... 1.31 34019.......................................................... 1.28 40001.......................................................... 2.26 40002.......................................................... 2.09 40003.......................................................... 1.80 40004.......................................................... 3.63 40005.......................................................... 1.89 40007.......................................................... 3.84 40008.......................................................... 1.26 40010.......................................................... 2.98 40011.......................................................... 1.94 40014.......................................................... 2.54 40015.......................................................... 1.65 40016.......................................................... 1.93 40017.......................................................... 2.35 40018.......................................................... 2.70 40019.......................................................... 2.29 40020.......................................................... 2.73 40021.......................................................... 2.97 40022.......................................................... 2.23 40024.......................................................... 1.68 40025.......................................................... 1.72 40026.......................................................... 2.41 40027.......................................................... 2.93 40028.......................................................... 2.00 40029.......................................................... 3.25 40030.......................................................... 1.26 40032.......................................................... 0.91 40035.......................................................... 1.12 40036.......................................................... 2.94 40037.......................................................... 1.85 40039.......................................................... 2.44 40040.......................................................... 1.27 40041.......................................................... 3.11 40042.......................................................... 2.04 40044.......................................................... 1.28 40045.......................................................... 1.60 40047.......................................................... 1.71 40048.......................................................... 2.33 40050.......................................................... 2.67 40051.......................................................... 2.02 40053.......................................................... 1.59 40054.......................................................... 2.96 40055.......................................................... 2.47 40058.......................................................... 2.12 40060.......................................................... 1.33 40062.......................................................... 2.30 40064.......................................................... 1.40 40066.......................................................... 3.24 40067.......................................................... 1.18 40069.......................................................... 2.76 40070.......................................................... 1.70 40071.......................................................... 2.52 40072.......................................................... 2.19 40074.......................................................... 2.70 40075.......................................................... 1.63 40076.......................................................... 1.70 40077.......................................................... 1.63 40078.......................................................... 2.58 40080.......................................................... 1.69 40081.......................................................... 0.93 40082.......................................................... 1.71 40084.......................................................... 2.89 40085.......................................................... 1.83 40088.......................................................... 2.99 40090.......................................................... 1.25 40091.......................................................... 1.63 40093.......................................................... 1.19 40100.......................................................... 2.21 40105.......................................................... 1.22 40106.......................................................... 1.95 40107.......................................................... 1.50 40109.......................................................... 1.91 40114.......................................................... 4.32 40116.......................................................... 2.81 40118.......................................................... 2.62 40119.......................................................... 2.76 40124.......................................................... 2.31 40126.......................................................... 1.82 40132.......................................................... 0.96 43026.......................................................... 1.42 43027.......................................................... 0.87 43028.......................................................... 1.19 43029.......................................................... 1.76 43031.......................................................... 0.82 43032.......................................................... 2.80 43300.......................................................... 1.51 44004.......................................................... 1.29 44005.......................................................... 1.32 44006.......................................................... 1.38 44010.......................................................... 1.52 44011.......................................................... 1.69 44012.......................................................... 1.32 50002.......................................................... 1.89 50006.......................................................... 2.28 50007.......................................................... 2.11 50009.......................................................... 2.75 50013.......................................................... 2.93 50014.......................................................... 2.65 50015.......................................................... 2.21 50016.......................................................... 2.00 50017.......................................................... 4.45 50018.......................................................... 2.36 50021.......................................................... 2.13 50022.......................................................... 2.57 50024.......................................................... 2.06 50025.......................................................... 2.08 50026.......................................................... 2.05 50028.......................................................... 2.32 50029.......................................................... 2.13 50030.......................................................... 1.75 50032.......................................................... 2.91 50033.......................................................... 2.05 50036.......................................................... 2.58 50038.......................................................... 1.39 50039.......................................................... 2.62 50042.......................................................... 3.00 50043.......................................................... 2.66 50045.......................................................... 3.04 50046.......................................................... 2.17 50047.......................................................... 2.86 50051.......................................................... 1.45 50054.......................................................... 1.57 50055.......................................................... 1.71 50056.......................................................... 3.32 50057.......................................................... 3.01 50058.......................................................... 2.70 50060.......................................................... 1.93 50061.......................................................... 4.86 50063.......................................................... 2.56 50065.......................................................... 2.34 50066.......................................................... 2.25 50067.......................................................... 1.80 50068.......................................................... 2.45 50069.......................................................... 2.55 50077.......................................................... 2.72 50078.......................................................... 2.45 50079.......................................................... 2.02 50080.......................................................... 1.68 50081.......................................................... 1.10 50082.......................................................... 2.59 50084.......................................................... 2.23 50088.......................................................... 1.30 50089.......................................................... 1.99 50090.......................................................... 2.38 50091.......................................................... 2.33 50092.......................................................... 1.71 50093.......................................................... 3.45 50095.......................................................... 3.59 50096.......................................................... 2.44 50097.......................................................... 3.49 50099.......................................................... 2.11 50100.......................................................... 2.37 50101.......................................................... 2.56 50102.......................................................... 1.86 50103.......................................................... 2.79 50104.......................................................... 2.16 50107.......................................................... 2.48 50108.......................................................... 2.48 50109.......................................................... 2.25 50110.......................................................... 3.14 50111.......................................................... 4.66 50112.......................................................... 2.51 50113.......................................................... 1.26 50114.......................................................... 2.19 50115.......................................................... 1.87 50116.......................................................... 2.62 50117.......................................................... 2.82 50118.......................................................... 2.37 50121.......................................................... 2.97 50122.......................................................... 2.74 50124.......................................................... 2.34 50125.......................................................... 2.92 50126.......................................................... 2.67 50127.......................................................... 1.96 50128.......................................................... 2.19 50129.......................................................... 2.61 50131.......................................................... 2.34 50132.......................................................... 2.44 50133.......................................................... 1.99 50135.......................................................... 1.34 50136.......................................................... 2.46 50144.......................................................... 2.21 50145.......................................................... 2.53 50146.......................................................... 1.30 50148.......................................................... 2.21 50149.......................................................... 2.20 50150.......................................................... 2.29 50152.......................................................... 2.15 50153.......................................................... 2.32

50155.......................................................... 2.05 50158.......................................................... 3.24 50159.......................................................... 1.34 50167.......................................................... 1.30 50168.......................................................... 3.18 50169.......................................................... 2.48 50170.......................................................... 2.63 50172.......................................................... 1.71 50173.......................................................... 2.59 50174.......................................................... 3.12 50175.......................................................... 3.10 50177.......................................................... 1.80 50179.......................................................... 2.45 50180.......................................................... 2.09 50183.......................................................... 1.22 50186.......................................................... 1.67 50188.......................................................... 3.47 50189.......................................................... 2.28 50191.......................................................... 2.39 50192.......................................................... 1.45 50193.......................................................... 1.68 50194.......................................................... 2.48 50195.......................................................... 2.14 50196.......................................................... 2.11 50197.......................................................... 2.49 50204.......................................................... 3.00 50205.......................................................... 2.12 50207.......................................................... 3.11 50208.......................................................... 2.02 50211.......................................................... 2.50 50213.......................................................... 1.26 50214.......................................................... 2.16 50215.......................................................... 2.83 50217.......................................................... 2.07 50219.......................................................... 1.77 50222.......................................................... 2.39 50224.......................................................... 2.49 50225.......................................................... 2.08 50226.......................................................... 2.63 50228.......................................................... 1.13 50230.......................................................... 2.69 50231.......................................................... 3.45 50232.......................................................... 2.78 50233.......................................................... 2.70 50234.......................................................... 1.56 50235.......................................................... 2.48 50236.......................................................... 2.04 50238.......................................................... 2.03 50239.......................................................... 2.50 50240.......................................................... 2.55 50241.......................................................... 2.21 50242.......................................................... 2.13 50243.......................................................... 1.94 50245.......................................................... 1.15 50248.......................................................... 1.39 50251.......................................................... 2.10 50253.......................................................... 1.33 50254.......................................................... 2.98 50256.......................................................... 1.36 50257.......................................................... 1.66 50260.......................................................... 1.32 50261.......................................................... 1.98 50262.......................................................... 2.09 50264.......................................................... 2.13 50267.......................................................... 2.56 50270.......................................................... 2.48 50272.......................................................... 1.77 50274.......................................................... 1.44 50276.......................................................... 1.18 50277.......................................................... 2.32 50278.......................................................... 2.44 50279.......................................................... 1.81 50280.......................................................... 2.50 50281.......................................................... 3.59 50282.......................................................... 2.19 50283.......................................................... 1.12 50286.......................................................... 0.95 50289.......................................................... 2.46 50290.......................................................... 2.28 50291.......................................................... 1.60 50292.......................................................... 1.37 50293.......................................................... 1.30 50295.......................................................... 2.45 50296.......................................................... 2.25 50298.......................................................... 2.00 50299.......................................................... 2.87 50300.......................................................... 2.80 50301.......................................................... 2.81 50302.......................................................... 2.65 50305.......................................................... 1.97 50307.......................................................... 3.51 50308.......................................................... 2.19 50309.......................................................... 2.76 50310.......................................................... 2.76 50312.......................................................... 2.34 50313.......................................................... 2.89 50315.......................................................... 1.13 50317.......................................................... 1.79 50320.......................................................... 1.18 50324.......................................................... 2.91 50325.......................................................... 1.66 50327.......................................................... 2.26 50328.......................................................... 2.48 50329.......................................................... 1.65 50331.......................................................... 1.93 50333.......................................................... 1.02 50334.......................................................... 3.18 50335.......................................................... 1.25 50336.......................................................... 2.31 50337.......................................................... 1.66 50342.......................................................... 2.71 50343.......................................................... 3.02 50348.......................................................... 1.58 50349.......................................................... 1.14 50350.......................................................... 2.08 50351.......................................................... 3.05 50352.......................................................... 1.73 50353.......................................................... 2.37 50355.......................................................... 1.01 50357.......................................................... 2.29 50359.......................................................... 3.22 50360.......................................................... 3.01 50366.......................................................... 1.90 50367.......................................................... 1.81 50369.......................................................... 2.21 50377.......................................................... 0.87 50378.......................................................... 2.01 50379.......................................................... 1.42 50380.......................................................... 3.09 50382.......................................................... 2.50 50385.......................................................... 2.10 50388.......................................................... 0.92 50390.......................................................... 2.47 50391.......................................................... 1.88 50392.......................................................... 1.28 50393.......................................................... 2.75 50394.......................................................... 3.09 50396.......................................................... 3.93 50397.......................................................... 1.31 50401.......................................................... 2.18 50404.......................................................... 1.43 50406.......................................................... 1.38 50407.......................................................... 2.72 50410.......................................................... 0.95 50414.......................................................... 2.49 50417.......................................................... 2.79 50418.......................................................... 1.26 50419.......................................................... 2.46 50420.......................................................... 1.85 50421.......................................................... 2.33 50423.......................................................... 2.09 50424.......................................................... 2.77 50426.......................................................... 2.46 50427.......................................................... 0.76 50430.......................................................... 1.39 50431.......................................................... 3.59 50432.......................................................... 2.32 50433.......................................................... 1.44 50434.......................................................... 1.36 50435.......................................................... 2.34 50436.......................................................... 1.48 50438.......................................................... 2.38 50440.......................................................... 1.46 50441.......................................................... 2.01 50443.......................................................... 1.47 50444.......................................................... 2.14 50446.......................................................... 1.32 50447.......................................................... 1.58 50448.......................................................... 2.94 50449.......................................................... 3.19 50454.......................................................... 1.62 50455.......................................................... 3.08 50456.......................................................... 4.96 50457.......................................................... 2.05 50459.......................................................... 2.34 50464.......................................................... 2.94 50468.......................................................... 1.50 50469.......................................................... 1.60 50470.......................................................... 2.00 50471.......................................................... 2.87 50476.......................................................... 2.46 50477.......................................................... 4.20 50478.......................................................... 1.52 50481.......................................................... 2.61 50482.......................................................... 1.02 50483.......................................................... 3.02 50485.......................................................... 2.90 50486.......................................................... 2.29 50488.......................................................... 2.09 50491.......................................................... 2.30 50492.......................................................... 2.24 50494.......................................................... 3.06 50496.......................................................... 2.35 50497.......................................................... 0.98 50498.......................................................... 2.38 50502.......................................................... 3.39 50503.......................................................... 3.27 50506.......................................................... 2.28 50516.......................................................... 3.02 50517.......................................................... 2.24 50522.......................................................... 2.30 50523.......................................................... 2.05 50526.......................................................... 2.36 50528.......................................................... 2.01 50531.......................................................... 3.13 50534.......................................................... 2.28 50535.......................................................... 2.67 50537.......................................................... 2.62 50539.......................................................... 2.08 50542.......................................................... 1.93 50543.......................................................... 2.53 50545.......................................................... 0.96 50546.......................................................... 0.93 50547.......................................................... 1.07 50548.......................................................... 0.78 50549.......................................................... 2.47 50550.......................................................... 2.23 50551.......................................................... 2.38 50552.......................................................... 1.24 50557.......................................................... 2.14 50559.......................................................... 2.43 50560.......................................................... 1.94 50564.......................................................... 2.41 50565.......................................................... 1.80 50566.......................................................... 1.51 50567.......................................................... 2.22 50568.......................................................... 2.50 50569.......................................................... 2.37

50570.......................................................... 3.06 50571.......................................................... 3.05 50573.......................................................... 2.27 50577.......................................................... 4.04 50579.......................................................... 2.31 50580.......................................................... 2.21 50581.......................................................... 2.22 50583.......................................................... 2.97 50584.......................................................... 1.93 50585.......................................................... 2.47 50586.......................................................... 2.74 50588.......................................................... 2.48 50589.......................................................... 2.89 50590.......................................................... 3.11 50591.......................................................... 2.47 50592.......................................................... 2.82 50593.......................................................... 2.00 50594.......................................................... 2.75 50597.......................................................... 2.74 50598.......................................................... 2.46 50599.......................................................... 1.45 50601.......................................................... 2.48 50603.......................................................... 1.64 50607.......................................................... 1.59 50608.......................................................... 1.68 50613.......................................................... 0.69 50615.......................................................... 2.53 50616.......................................................... 2.40 50618.......................................................... 1.29 50624.......................................................... 2.73 50625.......................................................... 2.47 50633.......................................................... 2.48 50636.......................................................... 2.91 50638.......................................................... 1.48 50641.......................................................... 2.02 50644.......................................................... 2.56 50660.......................................................... 1.41 50661.......................................................... 1.30 50662.......................................................... 1.02 50663.......................................................... 2.15 50666.......................................................... 1.06 50667.......................................................... 1.07 50668.......................................................... 1.03 50676.......................................................... 0.87 50678.......................................................... 2.02 50680.......................................................... 1.50 50682.......................................................... 1.18 50684.......................................................... 2.01 50685.......................................................... 2.37 50688.......................................................... 1.62 50689.......................................................... 2.32 50693.......................................................... 2.05 50694.......................................................... 2.01 50695.......................................................... 1.64 50696.......................................................... 3.01 50697.......................................................... 4.28 50699.......................................................... 2.19 50700.......................................................... 2.33 50701.......................................................... 1.92 50702.......................................................... 0.89 50704.......................................................... 1.87 50709.......................................................... 2.69 52031.......................................................... 1.05 53026.......................................................... 1.72 53027.......................................................... 1.00 53028.......................................................... 1.05 53029.......................................................... 1.33 53030.......................................................... 1.05 53031.......................................................... 1.08 53032.......................................................... 0.98 53033.......................................................... 1.30 53034.......................................................... 1.63 53035.......................................................... 1.40 53036.......................................................... 1.24 53037.......................................................... 1.25 53300.......................................................... 1.41 53301.......................................................... 1.98 53302.......................................................... 1.59 53304.......................................................... 1.24 53305.......................................................... 0.98 54001.......................................................... 1.31 54003.......................................................... 1.76 54012.......................................................... 1.35 54032.......................................................... 1.31 54053.......................................................... 1.43 54055.......................................................... 1.09 54060.......................................................... 1.31 54064.......................................................... 1.09 54065.......................................................... 1.31 54069.......................................................... 1.31 54074.......................................................... 1.31 54075.......................................................... 1.31 54078.......................................................... 1.65 54087.......................................................... 1.30 54091.......................................................... 1.57 54093.......................................................... 1.51 54095.......................................................... 1.31 54096.......................................................... 1.33 54097.......................................................... 1.34 54098.......................................................... 1.31 54099.......................................................... 1.32 54104.......................................................... 1.50 54105.......................................................... 1.31 54106.......................................................... 1.32 54108.......................................................... 1.22 54110.......................................................... 1.31 54111.......................................................... 1.31 54113.......................................................... 1.31 54116.......................................................... 1.33 54119.......................................................... 1.31 54122.......................................................... 1.16 54123.......................................................... 1.34 54125.......................................................... 1.60 54130.......................................................... 1.31 54131.......................................................... 1.63 54133.......................................................... 0.88 54139.......................................................... 1.20 60001.......................................................... 2.91 60003.......................................................... 2.83 60004.......................................................... 1.55 60006.......................................................... 2.08 60007.......................................................... 1.50 60008.......................................................... 2.08 60009.......................................................... 2.23 60010.......................................................... 2.35 60011.......................................................... 1.26 60012.......................................................... 1.83 60013.......................................................... 1.79 60014.......................................................... 2.41 60015.......................................................... 1.70 60016.......................................................... 2.01 60018.......................................................... 2.17 60020.......................................................... 1.96 60022.......................................................... 1.73 60023.......................................................... 2.50 60024.......................................................... 1.52 60027.......................................................... 2.15 60028.......................................................... 2.48 60029.......................................................... 1.17 60030.......................................................... 2.74 60031.......................................................... 2.20 60032.......................................................... 2.73 60033.......................................................... 1.65 60034.......................................................... 1.97 60036.......................................................... 1.85 60037.......................................................... 1.43 60038.......................................................... 1.39 60041.......................................................... 1.00 60042.......................................................... 1.58 60043.......................................................... 1.34 60044.......................................................... 2.09 60046.......................................................... 2.82 60047.......................................................... 0.89 60049.......................................................... 2.70 60050.......................................................... 1.95 60052.......................................................... 1.66 60053.......................................................... 1.68 60054.......................................................... 2.42 60056.......................................................... 1.27 60057.......................................................... 2.07 60058.......................................................... 1.27 60060.......................................................... 1.31 60062.......................................................... 1.48 60063.......................................................... 0.77 60064.......................................................... 3.00 60065.......................................................... 2.24 60068.......................................................... 1.24 60070.......................................................... 1.33 60071.......................................................... 2.09 60073.......................................................... 1.27 60075.......................................................... 2.56 60076.......................................................... 1.84 60085.......................................................... 1.11 60088.......................................................... 1.55 60090.......................................................... 1.55 60096.......................................................... 2.20 60100.......................................................... 2.02 60103.......................................................... 4.08 60104.......................................................... 2.29 62009.......................................................... 0.81 62011.......................................................... 2.20 63027.......................................................... 1.45 63030.......................................................... 1.82 63301.......................................................... 1.57 64007.......................................................... 1.31 64009.......................................................... 1.09 64012.......................................................... 1.26 64016.......................................................... 1.41 70001.......................................................... 2.72 70002.......................................................... 2.47 70003.......................................................... 2.00 70004.......................................................... 2.24 70005.......................................................... 1.71 70006.......................................................... 2.31 70007.......................................................... 2.73 70008.......................................................... 1.95 70009.......................................................... 2.65 70010.......................................................... 2.41 70011.......................................................... 2.06 70012.......................................................... 2.13 70015.......................................................... 2.17 70016.......................................................... 2.03 70017.......................................................... 2.24 70018.......................................................... 2.16 70019.......................................................... 2.80 70020.......................................................... 2.10 70021.......................................................... 2.56 70022.......................................................... 2.37 70024.......................................................... 2.24 70025.......................................................... 2.75 70026.......................................................... 2.05 70027.......................................................... 2.14 70028.......................................................... 2.17 70029.......................................................... 2.29 70030.......................................................... 2.44 70031.......................................................... 2.07 70033.......................................................... 1.93 70035.......................................................... 2.35 70036.......................................................... 1.96 70039.......................................................... 1.06 72003.......................................................... 1.04 72004.......................................................... 0.79 74000.......................................................... 1.25 74007.......................................................... 1.31 74008.......................................................... 1.53 80001.......................................................... 2.94 80002.......................................................... 2.15 80003.......................................................... 2.63

80004.......................................................... 2.42 80005.......................................................... 2.70 80006.......................................................... 2.31 80007.......................................................... 2.07 83300.......................................................... 3.40 84002.......................................................... 1.43 90001.......................................................... 3.34 90002.......................................................... 1.80 90003.......................................................... 1.70 90004.......................................................... 2.38 90006.......................................................... 2.41 90007.......................................................... 1.18 90008.......................................................... 2.36 90010.......................................................... 1.96 90011.......................................................... 2.42 90015.......................................................... 0.65 93025.......................................................... 1.03 93300.......................................................... 1.98 94004.......................................................... 1.10 100001......................................................... 1.48 100002......................................................... 2.47 100004......................................................... 1.78 100006......................................................... 2.29 100007......................................................... 2.82 100008......................................................... 3.02 100009......................................................... 2.29 100010......................................................... 2.56 100012......................................................... 2.75 100014......................................................... 2.53 100015......................................................... 2.49 100017......................................................... 2.55 100018......................................................... 1.83 100019......................................................... 3.21 100020......................................................... 2.87 100022......................................................... 1.37 100023......................................................... 2.44 100024......................................................... 2.88 100025......................................................... 2.21 100026......................................................... 2.63 100027......................................................... 1.37 100028......................................................... 2.73 100029......................................................... 2.42 100030......................................................... 2.91 100032......................................................... 1.98 100034......................................................... 2.35 100035......................................................... 2.31 100038......................................................... 2.22 100039......................................................... 2.68 100040......................................................... 2.85 100043......................................................... 2.28 100044......................................................... 2.35 100045......................................................... 2.20 100046......................................................... 2.21 100047......................................................... 1.91 100048......................................................... 1.58 100049......................................................... 2.46 100050......................................................... 2.15 100051......................................................... 2.51 100052......................................................... 3.58 100053......................................................... 2.46 100054......................................................... 2.02 100055......................................................... 2.20 100056......................................................... 3.26 100057......................................................... 2.88 100060......................................................... 2.36 100061......................................................... 2.52 100062......................................................... 2.43 100063......................................................... 2.19 100067......................................................... 2.29 100068......................................................... 2.00 100069......................................................... 2.45 100070......................................................... 2.40 100071......................................................... 2.15 100072......................................................... 2.29 100073......................................................... 1.88 100075......................................................... 2.01 100076......................................................... 2.37 100077......................................................... 3.09 100078......................................................... 1.05 100079......................................................... 1.68 100080......................................................... 2.30 100081......................................................... 1.76 100082......................................................... 2.14 100084......................................................... 1.98 100085......................................................... 2.15 100086......................................................... 2.33 100087......................................................... 3.40 100088......................................................... 3.10 100090......................................................... 2.72 100098......................................................... 1.47 100099......................................................... 2.72 100102......................................................... 2.00 100103......................................................... 1.20 100105......................................................... 2.58 100106......................................................... 2.64 100107......................................................... 2.48 100108......................................................... 2.05 100109......................................................... 2.66 100110......................................................... 2.13 100112......................................................... 0.99 100113......................................................... 2.67 100114......................................................... 2.37 100117......................................................... 2.94 100118......................................................... 1.88 100121......................................................... 2.58 100122......................................................... 2.60 100124......................................................... 1.82 100125......................................................... 2.35 100126......................................................... 2.07 100127......................................................... 2.70 100128......................................................... 2.41 100129......................................................... 3.11 100130......................................................... 2.11 100131......................................................... 2.89 100132......................................................... 2.24 100134......................................................... 1.52 100135......................................................... 3.73 100137......................................................... 2.25 100138......................................................... 1.19 100139......................................................... 1.41 100140......................................................... 2.43 100142......................................................... 1.88 100144......................................................... 2.72 100145......................................................... 2.11 100146......................................................... 1.91 100147......................................................... 1.77 100150......................................................... 2.52 100151......................................................... 3.45 100154......................................................... 3.18 100156......................................................... 2.31 100157......................................................... 3.23 100159......................................................... 1.44 100160......................................................... 1.89 100161......................................................... 2.14 100162......................................................... 2.11 100165......................................................... 2.07 100166......................................................... 2.27 100167......................................................... 3.78 100168......................................................... 2.45 100169......................................................... 2.54 100170......................................................... 2.65 100172......................................................... 2.26 100173......................................................... 2.85 100174......................................................... 2.00 100175......................................................... 1.89 100176......................................................... 1.87 100177......................................................... 2.79 100179......................................................... 3.41 100181......................................................... 4.01 100183......................................................... 2.58 100187......................................................... 2.35 100189......................................................... 2.51 100191......................................................... 2.40 100199......................................................... 2.93 100200......................................................... 3.81 100203......................................................... 2.11 100204......................................................... 2.40 100206......................................................... 2.36 100208......................................................... 2.03 100209......................................................... 2.53 100210......................................................... 2.25 100211......................................................... 1.90 100212......................................................... 2.25 100213......................................................... 1.83 100217......................................................... 3.37 100220......................................................... 2.88 100221......................................................... 2.29 100222......................................................... 1.41 100223......................................................... 2.22 100224......................................................... 2.20 100225......................................................... 2.50 100226......................................................... 1.62 100228......................................................... 2.06 100229......................................................... 1.80 100230......................................................... 1.78 100231......................................................... 2.12 100232......................................................... 2.49 100234......................................................... 1.92 100235......................................................... 2.09 100236......................................................... 2.00 100237......................................................... 2.69 100238......................................................... 2.97 100239......................................................... 2.43 100240......................................................... 4.60 100241......................................................... 2.37 100242......................................................... 2.68 100243......................................................... 1.87 100244......................................................... 2.34 100246......................................................... 2.81 100248......................................................... 1.80 100249......................................................... 2.23 100252......................................................... 2.30 100253......................................................... 2.46 100254......................................................... 2.05 100255......................................................... 2.16 100256......................................................... 2.07 100258......................................................... 2.31 100259......................................................... 2.62 100260......................................................... 3.34 100262......................................................... 3.13 100263......................................................... 2.32 100264......................................................... 1.95 100265......................................................... 2.18 100266......................................................... 2.60 100267......................................................... 2.57 100268......................................................... 2.27 100269......................................................... 2.58 100270......................................................... 1.01 100271......................................................... 1.78 100275......................................................... 2.20 100276......................................................... 2.85 100277......................................................... 0.95 100279......................................................... 1.98 100280......................................................... 1.80 100281......................................................... 2.14 100282......................................................... 1.60 102006......................................................... 0.97 102008......................................................... 1.00 102009......................................................... 0.91 102013......................................................... 3.31 103026......................................................... 1.43 103027......................................................... 1.40 103028......................................................... 1.43 103030......................................................... 0.91 103031......................................................... 1.29 103032......................................................... 1.78 103034......................................................... 1.17 103300......................................................... 8.70

103301......................................................... 2.40 104002......................................................... 0.57 104008......................................................... 1.36 104015......................................................... 1.31 104017......................................................... 1.31 104018......................................................... 1.32 104024......................................................... 1.52 104029......................................................... 1.31 104034......................................................... 1.31 104036......................................................... 1.33 104037......................................................... 1.31 104038......................................................... 1.43 104040......................................................... 1.28 104045......................................................... 1.43 104046......................................................... 1.32 104054......................................................... 1.34 104057......................................................... 1.30 104060......................................................... 1.33 110001......................................................... 2.49 110002......................................................... 1.69 110003......................................................... 2.51 110004......................................................... 2.40 110005......................................................... 2.24 110006......................................................... 3.00 110007......................................................... 2.42 110008......................................................... 2.22 110009......................................................... 1.12 110010......................................................... 2.73 110011......................................................... 2.22 110013......................................................... 1.39 110014......................................................... 1.57 110015......................................................... 1.62 110016......................................................... 2.92 110017......................................................... 1.24 110018......................................................... 2.17 110020......................................................... 2.99 110023......................................................... 2.32 110024......................................................... 3.45 110025......................................................... 2.66 110026......................................................... 1.66 110027......................................................... 1.50 110028......................................................... 2.54 110029......................................................... 1.98 110030......................................................... 2.84 110031......................................................... 2.38 110032......................................................... 2.54 110033......................................................... 2.76 110034......................................................... 1.35 110035......................................................... 2.61 110037......................................................... 1.54 110038......................................................... 2.10 110039......................................................... 2.72 110040......................................................... 1.90 110041......................................................... 2.00 110042......................................................... 2.27 110043......................................................... 3.05 110044......................................................... 2.46 110045......................................................... 2.26 110046......................................................... 2.07 110048......................................................... 1.44 110049......................................................... 1.26 110050......................................................... 1.62 110051......................................................... 1.80 110052......................................................... 1.00 110054......................................................... 2.03 110056......................................................... 1.25 110059......................................................... 2.26 110061......................................................... 1.19 110062......................................................... 0.89 110063......................................................... 1.62 110064......................................................... 1.87 110065......................................................... 1.08 110066......................................................... 2.35 110069......................................................... 2.46 110070......................................................... 1.69 110071......................................................... 1.22 110072......................................................... 1.44 110073......................................................... 2.05 110074......................................................... 2.58 110075......................................................... 2.22 110076......................................................... 2.61 110078......................................................... 2.61 110079......................................................... 1.15 110080......................................................... 1.91 110082......................................................... 3.13 110083......................................................... 2.93 110086......................................................... 1.89 110087......................................................... 2.56 110088......................................................... 0.89 110089......................................................... 2.16 110091......................................................... 2.89 110092......................................................... 1.60 110093......................................................... 1.40 110094......................................................... 0.94 110095......................................................... 2.83 110096......................................................... 1.35 110097......................................................... 1.24 110098......................................................... 1.64 110100......................................................... 1.23 110101......................................................... 1.49 110103......................................................... 1.22 110104......................................................... 2.04 110105......................................................... 2.37 110107......................................................... 1.94 110108......................................................... 0.79 110109......................................................... 1.48 110111......................................................... 1.70 110112......................................................... 1.38 110113......................................................... 1.35 110114......................................................... 1.60 110115......................................................... 2.37 110118......................................................... 0.74 110120......................................................... 1.08 110121......................................................... 4.41 110122......................................................... 2.62 110124......................................................... 2.05 110125......................................................... 3.01 110127......................................................... 1.48 110128......................................................... 2.26 110129......................................................... 2.64 110130......................................................... 1.69 110132......................................................... 1.92 110134......................................................... 1.16 110135......................................................... 4.19 110140......................................................... 2.22 110141......................................................... 1.13 110142......................................................... 1.42 110143......................................................... 2.84 110144......................................................... 1.82 110146......................................................... 1.73 110149......................................................... 1.52 110150......................................................... 2.35 110152......................................................... 1.73 110153......................................................... 1.88 110155......................................................... 1.29 110156......................................................... 1.45 110161......................................................... 3.12 110163......................................................... 3.02 110164......................................................... 2.27 110165......................................................... 2.58 110166......................................................... 2.36 110168......................................................... 2.64 110169......................................................... 6.44 110171......................................................... 2.04 110172......................................................... 3.19 110174......................................................... 1.74 110176......................................................... 2.56 110177......................................................... 2.52 110178......................................................... 7.50 110179......................................................... 2.12 110181......................................................... 1.11 110183......................................................... 2.23 110184......................................................... 2.04 110185......................................................... 1.36 110186......................................................... 3.11 110187......................................................... 2.20 110188......................................................... 2.72 110189......................................................... 1.74 110190......................................................... 1.62 110191......................................................... 3.24 110192......................................................... 2.27 110193......................................................... 2.89 110194......................................................... 1.37 110195......................................................... 1.06 110198......................................................... 2.85 110200......................................................... 4.09 110201......................................................... 2.16 110203......................................................... 1.30 110205......................................................... 1.62 110207......................................................... 1.20 110208......................................................... 1.51 110209......................................................... 1.32 112000......................................................... 1.03 112003......................................................... 1.55 112004......................................................... 0.80 113026......................................................... 1.20 113027......................................................... 1.41 113300......................................................... 2.09 114000......................................................... 1.31 114003......................................................... 1.31 114008......................................................... 1.31 114010......................................................... 1.60 114015......................................................... 1.31 114016......................................................... 1.31 114017......................................................... 1.33 114020......................................................... 1.31 114022......................................................... 1.31 114023......................................................... 1.42 114024......................................................... 1.34 114025......................................................... 1.35 114030......................................................... 1.44 114031......................................................... 1.31 114032......................................................... 1.32 114033......................................................... 1.30 114034......................................................... 1.30 120001......................................................... 2.73 120002......................................................... 2.74 120003......................................................... 1.92 120004......................................................... 2.04 120005......................................................... 3.07 120006......................................................... 2.08 120007......................................................... 3.04 120009......................................................... 1.13 120010......................................................... 2.52 120012......................................................... 1.30 120014......................................................... 2.80 120018......................................................... 0.71 120019......................................................... 2.43 120022......................................................... 1.25 120024......................................................... 0.80 120025......................................................... 0.78 120026......................................................... 2.86 120027......................................................... 1.83 123025......................................................... 1.46 123300......................................................... 1.55 124001......................................................... 1.31 130001......................................................... 1.53 130002......................................................... 2.87 130003......................................................... 2.91 130005......................................................... 3.26 130006......................................................... 1.88 130007......................................................... 3.34 130008......................................................... 1.84 130009......................................................... 2.31 130010......................................................... 0.87 130011......................................................... 2.35 130012......................................................... 1.55 130013......................................................... 2.53

130014......................................................... 3.08 130015......................................................... 1.13 130016......................................................... 1.96 130017......................................................... 1.83 130018......................................................... 2.96 130019......................................................... 1.76 130021......................................................... 1.04 130022......................................................... 2.25 130024......................................................... 2.67 130025......................................................... 1.81 130026......................................................... 3.37 130027......................................................... 1.54 130028......................................................... 2.15 130029......................................................... 1.95 130030......................................................... 0.84 130031......................................................... 2.21 130034......................................................... 1.50 130035......................................................... 1.89 130036......................................................... 3.68 130037......................................................... 1.67 130043......................................................... 1.57 130044......................................................... 1.53 130045......................................................... 1.51 130048......................................................... 1.22 130049......................................................... 2.37 130054......................................................... 0.60 130056......................................................... 0.73 130060......................................................... 2.53 130061......................................................... 1.44 133025......................................................... 1.42 134002......................................................... 1.31 134009......................................................... 1.36 140001......................................................... 2.07 140002......................................................... 2.23 140003......................................................... 1.57 140005......................................................... 1.34 140007......................................................... 2.46 140008......................................................... 2.40 140010......................................................... 2.28 140011......................................................... 1.68 140012......................................................... 2.14 140013......................................................... 2.56 140014......................................................... 2.22 140015......................................................... 2.68 140016......................................................... 1.86 140018......................................................... 1.75 140019......................................................... 1.56 140024......................................................... 1.72 140025......................................................... 1.42 140026......................................................... 2.32 140027......................................................... 1.85 140029......................................................... 1.98 140030......................................................... 2.68 140031......................................................... 1.58 140032......................................................... 2.80 140033......................................................... 2.48 140034......................................................... 2.22 140035......................................................... 1.61 140036......................................................... 2.46 140037......................................................... 1.51 140038......................................................... 1.53 140040......................................................... 2.19 140041......................................................... 1.99 140042......................................................... 1.54 140043......................................................... 2.63 140045......................................................... 1.53 140046......................................................... 2.29 140047......................................................... 1.34 140048......................................................... 2.09 140049......................................................... 1.91 140051......................................................... 2.45 140052......................................................... 2.55 140053......................................................... 2.92 140054......................................................... 2.35 140055......................................................... 1.52 140058......................................................... 2.12 140059......................................................... 2.32 140061......................................................... 1.59 140062......................................................... 2.05 140063......................................................... 2.09 140064......................................................... 3.62 140065......................................................... 2.29 140066......................................................... 2.02 140067......................................................... 2.43 140068......................................................... 1.68 140069......................................................... 1.76 140070......................................................... 1.87 140074......................................................... 1.20 140075......................................................... 2.27 140077......................................................... 1.56 140079......................................................... 2.30 140080......................................................... 2.01 140081......................................................... 1.61 140082......................................................... 1.82 140083......................................................... 1.36 140084......................................................... 2.86 140086......................................................... 1.95 140087......................................................... 2.22 140088......................................................... 1.53 140089......................................................... 2.66 140090......................................................... 2.45 140091......................................................... 4.81 140093......................................................... 2.54 140094......................................................... 2.15 140095......................................................... 1.75 140097......................................................... 1.31 140100......................................................... 2.67 140101......................................................... 1.88 140102......................................................... 1.91 140103......................................................... 1.54 140105......................................................... 2.53 140107......................................................... 1.64 140108......................................................... 2.71 140109......................................................... 1.61 140110......................................................... 2.14 140112......................................................... 1.78 140113......................................................... 2.28 140114......................................................... 2.31 140115......................................................... 1.78 140116......................................................... 2.45 140117......................................................... 2.57 140118......................................................... 2.62 140119......................................................... 2.46 140120......................................................... 2.27 140121......................................................... 2.34 140122......................................................... 2.29 140125......................................................... 2.03 140127......................................................... 4.03 140128......................................................... 1.69 140129......................................................... 1.93 140130......................................................... 2.34 140132......................................................... 2.79 140133......................................................... 2.04 140135......................................................... 2.48 140137......................................................... 1.68 140138......................................................... 1.91 140139......................................................... 1.66 140140......................................................... 1.68 140141......................................................... 2.11 140143......................................................... 2.27 140144......................................................... 1.53 140145......................................................... 1.91 140146......................................................... 1.89 140147......................................................... 2.23 140148......................................................... 2.69 140150......................................................... 1.51 140151......................................................... 1.28 140152......................................................... 1.66 140155......................................................... 2.27 140158......................................................... 1.63 140160......................................................... 3.01 140161......................................................... 2.34 140162......................................................... 2.26 140164......................................................... 2.67 140165......................................................... 2.12 140166......................................................... 1.79 140167......................................................... 2.44 140168......................................................... 1.86 140170......................................................... 1.49 140171......................................................... 1.29 140172......................................................... 1.48 140173......................................................... 1.21 140174......................................................... 2.00 140176......................................................... 2.53 140177......................................................... 1.95 140179......................................................... 2.43 140180......................................................... 1.88 140181......................................................... 1.81 140182......................................................... 1.74 140184......................................................... 1.80 140185......................................................... 2.35 140186......................................................... 2.04 140187......................................................... 2.01 140188......................................................... 1.25 140189......................................................... 2.04 140190......................................................... 1.71 140191......................................................... 1.93 140193......................................................... 2.35 140197......................................................... 1.79 140199......................................................... 1.71 140200......................................................... 1.91 140202......................................................... 2.35 140203......................................................... 2.36 140205......................................................... 3.84 140206......................................................... 2.06 140207......................................................... 2.69 140208......................................................... 2.26 140209......................................................... 2.56 140210......................................................... 2.02 140211......................................................... 2.32 140212......................................................... 1.18 140213......................................................... 2.38 140215......................................................... 1.27 140217......................................................... 2.16 140218......................................................... 1.82 140220......................................................... 1.84 140223......................................................... 2.62 140224......................................................... 2.14 140228......................................................... 2.13 140230......................................................... 1.09 140231......................................................... 2.27 140233......................................................... 2.45 140234......................................................... 2.29 140236......................................................... 1.27 140239......................................................... 2.53 140240......................................................... 1.97 140242......................................................... 2.56 140245......................................................... 1.73 140246......................................................... 1.65 140250......................................................... 1.90 140251......................................................... 2.78 140252......................................................... 1.97 140253......................................................... 3.18 140258......................................................... 2.20 140271......................................................... 1.96 140275......................................................... 2.32 140276......................................................... 2.23 140280......................................................... 2.36 140281......................................................... 2.44 140285......................................................... 2.00 140286......................................................... 2.05 140288......................................................... 1.95 140289......................................................... 2.20 140290......................................................... 3.07 140291......................................................... 2.46 140292......................................................... 2.27 140294......................................................... 2.59 140297......................................................... 1.53

140300......................................................... 1.19 142006......................................................... 0.92 142009......................................................... 4.17 143025......................................................... 1.17 143026......................................................... 1.24 143027......................................................... 1.30 144005......................................................... 1.38 144019......................................................... 0.89 144026......................................................... 1.31 144029......................................................... 1.09 144030......................................................... 1.37 144031......................................................... 1.21 144035......................................................... 1.31 144036......................................................... 1.31 150001......................................................... 1.96 150002......................................................... 2.05 150003......................................................... 2.20 150004......................................................... 2.00 150005......................................................... 2.22 150006......................................................... 2.64 150007......................................................... 2.24 150008......................................................... 2.28 150009......................................................... 2.61 150011......................................................... 1.81 150012......................................................... 2.54 150013......................................................... 1.99 150014......................................................... 2.02 150015......................................................... 2.54 150018......................................................... 2.76 150019......................................................... 2.03 150020......................................................... 2.50 150022......................................................... 2.46 150023......................................................... 2.43 150024......................................................... 1.25 150026......................................................... 2.55 150027......................................................... 1.64 150029......................................................... 3.50 150030......................................................... 2.38 150031......................................................... 1.59 150033......................................................... 2.22 150034......................................................... 2.56 150036......................................................... 1.82 150037......................................................... 2.45 150038......................................................... 1.62 150039......................................................... 1.99 150042......................................................... 2.61 150043......................................................... 1.77 150044......................................................... 2.22 150045......................................................... 1.61 150046......................................................... 2.49 150047......................................................... 1.78 150049......................................................... 1.43 150050......................................................... 1.64 150051......................................................... 2.00 150052......................................................... 2.23 150053......................................................... 1.90 150054......................................................... 1.55 150057......................................................... 2.05 150058......................................................... 2.74 150059......................................................... 2.27 150060......................................................... 1.58 150061......................................................... 1.85 150062......................................................... 2.07 150063......................................................... 1.43 150064......................................................... 1.90 150065......................................................... 2.26 150066......................................................... 1.37 150067......................................................... 2.01 150069......................................................... 2.47 150070......................................................... 1.79 150071......................................................... 1.48 150072......................................................... 1.97 150073......................................................... 1.83 150074......................................................... 2.23 150075......................................................... 1.94 150076......................................................... 1.96 150078......................................................... 1.76 150079......................................................... 1.62 150084......................................................... 3.13 150089......................................................... 2.37 150090......................................................... 1.74 150091......................................................... 1.80 150092......................................................... 1.46 150094......................................................... 2.06 150095......................................................... 2.20 150096......................................................... 2.05 150097......................................................... 2.00 150098......................................................... 1.65 150099......................................................... 2.33 150101......................................................... 1.89 150102......................................................... 1.61 150103......................................................... 1.25 150104......................................................... 1.91 150105......................................................... 1.89 150106......................................................... 1.78 150109......................................................... 3.04 150110......................................................... 1.51 150111......................................................... 1.58 150112......................................................... 2.38 150114......................................................... 1.54 150115......................................................... 2.66 150122......................................................... 1.98 150123......................................................... 1.16 150124......................................................... 1.65 150125......................................................... 2.13 150126......................................................... 2.50 150127......................................................... 1.15 150128......................................................... 2.44 150129......................................................... 1.93 150130......................................................... 1.33 150132......................................................... 2.49 150133......................................................... 2.13 150134......................................................... 1.68 150136......................................................... 2.41 152007......................................................... 0.58 152009......................................................... 0.50 153025......................................................... 1.67 153027......................................................... 2.54 153029......................................................... 1.25 153030......................................................... 1.65 154009......................................................... 1.49 154011......................................................... 1.63 154013......................................................... 1.41 154014......................................................... 1.30 154026......................................................... 1.41 154028......................................................... 1.21 154031......................................................... 1.38 154032......................................................... 1.56 154035......................................................... 1.35 154036......................................................... 1.32 154037......................................................... 1.43 154038......................................................... 1.47 154042......................................................... 1.44 160001......................................................... 3.07 160002......................................................... 2.01 160003......................................................... 1.86 160005......................................................... 2.09 160007......................................................... 1.11 160008......................................................... 2.11 160009......................................................... 1.94 160012......................................................... 1.52 160013......................................................... 2.88 160014......................................................... 1.68 160016......................................................... 2.75 160018......................................................... 1.50 160020......................................................... 1.59 160021......................................................... 2.33 160023......................................................... 1.66 160024......................................................... 2.57 160026......................................................... 1.81 160027......................................................... 1.84 160028......................................................... 2.31 160029......................................................... 3.20 160030......................................................... 3.22 160031......................................................... 1.61 160032......................................................... 2.21 160033......................................................... 2.76 160034......................................................... 2.04 160035......................................................... 0.99 160036......................................................... 1.97 160037......................................................... 1.95 160039......................................................... 1.57 160040......................................................... 3.33 160041......................................................... 1.46 160043......................................................... 1.59 160044......................................................... 2.22 160045......................................................... 2.62 160046......................................................... 2.10 160047......................................................... 2.24 160048......................................................... 1.62 160049......................................................... 1.03 160050......................................................... 2.38 160051......................................................... 1.73 160052......................................................... 1.77 160054......................................................... 1.83 160055......................................................... 2.01 160056......................................................... 1.61 160057......................................................... 2.60 160058......................................................... 1.56 160060......................................................... 1.79 160061......................................................... 2.05 160062......................................................... 1.56 160063......................................................... 1.78 160064......................................................... 2.89 160065......................................................... 1.92 160066......................................................... 2.25 160067......................................................... 2.30 160069......................................................... 3.06 160070......................................................... 1.57 160072......................................................... 2.16 160073......................................................... 1.27 160074......................................................... 1.49 160075......................................................... 1.74 160076......................................................... 2.40 160077......................................................... 1.75 160079......................................................... 3.18 160080......................................................... 2.54 160081......................................................... 1.81 160082......................................................... 3.05 160083......................................................... 2.70 160085......................................................... 1.47 160086......................................................... 1.29 160088......................................................... 1.55 160089......................................................... 2.63 160090......................................................... 1.56 160091......................................................... 1.64 160092......................................................... 1.79 160093......................................................... 1.35 160094......................................................... 2.74 160095......................................................... 1.10 160097......................................................... 2.05 160098......................................................... 1.49 160099......................................................... 1.74 160101......................................................... 1.12 160102......................................................... 2.60 160103......................................................... 1.26 160104......................................................... 1.96 160106......................................................... 2.86 160107......................................................... 1.46 160108......................................................... 2.22 160109......................................................... 1.59 160110......................................................... 2.09 160111......................................................... 1.60 160112......................................................... 3.03 160113......................................................... 1.29 160114......................................................... 2.53 160115......................................................... 2.31 160116......................................................... 1.94

160117......................................................... 2.69 160118......................................................... 1.74 160120......................................................... 0.91 160122......................................................... 2.22 160124......................................................... 2.12 160126......................................................... 1.72 160129......................................................... 2.78 160130......................................................... 1.44 160131......................................................... 1.59 160134......................................................... 1.11 160135......................................................... 1.71 160138......................................................... 1.29 160140......................................................... 1.62 160142......................................................... 1.33 160143......................................................... 1.84 160145......................................................... 1.63 160146......................................................... 2.66 160147......................................................... 1.64 160151......................................................... 1.37 160152......................................................... 1.42 160153......................................................... 2.57 164002......................................................... 2.09 170001......................................................... 3.10 170004......................................................... 1.53 170006......................................................... 1.97 170008......................................................... 2.10 170009......................................................... 2.13 170010......................................................... 2.63 170012......................................................... 2.93 170013......................................................... 3.30 170014......................................................... 1.84 170015......................................................... 2.32 170016......................................................... 2.49 170017......................................................... 2.45 170018......................................................... 1.60 170019......................................................... 3.08 170020......................................................... 3.38 170022......................................................... 2.37 170023......................................................... 5.05 170024......................................................... 2.18 170025......................................................... 1.96 170026......................................................... 2.92 170027......................................................... 3.06 170030......................................................... 1.50 170031......................................................... 1.88 170032......................................................... 1.53 170033......................................................... 2.49 170034......................................................... 1.77 170035......................................................... 1.44 170036......................................................... 0.97 170037......................................................... 2.84 170038......................................................... 0.99 170039......................................................... 1.58 170040......................................................... 2.29 170041......................................................... 1.34 170043......................................................... 1.11 170044......................................................... 1.52 170045......................................................... 1.67 170049......................................................... 2.82 170051......................................................... 0.97 170052......................................................... 1.48 170053......................................................... 0.98 170054......................................................... 1.59 170055......................................................... 1.66 170056......................................................... 0.98 170057......................................................... 1.53 170058......................................................... 4.02 170060......................................................... 2.32 170061......................................................... 2.01 170063......................................................... 1.24 170064......................................................... 1.47 170066......................................................... 1.12 170067......................................................... 2.05 170068......................................................... 3.20 170070......................................................... 2.12 170072......................................................... 1.23 170073......................................................... 1.28 170074......................................................... 2.04 170075......................................................... 1.02 170076......................................................... 1.87 170077......................................................... 1.94 170079......................................................... 1.38 170080......................................................... 1.48 170081......................................................... 1.30 170082......................................................... 1.90 170084......................................................... 1.68 170085......................................................... 1.61 170086......................................................... 3.15 170088......................................................... 1.42 170089......................................................... 1.21 170090......................................................... 1.24 170092......................................................... 1.28 170093......................................................... 1.47 170094......................................................... 1.87 170095......................................................... 2.66 170097......................................................... 1.78 170098......................................................... 2.43 170099......................................................... 2.05 170100......................................................... 0.74 170101......................................................... 1.38 170102......................................................... 1.65 170103......................................................... 4.11 170104......................................................... 3.30 170105......................................................... 1.98 170106......................................................... 1.13 170109......................................................... 1.90 170110......................................................... 1.61 170112......................................................... 1.38 170113......................................................... 2.22 170114......................................................... 2.28 170115......................................................... 1.73 170116......................................................... 2.67 170117......................................................... 0.88 170119......................................................... 1.35 170120......................................................... 3.00 170122......................................................... 2.51 170123......................................................... 3.32 170124......................................................... 1.94 170126......................................................... 1.13 170128......................................................... 1.84 170131......................................................... 1.83 170133......................................................... 3.36 170134......................................................... 1.67 170137......................................................... 2.62 170139......................................................... 0.66 170142......................................................... 2.84 170143......................................................... 2.81 170144......................................................... 2.74 170145......................................................... 2.12 170146......................................................... 2.79 170147......................................................... 1.36 170148......................................................... 2.40 170150......................................................... 3.13 170151......................................................... 1.82 170152......................................................... 1.35 170160......................................................... 1.38 170164......................................................... 1.63 170166......................................................... 1.34 170168......................................................... 1.13 170171......................................................... 1.33 170175......................................................... 4.10 170176......................................................... 2.39 170182......................................................... 3.25 172004......................................................... 0.74 173025......................................................... 1.24 173026......................................................... 1.14 173027......................................................... 1.93 173028......................................................... 1.30 174003......................................................... 1.39 174006......................................................... 0.83 174012......................................................... 1.31 174014......................................................... 1.63 174016......................................................... 1.42 174018......................................................... 1.32 180001......................................................... 2.14 180004......................................................... 1.75 180005......................................................... 2.13 180006......................................................... 1.14 180007......................................................... 2.57 180009......................................................... 2.62 180010......................................................... 2.50 180011......................................................... 2.15 180012......................................................... 2.43 180013......................................................... 2.50 180014......................................................... 2.91 180015......................................................... 1.71 180016......................................................... 2.19 180017......................................................... 2.33 180018......................................................... 2.49 180019......................................................... 2.80 180021......................................................... 1.77 180023......................................................... 1.79 180024......................................................... 1.97 180025......................................................... 2.16 180026......................................................... 1.90 180027......................................................... 2.73 180030......................................................... 1.32 180031......................................................... 1.47 180032......................................................... 1.24 180033......................................................... 1.72 180034......................................................... 1.83 180035......................................................... 2.38 180036......................................................... 2.52 180037......................................................... 2.40 180038......................................................... 2.07 180040......................................................... 3.16 180041......................................................... 2.19 180042......................................................... 1.81 180043......................................................... 1.33 180044......................................................... 2.31 180045......................................................... 2.37 180046......................................................... 2.15 180047......................................................... 1.57 180048......................................................... 2.13 180049......................................................... 2.97 180051......................................................... 2.73 180054......................................................... 2.10 180055......................................................... 1.84 180056......................................................... 2.22 180058......................................................... 1.35 180059......................................................... 1.43 180060......................................................... 0.79 180063......................................................... 1.36 180064......................................................... 2.15 180065......................................................... 1.29 180066......................................................... 2.34 180067......................................................... 2.38 180070......................................................... 1.70 180072......................................................... 1.61 180075......................................................... 1.70 180078......................................................... 2.06 180079......................................................... 1.62 180080......................................................... 3.07 180087......................................................... 2.76 180088......................................................... 3.19 180092......................................................... 2.05 180093......................................................... 2.56 180094......................................................... 1.48 180095......................................................... 1.79 180099......................................................... 1.62 180101......................................................... 1.63 180102......................................................... 2.50 180103......................................................... 2.74 180104......................................................... 2.27 180105......................................................... 1.53 180106......................................................... 1.44 180108......................................................... 1.39 180115......................................................... 1.53

180116......................................................... 2.27 180117......................................................... 2.17 180118......................................................... 1.48 180120......................................................... 1.47 180121......................................................... 2.30 180122......................................................... 1.58 180123......................................................... 2.48 180124......................................................... 2.94 180126......................................................... 1.39 180127......................................................... 2.61 180128......................................................... 1.87 180129......................................................... 1.29 180130......................................................... 2.61 180132......................................................... 2.46 180133......................................................... 2.23 180134......................................................... 1.80 180136......................................................... 4.00 180137......................................................... 1.72 180138......................................................... 1.98 180139......................................................... 1.43 180140......................................................... 1.17 183026......................................................... 0.99 183027......................................................... 1.09 183028......................................................... 1.28 184000......................................................... 1.58 184002......................................................... 0.78 184007......................................................... 1.31 184008......................................................... 2.67 184009......................................................... 1.35 184015......................................................... 0.84 190003......................................................... 1.93 190004......................................................... 2.30 190007......................................................... 1.77 190013......................................................... 1.76 190014......................................................... 2.37 190015......................................................... 2.21 190017......................................................... 2.01 190018......................................................... 2.04 190019......................................................... 2.01 190020......................................................... 2.33 190025......................................................... 1.90 190026......................................................... 2.13 190027......................................................... 1.96 190029......................................................... 1.89 190033......................................................... 1.10 190034......................................................... 1.95 190035......................................................... 3.11 190036......................................................... 2.52 190037......................................................... 0.98 190039......................................................... 1.93 190040......................................................... 2.27 190041......................................................... 2.45 190043......................................................... 1.08 190044......................................................... 1.95 190045......................................................... 2.08 190046......................................................... 1.76 190048......................................................... 1.93 190049......................................................... 2.50 190050......................................................... 1.87 190053......................................................... 1.45 190054......................................................... 2.16 190059......................................................... 1.65 190060......................................................... 2.74 190064......................................................... 3.53 190065......................................................... 2.15 190071......................................................... 1.38 190077......................................................... 0.83 190078......................................................... 2.94 190079......................................................... 2.02 190081......................................................... 1.06 190083......................................................... 1.40 190086......................................................... 2.59 190088......................................................... 2.25 190089......................................................... 1.67 190090......................................................... 1.64 190092......................................................... 1.81 190095......................................................... 1.86 190098......................................................... 1.45 190099......................................................... 1.34 190102......................................................... 2.88 190103......................................................... 0.93 190106......................................................... 1.61 190109......................................................... 1.89 190110......................................................... 1.41 190111......................................................... 3.17 190112......................................................... 2.61 190113......................................................... 2.92 190114......................................................... 1.72 190115......................................................... 4.31 190116......................................................... 2.10 190118......................................................... 1.69 190120......................................................... 1.45 190124......................................................... 2.27 190125......................................................... 2.02 190128......................................................... 1.98 190130......................................................... 1.69 190131......................................................... 1.33 190133......................................................... 1.48 190134......................................................... 1.13 190135......................................................... 2.31 190136......................................................... 0.99 190138......................................................... 6.32 190140......................................................... 1.71 190142......................................................... 1.01 190144......................................................... 2.45 190145......................................................... 1.46 190146......................................................... 1.83 190147......................................................... 1.72 190148......................................................... 1.12 190149......................................................... 1.62 190151......................................................... 1.77 190155......................................................... 1.37 190156......................................................... 0.93 190158......................................................... 2.29 190160......................................................... 2.59 190162......................................................... 1.60 190164......................................................... 2.97 190167......................................................... 1.86 190170......................................................... 0.92 190173......................................................... 1.95 190175......................................................... 2.30 190176......................................................... 1.55 190177......................................................... 2.38 190178......................................................... 1.19 190182......................................................... 2.06 190184......................................................... 1.21 190185......................................................... 2.55 190186......................................................... 1.13 190189......................................................... 0.88 190190......................................................... 1.37 190191......................................................... 2.04 190196......................................................... 2.35 190197......................................................... 2.41 190200......................................................... 2.51 190201......................................................... 2.07 190202......................................................... 1.79 190203......................................................... 2.56 190204......................................................... 2.25 190205......................................................... 2.38 190206......................................................... 1.85 190207......................................................... 2.90 190208......................................................... 1.03 190218......................................................... 2.28 190231......................................................... 4.22 192004......................................................... 1.24 192005......................................................... 1.34 192006......................................................... 1.68 192008......................................................... 1.32 192016......................................................... 3.42 193027......................................................... 1.59 193028......................................................... 1.51 193034......................................................... 1.19 193038......................................................... 1.34 193041......................................................... 0.77 193044......................................................... 2.33 193300......................................................... 1.34 194014......................................................... 1.31 194019......................................................... 1.32 194022......................................................... 1.09 194023......................................................... 1.26 194024......................................................... 1.39 194031......................................................... 1.39 194044......................................................... 1.30 194058......................................................... 1.31 200001......................................................... 2.58 200002......................................................... 2.11 200003......................................................... 1.73 200006......................................................... 1.31 200007......................................................... 1.58 200008......................................................... 1.99 200009......................................................... 2.10 200012......................................................... 1.59 200013......................................................... 1.91 200015......................................................... 2.04 200016......................................................... 1.77 200017......................................................... 2.54 200018......................................................... 1.96 200019......................................................... 2.07 200020......................................................... 2.09 200021......................................................... 2.31 200023......................................................... 0.98 200024......................................................... 2.28 200025......................................................... 2.33 200026......................................................... 1.72 200027......................................................... 1.64 200028......................................................... 1.76 200031......................................................... 1.76 200032......................................................... 1.84 200033......................................................... 2.02 200034......................................................... 2.48 200037......................................................... 1.82 200038......................................................... 2.22 200039......................................................... 2.30 200040......................................................... 2.69 200041......................................................... 2.24 200043......................................................... 1.20 200050......................................................... 2.60 200051......................................................... 2.45 200052......................................................... 1.70 200055......................................................... 1.38 200062......................................................... 1.35 200063......................................................... 2.32 200066......................................................... 1.94 204005......................................................... 1.45 204006......................................................... 1.30 204007......................................................... 0.66 213027......................................................... .41 213028......................................................... 3.88 214000......................................................... 1.30 214003......................................................... 1.30 214015......................................................... 1.09 214017......................................................... 1.35 220001......................................................... 2.08 220003......................................................... 2.07 220004......................................................... 2.17 220006......................................................... 2.14 220008......................................................... 2.00 220010......................................................... 2.51 220011......................................................... 1.51 220015......................................................... 2.08 220016......................................................... 2.06 220017......................................................... 1.98 220019......................................................... 2.21 220020......................................................... 1.72 220021......................................................... 2.02 220023......................................................... 1.93 220024......................................................... 2.16 220025......................................................... 1.66

220028......................................................... 1.90 220029......................................................... 2.03 220030......................................................... 1.43 220031......................................................... 1.69 220033......................................................... 2.00 220035......................................................... 2.24 220038......................................................... 2.00 220041......................................................... 2.17 220042......................................................... 2.00 220046......................................................... 2.55 220049......................................................... 2.27 220050......................................................... 2.08 220051......................................................... 2.36 220052......................................................... 1.99 220053......................................................... 1.93 220055......................................................... 2.41 220057......................................................... 2.17 220058......................................................... 1.95 220060......................................................... 2.24 220062......................................................... 1.56 220063......................................................... 2.06 220064......................................................... 1.81 220065......................................................... 1.84 220066......................................................... 2.41 220067......................................................... 2.26 220068......................................................... 1.19 220070......................................................... 1.90 220071......................................................... 1.75 220073......................................................... 1.91 220074......................................................... 1.97 220075......................................................... 2.55 220076......................................................... 1.89 220077......................................................... 1.97 220079......................................................... 1.86 220080......................................................... 1.99 220081......................................................... 1.87 220082......................................................... 2.17 220083......................................................... 1.84 220084......................................................... 2.44 220086......................................................... 1.81 220088......................................................... 1.99 220089......................................................... 2.00 220090......................................................... 1.93 220092......................................................... 2.05 220094......................................................... 1.85 220095......................................................... 1.81 220098......................................................... 2.14 220100......................................................... 1.87 220101......................................................... 2.12 220104......................................................... 1.34 220105......................................................... 2.03 220106......................................................... 2.07 220107......................................................... 2.22 220108......................................................... 2.01 220111......................................................... 2.23 220116......................................................... 1.65 220119......................................................... 1.83 220123......................................................... 1.80 220126......................................................... 2.22 220128......................................................... 1.87 220135......................................................... 2.09 220162......................................................... 1.54 220163......................................................... 1.49 220171......................................................... 1.51 222000......................................................... 1.46 222002......................................................... 0.96 222006......................................................... 1.18 222008......................................................... 0.91 222024......................................................... 2.77 222026......................................................... 0.89 222027......................................................... 0.98 222029......................................................... 1.19 222035......................................................... 1.15 222043......................................................... 0.89 222044......................................................... 1.63 222045......................................................... 4.98 223026......................................................... 1.28 223027......................................................... 1.35 223028......................................................... 1.60 223029......................................................... 1.09 223030......................................................... 1.67 223302......................................................... 1.88 224007......................................................... 1.45 224013......................................................... 1.55 224018......................................................... 1.40 224021......................................................... 1.29 224022......................................................... 2.16 224023......................................................... 2.45 224029......................................................... 1.30 224034......................................................... 1.41 224035......................................................... 1.37 230001......................................................... 1.86 230002......................................................... 2.82 230003......................................................... 1.83 230004......................................................... 2.55 230005......................................................... 2.21 230006......................................................... 2.01 230007......................................................... 2.65 230012......................................................... 1.06 230013......................................................... 2.04 230015......................................................... 2.08 230017......................................................... 2.61 230019......................................................... 2.88 230020......................................................... 3.03 230021......................................................... 2.71 230022......................................................... 2.48 230024......................................................... 2.64 230027......................................................... 1.89 230029......................................................... 2.40 230030......................................................... 2.65 230031......................................................... 2.42 230032......................................................... 3.13 230034......................................................... 2.04 230035......................................................... 2.09 230036......................................................... 2.40 230037......................................................... 2.23 230038......................................................... 2.72 230040......................................................... 2.46 230041......................................................... 2.39 230042......................................................... 1.93 230046......................................................... 1.88 230047......................................................... 2.86 230053......................................................... 1.35 230054......................................................... 2.40 230055......................................................... 1.96 230056......................................................... 1.74 230058......................................................... 2.52 230059......................................................... 2.92 230060......................................................... 2.26 230062......................................................... 1.67 230063......................................................... 2.10 230065......................................................... 2.52 230066......................................................... 2.45 230068......................................................... 2.61 230069......................................................... 1.91 230070......................................................... 3.08 230071......................................................... 1.75 230072......................................................... 2.17 230075......................................................... 2.53 230076......................................................... 4.12 230077......................................................... 3.10 230078......................................................... 2.03 230080......................................................... 3.05 230081......................................................... 2.32 230082......................................................... 1.93 230085......................................................... 3.46 230086......................................................... 1.74 230087......................................................... 2.10 230089......................................................... 2.32 230092......................................................... 2.54 230093......................................................... 2.75 230095......................................................... 2.54 230096......................................................... 2.19 230097......................................................... 2.92 230099......................................................... 2.08 230100......................................................... 1.63 230101......................................................... 2.07 230103......................................................... 2.02 230104......................................................... 2.33 230105......................................................... 3.26 230106......................................................... 1.92 230107......................................................... 1.32 230108......................................................... 2.20 230110......................................................... 2.43 230111......................................................... 1.65 230113......................................................... 1.30 230114......................................................... 6.78 230115......................................................... 1.73 230116......................................................... 1.53 230117......................................................... 2.37 230118......................................................... 2.01 230119......................................................... 2.04 230120......................................................... 2.55 230121......................................................... 2.38 230122......................................................... 3.08 230124......................................................... 2.14 230125......................................................... 1.74 230128......................................................... 3.16 230129......................................................... 2.41 230130......................................................... 2.71 230132......................................................... 2.19 230133......................................................... 2.34 230134......................................................... 2.25 230135......................................................... 2.53 230137......................................................... 2.29 230141......................................................... 2.25 230142......................................................... 2.32 230143......................................................... 2.41 230144......................................................... 2.34 230145......................................................... 2.29 230146......................................................... 1.96 230147......................................................... 1.81 230149......................................................... 1.53 230151......................................................... 1.96 230153......................................................... 2.02 230154......................................................... 1.40 230155......................................................... 1.56 230156......................................................... 2.14 230157......................................................... 2.56 230159......................................................... 2.60 230162......................................................... 1.02 230165......................................................... 2.96 230167......................................................... 2.68 230169......................................................... 2.53 230171......................................................... 1.46 230172......................................................... 1.73 230174......................................................... 2.08 230175......................................................... 1.29 230176......................................................... 2.75 230178......................................................... 1.77 230180......................................................... 1.93 230184......................................................... 4.93 230186......................................................... 1.78 230188......................................................... 2.23 230189......................................................... 1.32 230190......................................................... 1.19 230191......................................................... 1.96 230193......................................................... 2.13 230194......................................................... 1.12 230195......................................................... 2.63 230197......................................................... 3.23 230199......................................................... 2.08 230201......................................................... 2.40 230204......................................................... 2.62 230205......................................................... 2.36 230207......................................................... 2.08 230208......................................................... 2.25 230211......................................................... 0.92

230212......................................................... 1.94 230213......................................................... 1.32 230216......................................................... 1.91 230217......................................................... 2.45 230219......................................................... 2.39 230221......................................................... 2.12 230222......................................................... 2.46 230223......................................................... 2.71 230227......................................................... 2.45 230230......................................................... 2.74 230232......................................................... 1.07 230235......................................................... 2.06 230236......................................................... 2.56 230239......................................................... 2.22 230241......................................................... 2.32 230244......................................................... 2.38 230253......................................................... 2.24 230254......................................................... 2.45 230257......................................................... 4.97 230259......................................................... 2.62 230264......................................................... 2.86 230269......................................................... 2.63 230270......................................................... 3.10 230273......................................................... 1.84 230275......................................................... 2.24 230276......................................................... 1.21 230278......................................................... 1.76 230279......................................................... 1.35 230280......................................................... 2.02 233025......................................................... 1.25 233026......................................................... 1.06 233027......................................................... 1.20 233300......................................................... 3.11 234006......................................................... 1.37 234011......................................................... 1.34 234021......................................................... 1.09 234030......................................................... 2.61 240001......................................................... 3.00 240002......................................................... 2.77 240004......................................................... 1.26 240005......................................................... 1.28 240006......................................................... 2.65 240007......................................................... 2.69 240008......................................................... 2.77 240009......................................................... 1.46 240010......................................................... 3.32 240011......................................................... 2.39 240013......................................................... 2.37 240014......................................................... 2.42 240016......................................................... 2.88 240017......................................................... 3.49 240018......................................................... 3.00 240019......................................................... 2.66 240020......................................................... 2.02 240021......................................................... 1.89 240022......................................................... 2.19 240023......................................................... 2.28 240025......................................................... 1.95 240027......................................................... 2.58 240028......................................................... 2.10 240029......................................................... 2.69 240030......................................................... 2.93 240031......................................................... 2.12 240036......................................................... 2.25 240037......................................................... 1.80 240038......................................................... 2.90 240040......................................................... 2.37 240041......................................................... 2.44 240043......................................................... 3.09 240044......................................................... 2.40 240045......................................................... 1.84 240047......................................................... 2.92 240048......................................................... 3.42 240049......................................................... 1.82 240050......................................................... 2.90 240051......................................................... 1.90 240052......................................................... 2.04 240053......................................................... 2.93 240056......................................................... 2.93 240057......................................................... 2.22 240058......................................................... 1.40 240059......................................................... 3.22 240061......................................................... 4.29 240063......................................................... 2.50 240064......................................................... 2.83 240065......................................................... 1.64 240066......................................................... 3.84 240069......................................................... 3.35 240071......................................................... 2.27 240072......................................................... 2.60 240073......................................................... 1.57 240075......................................................... 2.27 240076......................................................... 2.59 240077......................................................... 2.36 240078......................................................... 3.37 240079......................................................... 1.84 240080......................................................... 1.91 240082......................................................... 1.77 240083......................................................... 2.22 240084......................................................... 2.68 240085......................................................... 1.45 240086......................................................... 2.13 240087......................................................... 2.13 240088......................................................... 1.83 240089......................................................... 1.22 240090......................................................... 3.11 240093......................................................... 2.50 240094......................................................... 1.51 240096......................................................... 1.45 240097......................................................... 5.89 240098......................................................... 2.02 240099......................................................... 1.71 240100......................................................... 2.66 240101......................................................... 2.00 240102......................................................... 1.58 240103......................................................... 1.80 240104......................................................... 2.59 240105......................................................... 1.27 240106......................................................... 1.37 240107......................................................... 1.65 240108......................................................... 2.35 240109......................................................... 1.83 240110......................................................... 2.25 240111......................................................... 2.24 240112......................................................... 1.89 240114......................................................... 1.77 240115......................................................... 2.91 240116......................................................... 1.60 240117......................................................... 1.21 240119......................................................... 1.18 240121......................................................... 2.15 240122......................................................... 1.34 240123......................................................... 2.15 240124......................................................... 2.17 240125......................................................... 1.73 240127......................................................... 1.60 240128......................................................... 2.46 240129......................................................... 2.03 240130......................................................... 2.83 240132......................................................... 2.62 240133......................................................... 3.09 240135......................................................... 0.79 240137......................................................... 3.34 240138......................................................... 1.34 240139......................................................... 2.00 240141......................................................... 2.37 240142......................................................... 1.76 240143......................................................... 1.48 240144......................................................... 2.59 240145......................................................... 1.51 240146......................................................... 2.00 240148......................................................... 1.75 240150......................................................... 1.14 240152......................................................... 2.44 240153......................................................... 1.78 240154......................................................... 1.43 240155......................................................... 2.44 240157......................................................... 2.23 240160......................................................... 2.45 240161......................................................... 1.78 240162......................................................... 2.04 240163......................................................... 1.81 240166......................................................... 3.39 240169......................................................... 2.32 240170......................................................... 1.78 240171......................................................... 2.78 240172......................................................... 1.84 240173......................................................... 2.46 240179......................................................... 1.69 240184......................................................... 1.73 240187......................................................... 3.17 240193......................................................... 2.03 240200......................................................... 0.89 240207......................................................... 2.57 240210......................................................... 2.57 240211......................................................... 0.95 242004......................................................... 1.50 243300......................................................... 1.31 243302......................................................... 5.75 250001......................................................... 2.19 250002......................................................... 1.48 250003......................................................... 1.01 250004......................................................... 2.14 250005......................................................... 0.90 250006......................................................... 2.02 250007......................................................... 1.83 250008......................................................... 1.07 250009......................................................... 2.75 250010......................................................... 1.53 250012......................................................... 1.37 250015......................................................... 2.17 250017......................................................... 1.30 250018......................................................... 0.62 250019......................................................... 2.13 250020......................................................... 1.32 250021......................................................... 0.78 250023......................................................... 0.67 250024......................................................... 0.90 250025......................................................... 1.89 250027......................................................... 1.65 250029......................................................... 1.56 250030......................................................... 1.04 250031......................................................... 2.41 250032......................................................... 1.96 250033......................................................... 1.61 250034......................................................... 3.37 250035......................................................... 1.68 250036......................................................... 1.76 250037......................................................... 1.43 250038......................................................... 1.30 250039......................................................... 1.02 250040......................................................... 2.33 250042......................................................... 2.15 250043......................................................... 1.74 250044......................................................... 1.82 250045......................................................... 1.71 250048......................................................... 2.91 250049......................................................... 1.35 250050......................................................... 2.03 250051......................................................... 1.16 250057......................................................... 2.24 250058......................................................... 2.47 250059......................................................... 1.78 250060......................................................... 0.97 250061......................................................... 1.52 250063......................................................... 1.31 250065......................................................... 1.35 250066......................................................... 1.07

250067......................................................... 1.34 250068......................................................... 1.43 250069......................................................... 3.24 250071......................................................... 1.12 250072......................................................... 2.22 250076......................................................... 0.66 250077......................................................... 1.33 250078......................................................... 2.40 250079......................................................... 1.17 250081......................................................... 3.07 250082......................................................... 2.61 250083......................................................... 1.25 250084......................................................... 2.71 250085......................................................... 1.31 250088......................................................... 1.89 250089......................................................... 1.57 250093......................................................... 1.81 250094......................................................... 3.47 250095......................................................... 1.95 250096......................................................... 1.82 250097......................................................... 1.96 250098......................................................... 1.24 250099......................................................... 2.80 250100......................................................... 2.62 250101......................................................... 1.06 250102......................................................... 2.62 250104......................................................... 3.07 250105......................................................... 1.30 250107......................................................... 1.15 250109......................................................... 1.19 250112......................................................... 1.19 250117......................................................... 1.37 250119......................................................... 1.59 250120......................................................... 2.08 250122......................................................... 2.53 250123......................................................... 2.87 250124......................................................... 1.28 250125......................................................... 2.08 250126......................................................... 1.19 250128......................................................... 1.63 250131......................................................... 1.57 250134......................................................... 0.91 250136......................................................... 2.70 250138......................................................... 3.12 250141......................................................... 2.85 250145......................................................... 1.26 250146......................................................... 1.23 250148......................................................... 2.11 250149......................................................... 1.22 253025......................................................... 1.78 254001......................................................... 1.32 260001......................................................... 2.22 260002......................................................... 2.23 260003......................................................... 1.52 260004......................................................... 1.43 260005......................................................... 2.38 260006......................................................... 2.06 260007......................................................... 2.52 260008......................................................... 1.08 260009......................................................... 2.43 260011......................................................... 2.21 260012......................................................... 1.45 260013......................................................... 1.95 260014......................................................... 2.34 260015......................................................... 2.15 260017......................................................... 2.67 260018......................................................... 1.11 260019......................................................... 1.63 260020......................................................... 2.17 260021......................................................... 2.00 260022......................................................... 2.25 260023......................................................... 2.29 260024......................................................... 1.52 260025......................................................... 3.21 260027......................................................... 2.35 260029......................................................... 2.02 260030......................................................... 1.21 260031......................................................... 2.38 260032......................................................... 2.31 260034......................................................... 1.31 260035......................................................... 1.46 260036......................................................... 1.79 260039......................................................... 1.52 260040......................................................... 2.36 260042......................................................... 2.08 260044......................................................... 1.84 260047......................................................... 2.09 260048......................................................... 1.87 260050......................................................... 2.38 260052......................................................... 2.07 260053......................................................... 1.65 260054......................................................... 2.14 260055......................................................... 1.65 260057......................................................... 1.64 260059......................................................... 2.22 260061......................................................... 2.44 260062......................................................... 2.33 260063......................................................... 2.01 260064......................................................... 2.31 260065......................................................... 2.34 260066......................................................... 1.93 260067......................................................... 1.18 260068......................................................... 2.74 260070......................................................... 1.36 260073......................................................... 1.72 260074......................................................... 1.67 260077......................................................... 2.44 260078......................................................... 2.50 260079......................................................... 1.54 260080......................................................... 1.95 260081......................................................... 2.05 260082......................................................... 1.49 260085......................................................... 2.58 260086......................................................... 1.73 260091......................................................... 2.81 260094......................................................... 2.31 260095......................................................... 2.09 260096......................................................... 2.94 260097......................................................... 2.94 260100......................................................... 1.81 260102......................................................... 1.05 260103......................................................... 1.83 260104......................................................... 2.19 260105......................................................... 2.45 260107......................................................... 3.26 260108......................................................... 2.24 260109......................................................... 1.90 260110......................................................... 2.14 260113......................................................... 2.22 260115......................................................... 1.63 260116......................................................... 2.21 260119......................................................... 2.50 260120......................................................... 2.07 260122......................................................... 1.92 260123......................................................... 1.29 260127......................................................... 1.79 260128......................................................... 1.31 260129......................................................... 2.04 260131......................................................... 1.92 260134......................................................... 2.23 260137......................................................... 2.83 260138......................................................... 2.22 260141......................................................... 1.89 260142......................................................... 2.46 260143......................................................... 1.27 260147......................................................... 1.70 260148......................................................... 1.26 260158......................................................... 1.63 260159......................................................... 2.15 260160......................................................... 1.64 260162......................................................... 2.65 260163......................................................... 1.78 260164......................................................... 1.66 260166......................................................... 2.19 260172......................................................... 1.86 260173......................................................... 1.23 260175......................................................... 2.64 260176......................................................... 2.50 260177......................................................... 3.17 260178......................................................... 3.40 260179......................................................... 2.25 260180......................................................... 2.10 260183......................................................... 2.52 260186......................................................... 2.55 260188......................................................... 2.19 260189......................................................... 0.89 260190......................................................... 2.45 260191......................................................... 2.55 260193......................................................... 2.25 260195......................................................... 2.05 260197......................................................... 2.16 260198......................................................... 2.48 260200......................................................... 1.87 262001......................................................... 1.06 262011......................................................... 0.81 263025......................................................... 1.40 263026......................................................... 2.48 263300......................................................... 2.06 263301......................................................... 1.47 263302......................................................... 1.74 264005......................................................... 1.09 264007......................................................... 1.07 264008......................................................... 1.09 264010......................................................... 0.89 264013......................................................... 1.32 264016......................................................... 2.84 264017......................................................... 1.50 264021......................................................... 1.31 264024......................................................... 1.31 264025......................................................... 1.03 264026......................................................... 1.33 270002......................................................... 2.30 270003......................................................... 2.42 270004......................................................... 2.99 270006......................................................... 0.57 270007......................................................... 1.05 270009......................................................... 1.55 270011......................................................... 2.44 270012......................................................... 3.15 270013......................................................... 2.49 270014......................................................... 2.85 270016......................................................... 1.06 270017......................................................... 1.94 270019......................................................... 1.17 270021......................................................... 1.95 270023......................................................... 2.70 270024......................................................... 1.00 270026......................................................... 1.72 270027......................................................... 1.31 270028......................................................... 2.26 270029......................................................... 1.80 270032......................................................... 2.54 270033......................................................... 0.94 270035......................................................... 1.59 270036......................................................... 1.21 270039......................................................... 1.81 270040......................................................... 1.80 270041......................................................... 1.49 270044......................................................... 2.51 270046......................................................... 1.19 270048......................................................... 1.93 270049......................................................... 1.78 270050......................................................... 1.92 270051......................................................... 2.52 270052......................................................... 1.09 270053......................................................... 0.99 270057......................................................... 2.21 270058......................................................... 1.58

270059......................................................... 0.64 270060......................................................... 0.97 270063......................................................... 1.11 270068......................................................... 2.08 270072......................................................... 0.62 270073......................................................... 1.13 270079......................................................... 1.45 270080......................................................... 1.92 270081......................................................... 1.03 270082......................................................... 0.96 270083......................................................... 1.27 270084......................................................... 1.53 280001......................................................... 1.87 280005......................................................... 2.46 280009......................................................... 3.31 280010......................................................... 1.00 280011......................................................... 1.45 280012......................................................... 1.98 280013......................................................... 1.90 280014......................................................... 1.72 280015......................................................... 1.98 280017......................................................... 1.89 280018......................................................... 1.69 280020......................................................... 2.20 280021......................................................... 2.58 280022......................................................... 1.17 280023......................................................... 2.68 280024......................................................... 1.49 280025......................................................... 1.11 280026......................................................... 1.45 280028......................................................... 2.22 280029......................................................... 1.36 280030......................................................... 2.09 280031......................................................... 1.38 280032......................................................... 2.87 280033......................................................... 1.58 280034......................................................... 2.38 280035......................................................... 1.60 280037......................................................... 1.27 280038......................................................... 2.06 280039......................................................... 2.08 280040......................................................... 2.88 280041......................................................... 1.31 280042......................................................... 1.18 280043......................................................... 1.85 280045......................................................... 1.83 280046......................................................... 1.52 280047......................................................... 2.11 280048......................................................... 1.56 280049......................................................... 1.40 280050......................................................... 2.04 280051......................................................... 2.51 280052......................................................... 2.47 280054......................................................... 1.88 280055......................................................... 1.71 280056......................................................... 1.41 280057......................................................... 2.35 280058......................................................... 1.81 280060......................................................... 2.10 280061......................................................... 3.34 280062......................................................... 1.89 280064......................................................... 2.35 280065......................................................... 2.32 280066......................................................... 1.63 280068......................................................... 1.39 280070......................................................... 1.93 280073......................................................... 1.72 280074......................................................... 1.51 280075......................................................... 2.66 280076......................................................... 1.76 280077......................................................... 2.47 280079......................................................... 1.13 280080......................................................... 1.48 280081......................................................... 2.37 280082......................................................... 1.49 280083......................................................... 1.73 280084......................................................... 1.67 280085......................................................... 2.28 280088......................................................... 2.91 280089......................................................... 1.83 280090......................................................... 1.18 280091......................................................... 2.26 280092......................................................... 1.58 280094......................................................... 1.76 280097......................................................... 1.48 280098......................................................... 1.04 280101......................................................... 1.06 280102......................................................... 1.49 280104......................................................... 1.86 280105......................................................... 2.44 280106......................................................... 2.10 280107......................................................... 1.98 280108......................................................... 3.67 280109......................................................... 1.21 280110......................................................... 2.48 280111......................................................... 1.90 280114......................................................... 1.42 280115......................................................... 2.11 280117......................................................... 2.21 280118......................................................... 1.72 283301......................................................... 1.81 284007......................................................... 2.57 290001......................................................... 2.08 290002......................................................... 0.73 290003......................................................... 2.66 290005......................................................... 2.98 290006......................................................... 1.79 290007......................................................... 1.41 290008......................................................... 2.63 290009......................................................... 2.00 290010......................................................... 2.06 290011......................................................... 1.05 290012......................................................... 2.32 290013......................................................... 0.98 290014......................................................... 1.98 290015......................................................... 1.35 290016......................................................... 2.02 290019......................................................... 2.27 290020......................................................... 0.90 290021......................................................... 2.21 290022......................................................... 2.62 290027......................................................... 1.16 290032......................................................... 2.00 290038......................................................... 1.59 292002......................................................... 0.95 293027......................................................... 1.20 294003......................................................... 1.33 294004......................................................... 1.32 294005......................................................... 1.48 300001......................................................... 2.49 300003......................................................... 1.71 300005......................................................... 2.35 300006......................................................... 1.52 300007......................................................... 2.44 300008......................................................... 2.45 300009......................................................... 1.98 300010......................................................... 1.69 300011......................................................... 2.13 300013......................................................... 1.55 300014......................................................... 2.25 300015......................................................... 2.41 300016......................................................... 1.86 300017......................................................... 1.86 300018......................................................... 2.31 300019......................................................... 2.10 300021......................................................... 1.85 300022......................................................... 2.17 300023......................................................... 2.01 300024......................................................... 2.07 300028......................................................... 1.60 300029......................................................... 2.69 300033......................................................... 1.51 303026......................................................... 1.74 303027......................................................... 1.41 304000......................................................... 0.79 304001......................................................... 0.15 304003......................................................... 1.31 310001......................................................... 2.12 310002......................................................... 1.95 310005......................................................... 2.21 310006......................................................... 2.54 310008......................................................... 2.74 310009......................................................... 2.32 310010......................................................... 1.94 310011......................................................... 2.77 310013......................................................... 2.10 310015......................................................... 2.12 310016......................................................... 2.26 310017......................................................... 2.52 310018......................................................... 2.00 310019......................................................... 2.37 310020......................................................... 2.19 310021......................................................... 2.07 310022......................................................... 2.26 310024......................................................... 2.26 310025......................................................... 2.20 310026......................................................... 1.99 310027......................................................... 2.07 310028......................................................... 1.95 310029......................................................... 3.34 310031......................................................... 2.06 310032......................................................... 2.11 310034......................................................... 2.51 310036......................................................... 1.71 310037......................................................... 2.22 310039......................................................... 2.60 310041......................................................... 2.21 310042......................................................... 2.41 310043......................................................... 2.06 310044......................................................... 2.07 310045......................................................... 2.46 310047......................................................... 2.44 310048......................................................... 2.36 310050......................................................... 1.75 310051......................................................... 2.59 310052......................................................... 1.99 310054......................................................... 2.18 310056......................................................... 1.80 310057......................................................... 2.31 310058......................................................... 1.19 310060......................................................... 2.81 310061......................................................... 2.27 310063......................................................... 2.25 310064......................................................... 2.23 310067......................................................... 2.45 310069......................................................... 2.50 310070......................................................... 2.28 310072......................................................... 2.60 310073......................................................... 1.84 310074......................................................... 1.39 310076......................................................... 2.17 310077......................................................... 2.45 310078......................................................... 1.89 310081......................................................... 2.28 310083......................................................... 1.46 310084......................................................... 2.00 310086......................................................... 2.18 310088......................................................... 1.73 310090......................................................... 2.19 310091......................................................... 2.53 310092......................................................... 2.22 310093......................................................... 1.92 310096......................................................... 2.50 310105......................................................... 1.36 310111......................................................... 1.95 310112......................................................... 2.22 310113......................................................... 2.25 310115......................................................... 1.86

310116......................................................... 2.33 310118......................................................... 2.24 310120......................................................... 1.58 312014......................................................... 0.98 313025......................................................... 1.34 313027......................................................... 1.42 313029......................................................... 1.53 313030......................................................... 1.15 314010......................................................... 1.42 314011......................................................... 1.32 314012......................................................... 1.70 314021......................................................... 1.45 314022......................................................... 1.30 320001......................................................... 1.41 320002......................................................... 1.71 320003......................................................... 2.33 320004......................................................... 2.32 320005......................................................... 2.82 320006......................................................... 2.64 320009......................................................... 2.35 320011......................................................... 1.66 320012......................................................... 2.37 320013......................................................... 2.07 320014......................................................... 1.76 320016......................................................... 2.76 320017......................................................... 1.93 320018......................................................... 2.60 320019......................................................... 1.14 320021......................................................... 1.66 320022......................................................... 2.97 320023......................................................... 1.26 320030......................................................... 1.81 320031......................................................... 1.20 320032......................................................... 1.34 320033......................................................... 2.12 320035......................................................... 1.12 320037......................................................... 2.03 320038......................................................... 2.52 320046......................................................... 2.05 320048......................................................... 1.44 320063......................................................... 2.18 320065......................................................... 2.14 320067......................................................... 1.20 320068......................................................... 2.13 320069......................................................... 1.80 320074......................................................... 2.06 320079......................................................... 2.13 322002......................................................... 2.00 322003......................................................... 0.74 323027......................................................... 1.44 323028......................................................... 1.66 323029......................................................... 1.20 324003......................................................... 1.32 324004......................................................... 1.31 324007......................................................... 1.46 324008......................................................... 1.46 330001......................................................... 2.00 330002......................................................... 2.17 330003......................................................... 2.16 330004......................................................... 2.21 330005......................................................... 2.18 330006......................................................... 2.13 330007......................................................... 2.13 330008......................................................... 2.17 330010......................................................... 2.00 330011......................................................... 1.61 330012......................................................... 2.04 330013......................................................... 2.44 330014......................................................... 1.85 330016......................................................... 1.78 330023......................................................... 2.34 330024......................................................... 2.20 330025......................................................... 1.76 330027......................................................... 0.83 330028......................................................... 1.77 330029......................................................... 1.46 330030......................................................... 2.34 330033......................................................... 1.55 330034......................................................... 1.02 330036......................................................... 2.14 330037......................................................... 2.37 330038......................................................... 1.73 330039......................................................... 1.11 330041......................................................... 2.91 330043......................................................... 1.81 330044......................................................... 2.16 330045......................................................... 2.61 330046......................................................... 1.89 330047......................................................... 2.17 330048......................................................... 2.66 330049......................................................... 2.29 330053......................................................... 1.74 330055......................................................... 2.33 330056......................................................... 1.81 330057......................................................... 2.21 330058......................................................... 1.99 330059......................................................... 2.00 330061......................................................... 2.62 330062......................................................... 1.41 330064......................................................... 2.24 330065......................................................... 2.30 330066......................................................... 1.93 330067......................................................... 2.38 330072......................................................... 1.82 330073......................................................... 1.85 330074......................................................... 2.73 330075......................................................... 1.93 330078......................................................... 2.18 330079......................................................... 1.95 330084......................................................... 2.11 330085......................................................... 1.69 330086......................................................... 1.82 330088......................................................... 1.57 330090......................................................... 2.19 330091......................................................... 2.13 330092......................................................... 1.18 330094......................................................... 1.99 330095......................................................... 2.31 330096......................................................... 2.18 330097......................................................... 1.68 330100......................................................... 4.58 330101......................................................... 2.26 330102......................................................... 2.67 330103......................................................... 2.51 330104......................................................... 1.94 330106......................................................... 2.48 330107......................................................... 2.31 330108......................................................... 2.12 330111......................................................... 1.83 330114......................................................... 0.86 330115......................................................... 2.27 330116......................................................... 1.85 330118......................................................... 2.36 330119......................................................... 2.54 330121......................................................... 1.27 330122......................................................... 2.60 330125......................................................... 1.75 330126......................................................... 2.15 330132......................................................... 1.38 330133......................................................... 2.64 330135......................................................... 2.26 330136......................................................... 1.16 330140......................................................... 2.29 330141......................................................... 2.22 330144......................................................... 2.28 330148......................................................... 1.67 330151......................................................... 1.94 330152......................................................... 2.34 330153......................................................... 2.07 330154......................................................... 2.03 330157......................................................... 1.84 330158......................................................... 2.38 330159......................................................... 2.19 330160......................................................... 1.92 330161......................................................... 1.25 330162......................................................... 3.67 330163......................................................... 2.40 330164......................................................... 1.79 330166......................................................... 1.95 330167......................................................... 3.04 330171......................................................... 2.39 330175......................................................... 1.90 330177......................................................... 1.82 330179......................................................... 1.18 330180......................................................... 1.79 330181......................................................... 2.08 330182......................................................... 3.55 330183......................................................... 1.79 330184......................................................... 2.21 330185......................................................... 1.65 330186......................................................... 0.39 330188......................................................... 2.38 330189......................................................... 6.34 330191......................................................... 2.03 330193......................................................... 2.41 330194......................................................... 1.88 330197......................................................... 1.95 330198......................................................... 2.21 330203......................................................... 3.62 330205......................................................... 1.98 330208......................................................... 2.27 330209......................................................... 2.09 330211......................................................... 1.91 330212......................................................... 2.23 330213......................................................... 1.64 330214......................................................... 2.26 330215......................................................... 2.38 330218......................................................... 1.68 330219......................................................... 1.74 330221......................................................... 1.98 330222......................................................... 2.46 330223......................................................... 1.85 330224......................................................... 2.43 330225......................................................... 2.13 330226......................................................... 2.16 330229......................................................... 1.99 330230......................................................... 2.20 330232......................................................... 1.94 330235......................................................... 2.65 330236......................................................... 1.88 330238......................................................... 2.18 330239......................................................... 2.06 330241......................................................... 2.01 330242......................................................... 2.15 330245......................................................... 2.11 330246......................................................... 2.37 330249......................................................... 1.92 330250......................................................... 2.16 330252......................................................... 1.09 330254......................................................... 2.00 330258......................................................... 1.41 330259......................................................... 2.14 330261......................................................... 2.09 330263......................................................... 2.52 330264......................................................... 2.19 330265......................................................... 1.58 330267......................................................... 2.03 330268......................................................... 1.43 330270......................................................... 1.79 330273......................................................... 2.36 330275......................................................... 1.82 330276......................................................... 1.74 330277......................................................... 2.17 330279......................................................... 2.54 330285......................................................... 1.92 330286......................................................... 2.18 330288......................................................... 0.97 330290......................................................... 1.82

330293......................................................... 1.54 330304......................................................... 2.53 330306......................................................... 1.70 330307......................................................... 2.33 330308......................................................... 2.67 330314......................................................... 2.43 330316......................................................... 2.96 330327......................................................... 1.61 330331......................................................... 2.10 330332......................................................... 3.12 330333......................................................... 2.90 330336......................................................... 1.88 330338......................................................... 2.46 330339......................................................... 1.90 330340......................................................... 2.38 330350......................................................... 2.04 330353......................................................... 2.62 330354......................................................... 1.65 330357......................................................... 1.88 330359......................................................... 0.93 330372......................................................... 2.66 330381......................................................... 1.89 330386......................................................... 1.90 330389......................................................... 1.66 330390......................................................... 1.31 330393......................................................... 2.43 330394......................................................... 2.31 330395......................................................... 2.16 330397......................................................... 1.38 330398......................................................... 2.74 330399......................................................... 1.25 332012......................................................... 1.27 332022......................................................... 1.06 333025......................................................... 1.16 333027......................................................... 1.18 333028......................................................... 0.83 333300......................................................... 1.97 334002......................................................... 1.31 334023......................................................... 1.63 334027......................................................... 1.35 334048......................................................... 1.90 334049......................................................... 1.27 334055......................................................... 1.34 340001......................................................... 1.74 340002......................................................... 3.11 340003......................................................... 2.06 340004......................................................... 2.45 340005......................................................... 2.06 340006......................................................... 1.74 340007......................................................... 1.78 340008......................................................... 2.04 340010......................................................... 2.74 340011......................................................... 1.74 340012......................................................... 2.11 340013......................................................... 1.76 340014......................................................... 1.42 340015......................................................... 2.74 340016......................................................... 2.80 340017......................................................... 2.49 340018......................................................... 2.19 340019......................................................... 1.62 340020......................................................... 1.91 340021......................................................... 2.46 340022......................................................... 1.83 340023......................................................... 1.80 340024......................................................... 2.03 340025......................................................... 2.51 340027......................................................... 2.77 340028......................................................... 2.20 340030......................................................... 2.05 340031......................................................... 1.83 340032......................................................... 2.25 340035......................................................... 2.11 340036......................................................... 1.62 340037......................................................... 1.65 340038......................................................... 2.85 340039......................................................... 2.43 340040......................................................... 2.67 340041......................................................... 1.79 340042......................................................... 1.96 340044......................................................... 1.63 340045......................................................... 1.18 340047......................................................... 2.12 340049......................................................... 6.30 340050......................................................... 2.19 340051......................................................... 2.47 340052......................................................... 1.73 340053......................................................... 2.81 340054......................................................... 2.34 340055......................................................... 1.87 340060......................................................... 2.11 340061......................................................... 1.79 340063......................................................... 1.37 340064......................................................... 2.00 340065......................................................... 1.85 340067......................................................... 2.31 340068......................................................... 2.28 340069......................................................... 2.13 340070......................................................... 2.45 340071......................................................... 1.89 340072......................................................... 2.14 340073......................................................... 2.93 340075......................................................... 2.03 340080......................................................... 1.60 340084......................................................... 1.63 340085......................................................... 2.13 340087......................................................... 1.89 340088......................................................... 2.90 340089......................................................... 1.50 340090......................................................... 1.88 340091......................................................... 2.67 340093......................................................... 1.77 340094......................................................... 3.18 340096......................................................... 2.26 340097......................................................... 2.48 340098......................................................... 2.29 340099......................................................... 1.96 340101......................................................... 2.33 340104......................................................... 1.55 340105......................................................... 3.43 340106......................................................... 1.67 340107......................................................... 2.68 340109......................................................... 3.18 340111......................................................... 2.00 340112......................................................... 1.70 340113......................................................... 2.24 340114......................................................... 1.84 340115......................................................... 2.33 340116......................................................... 2.54 340119......................................................... 2.20 340120......................................................... 1.81 340121......................................................... 2.07 340123......................................................... 2.04 340124......................................................... 1.85 340125......................................................... 3.31 340126......................................................... 2.36 340127......................................................... 1.80 340129......................................................... 2.35 340130......................................................... 2.31 340131......................................................... 2.43 340132......................................................... 1.87 340133......................................................... 1.45 340141......................................................... 2.50 340142......................................................... 1.97 340143......................................................... 2.56 340144......................................................... 2.69 340145......................................................... 2.30 340146......................................................... 1.82 340147......................................................... 2.77 340148......................................................... 3.86 340151......................................................... 2.31 340153......................................................... 3.73 340155......................................................... 2.22 340158......................................................... 2.63 340159......................................................... 1.46 340160......................................................... 2.30 340162......................................................... 1.70 340164......................................................... 1.88 340166......................................................... 2.00 340171......................................................... 2.59 342012......................................................... 0.80 343025......................................................... 1.53 344005......................................................... 1.31 344006......................................................... 1.31 344010......................................................... 1.47 344011......................................................... 1.43 344014......................................................... 0.71 344015......................................................... 1.31 344016......................................................... 1.09 344019......................................................... 1.31 350001......................................................... 1.12 350002......................................................... 3.45 350003......................................................... 2.22 350004......................................................... 3.44 350005......................................................... 1.99 350006......................................................... 1.93 350007......................................................... 2.58 350008......................................................... 1.70 350009......................................................... 2.96 350010......................................................... 2.90 350011......................................................... 2.89 350012......................................................... 2.14 350013......................................................... 1.84 350014......................................................... 1.86 350015......................................................... 3.03 350016......................................................... 1.06 350017......................................................... 2.50 350018......................................................... 2.51 350019......................................................... 3.11 350020......................................................... 1.39 350021......................................................... 2.41 350023......................................................... 1.92 350024......................................................... 1.91 350025......................................................... 1.12 350027......................................................... 1.38 350029......................................................... 1.36 350030......................................................... 2.63 350033......................................................... 1.95 350034......................................................... 1.96 350035......................................................... 0.81 350038......................................................... 2.94 350039......................................................... 1.96 350041......................................................... 1.45 350042......................................................... 3.18 350043......................................................... 2.85 350044......................................................... 1.65 350047......................................................... 1.92 350049......................................................... 2.09 350050......................................................... 1.45 350051......................................................... 1.67 350053......................................................... 1.27 350055......................................................... 1.18 350056......................................................... 1.89 350058......................................................... 1.67 350060......................................................... 0.77 350061......................................................... 2.48 360001......................................................... 2.64 360002......................................................... 2.29 360003......................................................... 1.85 360006......................................................... 2.89 360007......................................................... 1.80 360008......................................................... 2.13 360009......................................................... 2.29 360010......................................................... 2.65 360011......................................................... 1.92 360012......................................................... 2.66 360013......................................................... 2.14 360014......................................................... 2.53

360016......................................................... 1.81 360017......................................................... 3.33 360018......................................................... 2.33 360019......................................................... 1.98 360020......................................................... 2.08 360021......................................................... 5.43 360024......................................................... 2.14 360025......................................................... 1.91 360026......................................................... 1.75 360027......................................................... 2.33 360028......................................................... 3.86 360029......................................................... 2.40 360030......................................................... 2.23 360031......................................................... 1.96 360032......................................................... 2.43 360034......................................................... 1.83 360035......................................................... 1.99 360036......................................................... 2.27 360037......................................................... 2.14 360039......................................................... 2.10 360040......................................................... 2.00 360041......................................................... 2.04 360042......................................................... 2.06 360044......................................................... 2.15 360045......................................................... 1.77 360046......................................................... 2.26 360047......................................................... 1.50 360048......................................................... 2.09 360049......................................................... 2.55 360050......................................................... 1.48 360051......................................................... 2.75 360052......................................................... 2.24 360054......................................................... 2.54 360055......................................................... 2.36 360056......................................................... 2.33 360057......................................................... 1.64 360058......................................................... 2.00 360059......................................................... 1.56 360062......................................................... 2.57 360063......................................................... 1.65 360064......................................................... 2.42 360065......................................................... 2.08 360066......................................................... 2.38 360067......................................................... 1.63 360068......................................................... 2.26 360069......................................................... 1.71 360070......................................................... 1.90 360071......................................................... 2.19 360072......................................................... 2.20 360074......................................................... 2.05 360075......................................................... 2.04 360076......................................................... 2.47 360077......................................................... 2.20 360078......................................................... 2.40 360079......................................................... 2.59 360080......................................................... 2.08 360081......................................................... 2.19 360082......................................................... 2.65 360083......................................................... 2.23 360084......................................................... 2.31 360085......................................................... 2.57 360086......................................................... 2.40 360087......................................................... 2.16 360088......................................................... 1.91 360089......................................................... 2.00 360090......................................................... 3.18 360091......................................................... 2.21 360092......................................................... 1.73 360093......................................................... 2.81 360094......................................................... 1.82 360095......................................................... 2.56 360096......................................................... 2.20 360098......................................................... 2.80 360099......................................................... 2.12 360100......................................................... 2.42 360101......................................................... 2.92 360102......................................................... 2.51 360103......................................................... 1.96 360106......................................................... 1.58 360107......................................................... 2.01 360108......................................................... 1.64 360109......................................................... 2.24 360112......................................................... 2.44 360113......................................................... 2.40 360114......................................................... 1.97 360115......................................................... 1.97 360116......................................................... 1.68 360118......................................................... 2.05 360121......................................................... 2.65 360123......................................................... 2.13 360125......................................................... 1.64 360126......................................................... 1.77 360127......................................................... 2.13 360128......................................................... 1.63 360129......................................................... 1.65 360130......................................................... 1.88 360131......................................................... 2.14 360132......................................................... 2.30 360133......................................................... 2.40 360134......................................................... 2.32 360136......................................................... 1.52 360137......................................................... 2.10 360140......................................................... 1.69 360141......................................................... 2.57 360142......................................................... 1.91 360143......................................................... 2.16 360144......................................................... 2.43 360145......................................................... 2.33 360147......................................................... 2.16 360148......................................................... 1.98 360149......................................................... 2.50 360150......................................................... 2.91 360151......................................................... 2.57 360152......................................................... 2.41 360153......................................................... 1.78 360154......................................................... 1.51 360155......................................................... 2.43 360156......................................................... 2.12 360159......................................................... 2.11 360161......................................................... 2.22 360162......................................................... 2.00 360163......................................................... 2.68 360164......................................................... 1.58 360165......................................................... 1.72 360166......................................................... 1.56 360170......................................................... 1.92 360172......................................................... 2.63 360174......................................................... 2.39 360175......................................................... 2.41 360176......................................................... 1.68 360177......................................................... 1.47 360178......................................................... 2.36 360179......................................................... 2.17 360180......................................................... 2.46 360184......................................................... 1.43 360185......................................................... 1.74 360186......................................................... 1.49 360187......................................................... 2.34 360188......................................................... 1.73 360189......................................................... 2.21 360192......................................................... 2.11 360193......................................................... 2.29 360194......................................................... 2.06 360195......................................................... 2.55 360197......................................................... 1.83 360200......................................................... 1.69 360203......................................................... 2.33 360204......................................................... 1.85 360210......................................................... 2.48 360211......................................................... 2.08 360212......................................................... 2.15 360213......................................................... 1.96 360218......................................................... 2.25 360230......................................................... 2.64 360231......................................................... 1.39 360234......................................................... 1.96 360236......................................................... 2.29 360239......................................................... 2.44 360241......................................................... 1.12 360242......................................................... 1.60 360244......................................................... 1.31 360245......................................................... 1.34 362004......................................................... 2.12 362007......................................................... 0.46 362014......................................................... 6.82 362015......................................................... 1.36 363300......................................................... 1.79 363303......................................................... 2.00 363305......................................................... 1.79 363306......................................................... 1.23 364003......................................................... 1.44 364017......................................................... 1.22 364026......................................................... 1.35 364029......................................................... 1.39 364038......................................................... 1.63 370001......................................................... 2.91 370002......................................................... 2.47 370004......................................................... 2.61 370005......................................................... 1.38 370006......................................................... 2.35 370007......................................................... 1.70 370008......................................................... 2.57 370011......................................................... 1.83 370012......................................................... 1.32 370013......................................................... 2.58 370014......................................................... 2.48 370015......................................................... 1.80 370016......................................................... 2.30 370017......................................................... 1.70 370018......................................................... 2.92 370019......................................................... 2.26 370020......................................................... 2.07 370021......................................................... 1.30 370022......................................................... 2.66 370023......................................................... 2.24 370025......................................................... 2.32 370026......................................................... 2.80 370028......................................................... 2.84 370029......................................................... 2.17 370030......................................................... 1.94 370032......................................................... 3.38 370033......................................................... 2.36 370034......................................................... 2.42 370035......................................................... 1.77 370036......................................................... 0.72 370037......................................................... 3.59 370038......................................................... 1.46 370039......................................................... 1.82 370040......................................................... 2.84 370041......................................................... 1.57 370042......................................................... 1.32 370043......................................................... 1.07 370045......................................................... 1.52 370046......................................................... 1.86 370047......................................................... 2.19 370048......................................................... 1.83 370049......................................................... 2.76 370051......................................................... 1.23 370054......................................................... 2.15 370056......................................................... 2.68 370057......................................................... 1.86 370059......................................................... 0.96 370060......................................................... 2.06 370063......................................................... 1.47 370064......................................................... 1.48 370065......................................................... 2.33 370071......................................................... 1.48 370072......................................................... 1.27

370076......................................................... 2.23 370077......................................................... 1.87 370078......................................................... 3.26 370079......................................................... 1.68 370080......................................................... 1.82 370082......................................................... 1.22 370083......................................................... 2.29 370084......................................................... 1.49 370085......................................................... 1.70 370086......................................................... 2.07 370089......................................................... 2.06 370091......................................................... 2.79 370092......................................................... 2.14 370093......................................................... 3.92 370094......................................................... 2.86 370095......................................................... 1.34 370097......................................................... 1.94 370099......................................................... 1.98 370100......................................................... 1.24 370103......................................................... 1.55 370105......................................................... 2.79 370106......................................................... 3.64 370108......................................................... 1.53 370112......................................................... 1.50 370113......................................................... 1.90 370114......................................................... 2.83 370121......................................................... 2.39 370122......................................................... 0.92 370123......................................................... 2.24 370125......................................................... 1.87 370126......................................................... 1.24 370131......................................................... 1.18 370133......................................................... 1.80 370138......................................................... 2.26 370139......................................................... 1.64 370140......................................................... 1.76 370141......................................................... 1.68 370146......................................................... 1.52 370148......................................................... 2.10 370149......................................................... 2.65 370153......................................................... 2.37 370154......................................................... 2.41 370156......................................................... 2.29 370158......................................................... 1.44 370159......................................................... 2.14 370163......................................................... 1.19 370165......................................................... 1.28 370166......................................................... 1.79 370169......................................................... 1.91 370176......................................................... 1.99 370177......................................................... 1.48 370178......................................................... 2.01 370179......................................................... 1.40 370183......................................................... 1.38 370186......................................................... 2.40 370190......................................................... 2.72 370192......................................................... 2.64 372004......................................................... 0.74 373025......................................................... 1.44 373026......................................................... 1.05 374003......................................................... 1.43 374006......................................................... 1.09 374008......................................................... 1.62 374012......................................................... 1.25 374018......................................................... 1.30 374020......................................................... 1.38 380001......................................................... 2.56 380002......................................................... 3.62 380003......................................................... 3.00 380004......................................................... 3.26 380005......................................................... 4.66 380006......................................................... 2.69 380007......................................................... 2.88 380008......................................................... 1.60 380009......................................................... 2.04 380010......................................................... 1.71 380011......................................................... 2.19 380013......................................................... 1.52 380014......................................................... 2.51 380017......................................................... 3.48 380018......................................................... 2.29 380019......................................................... 1.71 380020......................................................... 3.29 380021......................................................... 2.50 380022......................................................... 2.52 380023......................................................... 2.25 380025......................................................... 2.54 380026......................................................... 2.19 380027......................................................... 1.81 380029......................................................... 2.00 380031......................................................... 1.56 380033......................................................... 2.83 380035......................................................... 2.69 380036......................................................... 2.23 380037......................................................... 2.24 380038......................................................... 2.80 380039......................................................... 1.87 380040......................................................... 2.03 380042......................................................... 1.73 380047......................................................... 3.41 380048......................................................... 2.03 380050......................................................... 2.26 380051......................................................... 2.84 380052......................................................... 2.34 380056......................................................... 1.38 380060......................................................... 2.26 380061......................................................... 2.53 380062......................................................... 0.85 380063......................................................... 1.64 380064......................................................... 1.85 380065......................................................... 1.72 380066......................................................... 2.76 380068......................................................... 1.29 380069......................................................... 1.67 380070......................................................... 1.83 380071......................................................... 3.16 380072......................................................... 1.67 380075......................................................... 2.82 380078......................................................... 1.79 380081......................................................... 0.94 380082......................................................... 2.43 380083......................................................... 2.28 380084......................................................... 1.97 380087......................................................... 2.29 380088......................................................... 1.95 380089......................................................... 2.67 380090......................................................... 2.69 390001......................................................... 2.28 390002......................................................... 2.31 390003......................................................... 1.68 390004......................................................... 2.37 390005......................................................... 2.13 390006......................................................... 1.56 390007......................................................... 3.01 390008......................................................... 1.88 390009......................................................... 2.27 390010......................................................... 2.46 390011......................................................... 2.35 390012......................................................... 2.52 390013......................................................... 2.64 390015......................................................... 1.83 390016......................................................... 2.19 390017......................................................... 2.05 390018......................................................... 2.64 390019......................................................... 2.13 390022......................................................... 2.62 390023......................................................... 1.66 390024......................................................... 2.86 390025......................................................... 1.01 390026......................................................... 1.87 390028......................................................... 2.81 390029......................................................... 2.48 390030......................................................... 2.03 390031......................................................... 2.04 390032......................................................... 2.24 390035......................................................... 2.44 390036......................................................... 2.41 390037......................................................... 2.41 390039......................................................... 2.16 390040......................................................... 1.67 390041......................................................... 2.43 390042......................................................... 2.15 390043......................................................... 2.81 390044......................................................... 2.47 390045......................................................... 2.07 390046......................................................... 1.82 390047......................................................... 2.37 390048......................................................... 2.18 390049......................................................... 2.55 390051......................................................... 2.39 390052......................................................... 2.37 390054......................................................... 1.88 390055......................................................... 2.50 390056......................................................... 1.93 390057......................................................... 2.26 390058......................................................... 2.88 390060......................................................... 1.55 390061......................................................... 2.09 390062......................................................... 2.64 390063......................................................... 3.18 390065......................................................... 2.18 390066......................................................... 1.97 390067......................................................... 2.36 390068......................................................... 1.71 390069......................................................... 2.07 390070......................................................... 2.99 390071......................................................... 2.38 390072......................................................... 2.07 390073......................................................... 2.34 390074......................................................... 2.49 390075......................................................... 2.39 390076......................................................... 2.35 390078......................................................... 2.72 390079......................................................... 2.76 390080......................................................... 2.27 390083......................................................... 1.70 390084......................................................... 1.63 390086......................................................... 2.12 390088......................................................... 1.82 390090......................................................... 2.61 390091......................................................... 2.07 390093......................................................... 1.88 390095......................................................... 2.17 390096......................................................... 2.12 390097......................................................... 2.24 390100......................................................... 2.36 390101......................................................... 1.57 390102......................................................... 2.62 390103......................................................... 1.99 390104......................................................... 1.86 390106......................................................... 1.90 390107......................................................... 2.35 390108......................................................... 2.27 390109......................................................... 1.45 390110......................................................... 2.02 390111......................................................... 1.83 390112......................................................... 2.15 390113......................................................... 2.24 390114......................................................... 2.04 390115......................................................... 2.23 390116......................................................... 2.11 390118......................................................... 2.53 390119......................................................... 2.35 390121......................................................... 2.40 390122......................................................... 2.01 390123......................................................... 2.78 390125......................................................... 2.16 390127......................................................... 2.39

390128......................................................... 2.69 390130......................................................... 2.00 390131......................................................... 2.36 390132......................................................... 1.94 390133......................................................... 2.42 390135......................................................... 2.00 390136......................................................... 3.53 390137......................................................... 2.30 390138......................................................... 2.02 390139......................................................... 2.41 390142......................................................... 1.82 390145......................................................... 2.23 390146......................................................... 2.08 390147......................................................... 2.32 390150......................................................... 1.87 390151......................................................... 2.28 390152......................................................... 2.31 390153......................................................... 1.89 390154......................................................... 2.53 390155......................................................... 1.33 390156......................................................... 2.31 390157......................................................... 2.37 390158......................................................... 2.27 390160......................................................... 2.65 390161......................................................... 2.45 390162......................................................... 2.22 390163......................................................... 2.32 390164......................................................... 2.01 390166......................................................... 1.65 390167......................................................... 2.15 390168......................................................... 2.09 390169......................................................... 2.95 390173......................................................... 1.97 390174......................................................... 2.26 390176......................................................... 2.00 390178......................................................... 2.45 390179......................................................... 2.23 390180......................................................... 2.28 390181......................................................... 2.25 390183......................................................... 2.37 390184......................................................... 1.62 390185......................................................... 2.69 390189......................................................... 2.17 390191......................................................... 2.94 390192......................................................... 1.97 390193......................................................... 2.44 390194......................................................... 2.11 390195......................................................... 2.67 390196......................................................... 2.10 390197......................................................... 2.87 390198......................................................... 1.52 390199......................................................... 1.66 390200......................................................... 1.45 390201......................................................... 2.13 390203......................................................... 2.45 390204......................................................... 2.30 390205......................................................... 2.28 390206......................................................... 1.93 390209......................................................... 1.92 390211......................................................... 2.50 390213......................................................... 1.01 390215......................................................... 2.33 390217......................................................... 2.12 390219......................................................... 1.77 390222......................................................... 2.63 390224......................................................... 1.59 390225......................................................... 2.14 390226......................................................... 2.14 390228......................................................... 2.10 390231......................................................... 2.05 390233......................................................... 1.89 390235......................................................... 1.76 390236......................................................... 2.00 390237......................................................... 2.10 390238......................................................... 2.27 390242......................................................... 2.31 390244......................................................... 0.99 390245......................................................... 1.98 390246......................................................... 2.30 390247......................................................... 1.06 390249......................................................... 1.03 390256......................................................... 1.74 390258......................................................... 2.34 390260......................................................... 3.40 390262......................................................... 2.54 390263......................................................... 2.66 390265......................................................... 1.46 390266......................................................... 2.94 390267......................................................... 2.51 390268......................................................... 2.47 390270......................................................... 2.41 390277......................................................... 1.09 390279......................................................... 2.19 392024......................................................... 1.54 392025......................................................... 1.67 392026......................................................... 1.05 393025......................................................... 1.10 393026......................................................... 1.57 393027......................................................... 1.76 393031......................................................... 1.45 393032......................................................... 1.06 393035......................................................... 0.85 393037......................................................... 1.35 393038......................................................... 1.63 393039......................................................... 1.00 393040......................................................... 3.14 393042......................................................... 1.68 393043......................................................... 0.88 393301......................................................... 1.76 393302......................................................... 1.48 394006......................................................... 1.31 394007......................................................... 1.38 394008......................................................... 2.75 394020......................................................... 1.14 394023......................................................... 1.34 394034......................................................... 1.22 394041......................................................... 1.09 400001......................................................... 1.56 400002......................................................... 3.46 400003......................................................... 1.44 400004......................................................... 1.88 400005......................................................... 1.64 400006......................................................... 2.37 400007......................................................... 1.13 400009......................................................... 1.77 400011......................................................... 2.23 400012......................................................... 1.03 400013......................................................... 1.35 400014......................................................... 4.33 400016......................................................... 2.08 400017......................................................... 1.95 400018......................................................... 1.33 400019......................................................... 3.06 400021......................................................... 1.89 400022......................................................... 1.78 400027......................................................... 0.85 400028......................................................... 1.51 400029......................................................... 1.06 400032......................................................... 1.10 400094......................................................... 1.07 400098......................................................... 1.33 400102......................................................... 1.90 400106......................................................... 1.48 400109......................................................... 1.91 400111......................................................... 1.29 400113......................................................... 1.98 400114......................................................... 1.37 400115......................................................... 1.11 400117......................................................... 2.09 400118......................................................... 1.61 400120......................................................... 2.23 400122......................................................... 0.93 400123......................................................... 3.45 400124......................................................... 8.61 404002......................................................... 2.33 410001......................................................... 2.10 410004......................................................... 1.90 410005......................................................... 2.63 410006......................................................... 2.14 410007......................................................... 2.36 410008......................................................... 2.45 410009......................................................... 2.76 410010......................................................... 1.74 410011......................................................... 2.21 410012......................................................... 2.51 410013......................................................... 2.44 413025......................................................... 1.43 414000......................................................... 1.92 420002......................................................... 2.45 420004......................................................... 1.85 420005......................................................... 2.31 420006......................................................... 1.21 420007......................................................... 2.47 420009......................................................... 2.69 420010......................................................... 2.32 420011......................................................... 1.69 420014......................................................... 1.38 420015......................................................... 2.30 420016......................................................... 1.68 420018......................................................... 1.86 420019......................................................... 2.11 420020......................................................... 2.41 420023......................................................... 2.81 420026......................................................... 3.52 420027......................................................... 2.14 420030......................................................... 2.06 420031......................................................... 1.34 420033......................................................... 1.82 420036......................................................... 2.49 420037......................................................... 1.69 420038......................................................... 1.69 420039......................................................... 1.85 420042......................................................... 1.78 420043......................................................... 2.04 420048......................................................... 2.19 420049......................................................... 2.64 420051......................................................... 2.34 420053......................................................... 2.21 420054......................................................... 1.65 420055......................................................... 1.77 420056......................................................... 2.63 420057......................................................... 1.70 420059......................................................... 1.53 420061......................................................... 1.79 420062......................................................... 2.16 420064......................................................... 1.55 420065......................................................... 2.64 420066......................................................... 1.91 420067......................................................... 3.06 420068......................................................... 2.80 420069......................................................... 1.57 420070......................................................... 2.37 420071......................................................... 2.47 420072......................................................... 1.30 420073......................................................... 2.50 420074......................................................... 1.11 420075......................................................... 1.79 420078......................................................... 2.50 420079......................................................... 1.75 420080......................................................... 2.41 420081......................................................... 0.87 420082......................................................... 2.27 420083......................................................... 3.31 420085......................................................... 2.03 420086......................................................... 2.36 420087......................................................... 2.53 420088......................................................... 2.47 420089......................................................... 2.60

420091......................................................... 2.75 423025......................................................... 2.50 423026......................................................... 1.63 424006......................................................... 1.31 424007......................................................... 1.20 424009......................................................... 1.29 424010......................................................... 1.40 430004......................................................... 1.89 430005......................................................... 2.74 430007......................................................... 2.48 430008......................................................... 2.62 430010......................................................... 2.27 430011......................................................... 3.02 430012......................................................... 3.46 430013......................................................... 2.95 430014......................................................... 2.66 430015......................................................... 2.99 430016......................................................... 2.57 430018......................................................... 1.57 430022......................................................... 1.16 430023......................................................... 1.43 430024......................................................... 1.04 430026......................................................... 1.20 430027......................................................... 3.75 430028......................................................... 2.35 430029......................................................... 1.91 430031......................................................... 1.67 430033......................................................... 1.68 430034......................................................... 1.40 430036......................................................... 1.94 430037......................................................... 2.47 430038......................................................... 2.48 430040......................................................... 2.01 430041......................................................... 1.67 430043......................................................... 2.11 430044......................................................... 1.45 430047......................................................... 1.89 430048......................................................... 2.07 430049......................................................... 1.31 430051......................................................... 1.01 430054......................................................... 1.79 430056......................................................... 1.30 430057......................................................... 1.62 430060......................................................... 0.98 430062......................................................... 1.70 430064......................................................... 1.93 430065......................................................... 1.32 430066......................................................... 1.16 430073......................................................... 1.57 430076......................................................... 1.02 430077......................................................... 2.99 430079......................................................... 1.01 430087......................................................... 1.14 434004......................................................... 1.52 440001......................................................... 2.05 440002......................................................... 3.46 440003......................................................... 2.67 440006......................................................... 2.96 440007......................................................... 1.14 440008......................................................... 2.07 440009......................................................... 2.91 440010......................................................... 1.65 440011......................................................... 2.26 440012......................................................... 1.81 440014......................................................... 1.62 440015......................................................... 2.82 440016......................................................... 1.92 440017......................................................... 2.44 440018......................................................... 1.54 440019......................................................... 2.38 440020......................................................... 1.95 440022......................................................... 1.48 440023......................................................... 1.54 440024......................................................... 2.81 440025......................................................... 2.13 440026......................................................... 0.99 440029......................................................... 2.89 440030......................................................... 2.65 440031......................................................... 2.25 440032......................................................... 1.48 440033......................................................... 1.82 440034......................................................... 2.53 440035......................................................... 2.40 440039......................................................... 2.02 440040......................................................... 1.54 440041......................................................... 1.67 440046......................................................... 2.35 440047......................................................... 1.66 440048......................................................... 2.88 440049......................................................... 2.45 440050......................................................... 2.22 440051......................................................... 1.56 440052......................................................... 1.54 440053......................................................... 2.74 440054......................................................... 1.97 440056......................................................... 1.73 440057......................................................... 1.88 440058......................................................... 2.80 440059......................................................... 2.36 440060......................................................... 1.53 440061......................................................... 1.87 440063......................................................... 2.54 440064......................................................... 1.66 440065......................................................... 2.27 440067......................................................... 2.61 440068......................................................... 2.32 440070......................................................... 1.68 440071......................................................... 2.37 440072......................................................... 2.63 440073......................................................... 2.55 440078......................................................... 1.59 440081......................................................... 1.92 440082......................................................... 2.63 440083......................................................... 1.62 440084......................................................... 1.41 440090......................................................... 1.47 440091......................................................... 2.83 440100......................................................... 1.70 440102......................................................... 1.92 440103......................................................... 2.37 440104......................................................... 2.39 440105......................................................... 5.91 440109......................................................... 1.94 440110......................................................... 1.93 440111......................................................... 1.26 440114......................................................... 1.86 440115......................................................... 1.85 440120......................................................... 3.10 440125......................................................... 2.59 440130......................................................... 2.76 440131......................................................... 2.59 440132......................................................... 2.11 440133......................................................... 2.76 440135......................................................... 2.10 440137......................................................... 2.03 440141......................................................... 1.08 440142......................................................... 1.41 440143......................................................... 1.54 440144......................................................... 3.51 440145......................................................... 1.31 440147......................................................... 6.45 440148......................................................... 2.30 440149......................................................... 1.44 440150......................................................... 3.11 440151......................................................... 1.85 440152......................................................... 1.54 440153......................................................... 1.95 440156......................................................... 2.88 440157......................................................... 1.64 440159......................................................... 2.22 440161......................................................... 3.36 440162......................................................... 1.30 440166......................................................... 2.53 440168......................................................... 2.06 440173......................................................... 3.78 440174......................................................... 1.91 440175......................................................... 2.45 440176......................................................... 2.77 440178......................................................... 2.12 440180......................................................... 1.62 440181......................................................... 1.87 440182......................................................... 2.10 440183......................................................... 3.04 440184......................................................... 2.78 440185......................................................... 2.30 440186......................................................... 2.08 440187......................................................... 1.86 440189......................................................... 3.14 440192......................................................... 1.68 440193......................................................... 2.95 440194......................................................... 1.92 440197......................................................... 2.70 440200......................................................... 1.92 440203......................................................... 1.79 440205......................................................... 1.34 440206......................................................... 1.91 442007......................................................... 0.98 443025......................................................... 1.66 443026......................................................... 1.44 443029......................................................... 2.87 444003......................................................... 1.07 444004......................................................... 1.32 444006......................................................... 1.27 444010......................................................... 1.20 444017......................................................... 1.31 450002......................................................... 2.26 450004......................................................... 1.66 450005......................................................... 1.97 450007......................................................... 2.83 450008......................................................... 1.73 450010......................................................... 2.35 450011......................................................... 2.73 450014......................................................... 1.64 450015......................................................... 1.21 450016......................................................... 2.92 450018......................................................... 1.48 450020......................................................... 2.07 450021......................................................... 1.73 450023......................................................... 2.65 450024......................................................... 1.46 450025......................................................... 2.71 450028......................................................... 2.11 450029......................................................... 1.95 450031......................................................... 2.08 450032......................................................... 1.52 450033......................................................... 1.92 450034......................................................... 2.15 450035......................................................... 2.37 450037......................................................... 2.25 450039......................................................... 1.07 450040......................................................... 1.90 450042......................................................... 2.14 450044......................................................... 2.21 450046......................................................... 2.65 450047......................................................... 2.20 450050......................................................... 1.26 450051......................................................... 1.77 450052......................................................... 1.46 450053......................................................... 2.23 450054......................................................... 3.01 450055......................................................... 1.70 450056......................................................... 3.09 450058......................................................... 3.08 450059......................................................... 2.53 450063......................................................... 0.92 450064......................................................... 2.79 450065......................................................... 1.59 450068......................................................... 1.97

450072......................................................... 2.22 450073......................................................... 1.42 450076......................................................... 1.67 450078......................................................... 1.11 450079......................................................... 2.56 450080......................................................... 2.84 450081......................................................... 1.87 450082......................................................... 1.57 450083......................................................... 3.18 450085......................................................... 1.71 450087......................................................... 1.84 450090......................................................... 2.26 450092......................................................... 1.78 450094......................................................... 2.42 450096......................................................... 1.75 450097......................................................... 2.99 450098......................................................... 1.12 450099......................................................... 1.97 450101......................................................... 2.43 450102......................................................... 3.08 450104......................................................... 2.70 450107......................................................... 1.99 450108......................................................... 1.31 450109......................................................... 1.54 450111......................................................... 2.41 450112......................................................... 2.57 450113......................................................... 2.56 450118......................................................... 3.04 450119......................................................... 2.38 450121......................................................... 2.47 450123......................................................... 1.71 450124......................................................... 2.02 450126......................................................... 1.69 450128......................................................... 1.91 450130......................................................... 3.22 450131......................................................... 1.77 450132......................................................... 2.15 450133......................................................... 2.21 450135......................................................... 2.15 450137......................................................... 2.08 450140......................................................... 1.34 450142......................................................... 1.99 450143......................................................... 1.70 450144......................................................... 1.63 450145......................................................... 1.26 450146......................................................... 0.98 450147......................................................... 1.84 450148......................................................... 2.15 450149......................................................... 1.90 450150......................................................... 1.58 450151......................................................... 1.52 450152......................................................... 2.19 450153......................................................... 2.25 450154......................................................... 1.66 450155......................................................... 1.57 450157......................................................... 1.30 450160......................................................... 1.78 450162......................................................... 1.98 450163......................................................... 1.61 450164......................................................... 1.25 450165......................................................... 1.71 450166......................................................... 0.89 450169......................................................... 1.16 450170......................................................... 1.46 450176......................................................... 2.20 450177......................................................... 2.12 450178......................................................... 1.40 450181......................................................... 1.33 450184......................................................... 2.79 450185......................................................... 1.43 450187......................................................... 2.03 450188......................................................... 1.72 450190......................................................... 2.71 450191......................................................... 2.51 450192......................................................... 1.65 450193......................................................... 3.61 450194......................................................... 2.17 450196......................................................... 2.52 450200......................................................... 2.33 450201......................................................... 2.06 450203......................................................... 1.84 450209......................................................... 1.76 450210......................................................... 1.63 450211......................................................... 2.19 450214......................................................... 2.43 450217......................................................... 1.05 450219......................................................... 2.22 450221......................................................... 1.20 450222......................................................... 2.22 450224......................................................... 1.90 450229......................................................... 2.52 450231......................................................... 2.65 450234......................................................... 1.39 450235......................................................... 1.93 450236......................................................... 2.48 450237......................................................... 1.78 450239......................................................... 1.35 450241......................................................... 1.31 450243......................................................... 1.41 450246......................................................... 1.43 450249......................................................... 1.22 450250......................................................... 1.22 450253......................................................... 2.38 450258......................................................... 1.08 450259......................................................... 2.05 450264......................................................... 0.91 450269......................................................... 1.24 450270......................................................... 1.46 450271......................................................... 1.30 450272......................................................... 2.76 450276......................................................... 1.36 450278......................................................... 1.34 450280......................................................... 1.76 450283......................................................... 1.29 450286......................................................... 1.18 450288......................................................... 1.59 450289......................................................... 1.04 450292......................................................... 1.74 450293......................................................... 1.60 450296......................................................... 2.13 450299......................................................... 2.26 450303......................................................... 1.03 450306......................................................... 3.30 450307......................................................... 1.00 450309......................................................... 1.49 450315......................................................... 2.47 450320......................................................... 1.79 450321......................................................... 1.16 450322......................................................... 1.06 450324......................................................... 2.35 450327......................................................... 0.95 450330......................................................... 1.67 450334......................................................... 1.07 450337......................................................... 1.39 450340......................................................... 2.47 450341......................................................... 1.87 450346......................................................... 1.98 450347......................................................... 2.27 450348......................................................... 1.14 450351......................................................... 3.89 450352......................................................... 2.17 450353......................................................... 1.66 450355......................................................... 1.15 450358......................................................... 2.48 450362......................................................... 2.40 450369......................................................... 1.44 450370......................................................... 4.40 450371......................................................... 2.02 450372......................................................... 2.61 450373......................................................... 1.32 450374......................................................... 0.99 450376......................................................... 2.22 450378......................................................... 1.66 450379......................................................... 2.29 450381......................................................... 1.67 450388......................................................... 2.66 450389......................................................... 2.00 450393......................................................... 1.84 450395......................................................... 1.50 450399......................................................... 1.00 450400......................................................... 1.73 450403......................................................... 1.71 450411......................................................... 1.61 450417......................................................... 1.75 450418......................................................... 1.83 450419......................................................... 1.49 450423......................................................... 2.32 450424......................................................... 2.41 450429......................................................... 0.88 450431......................................................... 2.86 450438......................................................... 2.68 450446......................................................... 1.32 450447......................................................... 2.77 450451......................................................... 2.08 450457......................................................... 2.85 450460......................................................... 1.72 450462......................................................... 2.03 450464......................................................... 1.46 450465......................................................... 3.04 450467......................................................... 1.47 450469......................................................... 2.64 450473......................................................... 1.17 450475......................................................... 2.22 450484......................................................... 2.18 450488......................................................... 1.84 450489......................................................... 1.13 450497......................................................... 1.79 450498......................................................... 2.12 450508......................................................... 1.87 450514......................................................... 2.09 450517......................................................... 1.31 450518......................................................... 2.10 450523......................................................... 2.59 450530......................................................... 2.37 450534......................................................... 1.17 450535......................................................... 2.21 450537......................................................... 1.87 450538......................................................... 1.64 450539......................................................... 2.33 450544......................................................... 1.93 450545......................................................... 3.48 450547......................................................... 1.52 450550......................................................... 1.97 450551......................................................... 2.22 450558......................................................... 1.97 450559......................................................... 1.22 450561......................................................... 2.18 450563......................................................... 2.44 450565......................................................... 2.10 450570......................................................... 1.46 450571......................................................... 2.45 450573......................................................... 1.52 450574......................................................... 0.84 450575......................................................... 1.17 450578......................................................... 1.02 450580......................................................... 2.14 450583......................................................... 1.10 450584......................................................... 1.71 450586......................................................... 1.56 450587......................................................... 1.86 450591......................................................... 2.51 450596......................................................... 2.29 450597......................................................... 1.60 450603......................................................... 1.05 450604......................................................... 2.39 450605......................................................... 1.92 450609......................................................... 1.06 450610......................................................... 2.47

450614......................................................... 1.50 450615......................................................... 1.98 450617......................................................... 2.12 450620......................................................... 1.38 450623......................................................... 1.81 450626......................................................... 1.13 450628......................................................... 1.17 450630......................................................... 2.17 450631......................................................... 2.20 450632......................................................... 0.78 450633......................................................... 2.27 450634......................................................... 2.37 450638......................................................... 2.97 450639......................................................... 2.27 450641......................................................... 1.70 450643......................................................... 2.16 450644......................................................... 2.47 450646......................................................... 2.32 450647......................................................... 2.94 450648......................................................... 1.75 450649......................................................... 1.37 450651......................................................... 2.04 450652......................................................... 1.21 450653......................................................... 2.35 450654......................................................... 1.19 450656......................................................... 2.51 450658......................................................... 1.93 450659......................................................... 2.36 450661......................................................... 2.98 450662......................................................... 1.63 450665......................................................... 1.61 450666......................................................... 1.81 450668......................................................... 2.66 450669......................................................... 2.18 450670......................................................... 2.34 450672......................................................... 2.64 450673......................................................... 1.22 450674......................................................... 2.94 450675......................................................... 2.10 450677......................................................... 2.23 450678......................................................... 2.58 450683......................................................... 2.18 450684......................................................... 1.93 450686......................................................... 2.16 450688......................................................... 1.96 450690......................................................... 1.50 450691......................................................... 1.76 450694......................................................... 2.35 450696......................................................... 9.87 450697......................................................... 1.90 450698......................................................... 0.94 450700......................................................... 1.36 450702......................................................... 2.25 450703......................................................... 1.20 450704......................................................... 2.16 450705......................................................... 1.61 450706......................................................... 2.12 450709......................................................... 2.77 450711......................................................... 2.40 450712......................................................... 1.34 450713......................................................... 2.35 450715......................................................... 1.59 450716......................................................... 2.51 450717......................................................... 1.98 450718......................................................... 2.23 450723......................................................... 1.80 450724......................................................... 3.48 450725......................................................... 1.70 450727......................................................... 1.85 450728......................................................... 1.09 450730......................................................... 2.03 450733......................................................... 2.29 450735......................................................... 0.59 450742......................................................... 2.15 450743......................................................... 2.75 450746......................................................... 1.34 450747......................................................... 2.56 450749......................................................... 1.11 450750......................................................... 1.40 450751......................................................... 2.18 450754......................................................... 1.69 450755......................................................... 1.71 450757......................................................... 1.08 450758......................................................... 2.03 450760......................................................... 2.45 450761......................................................... 1.18 450763......................................................... 1.70 450766......................................................... 5.27 450769......................................................... 1.08 450770......................................................... 1.35 450774......................................................... 4.58 450775......................................................... 2.11 450776......................................................... 1.34 450777......................................................... 1.52 450779......................................................... 1.89 450780......................................................... 5.46 450788......................................................... 1.72 450795......................................................... 0.93 450797......................................................... 8.56 450801......................................................... 2.42 450802......................................................... 2.75 450803......................................................... 1.22 450804......................................................... 5.75 450809......................................................... 2.15 452013......................................................... 0.93 452019......................................................... 1.81 452022......................................................... 1.41 452033......................................................... 0.93 452036......................................................... 0.74 452038......................................................... 1.26 452039......................................................... 0.96 452043......................................................... 1.02 453025......................................................... 1.17 453028......................................................... 0.84 453029......................................................... 1.13 453031......................................................... 1.57 453033......................................................... 0.88 453034......................................................... 1.09 453035......................................................... 1.98 453036......................................................... 2.77 453037......................................................... 1.31 453038......................................................... 1.26 453040......................................................... 1.19 453041......................................................... 1.14 453042......................................................... 1.06 453044......................................................... 1.79 453047......................................................... 1.21 453048......................................................... 1.06 453052......................................................... 1.51 453053......................................................... 1.38 453054......................................................... 1.51 453056......................................................... 1.47 453057......................................................... 1.33 453059......................................................... 0.80 453065......................................................... 3.10 453300......................................................... 1.21 453302......................................................... 1.60 453304......................................................... 1.53 453305......................................................... 1.02 454012......................................................... 1.31 454018......................................................... 1.31 454026......................................................... 1.47 454028......................................................... 1.31 454029......................................................... 1.95 454030......................................................... 1.31 454032......................................................... 1.18 454037......................................................... 1.32 454038......................................................... 1.31 454042......................................................... 1.30 454043......................................................... 1.31 454045......................................................... 1.34 454050......................................................... 1.31 454056......................................................... 1.63 454057......................................................... 1.36 454063......................................................... 1.20 454064......................................................... 1.32 454065......................................................... 1.36 454066......................................................... 1.32 454069......................................................... 1.70 454072......................................................... 1.31 454073......................................................... 1.57 454089......................................................... 1.35 460001......................................................... 2.75 460003......................................................... 2.99 460004......................................................... 2.40 460005......................................................... 2.35 460006......................................................... 3.47 460007......................................................... 2.73 460008......................................................... 2.45 460009......................................................... 2.52 460010......................................................... 2.34 460011......................................................... 2.11 460013......................................................... 2.58 460014......................................................... 1.33 460015......................................................... 2.71 460016......................................................... 1.42 460017......................................................... 3.03 460018......................................................... 1.58 460019......................................................... 2.12 460020......................................................... 1.83 460021......................................................... 2.11 460022......................................................... 1.27 460023......................................................... 2.88 460024......................................................... 1.09 460025......................................................... 0.83 460026......................................................... 1.91 460027......................................................... 1.49 460029......................................................... 1.75 460030......................................................... 1.87 460032......................................................... 1.72 460033......................................................... 1.59 460035......................................................... 1.17 460036......................................................... 2.03 460037......................................................... 1.91 460039......................................................... 1.53 460041......................................................... 2.64 460042......................................................... 2.59 460044......................................................... 2.05 460046......................................................... 9.51 460047......................................................... 1.74 460049......................................................... 0.11 460050......................................................... 2.03 463025......................................................... 1.64 463301......................................................... 2.17 464003......................................................... 1.31 464010......................................................... 1.25 470001......................................................... 1.93 470003......................................................... 2.50 470004......................................................... 1.49 470005......................................................... 2.09 470006......................................................... 2.45 470008......................................................... 1.83 470010......................................................... 1.87 470011......................................................... 2.21 470012......................................................... 2.75 470015......................................................... 1.83 470018......................................................... 2.05 470020......................................................... 1.15 470023......................................................... 2.39 470024......................................................... 2.06 474001......................................................... 0.86 480001......................................................... 1.58 480002......................................................... 2.11 490001......................................................... 1.56 490002......................................................... 1.62 490004......................................................... 2.19 490005......................................................... 2.42 490006......................................................... 2.01

490007......................................................... 2.39 490009......................................................... 1.81 490011......................................................... 2.62 490012......................................................... 1.52 490013......................................................... 2.55 490014......................................................... 1.79 490015......................................................... 2.92 490017......................................................... 2.63 490018......................................................... 2.78 490019......................................................... 2.15 490020......................................................... 2.57 490022......................................................... 2.29 490023......................................................... 2.27 490024......................................................... 2.28 490027......................................................... 1.89 490030......................................................... 2.58 490031......................................................... 1.86 490032......................................................... 1.67 490033......................................................... 1.73 490035......................................................... 2.10 490037......................................................... 2.37 490038......................................................... 2.27 490040......................................................... 2.89 490041......................................................... 2.95 490042......................................................... 2.46 490043......................................................... 1.96 490044......................................................... 2.22 490045......................................................... 2.14 490046......................................................... 2.85 490047......................................................... 1.45 490048......................................................... 2.34 490050......................................................... 2.65 490052......................................................... 2.31 490053......................................................... 2.76 490054......................................................... 1.45 490057......................................................... 2.40 490059......................................................... 3.04 490060......................................................... 2.36 490063......................................................... 3.55 490066......................................................... 2.47 490067......................................................... 2.62 490069......................................................... 1.40 490071......................................................... 2.92 490073......................................................... 3.67 490074......................................................... 3.72 490075......................................................... 2.54 490077......................................................... 2.50 490079......................................................... 2.06 490084......................................................... 2.18 490085......................................................... 1.89 490088......................................................... 2.53 490089......................................................... 1.56 490090......................................................... 2.33 490091......................................................... 2.37 490092......................................................... 2.19 490093......................................................... 2.28 490094......................................................... 1.60 490095......................................................... 2.11 490097......................................................... 1.97 490098......................................................... 2.04 490099......................................................... 1.12 490100......................................................... 3.24 490101......................................................... 2.39 490107......................................................... 2.90 490110......................................................... 3.18 490111......................................................... 2.23 490112......................................................... 2.39 490113......................................................... 2.42 490114......................................................... 1.63 490115......................................................... 2.12 490116......................................................... 1.97 490117......................................................... 1.31 490118......................................................... 2.42 490119......................................................... 2.43 490120......................................................... 2.37 490122......................................................... 2.68 490123......................................................... 2.23 490124......................................................... 1.89 490126......................................................... 2.27 490127......................................................... 1.57 490130......................................................... 2.03 490131......................................................... 1.68 492001......................................................... 0.79 493025......................................................... 1.24 493026......................................................... 0.92 493027......................................................... 2.34 493028......................................................... 1.39 493301......................................................... 1.94 494001......................................................... 1.31 494011......................................................... 1.09 494018......................................................... 1.34 494020......................................................... 1.31 494022......................................................... 1.30 494023......................................................... 1.28 494025......................................................... 1.17 494026......................................................... 1.32 494028......................................................... 1.31 500001......................................................... 2.51 500002......................................................... 2.10 500003......................................................... 2.36 500005......................................................... 2.14 500007......................................................... 3.03 500008......................................................... 1.60 500011......................................................... 2.13 500012......................................................... 2.76 500014......................................................... 2.57 500015......................................................... 2.03 500019......................................................... 2.49 500021......................................................... 2.22 500023......................................................... 2.13 500024......................................................... 3.90 500025......................................................... 3.10 500026......................................................... 2.20 500027......................................................... 2.86 500029......................................................... 1.05 500030......................................................... 2.59 500031......................................................... 2.08 500033......................................................... 2.66 500036......................................................... 2.56 500037......................................................... 1.71 500039......................................................... 2.90 500041......................................................... 2.29 500042......................................................... 3.14 500043......................................................... 1.85 500044......................................................... 2.56 500045......................................................... 2.36 500048......................................................... 1.65 500049......................................................... 3.17 500050......................................................... 2.47 500051......................................................... 2.62 500053......................................................... 2.42 500054......................................................... 2.27 500055......................................................... 1.86 500057......................................................... 2.65 500058......................................................... 2.50 500059......................................................... 2.45 500060......................................................... 2.25 500061......................................................... 1.15 500062......................................................... 0.99 500064......................................................... 1.29 500065......................................................... 2.66 500068......................................................... 1.09 500069......................................................... 1.25 500071......................................................... 3.04 500072......................................................... 2.25 500073......................................................... 1.39 500074......................................................... 2.39 500077......................................................... 2.29 500079......................................................... 1.61 500080......................................................... 1.14 500084......................................................... 2.32 500085......................................................... 1.66 500086......................................................... 2.05 500088......................................................... 2.78 500089......................................................... 1.93 500090......................................................... 0.71 500092......................................................... 1.77 500094......................................................... 0.83 500096......................................................... 1.79 500097......................................................... 1.33 500098......................................................... 1.45 500101......................................................... 1.17 500102......................................................... 1.74 500104......................................................... 2.07 500106......................................................... 0.71 500107......................................................... 1.77 500108......................................................... 2.64 500110......................................................... 2.79 500118......................................................... 2.52 500119......................................................... 1.78 500122......................................................... 2.31 500123......................................................... 0.86 500124......................................................... 2.21 500125......................................................... 1.40 500129......................................................... 2.04 500132......................................................... 1.48 500138......................................................... 1.08 500139......................................................... 2.56 500141......................................................... 3.07 500146......................................................... 2.18 502002......................................................... 3.69 503300......................................................... 2.70 504002......................................................... 1.43 510001......................................................... 2.11 510002......................................................... 2.26 510004......................................................... 1.10 510005......................................................... 1.47 510006......................................................... 2.66 510007......................................................... 2.10 510008......................................................... 2.40 510012......................................................... 1.99 510013......................................................... 1.57 510015......................................................... 1.15 510016......................................................... 1.15 510018......................................................... 1.65 510020......................................................... 1.23 510022......................................................... 2.33 510023......................................................... 1.92 510024......................................................... 3.05 510026......................................................... 1.48 510027......................................................... 1.61 510028......................................................... 1.46 510029......................................................... 2.51 510030......................................................... 2.23 510031......................................................... 3.05 510033......................................................... 2.05 510038......................................................... 1.64 510039......................................................... 2.31 510043......................................................... 0.96 510046......................................................... 2.03 510047......................................................... 2.56 510048......................................................... 1.45 510050......................................................... 2.19 510053......................................................... 1.54 510055......................................................... 2.17 510058......................................................... 2.37 510059......................................................... 8.02 510060......................................................... 1.66 510063......................................................... 1.20 510065......................................................... 1.24 510066......................................................... 2.03 510067......................................................... 2.36 510068......................................................... 2.25 510070......................................................... 3.03 510071......................................................... 2.10 510072......................................................... 1.56 510077......................................................... 2.09 510081......................................................... 1.31

510082......................................................... 1.70 510084......................................................... 1.44 510085......................................................... 1.78 510086......................................................... 1.15 513026......................................................... 1.19 513027......................................................... 1.33 513028......................................................... 1.63 513030......................................................... 1.49 514001......................................................... 1.44 514007......................................................... 5.99 514008......................................................... 1.86 520002......................................................... 2.56 520003......................................................... 2.35 520004......................................................... 2.57 520006......................................................... 2.22 520007......................................................... 1.57 520008......................................................... 2.29 520009......................................................... 2.07 520010......................................................... 2.33 520011......................................................... 2.95 520013......................................................... 1.97 520014......................................................... 2.25 520015......................................................... 2.51 520016......................................................... 1.83 520017......................................................... 2.02 520018......................................................... 2.11 520019......................................................... 2.23 520021......................................................... 2.57 520024......................................................... 1.96 520025......................................................... 1.95 520026......................................................... 2.28 520028......................................................... 3.23 520029......................................................... 1.34 520030......................................................... 3.15 520031......................................................... 3.82 520032......................................................... 1.84 520033......................................................... 2.11 520034......................................................... 2.43 520035......................................................... 2.87 520037......................................................... 2.62 520038......................................................... 3.13 520039......................................................... 1.77 520040......................................................... 2.01 520041......................................................... 1.95 520042......................................................... 1.95 520044......................................................... 3.00 520045......................................................... 2.24 520047......................................................... 2.03 520048......................................................... 2.34 520049......................................................... 2.90 520053......................................................... 1.70 520054......................................................... 1.58 520057......................................................... 2.90 520058......................................................... 2.71 520059......................................................... 2.73 520060......................................................... 1.66 520062......................................................... 2.38 520063......................................................... 2.99 520064......................................................... 1.79 520066......................................................... 2.95 520068......................................................... 1.68 520069......................................................... 1.98 520070......................................................... 2.35 520071......................................................... 2.40 520074......................................................... 1.57 520075......................................................... 2.44 520076......................................................... 2.50 520077......................................................... 1.14 520078......................................................... 1.91 520082......................................................... 2.79 520083......................................................... 1.70 520087......................................................... 1.22 520088......................................................... 2.40 520089......................................................... 3.23 520090......................................................... 1.99 520091......................................................... 3.56 520092......................................................... 1.99 520094......................................................... 1.92 520095......................................................... 2.55 520096......................................................... 2.31 520097......................................................... 2.23 520098......................................................... 1.46 520100......................................................... 2.48 520101......................................................... 1.53 520102......................................................... 2.46 520103......................................................... 2.51 520107......................................................... 1.83 520109......................................................... 1.99 520110......................................................... 1.71 520111......................................................... 2.05 520112......................................................... 3.22 520113......................................................... 2.58 520114......................................................... 2.06 520115......................................................... 1.98 520116......................................................... 2.48 520117......................................................... 1.79 520118......................................................... 1.11 520120......................................................... 1.08 520121......................................................... 1.72 520122......................................................... 1.44 520123......................................................... 1.81 520124......................................................... 1.88 520130......................................................... 2.49 520131......................................................... 2.06 520132......................................................... 2.46 520134......................................................... 1.58 520135......................................................... 1.84 520136......................................................... 2.30 520138......................................................... 2.32 520139......................................................... 2.50 520140......................................................... 2.42 520141......................................................... 2.11 520142......................................................... 1.24 520144......................................................... 2.14 520145......................................................... 1.48 520146......................................................... 2.23 520148......................................................... 1.82 520149......................................................... 1.13 520151......................................................... 2.45 520152......................................................... 2.03 520153......................................................... 1.50 520154......................................................... 2.23 520156......................................................... 3.09 520157......................................................... 1.54 520160......................................................... 2.62 520161......................................................... 2.22 520170......................................................... 2.85 520171......................................................... 1.82 520173......................................................... 2.67 520177......................................................... 2.29 520178......................................................... 2.28 523025......................................................... 1.44 523300......................................................... 2.56 524000......................................................... 1.41 524003......................................................... 1.23 524017......................................................... 0.45 524034......................................................... 1.27 524035......................................................... 1.26 524038......................................................... 1.57 530002......................................................... 2.18 530003......................................................... 1.37 530004......................................................... 1.80 530005......................................................... 1.67 530006......................................................... 2.14 530008......................................................... 2.36 530009......................................................... 1.94 530010......................................................... 2.28 530011......................................................... 2.08 530012......................................................... 2.20 530014......................................................... 2.54 530015......................................................... 2.19 530016......................................................... 1.93 530017......................................................... 1.93 530018......................................................... 2.15 530019......................................................... 1.56 530022......................................................... 2.04 530023......................................................... 1.51 530025......................................................... 2.00 530026......................................................... 1.48 530027......................................................... 1.60 530029......................................................... 0.99 530031......................................................... 0.96 530032......................................................... 2.14 ------------------------------------------------------------------------ Note: The national average service mix discounted for multiple procedures is 2.05.

52. On pages 48030 through 48035, Addendum J is corrected to read as follows:

Addendum J.--Wage Index for Urban Areas ------------------------------------------------------------------------ Wage Urban code/Urban area (constituent counties) index ------------------------------------------------------------------------ 0040 Abilene, TX.............................................. 0.8287 Taylor, TX 0060 Aguadilla, PR \2\........................................ 0.4188 Aguada, PR Aguadilla, PR Moca, PR 0080 Akron, OH................................................ 0.9728 Portage, OH Summit, OH 0120 Albany, GA............................................... 0.7914 Dougherty, GA Lee, GA 0160 Albany-Schenectady-Troy, NY.............................. 0.8480 Albany, NY Montgomery, NY Rensselaer, NY Saratoga, NY Schenectady, NY Schoharie, NY 0200 Albuquerque, NM.......................................... 0.9329 Bernalillo, NM Sandoval, NM Valencia, NM 0220 Alexandria, LA........................................... 0.8269 Rapides, LA 0240 Allentown-Bethlehem-Easton, PA........................... 1.0086 Carbon, PA Lehigh, PA Northampton, PA 0280 Altoona, PA.............................................. 0.9137

Blair, PA 0320 Amarillo, TX............................................. 0.9425 Potter, TX Randall, TX 0380 Anchorage, AK............................................ 1.2998 Anchorage, AK 0440 Ann Arbor, MI............................................ 1.1785 Lenawee, MI Livingston, MI Washtenaw, MI 0450 Anniston, AL............................................. 0.8266 Calhoun, AL 0460 Appleton-Oshkosh-Neenah, WI.............................. 0.8996 Calumet, WI Outagamie, WI Winnebago, WI 0470 Arecibo, PR \2\.......................................... 0.4218 Arecibo, PR Camuy, PR Hatillo, PR 0480 Asheville, NC............................................ 0.9072 Buncombe, NC Madison, NC 0500 Athens, GA............................................... 0.9087 Clarke, GA Madison, GA Oconee, GA 0520 Atlanta, GA \1\.......................................... 0.9823 Barrow, GA Bartow, GA Carroll, GA Cherokee, GA Clayton, GA Cobb, GA Coweta, GA DeKalb, GA Douglas, GA Fayette, GA Forsyth, GA Fulton, GA Gwinnett, GA Henry, GA Newton, GA Paulding, GA Pickens, GA Rockdale, GA Spalding, GA Walton, GA 0560 Atlantic-Cape May, NJ.................................... 1.0724 Atlantic, NJ Cape May, NJ 0600 Augusta-Aiken, GA-SC..................................... 0.9333 Columbia, GA McDuffie, GA Richmond, GA Aiken, SC Edgefield, SC 0640 Austin-San Marcos, TX \1\................................ 0.9133 Bastrop, TX Caldwell, TX Hays, TX Travis, TX Williamson, TX 0680 Bakersfield, CA.......................................... 1.0014 Kern, CA 0720 Baltimore, MD \1\........................................ 0.9689 Anne Arundel, MD Baltimore, MD BaltimoreCity, MD Carroll, MD Harford, MD Howard, MD Queen Anne's, MD 0733 Bangor, ME............................................... 0.9478 Penobscot, ME 0743 Barnstable-Yarmouth, MA.................................. 1.4291 Barnstable, MA 0760 Baton Rouge, LA.......................................... 0.8382 Ascension, LA East Baton Rouge, LA Livingston, LA West Baton Rouge, LA 0840 Beaumont-Port Arthur, TX................................. 0.8593 Hardin, TX Jefferson, TX Orange, TX 0860 Bellingham, WA........................................... 1.1221 Whatcom, WA 0870 Benton Harbor, MI \2\.................................... 0.8923 Berrien, MI 0875 Bergen-Passaic, NJ \1\................................... 1.1570 Bergen, NJ Passaic, NJ 0880 Billings, MT............................................. 0.9783 Yellowstone, MT 0920 Biloxi-Gulfport-Pascagoula, MS........................... 0.8415 Hancock, MS Harrison, MS Jackson, MS 0960 Binghamton, NY........................................... 0.8914 Broome, NY Tioga, NY 1000 Birmingham, AL........................................... 0.9005 Blount, AL Jefferson, AL St. Clair, AL Shelby, AL 1010 Bismarck, ND............................................. 0.7859 Burleigh, ND Morton, ND 1020 Bloomington, IN.......................................... 0.9128 Monroe, IN 1040 Bloomington-Normal, IL................................... 0.8733 McLean, IL 1080 Boise City, ID........................................... 0.8887 Ada, ID Canyon, ID 1123 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH \1\..... 1.1498 Bristol, MA Essex, MA Middlesex, MA Norfolk, MA Plymouth, MA Suffolk, MA Worcester, MA Hillsborough, NH Merrimack, NH Rockingham, NH Strafford, NH 1125 Boulder-Longmont, CO..................................... 1.0015 Boulder, CO 1145 Brazoria, TX............................................. 0.9129 Brazoria, TX 1150 Bremerton, WA............................................ 1.0999 Kitsap, WA 1240 Brownsville-Harlingen-San Benito, TX..................... 0.8740 Cameron, TX 1260 Bryan-College Station, TX................................ 0.8571 Brazos, TX 1280 Buffalo-Niagara Falls, NY \1\............................ 0.9272 Erie, NY Niagara, NY 1303 Burlington, VT........................................... 1.0142 Chittenden, VT Franklin, VT GrandIsle, VT 1310 Caguas, PR............................................... 0.4508 Caguas, PR Cayey, PR Cidra, PR Gurabo, PR San Lorenzo, PR 1320 Canton-Massillon, OH..................................... 0.8961 Carroll, OH Stark, OH 1350 Casper, WY............................................... 0.9013 Natrona, WY 1360 Cedar Rapids, IA......................................... 0.8529 Linn, IA 1400 Champaign-Urbana, IL..................................... 0.8824 Champaign, IL 1440 Charleston-North Charleston, SC.......................... 0.8807 Berkeley, SC Charleston, SC Dorchester, SC 1480 Charleston, WV........................................... 0.9142 Kanawha, WV Putnam, WV 1520 Charlotte-Gastonia-Rock Hill, NC-SC \1\.................. 0.9710 Cabarrus, NC Gaston, NC Lincoln, NC Mecklenburg, NC Rowan, NC Stanly, NC Union, NC York, SC 1540 Charlottesville, VA...................................... 0.9051 Albemarle, VA Charlottesville City, VA Fluvanna, VA Greene, VA 1560 Chattanooga, TN-GA....................................... 0.8658 Catoosa, GA Dade, GA Walker, GA Hamilton, TN Marion, TN 1580 Cheyenne, WY \2\......................................... 0.8247 Laramie, WY 1600 Chicago, IL \1\.......................................... 1.0860 Cook, IL DeKalb, IL DuPage, IL Grundy, IL Kane, IL Kendall, IL Lake, IL McHenry, IL Will, IL 1620 Chico-Paradise, CA....................................... 1.0429 Butte, CA 1640 Cincinnati, OH-KY-IN \1\................................. 0.9521 Dearborn, IN Ohio, IN Boone, KY Campbell, KY Gallatin, KY Grant, KY Kenton, KY Pendleton, KY Brown, OH Clermont, OH Hamilton, OH Warren, OH 1660 Clarksville-Hopkinsville, TN-KY.......................... 0.7852 Christian, KY Montgomery, TN 1680 Cleveland-Lorain-Elyria, OH \1\.......................... 0.9804 Ashtabula, OH Cuyahoga, OH Geauga, OH

Lake, OH Lorain, OH Medina, OH 1720 Colorado Springs, CO..................................... 0.9316 ElPaso, CO 1740 Columbia, MO............................................. 0.9001 Boone, MO 1760 Columbia, SC............................................. 0.9192 Lexington, SC Richland, SC 1800 Columbus, GA-AL.......................................... 0.8288 Russell, AL Chattahoochee, GA Harris, GA Muscogee, GA 1840 Columbus, OH \1\......................................... 0.9793 Delaware, OH Fairfield, OH Franklin, OH Licking, OH Madison, OH Pickaway, OH 1880 Corpus Christi, TX....................................... 0.8945 Nueces, TX San Patricio, TX 1900 Cumberland, MD-WV........................................ 0.8822 Allegany, MD Mineral, WV 1920 Dallas, TX \1\........................................... 0.9674 Collin, TX Dallas, TX Denton, TX Ellis, TX Henderson, TX Hunt, TX Kaufman, TX Rockwall, TX 1950 Danville, VA............................................. 0.8146 Danville City, VA Pittsylvania, VA 1960 Davenport-Moline-Rock Island, IA-IL...................... 0.8405 Scott, IA Henry, IL Rock Island, IL 2000 Dayton-Springfield, OH................................... 0.9279 Clark, OH Greene, OH Miami, OH Montgomery, OH 2020 Daytona Beach, FL \2\.................................... 0.8838 Flagler, FL Volusia, FL 2030 Decatur, AL.............................................. 0.8286 Lawrence, AL Morgan, AL 2040 Decatur, IL.............................................. 0.7915 Macon, IL 2080 Denver, CO \1\........................................... 1.0386 Adams, CO Arapahoe, CO Denver, CO Douglas, CO Jefferson, CO 2120 Des Moines, IA........................................... 0.8837 Dallas, IA Polk, IA Warren, IA 2160 Detroit, MI \1\.......................................... 1.0840 Lapeer, MI Macomb, MI Monroe, MI Oakland, MI St. Clair, MI Wayne, MI 2180 Dothan, AL............................................... 0.8070 Dale, AL Houston, AL 2190 Dover, DE................................................ 0.9303 Kent, DE 2200 Dubuque, IA.............................................. 0.8088 Dubuque, IA 2240 Duluth-Superior, MN-WI................................... 0.9779 St. Louis, MN Douglas, WI 2281 Dutchess County, NY...................................... 1.0632 Dutchess, NY 2290 Eau Claire, WI........................................... 0.8764 Chippewa, WI Eau Claire, WI 2320 El Paso, TX.............................................. 1.0123 El Paso, TX 2330 Elkhart-Goshen, IN....................................... 0.9081 Elkhart, IN 2335 Elmira, NY \2\........................................... 0.8401 Chemung, NY 2340 Enid, OK................................................. 0.7962 Garfield, OK 2360 Erie, PA................................................. 0.8862 Erie, PA 2400 Eugene-Springfield, OR................................... 1.1659 Lane, OR 2440 Evansville-Henderson, IN-KY.............................. 0.8641 Posey, IN Vanderburgh, IN Warrick, IN Henderson, KY 2520 Fargo-Moorhead, ND-MN.................................... 0.8837 Clay, MN Cass, ND 2560 Fayetteville, NC......................................... 0.8734 Cumberland, NC 2580 Fayetteville-Springdale-Rogers, AR....................... 0.7461 Benton, AR Washington, AR 2620 Flagstaff, AZ-UT......................................... 0.9115 Coconino, AZ Kane, UT 2640 Flint, MI................................................ 1.1171 Genesee, MI 2650 Florence, AL............................................. 0.7716 Colbert, AL Lauderdale, AL 2655 Florence, SC............................................. 0.8711 Florence, SC 2670 Fort Collins-Loveland, CO................................ 1.0248 Larimer, CO 2680 Ft. Lauderdale, FL \1\................................... 1.0487 Broward, FL 2700 Fort Myers-Cape Coral, FL \2\............................ 0.8838 Lee, FL 2710 Fort Pierce-Port St. Lucie, FL........................... 1.0257 Martin, FL St. Lucie, FL 2720 Fort Smith, AR-OK........................................ 0.7769 Crawford, AR Sebastian, AR Sequoyah, OK 2750 Fort Walton Beach, FL \2\................................ 0.8838 Okaloosa, FL 2760 Fort Wayne, IN........................................... 0.8901 Adams, IN Allen, IN DeKalb, IN Huntington, IN Wells, IN Whitley, IN 2800 Forth Worth-Arlington, TX \1\............................ 0.9997 Hood, TX Johnson, TX Parker, TX Tarrant, TX 2840 Fresno, CA............................................... 1.0607 Fresno, CA Madera, CA 2880 Gadsden, AL.............................................. 0.8815 Etowah, AL 2900 Gainesville, FL.......................................... 0.9616 Alachua, FL 2920 Galveston-Texas City, TX................................. 1.0564 Galveston, TX 2960 Gary, IN................................................. 0.9270 Lake, IN Porter, IN 2975 Glens Falls, NY \2\...................................... 0.8401 Warren, NY Washington, NY 2980 Goldsboro, NC............................................ 0.8443 Wayne, NC 2985 Grand Forks, ND-MN....................................... 0.8815 Polk, MN Grand Forks, ND 2995 Grand Junction, CO....................................... 0.9491 Mesa, CO 3000 Grand Rapids-Muskegon-Holland, MI \1\.................... 1.0147 Allegan, MI Kent, MI Muskegon, MI Ottawa, MI 3040 Great Falls, MT.......................................... 0.9306 Cascade, MT 3060 Greeley, CO.............................................. 1.0097 Weld, CO 3080 Green Bay, WI............................................ 0.9585 Brown, WI 3120 Greensboro-Winston-Salem-High Point, NC \1\.............. 0.9351 Alamance, NC Davidson, NC Davie, NC Forsyth, NC Guilford, NC Randolph, NC Stokes, NC Yadkin, NC 3150 Greenville, NC........................................... 0.9064 Pitt, NC 3160 Greenville-Spartanburg-Anderson, SC...................... 0.9059 Anderson, SC Cherokee, SC Greenville, SC Pickens, SC Spartanburg, SC 3180 Hagerstown, MD........................................... 0.9681 Washington, MD 3200 Hamilton-Middletown, OH.................................. 0.8767 Butler, OH 3240 Harrisburg-Lebanon-Carlisle, PA.......................... 1.0187 Cumberland, PA Dauphin, PA Lebanon, PA Perry, PA 3283 Hartford, CT \1\ \2\.................................... 1.2617 Hartford, CT Litchfield, CT Middlesex, CT Tolland, CT 3285 Hattiesburg, MS.......................................... 0.7192 Forrest, MS Lamar, MS 3290 Hickory-Morganton-Lenoir, NC............................. 0.8285 Alexander, NC

Burke, NC Caldwell, NC Catawba, NC 3320 Honolulu, HI............................................. 1.1817 Honolulu, HI 3350 Houma, LA................................................ 0.7854 Lafourche, LA Terrebonne, LA 3360 Houston, TX \1\.......................................... 0.9855 Chambers, TX FortBend, TX Harris, TX Liberty, TX Montgomery, TX Waller, TX 3400 Huntington-Ashland, WV-KY-OH............................. 0.9160 Boyd, KY Carter, KY Greenup, KY Lawrence, OH Cabell, WV Wayne, WV 3440 Huntsville, AL........................................... 0.8485 Limestone, AL Madison, AL 3480 Indianapolis, IN \1\..................................... 0.9848 Boone, IN Hamilton, IN Hancock, IN Hendricks, IN Johnson, IN Madison, IN Marion, IN Morgan, IN Shelby, IN 3500 Iowa City, IA............................................ 0.9413 Johnson, IA 3520 Jackson, MI.............................................. 0.9052 Jackson, MI 3560 Jackson, MS.............................................. 0.7790 Hinds, MS Madison, MS Rankin, MS 3580 Jackson, TN.............................................. 0.8522 Madison, TN Chester, TN 3600 Jacksonville, FL \1\..................................... 0.8969 Clay, FL Duval, FL Nassau, FL St. Johns, FL 3605 Jacksonville, NC \2\..................................... 0.7939 Onslow, NC 3610 Jamestown, NY \2\........................................ 0.8401 Chautauqua, NY 3620 Janesville-Beloit, WI.................................... 0.8824 Rock, WI 3640 Jersey City, NJ.......................................... 1.1412 Hudson, NJ 3660 Johnson City-Kingsport-Bristol, TN-VA.................... 0.9114 Carter, TN Hawkins, TN Sullivan, TN Unicoi, TN Washington, TN Bristol City, VA Scott, VA Washington, VA 3680 Johnstown, PA \2\........................................ 0.8421 Cambria, PA Somerset, PA 3700 Jonesboro, AR............................................ 0.7443 Craighead, AR 3710 Joplin, MO............................................... 0.7541 Jasper, MO Newton, MO 3720 Kalamazoo-Battlecreek, MI................................ 1.0668 Calhoun, MI Kalamazoo, MI Van Buren, MI 3740 Kankakee, IL............................................. 0.8653 Kankakee, IL 3760 Kansas City, KS-MO \1\................................... 0.9564 Johnson, KS Leavenworth, KS Miami, KS Wyandotte, KS Cass, MO Clay, MO Clinton, MO Jackson, MO Lafayette, MO Platte, MO Ray, MO 3800 Kenosha, WI.............................................. 0.9196 Kenosha, WI 3810 Killeen-Temple, TX....................................... 1.0252 Bell, TX Coryell, TX 3840 Knoxville, TN............................................ 0.8831 Anderson, TN Blount, TN Knox, TN Loudon, TN Sevier, TN Union, TN 3850 Kokomo, IN............................................... 0.8416 Howard, IN Tipton, IN 3870 LaCrosse, WI-MN.......................................... 0.8749 Houston, MN LaCrosse, WI 3880 Lafayette, LA............................................ 0.8227 Acadia, LA Lafayette, LA St. Landry, LA St. Martin, LA 3920 Lafayette, IN............................................ 0.9174 Clinton, IN Tippecanoe, IN 3960 Lake Charles, LA......................................... 0.7776 Calcasieu, LA 3980 Lakeland-Winter Haven, FL \2\............................ 0.8838 Polk, FL 4000 Lancaster, PA............................................ 0.9481 Lancaster, PA 4040 Lansing-East Lansing, MI................................. 1.0088 Clinton, MI Eaton, MI Ingham, MI 4080 Laredo, TX \2\........................................... 0.7404 Webb, TX 4100 Las Cruces, NM........................................... 0.8658 Dona Ana, NM 4120 Las Vegas, NV-AZ \1\..................................... 1.0592 Mohave, AZ Clark, NV Nye, NV 4150 Lawrence, KS............................................. 0.8608 Douglas, KS 4200 Lawton, OK............................................... 0.9045 Comanche, OK 4243 Lewiston-Auburn, ME...................................... 0.9536 Androscoggin, ME 4280 Lexington, KY............................................ 0.8416 Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Madison, KY Scott, KY Woodford, KY 4320 Lima, OH................................................. 0.9185 Allen, OH Auglaize, OH 4360 Lincoln, NE.............................................. 0.9231 Lancaster, NE 4400 Little Rock-North Little Rock, AR........................ 0.8490 Faulkner, AR Lonoke, AR Pulaski, AR Saline, AR 4420 Longview-Marshall, TX.................................... 0.8613 Gregg, TX Harrison, TX Upshur, TX 4480 Los Angeles-Long Beach, CA \1\........................... 1.2268 Los Angeles, CA 4520 Louisville, KY-IN........................................ 0.9507 Clark, IN Floyd, IN Harrison, IN Scott, IN Bullitt, KY Jefferson, KY Oldham, KY 4600 Lubbock, TX.............................................. 0.8400 Lubbock, TX 4640 Lynchburg, VA............................................ 0.8228 Amherst, VA Bedford, VA Bedford City, VA Campbell, VA Lynchburg City, VA 4680 Macon, GA................................................ 0.9227 Bibb, GA Houston, GA Jones, GA Peach, GA Twiggs, GA 4720 Madison, WI.............................................. 1.0055 Dane, WI 4800 Mansfield, OH............................................ 0.8639 Crawford, OH Richland, OH 4840 Mayaguez, PR............................................. 0.4475 Anasco, PR Cabo Rojo, PR Hormigueros, PR Mayaguez, PR Sabana Grande, PR San German, PR 4880 McAllen-Edinburg-Mission, TX............................. 0.8371 Hidalgo, TX 4890 Medford-Ashland, OR...................................... 1.0354 Jackson, OR 4900 Melbourne-Titusville-Palm Bay, FL \2\.................... 0.8838 Brevard, Fl 4920 Memphis, TN-AR-MS \1\.................................... 0.8589 Crittenden, AR DeSoto, MS Fayette, TN Shelby, TN Tipton, TN 4940 Merced, CA............................................... 1.0947 Merced, CA 5000 Miami, FL \1\............................................ 0.9859 Dade, FL 5015 Middlesex-Somerset-Hunterdon, NJ \1\..................... 1.0875 Hunterdon, NJ Middlesex, NJ Somerset, NJ

5080 Milwaukee-Waukesha, WI \1\............................... 0.9819 Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI 5120 Minneapolis-St. Paul, MN-WI \1\.......................... 1.0733 Anoka, MN Carver, MN Chisago, MN Dakota, MN Hennepin, MN Isanti, MN Ramsey, MN Scott, MN Sherburne, MN Washington, MN Wright, MN Pierce, WI St. Croix, WI 5160 Mobile, AL............................................... 0.8455 Baldwin, AL Mobile, AL 5170 Modesto, CA.............................................. 1.0377 Stanislaus, CA 5190 Monmouth-Ocean, NJ \1\................................... 1.0934 Monmouth, NJ Ocean, NJ 5200 Monroe, LA............................................... 0.8414 Ouachita, LA 5240 Montgomery, AL........................................... 0.7813 Autauga, AL Elmore, AL Montgomery, AL 5280 Muncie, IN............................................... 0.9173 Delaware, IN 5330 Myrtle Beach, SC......................................... 0.8072 Horry, SC 5345 Naples, FL............................................... 1.0109 Collier, FL 5360 Nashville, TN \1\........................................ 0.9182 Cheatham, TN Davidson, TN Dickson, TN Robertson, TN RutherfordTN Sumner, TN Williamson, TN Wilson, TN 5380 Nassau-Suffolk, NY \1\................................... 1.3807 Nassau, NY Suffolk, NY 5483 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT \1\.. 1.2619 Fairfield, CT New Haven, CT 5523 New London-Norwich, CT \2\............................... 1.2617 New London, CT 5560 New Orleans, LA \1\...................................... 0.9566 Jefferson, LA Orleans, LA Plaquemines, LA St. Bernard, LA St. Charles, LA St. James, LA St. John The Baptist, LA St. Tammany, LA 5600 New York, NY \1\......................................... 1.4449 Bronx, NY Kings, NY New York, NY Putnam, NY Queens, NY Richmond, NY Rockland, NY Westchester, NY 5640 Newark, NJ \1\........................................... 1.1111 Essex, NJ Morris, NJ Sussex, NJ Union, NJ Warren, NJ 5660 Newburgh, NY-PA.......................................... 1.1283 Orange, NY Pike, PA 5720 Norfolk-Virginia Beach-Newport News, VA-NC \1\........... 0.8316 Currituck, NC Chesapeake City, VA Gloucester, VA Hampton City, VA Isle of Wight, VA James City, VA Mathews, VA Newport News City, VA Norfolk City, VA Poquoson City, VA Portsmouth City, VA Suffolk City, VA Virginia Beach City, VA Williamsburg City, VA York, VA 5775 Oakland, CA \1\.......................................... 1.5158 Alameda, CA Contra Costa, CA 5790 Ocala, FL................................................ 0.9032 Marion, FL 5800 Odessa-Midland, TX....................................... 0.8660 Ector, TX Midland, TX 5880 Oklahoma City, OK \1\.................................... 0.8481 Canadian, OK Cleveland, OK Logan, OK McClain, OK Oklahoma, OK Pottawatomie, OK 5910 Olympia, WA.............................................. 1.0901 Thurston, WA 5920 Omaha, NE-IA............................................. 0.9421 Pottawattamie, IA Cass, NE Douglas, NE Sarpy, NE Washington, NE 5945 Orange County, CA \1\.................................... 1.1532 Orange, CA 5960 Orlando, FL \1\.......................................... 0.9397 Lake, FL Orange, FL Osceola, FL Seminole, FL 5990 Owensboro, KY \2\........................................ 0.7772 Daviess, KY 6015 Panama City, FL \2\...................................... 0.8838 Bay, FL 6020 Parkersburg-Marietta, WV-OH (West Virginia Hospitals) \2\ 0.8046 Washington, OH Wood, WV 6020 Parkersburg-Marietta, WV-OH (Ohio Hospitals) \2\......... 0.8434 Washington, OH Wood, WV 6080 Pensacola, FL \2\........................................ 0.8838 Escambia, FL Santa Rosa, FL 6120 Peoria-Pekin, IL......................................... 0.8571 Peoria, IL Tazewell, IL Woodford, IL 6160 Philadelphia, PA-NJ \1\.................................. 1.1398 Burlington, NJ Camden, NJ Gloucester, NJ Salem, NJ Bucks, PA Chester, PA Delaware, PA Montgomery, PA Philadelphia, PA 6200 Phoenix-Mesa, AZ \1\..................................... 0.9606 Maricopa, AZ Pinal, AZ 6240 Pine Bluff, AR........................................... 0.7826 Jefferson, AR 6280 Pittsburgh, PA \1\....................................... 0.9725 Allegheny, PA Beaver, PA Butler, PA Fayette, PA Washington, PA Westmoreland, PA 6323 Pittsfield, MA........................................... 1.0960 Berkshire, MA 6340 Pocatello, ID............................................ 0.9586 Bannock, ID 6360 Ponce, PR................................................ 0.4589 Guayanilla, PR Juana Diaz, PR Penuelas, PR Ponce, PR Villalba, PR Yauco, PR 6403 Portland, ME............................................. 0.9627 Cumberland, ME Sagadahoc, ME York, ME 6440 Portland-Vancouver, OR-WA \1\............................ 1.1344 Clackamas, OR Columbia, OR Multnomah, OR Washington, OR Yamhill, OR Clark, WA 6483 Providence-Warwick-Pawtucket, RI \1\..................... 1.1049 Bristol, RI Kent, RI Newport, RI Providence, RI Washington, RI 6520 Provo-Orem, UT........................................... 1.0073 Utah, UT 6560 Pueblo, CO............................................... 0.8450 Pueblo, CO 6580 Punta Gorda, FL \2\...................................... 0.8838 Charlotte, FL 6600 Racine, WI............................................... 0.8934 Racine, WI 6640 Raleigh-Durham-Chapel Hill, NC \2\....................... 0.9818 Chatham, NC Durham, NC Franklin, NC Johnston, NC Orange, NC Wake, NC 6660 Rapid City, SD........................................... 0.8345 Pennington, SD 6680 Reading, PA.............................................. 0.9516 Berks, PA 6690 Redding, CA.............................................. 1.1790 Shasta, CA 6720 Reno, NV................................................. 1.0768 Washoe, NV 6740 Richland-Kennewick-Pasco, WA \2\......................... 1.0221

Benton, WA Franklin, WA 6760 Richmond-Petersburg, VA.................................. 0.9152 Charles City County, VA Chesterfield, VA Colonial Heights City, VA Dinwiddie, VA Goochland, VA Hanover, VA Henrico, VA Hopewell City, VA NewKent, VA Petersburg City, VA Powhatan, VA Prince George, VA Richmond City, VA 6780 Riverside-San Bernardino, CA \1\......................... 1.1145 Riverside, CA San Bernardino, CA 6800 Roanoke, VA.............................................. 0.8402 Botetourt, VA Roanoke, VA Roanoke City, VA Salem City, VA 6820 Rochester, MN............................................ 1.0502 Olmsted, MN 6840 Rochester, NY \1\........................................ 0.9524 Genesee, NY Livingston, NY Monroe, NY Ontario, NY Orleans, NY Wayne, NY 6880 Rockford, IL............................................. 0.9081 Boone, IL Ogle, IL Winnebago, IL 6895 Rocky Mount, NC.......................................... 0.9029 Edgecombe, NC Nash, NC 6920 Sacramento, CA \1\....................................... 1.2202 El Dorado, CA Placer, CA Sacramento, CA 6960 Saginaw-Bay City-Midland, MI............................. 0.9564 Bay, MI Midland, MI Saginaw, MI 6980 St. Cloud, MN............................................ 0.9544 Benton, MN Stearns, MN 7000 St. Joseph, MO........................................... 0.8366 Andrew, MO Buchanan, MO 7040 St. Louis, MO-IL \1\..................................... 0.9130 Clinton, IL Jersey, IL Madison, IL Monroe, IL St. Clair, IL Franklin, MO Jefferson, MO Lincoln, MO St. Charles, MO St. Louis, MO St. Louis City, MO Warren, MO 7080 Salem, OR \2\............................................ 0.9976 Marion, OR Polk, OR 7120 Salinas, CA.............................................. 1.4513 Monterey, CA 7160 Salt Lake City-Ogden, UT \1\............................. 0.9862 Davis, UT Salt Lake, UT Weber, UT 7200 San Angelo, TX........................................... 0.7780 Tom Green, TX 7240 San Antonio, TX \1\...................................... 0.8499 Bexar, TX Comal, TX Guadalupe, TX Wilson, TX 7320 San Diego, CA \1\........................................ 1.2225 San Diego, CA 7360 San Francisco, CA \1\.................................... 1.4091 Marin, CA San Francisco, CA San Mateo, CA 7400 San Jose, CA \1\......................................... 1.4332 Santa Clara, CA 7440 San Juan-Bayamon, PR \1\................................. 0.4625 Aguas Buenas, PR Barceloneta, PR Bayamon, PR Canovanas, PR Carolina, PR Catano, PR Ceiba, PR Comerio, PR Corozal, PR Dorado, PR Fajardo, PR Florida, PR Guaynabo, PR Humacao, PR Juncos, PR Los Piedras, PR Loiza, PR Luguillo, PR Manati, PR Morovis, PR Naguabo, PR Naranjito, PR Rio Grande, PR San Juan, PR Toa Alta, PR Toa Baja, PR Trujillo Alto, PR Vega Alta, PR Vega Baja, PR Yabucoa, PR 7460 San Luis Obispo-Atascadero-Paso Robles, CA............... 1.1374 San Luis Obispo, CA 7480 Santa Barbara-Santa Maria-Lompoc, CA..................... 1.0688 Santa Barbara, CA 7485 Santa Cruz-Watsonville, CA............................... 1.4187 Santa Cruz, CA 7490 Santa Fe, NM............................................. 1.0332 Los Alamos, NM Santa Fe, NM 7500 Santa Rosa, CA........................................... 1.2267 Sonoma, CA 7510 Sarasota-Bradenton, FL................................... 0.9757 Manatee, FL Sarasota, FL 7520 Savannah, GA............................................. 0.8638 Bryan, GA Chatham, GA Effingham, GA 7560 Scranton--Wilkes-Barre--Hazleton, PA..................... 0.8539 Columbia, PA Lackawanna, PA Luzerne, PA Wyoming, PA 7600 Seattle-Bellevue-Everett, WA \1\......................... 1.1375 Island, WA King, WA Snohomish, WA 7610 Sharon, PA............................................... 0.8783 Mercer, PA 7620 Sheboygan, WI \2\........................................ 0.8471 Sheboygan, WI 7640 Sherman-Denison, TX...................................... 0.8499 Grayson, TX 7680 Shreveport-Bossier City, LA.............................. 0.9381 Bossier, LA Caddo, LA Webster, LA 7720 Sioux City, IA-NE........................................ 0.8031 Woodbury, IA Dakota, NE 7760 Sioux Falls, SD.......................................... 0.8712 Lincoln, SD Minnehaha, SD 7800 South Bend, IN........................................... 0.9880 St. Joseph, IN 7840 Spokane, WA.............................................. 1.0486 Spokane, WA 7880 Springfield, IL.......................................... 0.8713 Menard, IL Sangamon, IL 7920 Springfield, MO.......................................... 0.8036 Christian, MO Greene, MO Webster, MO 8003 Springfield, MA \2\...................................... 1.0718 Hampden, MA Hampshire, MA 8050 State College, PA........................................ 0.9635 Centre, PA 8080 Steubenville-Weirton, OH-WV.............................. 0.8645 Jefferson, OH Brooke, WV Hancock, WV 8120 Stockton-Lodi, CA........................................ 1.1518 San Joaquin, CA 8140 Sumter, SC \2\........................................... 0.7921 Sumter, SC 8160 Syracuse, NY............................................. 0.9480 Cayuga, NY Madison, NY Onondaga, NY Oswego, NY 8200 Tacoma, WA............................................... 1.1016 Pierce, WA 8240 Tallahassee, FL \2\...................................... 0.8838 Gadsden, FL Leon, FL 8280 Tampa-St. Petersburg-Clearwater, FL \1\.................. 0.9196 Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL 8320 Terre Haute, IN.......................................... 0.8614 Clay, IN Vermillion, IN Vigo, IN 8360 Texarkana, AR-Texarkana, TX.............................. 0.8699 Miller, AR Bowie, TX 8400 Toledo, OH............................................... 1.0140 Fulton, OH Lucas, OH Wood, OH 8440 Topeka, KS............................................... 0.9438 Shawnee, KS 8480 Trenton, NJ.............................................. 1.0380 Mercer, NJ 8520 Tucson, AZ............................................... 0.9180 Pima, AZ

8560 Tulsa, OK................................................ 0.8074 Creek, OK Osage, OK Rogers, OK Tulsa, OK Wagoner, OK 8600 Tuscaloosa, AL........................................... 0.8187 Tuscaloosa, AL 8640 Tyler, TX................................................ 0.9567 Smith, TX 8680 Utica-Rome, NY \2\....................................... 0.8401 Herkimer, NY Oneida, NY 8720 Vallejo-Fairfield-Napa, CA............................... 1.3528 Napa, CA Solano, CA 8735 Ventura, CA.............................................. 1.0544 Ventura, CA 8750 Victoria, TX............................................. 0.8474 Victoria, TX 8760 Vineland-Millville-Bridgeton, NJ......................... 1.0110 Cumberland, NJ 8780 Visalia-Tulare-Porterville, CA \2\....................... 0.9977 Tulare, CA 8800 Waco, TX................................................. 0.7696 McLennan, TX 8840 Washington, DC-MD-VA-WV \1\.............................. 1.0911 District of Columbia, DC Calvert, MD Charles, MD Frederick, MD Montgomery, MD Prince Georges, MD Alexandria City, VA Arlington, VA Clarke, VA Culpeper, VA Fairfax, VA Fairfax City, VA Falls Church City, VA Fauquier, VA Fredericksburg City, VA King George, VA Loudoun, VA Manassas City, VA Manassas Park City, VA Prince William, VA Spotsylvania, VA Stafford, VA Warren, VA Berkeley, WV Jefferson, WV 8920 Waterloo-Cedar Falls, IA................................. 0.8643 Black Hawk, IA 8940 Wausau, WI............................................... 1.0545 Marathon, WI 8960 West Palm Beach-Boca Raton, FL........................... 1.0309 Palm Beach, FL 9000 Wheeling, WV-OH (West Virginia Hospitals) \1\............ 0.7966 Belmont, OH Marshall, WV Ohio, WV 9000 Wheeling, WV-OH (Ohio Hospitals) \2\..................... 0.8434 Belmont, OH Marshall, WV Ohio, WV 9040 Wichita, KS.............................................. 0.9403 Butler, KS Harvey, KS Sedgwick, KS 9080 Wichita Falls, TX........................................ 0.7646 Archer, TX Wichita, TX 9140 Williamsport, PA......................................... 0.8548 Lycoming, PA 9160 Wilmington-Newark, DE-MD................................. 1.1538 New Castle, DE Cecil, MD 9200 Wilmington, NC........................................... 0.9322 New Hanover, NC Brunswick, NC 9260 Yakima, WA \2\........................................... 1.0221 Yakima, WA 9270 Yolo, CA................................................. 1.1431 Yolo, CA 9280 York, PA................................................. 0.9415 York, PA 9320 Youngstown-Warren, OH.................................... 0.9937 Columbiana, OH Mahoning, OH Trumbull, OH 9340 Yuba City, CA............................................ 1.0324 Sutter, CA Yuba, CA 9360 Yuma, AZ................................................. 0.9732 Yuma, AZ ------------------------------------------------------------------------ \1\ Large Urban Area \2\ Hospitals geographically located in the area are assigned the statewide rural wage index for FY 1998.

53. On pages 48035 through 48036, Addendum K is corrected to read as follows:

Addendum K.--Wage Index for Rural Areas ------------------------------------------------------------------------ Wage Nonurban area index ------------------------------------------------------------------------ Alabama........................................................ 0.7260 Alaska......................................................... 1.2302 Arizona........................................................ 0.7989 Arkansas....................................................... 0.6995 California..................................................... 0.9977 Colorado....................................................... 0.8129 Connecticut.................................................... 1.2617 Delaware....................................................... 0.8925 Florida........................................................ 0.8838 Georgia........................................................ 0.7761 Hawaii......................................................... 1.0229 Idaho.......................................................... 0.8221 Illinois....................................................... 0.7644 Indiana........................................................ 0.8161 Iowa........................................................... 0.7391 Kansas......................................................... 0.7203 Kentucky....................................................... 0.7772 Louisiana...................................................... 0.7383 Maine.......................................................... 0.8468 Maryland....................................................... 0.8617 Massachusetts.................................................. 1.0718 Michigan....................................................... 0.8923 Minnesota...................................................... 0.8180 Mississippi.................................................... 0.6911 Missouri....................................................... 0.7207 Montana........................................................ 0.8302 Nebraska....................................................... 0.7401 Nevada......................................................... 0.8914 New Hampshire.................................................. 0.9724 New Jersey \1\................................................. ....... New Mexico..................................................... 0.8110 New York....................................................... 0.8401 North Carolina................................................. 0.7939 North Dakota................................................... 0.7360 Ohio........................................................... 0.8434 Oklahoma....................................................... 0.7072 Oregon......................................................... 0.9976 Pennsylvania................................................... 0.8421 Puerto Rico.................................................... 0.3939 Rhode Island \1\............................................... ....... South Carolina................................................. 0.7921 South Dakota................................................... 0.6983 Tennessee...................................................... 0.7353 Texas.......................................................... 0.7404 Utah........................................................... 0.8926 Vermont........................................................ 0.9314 Virginia....................................................... 0.7782 Washington..................................................... 1.0221 West Virginia.................................................. 0.7966 Wisconsin...................................................... 0.8471 Wyoming........................................................ 0.8247 ------------------------------------------------------------------------ \1\All counties within state are classified as urban.

54. On page 48036, Addendum L is corrected to read as follows:

Addendum L.--Wage Index for Hospitals That Are Reclassified ------------------------------------------------------------------------ Wage Area index ------------------------------------------------------------------------ Abilene, TX.................................................... 0.8287 Albuquerque, NM................................................ 0.9329 Alexandria, LA................................................. 0.8269 Amarillo, TX................................................... 0.9277 Anchorage, AK.................................................. 1.2998 Asheville, NC.................................................. 0.9072 Athens, GA..................................................... 0.9087 Atlanta, GA.................................................... 0.9823 Austin-San Marcos, TX.......................................... 0.9133 Bangor, ME..................................................... 0.9478 Barnstable-Yarmouth, MA........................................ 1.3827 Baton Rouge, LA................................................ 0.8382 Benton Harbor, MI.............................................. 0.8923 Bergen-Passaic, NJ............................................. 1.1570 Billings, MT................................................... 0.9609 Birmingham, AL................................................. 0.9005 Bismarck, ND................................................... 0.7859 Boise City, ID................................................. 0.8887 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH............... 1.1498 Caguas, PR..................................................... 0.4508 Casper, WY..................................................... 0.9013 Champaign-Urbana, IL........................................... 0.8706 Charlotte-Gastonia-Rock Hill, NC-SC............................ 0.9710 Charlottesville, VA............................................ 0.8885 Chattanooga, TN-GA............................................. 0.8658 Chicago, IL.................................................... 1.0759 Cincinnati, OH-KY-IN........................................... 0.9521 Cleveland-Lorain-Elyria, OH.................................... 0.9804 Columbia, MO................................................... 0.8759 Columbus, OH................................................... 0.9793

Dallas, TX..................................................... 0.9674 Davenport-Moline-Rock Island, IA-IL............................ 0.8405 Denver, CO..................................................... 1.0386 Des Moines, IA................................................. 0.8837 Detroit, MI.................................................... 1.0840 Duluth-Superior, MN-WI......................................... 0.9779 Dutchess County, NY............................................ 1.0364 Eugene-Springfield, OR......................................... 1.1659 Fargo-Moorhead, ND-MN.......................................... 0.8729 Fayetteville, NC............................................... 0.8491 Flint, MI...................................................... 1.1171 Florence, AL................................................... 0.7716 Florence, SC................................................... 0.8711 Ft. Lauderdale, FL............................................. 1.0487 Fort Pierce-Port St. Lucie, FL................................. 1.0008 Fort Walton Beach, FL.......................................... 0.8653 Forth Worth-Arlington, TX...................................... 0.9997 Gadsden, AL.................................................... 0.8815 Gainesville, FL................................................ 0.9616 Gary, IN....................................................... 0.9114 Grand Forks, ND-MN............................................. 0.8815 Grand Junction, CO............................................. 0.9491 Great Falls, MT................................................ 0.9306 Greeley, CO.................................................... 0.9791 Green Bay, WI.................................................. 0.9585 Greensboro-Winston-Salem-High Point, NC........................ 0.9351 Harrisburg-Lebanon-Carlisle, PA................................ 1.0076 Hartford, CT................................................... 1.2373 Honolulu, HI................................................... 1.1817 Houma, LA...................................................... 0.7854 Houston, TX.................................................... 0.9855 Huntington-Ashland, WV-KY-OH................................... 0.9160 Huntsville, AL................................................. 0.8485 Indianapolis, IN............................................... 0.9848 Iowa City, IA.................................................. 0.9208 Jackson, MS.................................................... 0.7790 Johnson City-Kingsport-Bristol, TN-VA.......................... 0.9114 Jonesboro, AR.................................................. 0.7443 Joplin, MO..................................................... 0.7541 Kalamazoo-Battlecreek, MI...................................... 1.0668 Kansas City, KS-MO............................................. 0.9564 Knoxville, TN.................................................. 0.8831 Lafayette, LA.................................................. 0.8227 Lafayette, IN.................................................. 0.9174 Lansing-East Lansing, MI....................................... 1.0088 Las Cruces, NM................................................. 0.8658 Las Vegas, NV-AZ............................................... 1.0592 Lexington, KY.................................................. 0.8416 Lima, OH....................................................... 0.9185 Lincoln, NE.................................................... 0.9035 Little Rock-North Little Rock, AR.............................. 0.8490 Longview-Marshall, TX.......................................... 0.8509 Los Angeles-Long Beach, CA..................................... 1.2268 Louisville, KY-IN.............................................. 0.9507 Macon, GA...................................................... 0.9227 Madison, WI.................................................... 1.0055 Mansfield, OH.................................................. 0.8639 Medford-Ashland, OR............................................ 1.0354 Memphis, TN-AR-MS.............................................. 0.8589 Milwaukee-Waukesha, WI......................................... 0.9819 Minneapolis-St. Paul, MN-WI.................................... 1.0733 Monroe, LA..................................................... 0.8414 Montgomery, AL................................................. 0.7813 Nashville, TN.................................................. 0.9182 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT............ 1.2619 New London-Norwich, CT......................................... 1.2258 New Orleans, LA................................................ 0.9566 New York, NY................................................... 1.4449 Newark, NJ..................................................... 1.1111 Newburgh, NY-PA................................................ 1.1283 Oakland, CA.................................................... 1.5158 Odessa-Midland, TX............................................. 0.8516 Oklahoma City, OK.............................................. 0.8481 Omaha, NE-IA................................................... 0.9421 Orange County, CA.............................................. 1.1532 Peoria-Pekin, IL............................................... 0.8571 Philadelphia, PA-NJ............................................ 1.1398 Pittsburgh, PA................................................. 0.9583 Pocatello, ID.................................................. 0.9000 Portland, ME................................................... 0.9627 Portland-Vancouver, OR-WA...................................... 1.1344 Provo-Orem, UT................................................. 1.0073 Raleigh-Durham-Chapel Hill, NC................................. 0.9818 Rapid City, SD................................................. 0.8345 Rochester, MN.................................................. 1.0502 Rockford, IL................................................... 0.9081 Sacramento, CA................................................. 1.2202 Saginaw-Bay City-Midland, MI................................... 0.9564 St. Cloud, MN.................................................. 0.9544 St. Louis, MO-IL............................................... 0.9130 Salinas, CA.................................................... 1.4299 Salt Lake City-Ogden, UT....................................... 0.9862 San Diego, CA.................................................. 1.2225 San Francisco, CA.............................................. 1.4091 Santa Fe, NM................................................... 1.0007 Santa Rosa, CA................................................. 1.2146 Seattle-Bellevue-Everett, WA................................... 1.1375 Sherman-Denison, TX............................................ 0.8324 Sioux City, IA-NE.............................................. 0.8031 Sioux Falls, SD................................................ 0.8607 South Bend, IN................................................. 0.9880 Spokane, WA.................................................... 1.0311 Springfield, IL................................................ 0.8610 Springfield, MO................................................ 0.8036 Stockton-Lodi, CA.............................................. 1.1518 Syracuse, NY................................................... 0.9480 Tampa-St. Petersburg-Clearwater, FL............................ 0.9196 Texarkana, AR-Texarkana, TX.................................... 0.8699 Topeka, KS..................................................... 0.9310 Tucson, AZ..................................................... 0.9180 Tulsa, OK...................................................... 0.8074 Tyler, TX...................................................... 0.9421 Vallejo-Fairfield-Napa, CA..................................... 1.3528 Washington, DC-MD-VA-WV........................................ 1.0911 Waterloo-Cedar Falls, IA....................................... 0.8643 Wausau, WI..................................................... 0.9845 Wichita, KS.................................................... 0.9157 Wichita Falls, TX.............................................. 0.7646 Rural Florida.................................................. 0.8838 Rural Louisiana................................................ 0.7383 Rural Minnesota................................................ 0.8180 Rural Missouri................................................. 0.7207 Rural New Hampshire............................................ 0.9724 Rural New Mexico............................................... 0.8110 Rural North Carolina........................................... 0.7939 Rural Oregon................................................... 0.9976 Rural Washington............................................... 1.0221 Rural West Virginia............................................ 0.7966 Rural Wyoming.................................................. 0.8247 ------------------------------------------------------------------------

(Catalog of Federal Domestic Assistance 93.774, Medicare-- Supplementary Medical Insurance Program)

Dated: June 22, 1999. Kerry Weems, Acting Deputy Assistant, Secretary for Information Resources Management. [FR Doc. 99-16550 Filed 6-29-99; 8:45 am] BILLING CODE 4120-01-P