Proc Code,Description,Modifier 1,Modifier 2,ASC,Price,Effective Date
00100,ANESTHESIA FOR PROCEDURES ON INT,,,,$24.19 ,20080101
00102,ANESTHESIA FOR PLASTIC REPAIR OF,,,,$24.19 ,20080101
00103,BLEPHAROPLASTY,,,,$24.19 ,20080101
00104,ANESTHESIA FOR ELECTROCONVULSIVE,,,,$24.19 ,20080101
00120,ANESTHESIA FOR PROCEDURES ON EXT,,,,$24.19 ,20080101
00124,ANESTHESIA FOR PROCEDURES ON EXT,,,,$24.19 ,20080101
00126,ANESTHESIA FOR PROCEDURES ON EXT,,,,$24.19 ,20080101
00140,ANESTHESIA FOR PROCEDURES ON EYE,,,,$24.19 ,20080101
00142,ANESTHESIA FOR PROCEDURES ON EYE,,,,$24.19 ,20080101
00144,ANESTHESIA FOR PROCEDURES ON EYE,,,,$24.19 ,20080101
00145,ANESTHESIA FOR PROCEDURES ON EYE,,,,$24.19 ,20080101
00147,ANESTHESIA FOR PROCEDURES ON EYE,,,,$24.19 ,20080101
00148,ANESTHESIA FOR PROCEDURES ON EYE,,,,$24.19 ,20080101
00160,ANESTHESIA FOR PROCEDURES ON NOS,,,,$24.19 ,20080101
00162,ANESTHESIA FOR PROCEDURES ON NOS,,,,$24.19 ,20080101
00164,ANESTHESIA FOR PROCEDURES ON NOS,,,,$24.19 ,20080101
00170,ANESTHESIA FOR INTRAORAL PROCEDU,,,,$24.19 ,20080101
00172,ANESTHESIA FOR INTRAORAL PROCEDU,,,,$24.19 ,20080101
00174,ANESTHESIA FOR INTRAORAL PROCEDU,,,,$24.19 ,20080101
00176,ANESTHESIA FOR INTRAORAL PROCEDU,,,,$24.19 ,20080101
00190,ANESTHESIA FOR PROCEDURES ON FAC,,,,$24.19 ,20080101
00192,ANESTHESIA FOR PROCEDURES ON FAC,,,,$24.19 ,20080101
00210,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00211,"ANESTH, CRAN SURG, HEMOTOMA",,,,$24.19 ,20090101
00212,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00214,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00215,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00216,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00218,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00220,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00222,ANESTHESIA FOR INTRACRANIAL PROC,,,,$24.19 ,20080101
00300,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
00320,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
00322,ANESTHESIA FOR NEEDLE BIOPSY OF,,,,$24.19 ,20080101
00326,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
00350,ANESTHESIA FOR PROCEDURES ON MAJ,,,,$24.19 ,20080101
00352,ANESTHESIA FOR PROCEDURES ON MAJ,,,,$24.19 ,20080101
00400,ANESTHESIA FOR PROCEDURES ON ANT,,,,$24.19 ,20080101
00402,ANESTHESIA FOR RECONSTRUCTIVE PR,,,,$24.19 ,20080101
00404,ANESTHESIA FOR RADICAL OR MODIFI,,,,$24.19 ,20080101
00406,ANESTHESIA FOR RADICAL OR MODIFI,,,,$24.19 ,20080101
00410,ANESTHESIA FOR ELECTRICAL CONVER,,,,$24.19 ,20080101
00450,ANESTHESIA FOR PROCEDURES ON CLA,,,,$24.19 ,20080101
00452,ANESTHESIA FOR PROCEDURES ON CLA,,,,$24.19 ,20080101
00454,ANESTHESIA FOR PROCEDURES ON CLA,,,,$24.19 ,20080101
00470,ANESTHESIA FOR PARTIAL RIB RESEC,,,,$24.19 ,20080101
00472,ANESTHESIA FOR PARTIAL RIB RESEC,,,,$24.19 ,20080101
00474,ANESTHESIA FOR PARTIAL RIB RESEC,,,,$24.19 ,20080101
00500,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
00520,ANESTHESIA FOR CLOSED CHEST PROC,,,,$24.19 ,20080101
00522,ANESTHESIA FOR NEEDLE BIOPSY OF,,,,$24.19 ,20080101
00524,ANESTHESIA FOR PNEUMOCENTESIS,,,,$24.19 ,20080101
00528,ANESTHESIA FOR MEDIASTINOSCOPY,,,,$24.19 ,20080101
00529,ANESTHESIA FOR CLOSED CHEST PROC,,,,$24.19 ,20080101
00530,ANESTHESIA FOR PERMANENT TRANSVE,,,,$24.19 ,20080101
00532,ANESTHESIA FOR ACCESS TO CENTRAL,,,,$24.19 ,20080101
00534,ANESTHESIA FOR TRANSVENOUS INSER,,,,$24.19 ,20080101
00537,ANESTHESIA FOR CARDIAC ELECTROPH,,,,$24.19 ,20080101
00539,ANESTHESIA FOR TRACHEOBRONCHIAL,,,,$24.19 ,20080101
00540,ANESTHESIA FOR THORACOTOMY PROCE,,,,$24.19 ,20080101
00541,ANESTHESIA FOR THORACOTOMY PROCE,,,,$24.19 ,20080101
00542,ANESTHESIA FOR DECORTICATION,,,,$24.19 ,20080101
00546,ANESTHESIA FOR PULMONARY RESECTI,,,,$24.19 ,20080101
00548,ANESTHESIA FOR INTRATHORACIC REP,,,,$24.19 ,20080101
00550,ANESTHESIA FOR STERNAL DEBRIDEME,,,,$24.19 ,20080101
00560,ANESTHESIA FOR PROCEDURES ON HEA,,,,$24.19 ,20080101
00561,ANESTHESIA FOR PROCEDURES ON HEA,,,,$24.19 ,20080101
00562,ANESTHESIA FOR PROCEDURES ON HEA,,,,$24.19 ,20080101
00563,ANESTHESIA FOR PROCEDURES ON HEA,,,,$24.19 ,20080101
00566,ANESTHESIA FOR DIRECT CORONARY A,,,,$24.19 ,20080101
00567,"ANESTH, CABG W/PUMP",,,,$24.19 ,20090101
00580,ANESTHESIA FOR HEART TRANSPLANT,,,,$24.19 ,20080101
00600,ANESTHESIA FOR PROCEDURES ON CER,,,,$24.19 ,20080101
00604,ANESTHESIA FOR PROCEDURES ON CER,,,,$24.19 ,20080101
00620,ANESTHESIA FOR PROCEDURES ON THO,,,,$24.19 ,20080101
00622,ANESTHESIA FOR PROCEDURES ON THO,,,,$24.19 ,20080101
00625,ANESTHESIA FOR PROCEDURES ON THE,,,,$24.19 ,20080101
00626,ANESTHESIA FOR PROCEDURES ON THE,,,,$24.19 ,20080101
00630,ANESTHESIA FOR PROCEDURES IN LUM,,,,$24.19 ,20080101
00632,ANESTHESIA FOR PROCEDURES IN LUM,,,,$24.19 ,20080101
00634,ANESTHESIA FOR PROCEDURES IN LUM,,,,$24.19 ,20080101
00635,ANESTHESIA FOR PROCEDURES IN LUM,,,,$24.19 ,20080101
00640,ANESTHESIA FOR MANIPULATION OF T,,,,$24.19 ,20080101
00670,ANESTHESIA FOR EXTENSIVE SPINE A,,,,$24.19 ,20080101
00700,ANESTHESIA FOR PROCEDURES ON UPP,,,,$24.19 ,20080101
00702,ANESTHESIA FOR PROCEDURES ON UPP,,,,$24.19 ,20080101
00730,ANESTHESIA FOR PROCEDURES ON UPP,,,,$24.19 ,20080101
00740,ANESTHESIA FOR UPPER GASTROINTES,,,,$24.19 ,20080101
00750,ANESTHESIA FOR HERNIA REPAIRS IN,,,,$24.19 ,20080101
00752,ANESTHESIA FOR LUMBAR AND VENTRA,,,,$24.19 ,20080101
00754,ANESTHESIA FOR HERNIA REPAIRS IN,,,,$24.19 ,20080101
00756,ANESTHESIA FOR TRANSABDOMINAL RE,,,,$24.19 ,20080101
00770,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
00790,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00792,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00794,ANESTHESIA FOR PANCREATECTOMY PA,,,,$24.19 ,20080101
00796,ANESTHESIA FOR LIVER TRANSLANT (,,,,$24.19 ,20080101
00797,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00800,ANESTHESIA FOR PROCEDURES ON LOW,,,,$24.19 ,20080101
00810,ANESTHESIA FOR INTESTINAL ENDOSC,,,,$24.19 ,20080101
00820,ANESTHESIA FOR PROCEDURES ON LOW,,,,$24.19 ,20080101
00830,ANESTHESIA FOR HERNIA REPAIRS IN,,,,$24.19 ,20080101
00832,ANESTHESIA FOR HERNIA REPAIRS IN,,,,$24.19 ,20080101
00834,ANESTHESIA FOR HERNIA REPAIRS IN,,,,$24.19 ,20080101
00836,ANESTHESIA FOR HERNIA REPAIRS IN,,,,$24.19 ,20080101
00840,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00842,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00844,ANESHTESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00846,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00848,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00851,ANESTHESIA FOR INTRAPERITONEAL P,,,,$24.19 ,20080101
00860,ANESTHESIA FOR EXTRAPERITONEAL P,,,,$24.19 ,20080101
00862,ANESTHESIA FOR RENAL PROCEDURES,,,,$24.19 ,20080101
00864,ANESTHESIA FOR TOTAL CYSTECTOMY,,,,$24.19 ,20080101
00865,ANESHESIA FOR EXTRAPERITONEAL PR,,,,$24.19 ,20080101
00866,ANESTHESIA FOR ADRENALECTOMY,,,,$24.19 ,20080101
00868,ANESTHESIA FOR RENAL TRANSPLANT,,,,$24.19 ,20080101
00870,ANESTHESIA FOR CYSTOLITHOTOMY,,,,$24.19 ,20080101
00872,"ANESTHESIA FOR LITHOTRIPSY, EXTR",,,,$24.19 ,20080101
00873,"ANESTHESIA FOR LITHOTRIPSY, EXTR",,,,$24.19 ,20080101
00880,ANESTHESIA FOR PROCEDURES ON MAJ,,,,$24.19 ,20080101
00882,ANESTHESIA FOR PROCEDURES ON MAJ,,,,$24.19 ,20080101
00902,ANESTHESIA FOR; ANORECTAL PROCED,,,,$24.19 ,20080101
00904,ANESHTESIA FOR RADICAL ERINEAL P,,,,$24.19 ,20080101
00906,ANESTHESIA FOR VULVECTOMY,,,,$24.19 ,20080101
00908,ANESTHESIA FOR PERINEAL PROSTATE,,,,$24.19 ,20080101
00910,ANESTHESIA FOR TRANSURETHRAL PRO,,,,$24.19 ,20080101
00912,ANESTHESIA FOR TRANSURETHRAL RES,,,,$24.19 ,20080101
00914,ANESTHESIA FOR TRANSURETHRAL RES,,,,$24.19 ,20080101
00916,ANESTHESIA FOR POST-TRANSURETHRA,,,,$24.19 ,20080101
00918,ANESTHESIA WITH FRAGMENTATION AN,,,,$24.19 ,20080101
00920,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00921,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00922,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00924,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00926,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00928,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00930,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00932,ANESTHESIA FOR PROCEDURES ON MAL,,,,$24.19 ,20080101
00934,ANESTHESIA FOR RADICAL AMPUTATIO,,,,$24.19 ,20080101
00936,ANESTHESIA FOR RADICAL AMPUTATIO,,,,$24.19 ,20080101
00938,ANESTHESIA FOR INSERTION OF PENI,,,,$24.19 ,20080101
00940,ANESTHESIA FOR VAGINAL PROCEDURE,,,,$24.19 ,20080101
00942,ANESTHESIA FOR VAGINAL PROCEDURE,,,,$24.19 ,20080101
00944,ANESTHESIA FOR VAGINAL PROCEDURE,,,,$24.19 ,20080101
00948,ANESTHESIA FOR VAGINAL PROCEDURE,,,,$24.19 ,20080101
00950,ANESTHESIA FOR VAGINAL PROCEDURE,,,,$24.19 ,20080101
00952,ANESTHESIA FOR VAGINAL ROCEDURES,,,,$24.19 ,20080101
01112,ANESTHESIA FOR BONE MARROW ASPIR,,,,$24.19 ,20080101
01120,ANESTHESIA FOR PROCEDURES ON BON,,,,$24.19 ,20080101
01130,BODY CAST APPLICATION REPLACEMEN,,,,$24.19 ,20080101
01140,INTERPELVIABDOMINAL (HINDQUARTER,,,,$24.19 ,20080101
01150,RADICAL PROCEDURES FOR TUMOR OF,,,,$24.19 ,20080101
01160,CLOSED PROCEDURES INVOLVING SYMP,,,,$24.19 ,20080101
01170,OPEN PROCEDURES INVOLVING SYMPHY,,,,$24.19 ,20080101
01173,ANESTHESIA FOR OPEN REPAIR OF FR,,,,$24.19 ,20080101
01180,ANESTHESIA FOR OBTURATOR NEURECT,,,,$24.19 ,20080101
01190,ANESTHESIA FOR OBTURATOR NEURECT,,,,$24.19 ,20080101
01200,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01202,ANESTHESIA FOR ARTHROSCOPIC PROC,,,,$24.19 ,20080101
01210,ANESTHESIA FOR OPEN PROCEDURES I,,,,$24.19 ,20080101
01212,ANESTHESIA FOR OPEN PROCEDURES I,,,,$24.19 ,20080101
01214,ANESTHESIA FOR OPEN PROCEDURES I,,,,$24.19 ,20080101
01215,ANESTHESIA FOR OPEN PROCEDURES I,,,,$24.19 ,20080101
01220,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01230,ANESTHESIA FOR OPEN PROCEDURES I,,,,$24.19 ,20080101
01232,ANESTHESIA FOR OPEN PROCEDURES I,,,,$24.19 ,20080101
01234,ANESTHESIA FOR OPEN PROCEDURES I,,,,$24.19 ,20080101
01250,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
01260,ANESTHESIA FOR ALL PROCEDURES IN,,,,$24.19 ,20080101
01270,ANESTHESIA FOR PROCEDURES INVOLV,,,,$24.19 ,20080101
01272,ANESTHESIA FOR PROCEDURES INVOLV,,,,$24.19 ,20080101
01274,ANESTHESIA FOR PROCEDURES INVOLV,,,,$24.19 ,20080101
01320,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
01340,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01360,ANESTHESIA FOR ALL OPEN PROCEDUR,,,,$24.19 ,20080101
01380,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01382,ANESTHESIA FOR DIAGNOSTIC ARTHRO,,,,$24.19 ,20080101
01390,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01392,ANESTHESIA FOR ALL OPEN PROCEDUR,,,,$24.19 ,20080101
01400,ANESTHESIA FOR OPEN OR SURGICAL,,,,$24.19 ,20080101
01402,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01404,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01420,ANESTHESIA FOR ALL CAST APPLICAT,,,,$24.19 ,20080101
01430,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01432,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01440,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01442,ANESTHESIA FOR POPLITEAL THROMBO,,,,$24.19 ,20080101
01444,ANESTHESIA FOR POPLITEAL EXCISIO,,,,$24.19 ,20080101
01462,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01464,ANESTHESIA FOR ARTHROSCOPIC PROC,,,,$24.19 ,20080101
01470,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01472,ANESHTESIA FOR REPAIR OF RUPTURE,,,,$24.19 ,20080101
01474,ANESTHESIA FOR GASTROCNEMIUS REC,,,,$24.19 ,20080101
01480,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01482,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01484,ANESTHESIA FOR OSTEOTOMY OR OSTE,,,,$24.19 ,20080101
01486,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01490,ANESTHESIA FOR LOWER LEG CAST AP,,,,$24.19 ,20080101
01500,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01502,ANESTHESIA FOR PROCEDURE ON ARTE,,,,$24.19 ,20080101
01520,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01522,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01610,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
01620,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01622,ANESTHESIA FOR DIAGNOSTIC ARTHRO,,,,$24.19 ,20080101
01630,ANESTHESIA FOR OPEN OR SURGICAL,,,,$24.19 ,20080101
01632,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01634,ANESTHESIA FOR SHOULDER DISARTIC,,,,$24.19 ,20080101
01636,ANESTHESIA FOR INTERTHORACOSCAPU,,,,$24.19 ,20080101
01638,ANESTHESIA FOR TOTAL SHOULDER RE,,,,$24.19 ,20080101
01650,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01652,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01654,ANESHTESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01656,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01670,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
01680,ANESTHESIA FOR SHOULDER CAST APP,,,,$24.19 ,20080101
01682,ANESTHESIA FOR SHOULDER CAST APP,,,,$24.19 ,20080101
01710,ANESTHESIA FOR PROCEDURES ON NER,,,,$24.19 ,20080101
01712,ANESTHESIA FOR TENOTOMY ELBOW TO,,,,$24.19 ,20080101
01714,ANESTHESIA FOR TENOPLASTY ELBOW,,,,$24.19 ,20080101
01716,ANESTHESIA FOR TENODESIS RUPTURE,,,,$24.19 ,20080101
01730,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01732,ANESTHESIA FOR DIAGNOSTIC ARTHRO,,,,$24.19 ,20080101
01740,ANESTHESIA FOR OPEN OR SURGICAL,,,,$24.19 ,20080101
01742,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01744,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01756,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01758,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01760,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01770,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01772,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01780,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01782,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01810,ANESTHESIA FOR ALL PROCEDURES ON,,,,$24.19 ,20080101
01820,ANESTHESIA FOR ALL CLOSED PROCED,,,,$24.19 ,20080101
01829,ANESTHESIA FOR DIAGNOSTIC ARTHRO,,,,$24.19 ,20080101
01830,ANESTHESIA FOR OPEN OR SURGICAL,,,,$24.19 ,20080101
01832,ANESTHESIA FOR OPEN PROCEDURES O,,,,$24.19 ,20080101
01840,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01842,ANESTHESIA FOR PROCEDURES ON ART,,,,$24.19 ,20080101
01844,ANESTHISIA FOR VASCULAR SHUNT OR,,,,$24.19 ,20080101
01850,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01852,ANESTHESIA FOR PROCEDURES ON VEI,,,,$24.19 ,20080101
01860,"ANESTHESIA FOR FOREARM, WRIST OR",,,,$24.19 ,20080101
01916,ANESTHESIA FOR DIAGNOSTIC ARTERI,,,,$24.19 ,20080101
01920,ANESTHESIA FOR CARDIAC CATHETERI,,,,$24.19 ,20080101
01922,ANESTHESIA FOR NON-INVASIVE IMAG,,,,$24.19 ,20080101
01924,ANESTHESIA FOR THERAPEUTIC INTER,,,,$24.19 ,20080101
01925,ANESTHESIA FOR THERAPEUTIC INTER,,,,$24.19 ,20080101
01926,ANESTHESIA FOR THERAPEUTIC INTER,,,,$24.19 ,20080101
01930,ANESTHESIA FOR THERAPEUTIC INTER,,,,$24.19 ,20080101
01931,ANEST FOR THERA INTERVENT RADIO,,,,$24.19 ,20080101
01932,ANESTHESIA FOR THERAPEUTIC INTER,,,,$24.19 ,20080101
01933,ANESTHESIA FOR THERAPEUTIC INTER,,,,$24.19 ,20080101
01935,ANESTHESIA FOR PERCUTANEOUS IMAG,,,,$24.19 ,20080101
01936,ANESTHESIA FOR PERCUTANEOUS IMAG,,,,$24.19 ,20080101
01951,ANESTHESIA FOR SECOND AND THIRD,,,,$24.19 ,20080101
01952,ANESTHESIA FOR SECOND AND THIRD,,,,$24.19 ,20080101
01953,ANESTHESIA FOR SECOND AND THIRD,,,,$24.19 ,20080101
01958,ANESTHESIA FOR EXTERNAL CEPHALIC,,,,$24.19 ,20080101
01960,ANESTHESIA FOR; VAGINAL DELIVERY,,,,$24.19 ,20080101
01961,ANESTHESIA FOR CESAREAN DELIVERY,,,,$24.19 ,20080101
01962,ANESTHESIA FOR URGENT HYSTERECTO,,,,$24.19 ,20080101
01963,ANESTHESIA FOR CESAREAN HYSTEREC,,,,$24.19 ,20080101
01965,ANESTHESIA FOR INCOMPLETE OR MIS,,,,$24.19 ,20080101
01966,ANESTHESIA FOR INDUCED ABORTION,,,,$24.19 ,20080101
01967,NEURAXIAL LABOR ANALGESIA/ANESTH,,,,$338.67 ,20080101
01968,ANESTHESIA FOR CESAREAN DELIVERY,,,,$24.19 ,20080101
01969,ANESTHESIA FOR CESAREAN HYSTEREC,,,,$24.19 ,20080101
01990,PHYSIOLOGICAL SUPPORT FOR HARVES,,,,$24.19 ,20080101
01991,ANESTHESIA FOR DIAGNOSTIC OR THE,,,,$24.19 ,20080101
01992,ANESTHESIA FOR DIAGNOSTIC OR THE,,,,$24.19 ,20080101
01996,DAILY HOSPITAL MANAGEMENT OF EPI,,,,$24.19 ,20080101
10021,Fna w/o image,,,,$98.48 ,20090101
10022,Fna w/image,,,,$102.94 ,20090101
10040,Acne surgery,,,,$67.05 ,20090101
10060,Drainage of skin abscess,,,,$74.28 ,20090101
10061,Drainage of skin abscess,,,,$128.81 ,20090101
10080,Drainage of pilonidal cyst,,,,$116.57 ,20090101
10081,Drainage of pilonidal cyst,,,,$180.56 ,20090101
10120,Remove foreign body,,,,$94.87 ,20090101
10121,Remove foreign body,,,,$182.22 ,20090101
10121,Remove foreign body,,,Y,$400.91 ,20081209
10140,Drainage of hematoma/fluid,,,,$104.61 ,20090101
10160,Puncture drainage of lesion,,,,$85.69 ,20090101
10180,"Complex drainage, wound",,,,$159.69 ,20090101
10180,"Complex drainage, wound",,,Y,$419.29 ,20081209
11000,Debride infected skin,,,,$36.72 ,20090101
11001,Debride infected skin add-on,,,,$15.86 ,20090101
11004,Debride genitalia & perineum,,,,$417.87 ,20090101
11005,Debride abdom wall,80,,,$110.56 ,20090101
11005,Debride abdom wall,81,,,$110.56 ,20090101
11005,Debride abdom wall,82,,,$110.56 ,20090101
11005,Debride abdom wall,AS,,,$110.56 ,20090101
11005,Debride abdom wall,,,,$552.79 ,20090101
11006,Debride genit/per/abdom wall,,,,$522.48 ,20090101
11008,Remove mesh from abd wall,80,,,$40.45 ,20090101
11008,Remove mesh from abd wall,81,,,$40.45 ,20090101
11008,Remove mesh from abd wall,82,,,$40.45 ,20090101
11008,Remove mesh from abd wall,AS,,,$40.45 ,20090101
11008,Remove mesh from abd wall,,,,$202.24 ,20090101
11010,"Debride skin, fx",80,,,$65.05 ,20090101
11010,"Debride skin, fx",81,,,$65.05 ,20090101
11010,"Debride skin, fx",82,,,$65.05 ,20090101
11010,"Debride skin, fx",AS,,,$65.05 ,20090101
11010,"Debride skin, fx",,,,$325.25 ,20090101
11010,"Debride skin, fx",,,Y,$186.55 ,20081209
11011,"Debride skin/muscle, fx",80,,,$73.89 ,20090101
11011,"Debride skin/muscle, fx",81,,,$73.89 ,20090101
11011,"Debride skin/muscle, fx",82,,,$73.89 ,20090101
11011,"Debride skin/muscle, fx",AS,,,$73.89 ,20090101
11011,"Debride skin/muscle, fx",,,,$369.44 ,20090101
11011,"Debride skin/muscle, fx",,,Y,$186.55 ,20081209
11012,"Debride skin/muscle/bone, fx",80,,,$103.44 ,20090101
11012,"Debride skin/muscle/bone, fx",81,,,$103.44 ,20090101
11012,"Debride skin/muscle/bone, fx",82,,,$103.44 ,20090101
11012,"Debride skin/muscle/bone, fx",AS,,,$103.44 ,20090101
11012,"Debride skin/muscle/bone, fx",,,,$517.19 ,20090101
11012,"Debride skin/muscle/bone, fx",,,Y,$186.55 ,20081209
11040,"Debride skin, partial",,,,$32.27 ,20090101
11041,"Debride skin, full",,,,$38.67 ,20090101
11042,Debride skin/tissue,,,,$52.58 ,20090101
11042,Debride skin/tissue,,,Y,$120.68 ,20081209
11043,Debride tissue/muscle,,,,$189.18 ,20090101
11043,Debride tissue/muscle,,,Y,$120.68 ,20081209
11044,Debride tissue/muscle/bone,,,,$255.68 ,20090101
11044,Debride tissue/muscle/bone,,,Y,$310.84 ,20081209
11055,Trim skin lesion,,,,$32.27 ,20090101
11056,"Trim skin lesions, 2 to 4",,,,$40.06 ,20090101
11057,"Trim skin lesions, over 4",,,,$48.69 ,20090101
11100,"Biopsy, skin lesion",,,,$66.77 ,20090101
11101,"Biopsy, skin add-on",,,,$22.25 ,20090101
11300,Shave skin lesion,,,,$45.34 ,20090101
11301,Shave skin lesion,,,,$61.21 ,20090101
11302,Shave skin lesion,,,,$73.16 ,20090101
11303,Shave skin lesion,,,,$86.81 ,20090101
11305,Shave skin lesion,,,,$47.30 ,20090101
11306,Shave skin lesion,,,,$64.54 ,20090101
11307,Shave skin lesion,,,,$75.12 ,20090101
11308,Shave skin lesion,,,,$86.81 ,20090101
11310,Shave skin lesion,,,,$56.20 ,20090101
11311,Shave skin lesion,,,,$70.39 ,20090101
11312,Shave skin lesion,,,,$81.52 ,20090101
11313,Shave skin lesion,,,,$103.49 ,20090101
11400,Exc tr-ext b9+marg 0.5 < cm,,,,$79.85 ,20090101
11401,Exc tr-ext b9+marg 0.6-1 cm,,,,$96.53 ,20090101
11402,Exc tr-ext b9+marg 1.1-2 cm,,,,$107.39 ,20090101
11403,Exc tr-ext b9+marg 2.1-3 cm,,,,$124.08 ,20090101
11404,Exc tr-ext b9+marg 3.1-4 cm,,,,$141.05 ,20090101
11404,Exc tr-ext b9+marg 3.1-4 cm,,,Y,$333.11 ,20081209
11406,Exc tr-ext b9+marg > 4.0 cm,,,,$197.25 ,20090101
11406,Exc tr-ext b9+marg > 4.0 cm,,,Y,$400.91 ,20081209
11420,Exc h-f-nk-sp b9+marg 0.5 <,,,,$80.40 ,20090101
11421,Exc h-f-nk-sp b9+marg 0.6-1,,,,$103.21 ,20090101
11422,Exc h-f-nk-sp b9+marg 1.1-2,,,,$115.73 ,20090101
11423,Exc h-f-nk-sp b9+marg 2.1-3,,,,$135.21 ,20090101
11424,Exc h-f-nk-sp b9+marg 3.1-4,,,,$155.52 ,20090101
11424,Exc h-f-nk-sp b9+marg 3.1-4,,,Y,$400.91 ,20081209
11426,Exc h-f-nk-sp b9+marg > 4 cm,,,,$223.13 ,20090101
11426,Exc h-f-nk-sp b9+marg > 4 cm,,,Y,$442.39 ,20081209
11440,Exc face-mm b9+marg 0.5 < cm,,,,$89.03 ,20090101
11441,Exc face-mm b9+marg 0.6-1 cm,,,,$111.00 ,20090101
11442,Exc face-mm b9+marg 1.1-2 cm,,,,$124.91 ,20090101
11443,Exc face-mm b9+marg 2.1-3 cm,,,,$151.07 ,20090101
11444,Exc face-mm b9+marg 3.1-4 cm,,,,$190.85 ,20090101
11444,Exc face-mm b9+marg 3.1-4 cm,,,Y,$271.71 ,20081209
11446,Exc face-mm b9+marg > 4 cm,,,,$257.34 ,20090101
11446,Exc face-mm b9+marg > 4 cm,,,Y,$442.39 ,20081209
11450,"Removal, sweat gland lesion",,,,$238.14 ,20090101
11450,"Removal, sweat gland lesion",,,Y,$442.39 ,20081209
11451,"Removal, sweat gland lesion",,,,$316.33 ,20090101
11451,"Removal, sweat gland lesion",,,Y,$442.39 ,20081209
11462,"Removal, sweat gland lesion",,,,$235.36 ,20090101
11462,"Removal, sweat gland lesion",,,Y,$442.39 ,20081209
11463,"Removal, sweat gland lesion",,,,$321.89 ,20090101
11463,"Removal, sweat gland lesion",,,Y,$442.39 ,20081209
11470,"Removal, sweat gland lesion",,,,$259.57 ,20090101
11470,"Removal, sweat gland lesion",,,Y,$442.39 ,20081209
11471,"Removal, sweat gland lesion",,,,$333.85 ,20090101
11471,"Removal, sweat gland lesion",,,Y,$442.39 ,20081209
11600,Exc tr-ext mlg+marg 0.5 < cm,,,,$121.58 ,20090101
11601,Exc tr-ext mlg+marg 0.6-1 cm,,,,$144.94 ,20090101
11602,Exc tr-ext mlg+marg 1.1-2 cm,,,,$158.02 ,20090101
11603,Exc tr-ext mlg+marg 2.1-3 cm,,,,$180.56 ,20090101
11604,Exc tr-ext mlg+marg 3.1-4 cm,,,,$199.76 ,20090101
11604,Exc tr-ext mlg+marg 3.1-4 cm,,,Y,$323.01 ,20081209
11606,Exc tr-ext mlg+marg > 4 cm,,,,$281.27 ,20090101
11606,Exc tr-ext mlg+marg > 4 cm,,,Y,$400.91 ,20081209
11620,Exc h-f-nk-sp mlg+marg 0.5 <,,,,$122.41 ,20090101
11621,Exc h-f-nk-sp mlg+marg 0.6-1,,,,$146.06 ,20090101
11622,Exc h-f-nk-sp mlg+marg 1.1-2,,,,$164.98 ,20090101
11623,Exc h-f-nk-sp mlg+marg 2.1-3,,,,$194.47 ,20090101
11624,Exc h-f-nk-sp mlg+marg 3.1-4,,,,$220.62 ,20090101
11624,Exc h-f-nk-sp mlg+marg 3.1-4,,,Y,$400.91 ,20081209
11626,Exc h-f-nk-sp mlg+mar > 4 cm,,,,$272.92 ,20090101
11626,Exc h-f-nk-sp mlg+mar > 4 cm,,,Y,$442.39 ,20081209
11640,Exc face-mm malig+marg 0.5 <,,,,$127.70 ,20090101
11641,Exc face-mm malig+marg 0.6-1,,,,$156.08 ,20090101
11642,Exc face-mm malig+marg 1.1-2,,,,$180.28 ,20090101
11643,Exc face-mm malig+marg 2.1-3,,,,$213.39 ,20090101
11644,Exc face-mm malig+marg 3.1-4,,,,$265.42 ,20090101
11644,Exc face-mm malig+marg 3.1-4,,,Y,$400.91 ,20081209
11646,Exc face-mm mlg+marg > 4 cm,,,,$351.93 ,20090101
11646,Exc face-mm mlg+marg > 4 cm,,,Y,$442.39 ,20081209
11719,Trim nail(s),,,,$13.91 ,20090101
11720,"Debride nail, 1-5",,,,$21.15 ,20090101
11721,"Debride nail, 6 or more",,,,$30.60 ,20090101
11730,Removal of nail plate,,,,$67.33 ,20090101
11732,"Remove nail plate, add-on",,,,$31.43 ,20090101
11740,Drain blood from under nail,,,,$30.05 ,20090101
11750,Removal of nail bed,,,,$144.11 ,20090101
11752,Remove nail bed/finger tip,,,,$204.76 ,20090101
11755,"Biopsy, nail unit",,,,$90.42 ,20090101
11760,Repair of nail bed,,,,$134.09 ,20090101
11762,Reconstruction of nail bed,,,,$182.50 ,20090101
11765,"Excision of nail fold, toe",,,,$84.02 ,20090101
11770,Removal of pilonidal lesion,,,,$178.89 ,20090101
11770,Removal of pilonidal lesion,,,Y,$480.79 ,20081209
11771,Removal of pilonidal lesion,,,,$357.78 ,20090101
11771,Removal of pilonidal lesion,,,Y,$480.79 ,20081209
11772,Removal of pilonidal lesion,,,,$442.07 ,20090101
11772,Removal of pilonidal lesion,,,Y,$480.79 ,20081209
11900,Injection into skin lesions,,,,$36.72 ,20090101
11901,Added skin lesions injection,,,,$46.18 ,20090101
11960,Insert tissue expander(s),,,,$634.59 ,20090101
11960,Insert tissue expander(s),,,Y,$434.92 ,20081209
11970,Replace tissue expander,,,,$418.98 ,20090101
11970,Replace tissue expander,,,Y,$661.93 ,20081209
11971,Remove tissue expander(s),,,,$328.01 ,20090101
11971,Remove tissue expander(s),,,Y,$374.59 ,20081209
11975,Insert contraceptive cap,,,,$87.07 ,20090101
11976,Removal of contraceptive cap,,,,$103.21 ,20090101
11977,Removal/reinsert contra cap,,,,$161.36 ,20090101
11980,Implant hormone pellet(s),,,,$74.84 ,20090101
11981,Insert drug implant device,,,,$94.59 ,20090101
11982,Remove drug implant device,,,,$109.34 ,20090101
11983,Remove/insert drug implant,,,,$166.65 ,20090101
12001,Repair superficial wound(s),,,,$103.77 ,20090101
12002,Repair superficial wound(s),,,,$110.44 ,20090101
12004,Repair superficial wound(s),,,,$129.92 ,20090101
12005,Repair superficial wound(s),,,,$161.92 ,20090101
12005,Repair superficial wound(s),,,Y,$65.34 ,20081209
12006,Repair superficial wound(s),,,,$201.98 ,20090101
12006,Repair superficial wound(s),,,Y,$65.34 ,20081209
12007,Repair superficial wound(s),,,,$227.30 ,20090101
12007,Repair superficial wound(s),,,Y,$65.34 ,20081209
12011,Repair superficial wound(s),,,,$110.17 ,20090101
12013,Repair superficial wound(s),,,,$121.30 ,20090101
12014,Repair superficial wound(s),,,,$143.00 ,20090101
12015,Repair superficial wound(s),,,,$179.72 ,20090101
12016,Repair superficial wound(s),,,,$213.39 ,20090101
12016,Repair superficial wound(s),,,Y,$65.34 ,20081209
12017,Repair superficial wound(s),,,,$191.96 ,20090101
12017,Repair superficial wound(s),,,Y,$65.34 ,20081209
12018,Repair superficial wound(s),80,,,$46.02 ,20090101
12018,Repair superficial wound(s),81,,,$46.02 ,20090101
12018,Repair superficial wound(s),82,,,$46.02 ,20090101
12018,Repair superficial wound(s),AS,,,$46.02 ,20090101
12018,Repair superficial wound(s),,,,$230.08 ,20090101
12018,Repair superficial wound(s),,,Y,$65.34 ,20081209
12020,Closure of split wound,,,,$186.40 ,20090101
12020,Closure of split wound,,,Y,$92.22 ,20081209
12021,Closure of split wound,,,,$109.62 ,20090101
12021,Closure of split wound,,,Y,$92.22 ,20081209
12031,Layer closure of wound(s),,,,$151.07 ,20090101
12032,Layer closure of wound(s),,,,$199.76 ,20090101
12034,Layer closure of wound(s),,,,$197.25 ,20090101
12034,Layer closure of wound(s),,,Y,$72.18 ,20081209
12035,Layer closure of wound(s),,,,$252.61 ,20090101
12035,Layer closure of wound(s),,,Y,$72.18 ,20081209
12036,Layer closure of wound(s),,,,$280.71 ,20090101
12036,Layer closure of wound(s),,,Y,$72.18 ,20081209
12037,Layer closure of wound(s),,,,$316.60 ,20090101
12037,Layer closure of wound(s),,,Y,$211.40 ,20081209
12041,Layer closure of wound(s),,,,$161.09 ,20090101
12042,Layer closure of wound(s),,,,$189.46 ,20090101
12044,Layer closure of wound(s),,,,$215.33 ,20090101
12044,Layer closure of wound(s),,,Y,$72.18 ,20081209
12045,Layer closure of wound(s),,,,$256.22 ,20090101
12045,Layer closure of wound(s),,,Y,$72.18 ,20081209
12046,Layer closure of wound(s),,,,$302.69 ,20090101
12046,Layer closure of wound(s),,,Y,$72.18 ,20081209
12047,Layer closure of wound(s),80,,,$64.87 ,20090101
12047,Layer closure of wound(s),81,,,$64.87 ,20090101
12047,Layer closure of wound(s),82,,,$64.87 ,20090101
12047,Layer closure of wound(s),AS,,,$64.87 ,20090101
12047,Layer closure of wound(s),,,,$324.37 ,20090101
12047,Layer closure of wound(s),,,Y,$211.40 ,20081209
12051,Layer closure of wound(s),,,,$177.49 ,20090101
12052,Layer closure of wound(s),,,,$195.30 ,20090101
12053,Layer closure of wound(s),,,,$213.94 ,20090101
12054,Layer closure of wound(s),,,,$230.08 ,20090101
12054,Layer closure of wound(s),,,Y,$72.18 ,20081209
12055,Layer closure of wound(s),,,,$282.10 ,20090101
12055,Layer closure of wound(s),,,Y,$72.18 ,20081209
12056,Layer closure of wound(s),,,,$347.76 ,20090101
12056,Layer closure of wound(s),,,Y,$72.18 ,20081209
12057,Layer closure of wound(s),80,,,$75.01 ,20090101
12057,Layer closure of wound(s),81,,,$75.01 ,20090101
12057,Layer closure of wound(s),82,,,$75.01 ,20090101
12057,Layer closure of wound(s),AS,,,$75.01 ,20090101
12057,Layer closure of wound(s),,,,$375.03 ,20090101
12057,Layer closure of wound(s),,,Y,$211.40 ,20081209
13100,Repair of wound or lesion,,,,$212.55 ,20090101
13100,Repair of wound or lesion,,,Y,$231.45 ,20081209
13101,Repair of wound or lesion,,,,$264.02 ,20090101
13101,Repair of wound or lesion,,,Y,$231.45 ,20081209
13102,Repair wound/lesion add-on,,,,$73.16 ,20090101
13120,Repair of wound or lesion,,,,$220.90 ,20090101
13120,Repair of wound or lesion,,,Y,$72.18 ,20081209
13121,Repair of wound or lesion,,,,$289.05 ,20090101
13121,Repair of wound or lesion,,,Y,$92.22 ,20081209
13122,Repair wound/lesion add-on,,,,$84.30 ,20090101
13131,Repair of wound or lesion,,,,$243.43 ,20090101
13131,Repair of wound or lesion,,,Y,$92.22 ,20081209
13132,Repair of wound or lesion,,,,$381.15 ,20090101
13132,Repair of wound or lesion,,,Y,$92.22 ,20081209
13133,Repair wound/lesion add-on,,,,$115.17 ,20090101
13150,Repair of wound or lesion,,,,$249.27 ,20090101
13150,Repair of wound or lesion,,,Y,$231.45 ,20081209
13151,Repair of wound or lesion,,,,$276.26 ,20090101
13151,Repair of wound or lesion,,,Y,$231.45 ,20081209
13152,Repair of wound or lesion,,,,$376.42 ,20090101
13152,Repair of wound or lesion,,,Y,$231.45 ,20081209
13153,Repair wound/lesion add-on,,,,$128.26 ,20090101
13160,Late closure of wound,,,,$569.49 ,20090101
13160,Late closure of wound,,,Y,$434.92 ,20081209
14000,Skin tissue rearrangement,,,,$440.12 ,20090101
14000,Skin tissue rearrangement,,,Y,$392.18 ,20081209
14001,Skin tissue rearrangement,,,,$574.22 ,20090101
14001,Skin tissue rearrangement,,,Y,$430.58 ,20081209
14020,Skin tissue rearrangement,,,,$490.21 ,20090101
14020,Skin tissue rearrangement,,,Y,$430.58 ,20081209
14021,Skin tissue rearrangement,,,,$646.00 ,20090101
14021,Skin tissue rearrangement,,,Y,$430.58 ,20081209
14040,Skin tissue rearrangement,,,,$516.35 ,20090101
14040,Skin tissue rearrangement,,,Y,$392.18 ,20081209
14041,Skin tissue rearrangement,,,,$709.15 ,20090101
14041,Skin tissue rearrangement,,,Y,$430.58 ,20081209
14060,Skin tissue rearrangement,,,,$528.32 ,20090101
14060,Skin tissue rearrangement,,,Y,$430.58 ,20081209
14061,Skin tissue rearrangement,,,,$769.24 ,20090101
14061,Skin tissue rearrangement,,,Y,$430.58 ,20081209
14300,Skin tissue rearrangement,,,,$744.21 ,20090101
14300,Skin tissue rearrangement,,,Y,$545.32 ,20081209
14350,Skin tissue rearrangement,,,,$533.60 ,20090101
14350,Skin tissue rearrangement,,,Y,$473.32 ,20081209
15002,"Wnd prep, ch/inf, trk/arm/lg",,,,$232.59 ,20090101
15002,"Wnd prep, ch/inf, trk/arm/lg",,,Y,$231.45 ,20081209
15003,"Wnd prep, ch/inf addl 100 cm",,,,$50.35 ,20090101
15003,"Wnd prep, ch/inf addl 100 cm",,,Y,$231.45 ,20081209
15004,"Wnd prep ch/inf, f/n/hf/g",,,,$280.43 ,20090101
15004,"Wnd prep ch/inf, f/n/hf/g",,,Y,$231.45 ,20081209
15005,"Wnd prep, f/n/hf/g, addl cm",,,,$85.13 ,20090101
15005,"Wnd prep, f/n/hf/g, addl cm",,,Y,$231.45 ,20081209
15040,Harvest cultured skin graft,,,,$180.56 ,20090101
15040,Harvest cultured skin graft,,,Y,$72.18 ,20081209
15050,Skin pinch graft,,,,$367.51 ,20090101
15050,Skin pinch graft,,,Y,$231.45 ,20081209
15100,"Skin splt grft, trnk/arm/leg",80,,,$123.53 ,20090101
15100,"Skin splt grft, trnk/arm/leg",81,,,$123.53 ,20090101
15100,"Skin splt grft, trnk/arm/leg",82,,,$123.53 ,20090101
15100,"Skin splt grft, trnk/arm/leg",AS,,,$123.53 ,20090101
15100,"Skin splt grft, trnk/arm/leg",,,,$617.64 ,20090101
15100,"Skin splt grft, trnk/arm/leg",,,Y,$434.92 ,20081209
15101,"Skin splt grft t/a/l, add-on",80,,,$28.15 ,20090101
15101,"Skin splt grft t/a/l, add-on",81,,,$28.15 ,20090101
15101,"Skin splt grft t/a/l, add-on",82,,,$28.15 ,20090101
15101,"Skin splt grft t/a/l, add-on",AS,,,$28.15 ,20090101
15101,"Skin splt grft t/a/l, add-on",,,,$140.76 ,20090101
15101,"Skin splt grft t/a/l, add-on",,,Y,$473.32 ,20081209
15110,Epidrm autogrft trnk/arm/leg,,,,$609.27 ,20090101
15110,Epidrm autogrft trnk/arm/leg,,,Y,$305.08 ,20081209
15111,Epidrm autogrft t/a/l add-on,,,,$88.75 ,20090101
15111,Epidrm autogrft t/a/l add-on,,,Y,$237.28 ,20081209
15115,Epidrm a-grft face/nck/hf/g,,,,$600.09 ,20090101
15115,Epidrm a-grft face/nck/hf/g,,,Y,$305.08 ,20081209
15116,Epidrm a-grft f/n/hf/g addl,,,,$117.40 ,20090101
15116,Epidrm a-grft f/n/hf/g addl,,,Y,$237.28 ,20081209
15120,Skn splt a-grft fac/nck/hf/g,80,,,$128.87 ,20090101
15120,Skn splt a-grft fac/nck/hf/g,81,,,$128.87 ,20090101
15120,Skn splt a-grft fac/nck/hf/g,82,,,$128.87 ,20090101
15120,Skn splt a-grft fac/nck/hf/g,AS,,,$128.87 ,20090101
15120,Skn splt a-grft fac/nck/hf/g,,,,$644.34 ,20090101
15120,Skn splt a-grft fac/nck/hf/g,,,Y,$434.92 ,20081209
15121,Skn splt a-grft f/n/hf/g add,80,,,$38.95 ,20090101
15121,Skn splt a-grft f/n/hf/g add,81,,,$38.95 ,20090101
15121,Skn splt a-grft f/n/hf/g add,82,,,$38.95 ,20090101
15121,Skn splt a-grft f/n/hf/g add,AS,,,$38.95 ,20090101
15121,Skn splt a-grft f/n/hf/g add,,,,$194.74 ,20090101
15121,Skn splt a-grft f/n/hf/g add,,,Y,$473.32 ,20081209
15130,"Derm autograft, trnk/arm/leg",,,,$481.03 ,20090101
15130,"Derm autograft, trnk/arm/leg",,,Y,$392.18 ,20081209
15131,Derm autograft t/a/l add-on,,,,$71.50 ,20090101
15131,Derm autograft t/a/l add-on,,,Y,$324.38 ,20081209
15135,Derm autograft face/nck/hf/g,,,,$607.05 ,20090101
15135,Derm autograft face/nck/hf/g,,,Y,$392.18 ,20081209
15136,"Derm autograft, f/n/hf/g add",,,,$68.71 ,20090101
15136,"Derm autograft, f/n/hf/g add",,,Y,$324.38 ,20081209
15150,Cult epiderm grft t/arm/leg,,,,$506.06 ,20090101
15150,Cult epiderm grft t/arm/leg,,,Y,$305.08 ,20081209
15151,Cult epiderm grft t/a/l addl,,,,$93.76 ,20090101
15151,Cult epiderm grft t/a/l addl,,,Y,$237.28 ,20081209
15152,Cult epiderm graft t/a/l +%,,,,$115.45 ,20090101
15152,Cult epiderm graft t/a/l +%,,,Y,$237.28 ,20081209
15155,"Cult epiderm graft, f/n/hf/g",,,,$524.14 ,20090101
15155,"Cult epiderm graft, f/n/hf/g",,,Y,$305.08 ,20081209
15156,Cult epidrm grft f/n/hfg add,,,,$124.08 ,20090101
15156,Cult epidrm grft f/n/hfg add,,,Y,$237.28 ,20081209
15157,Cult epiderm grft f/n/hfg +%,,,,$137.72 ,20090101
15157,Cult epiderm grft f/n/hfg +%,,,Y,$237.28 ,20081209
15170,Acell graft trunk/arms/legs,,,,$291.00 ,20090101
15171,Acell graft t/arm/leg add-on,,,,$66.21 ,20090101
15175,"Acellular graft, f/n/hf/g",,,,$382.82 ,20090101
15176,"Acell graft, f/n/hf/g add-on",,,,$105.99 ,20090101
15200,"Skin full graft, trunk",,,,$545.57 ,20090101
15200,"Skin full graft, trunk",,,Y,$430.58 ,20081209
15201,Skin full graft trunk add-on,,,,$105.71 ,20090101
15201,Skin full graft trunk add-on,,,Y,$318.55 ,20081209
15220,Skin full graft sclp/arm/leg,,,,$518.03 ,20090101
15220,Skin full graft sclp/arm/leg,,,Y,$392.18 ,20081209
15221,Skin full graft add-on,,,,$97.65 ,20090101
15221,Skin full graft add-on,,,Y,$231.45 ,20081209
15240,Skin full grft face/genit/hf,,,,$617.35 ,20090101
15240,Skin full grft face/genit/hf,,,Y,$430.58 ,20081209
15241,Skin full graft add-on,,,,$127.42 ,20090101
15241,Skin full graft add-on,,,Y,$231.45 ,20081209
15260,Skin full graft een & lips,,,,$659.36 ,20090101
15260,Skin full graft een & lips,,,Y,$392.18 ,20081209
15261,Skin full graft add-on,,,,$146.90 ,20090101
15261,Skin full graft add-on,,,Y,$318.55 ,20081209
15300,"Apply skinallogrft, t/arm/lg",,,,$235.36 ,20090101
15300,"Apply skinallogrft, t/arm/lg",,,Y,$231.45 ,20081209
15301,Apply sknallogrft t/a/l addl,,,,$44.52 ,20090101
15301,Apply sknallogrft t/a/l addl,,,Y,$231.45 ,20081209
15320,Apply skin allogrft f/n/hf/g,,,,$268.19 ,20090101
15320,Apply skin allogrft f/n/hf/g,,,Y,$231.45 ,20081209
15321,Aply sknallogrft f/n/hfg add,,,,$66.77 ,20090101
15321,Aply sknallogrft f/n/hfg add,,,Y,$231.45 ,20081209
15330,Aply acell alogrft t/arm/leg,,,,$217.56 ,20090101
15330,Aply acell alogrft t/arm/leg,,,Y,$231.45 ,20081209
15331,Aply acell grft t/a/l add-on,,,,$44.79 ,20090101
15331,Aply acell grft t/a/l add-on,,,Y,$231.45 ,20081209
15335,"Apply acell graft, f/n/hf/g",,,,$235.09 ,20090101
15335,"Apply acell graft, f/n/hf/g",,,Y,$231.45 ,20081209
15336,Aply acell grft f/n/hf/g add,,,,$65.10 ,20090101
15336,Aply acell grft f/n/hf/g add,,,Y,$231.45 ,20081209
15340,Apply cult skin substitute,,,,$222.85 ,20090101
15341,Apply cult skin sub add-on,,,,$32.83 ,20090101
15360,"Apply cult derm sub, t/a/l",,,,$250.95 ,20090101
15361,Aply cult derm sub t/a/l add,,,,$50.91 ,20090101
15365,Apply cult derm sub f/n/hf/g,,,,$251.77 ,20090101
15366,Apply cult derm f/hf/g add,,,,$63.98 ,20090101
15400,"Apply skin xenograft, t/a/l",,,,$260.13 ,20090101
15400,"Apply skin xenograft, t/a/l",,,Y,$231.45 ,20081209
15401,Apply skn xenogrft t/a/l add,,,,$72.06 ,20090101
15401,Apply skn xenogrft t/a/l add,,,Y,$231.45 ,20081209
15420,"Apply skin xgraft, f/n/hf/g",,,,$292.68 ,20090101
15420,"Apply skin xgraft, f/n/hf/g",,,Y,$231.45 ,20081209
15421,Apply skn xgrft f/n/hf/g add,,,,$82.08 ,20090101
15421,Apply skn xgrft f/n/hf/g add,,,Y,$231.45 ,20081209
15430,Apply acellular xenograft,,,,$371.41 ,20090101
15430,Apply acellular xenograft,,,Y,$231.45 ,20081209
15431,Apply acellular xgraft add,,,Y,$231.45 ,20081209
15570,Form skin pedicle flap,,,,$613.18 ,20090101
15570,Form skin pedicle flap,,,Y,$473.32 ,20081209
15572,Form skin pedicle flap,,,,$578.12 ,20090101
15572,Form skin pedicle flap,,,Y,$473.32 ,20081209
15574,Form skin pedicle flap,,,,$621.52 ,20090101
15574,Form skin pedicle flap,,,Y,$473.32 ,20081209
15576,Form skin pedicle flap,,,,$551.69 ,20090101
15576,Form skin pedicle flap,,,Y,$473.32 ,20081209
15600,Skin graft,,,,$241.49 ,20090101
15600,Skin graft,,,Y,$473.32 ,20081209
15610,Skin graft,,,,$220.90 ,20090101
15610,Skin graft,,,Y,$473.32 ,20081209
15620,Skin graft,,,,$308.81 ,20090101
15620,Skin graft,,,Y,$545.32 ,20081209
15630,Skin graft,,,,$315.77 ,20090101
15630,Skin graft,,,Y,$473.32 ,20081209
15650,Transfer skin pedicle flap,,,,$341.36 ,20090101
15650,Transfer skin pedicle flap,,,Y,$597.52 ,20081209
15731,Forehead flap w/vasc pedicle,,,,$759.50 ,20090101
15731,Forehead flap w/vasc pedicle,,,Y,$473.32 ,20081209
15732,"Muscle-skin graft, head/neck",80,,,$211.77 ,20090101
15732,"Muscle-skin graft, head/neck",81,,,$211.77 ,20090101
15732,"Muscle-skin graft, head/neck",82,,,$211.77 ,20090101
15732,"Muscle-skin graft, head/neck",AS,,,$211.77 ,20090101
15732,"Muscle-skin graft, head/neck",,,,"$1,058.86 ",20090101
15732,"Muscle-skin graft, head/neck",,,Y,$473.32 ,20081209
15734,"Muscle-skin graft, trunk",80,,,$217.84 ,20090101
15734,"Muscle-skin graft, trunk",81,,,$217.84 ,20090101
15734,"Muscle-skin graft, trunk",82,,,$217.84 ,20090101
15734,"Muscle-skin graft, trunk",AS,,,$217.84 ,20090101
15734,"Muscle-skin graft, trunk",,,,"$1,089.18 ",20090101
15734,"Muscle-skin graft, trunk",,,Y,$473.32 ,20081209
15736,"Muscle-skin graft, arm",80,,,$195.86 ,20090101
15736,"Muscle-skin graft, arm",81,,,$195.86 ,20090101
15736,"Muscle-skin graft, arm",82,,,$195.86 ,20090101
15736,"Muscle-skin graft, arm",AS,,,$195.86 ,20090101
15736,"Muscle-skin graft, arm",,,,$979.32 ,20090101
15736,"Muscle-skin graft, arm",,,Y,$473.32 ,20081209
15738,"Muscle-skin graft, leg",80,,,$208.43 ,20090101
15738,"Muscle-skin graft, leg",81,,,$208.43 ,20090101
15738,"Muscle-skin graft, leg",82,,,$208.43 ,20090101
15738,"Muscle-skin graft, leg",AS,,,$208.43 ,20090101
15738,"Muscle-skin graft, leg",,,,"$1,042.14 ",20090101
15738,"Muscle-skin graft, leg",,,Y,$473.32 ,20081209
15740,Island pedicle flap graft,,,,$669.37 ,20090101
15740,Island pedicle flap graft,,,Y,$392.18 ,20081209
15750,Neurovascular pedicle graft,80,,,$128.54 ,20090101
15750,Neurovascular pedicle graft,81,,,$128.54 ,20090101
15750,Neurovascular pedicle graft,82,,,$128.54 ,20090101
15750,Neurovascular pedicle graft,AS,,,$128.54 ,20090101
15750,Neurovascular pedicle graft,,,,$642.68 ,20090101
15750,Neurovascular pedicle graft,,,Y,$434.92 ,20081209
15756,Free myo/skin flap microvasc,80,,,$339.02 ,20090101
15756,Free myo/skin flap microvasc,81,,,$339.02 ,20090101
15756,Free myo/skin flap microvasc,82,,,$339.02 ,20090101
15756,Free myo/skin flap microvasc,AS,,,$339.02 ,20090101
15756,Free myo/skin flap microvasc,,,,"$1,695.12 ",20090101
15757,"Free skin flap, microvasc",80,,,$337.13 ,20090101
15757,"Free skin flap, microvasc",81,,,$337.13 ,20090101
15757,"Free skin flap, microvasc",82,,,$337.13 ,20090101
15757,"Free skin flap, microvasc",AS,,,$337.13 ,20090101
15757,"Free skin flap, microvasc",,,,"$1,685.65 ",20090101
15758,"Free fascial flap, microvasc",80,,,$336.75 ,20090101
15758,"Free fascial flap, microvasc",81,,,$336.75 ,20090101
15758,"Free fascial flap, microvasc",82,,,$336.75 ,20090101
15758,"Free fascial flap, microvasc",AS,,,$336.75 ,20090101
15758,"Free fascial flap, microvasc",,,,"$1,683.74 ",20090101
15760,Composite skin graft,,,,$577.56 ,20090101
15760,Composite skin graft,,,Y,$434.92 ,20081209
15770,Derma-fat-fascia graft,80,,,$91.47 ,20090101
15770,Derma-fat-fascia graft,81,,,$91.47 ,20090101
15770,Derma-fat-fascia graft,82,,,$91.47 ,20090101
15770,Derma-fat-fascia graft,AS,,,$91.47 ,20090101
15770,Derma-fat-fascia graft,,,,$457.37 ,20090101
15770,Derma-fat-fascia graft,,,Y,$473.32 ,20081209
15822,Revision of upper eyelid,,,,$289.61 ,20090101
15822,Revision of upper eyelid,,,Y,$473.32 ,20081209
15823,Revision of upper eyelid,,,,$451.81 ,20090101
15823,Revision of upper eyelid,,,Y,$597.52 ,20081209
15836,Excise excessive skin tissue,80,,,$103.27 ,20090101
15836,Excise excessive skin tissue,81,,,$103.27 ,20090101
15836,Excise excessive skin tissue,82,,,$103.27 ,20090101
15836,Excise excessive skin tissue,AS,,,$103.27 ,20090101
15836,Excise excessive skin tissue,,,,$516.36 ,20090101
15840,Graft for face nerve palsy,,,,$710.27 ,20090101
15840,Graft for face nerve palsy,,,Y,$545.32 ,20081209
15841,Graft for face nerve palsy,80,,,$236.53 ,20090101
15841,Graft for face nerve palsy,81,,,$236.53 ,20090101
15841,Graft for face nerve palsy,82,,,$236.53 ,20090101
15841,Graft for face nerve palsy,AS,,,$236.53 ,20090101
15841,Graft for face nerve palsy,,,,"$1,182.64 ",20090101
15841,Graft for face nerve palsy,,,Y,$545.32 ,20081209
15842,Flap for face nerve palsy,80,,,$375.75 ,20090101
15842,Flap for face nerve palsy,81,,,$375.75 ,20090101
15842,Flap for face nerve palsy,82,,,$375.75 ,20090101
15842,Flap for face nerve palsy,AS,,,$375.75 ,20090101
15842,Flap for face nerve palsy,,,,"$1,878.73 ",20090101
15842,Flap for face nerve palsy,,,Y,$669.27 ,20081209
15845,"Skin and muscle repair, face",80,,,$131.82 ,20090101
15845,"Skin and muscle repair, face",81,,,$131.82 ,20090101
15845,"Skin and muscle repair, face",82,,,$131.82 ,20090101
15845,"Skin and muscle repair, face",AS,,,$131.82 ,20090101
15845,"Skin and muscle repair, face",,,,$659.09 ,20090101
15845,"Skin and muscle repair, face",,,Y,$545.32 ,20081209
15850,Removal of sutures,,,,$61.48 ,20090101
15851,Removal of sutures,,,,$67.61 ,20090101
15852,Dressing change not for burn,,,,$34.50 ,20090101
15860,Test for blood flow in graft,,,,$81.52 ,20090101
15920,Removal of tail bone ulcer,,,,$407.29 ,20090101
15920,Removal of tail bone ulcer,,,Y,$186.55 ,20081209
15922,Removal of tail bone ulcer,80,,,$104.82 ,20090101
15922,Removal of tail bone ulcer,81,,,$104.82 ,20090101
15922,Removal of tail bone ulcer,82,,,$104.82 ,20090101
15922,Removal of tail bone ulcer,AS,,,$104.82 ,20090101
15922,Removal of tail bone ulcer,,,,$524.12 ,20090101
15922,Removal of tail bone ulcer,,,Y,$545.32 ,20081209
15931,Remove sacrum pressure sore,,,,$468.50 ,20090101
15931,Remove sacrum pressure sore,,,Y,$480.79 ,20081209
15933,Remove sacrum pressure sore,,,,$575.89 ,20090101
15933,Remove sacrum pressure sore,,,Y,$480.79 ,20081209
15934,Remove sacrum pressure sore,,,,$645.72 ,20090101
15934,Remove sacrum pressure sore,,,Y,$473.32 ,20081209
15935,Remove sacrum pressure sore,80,,,$152.62 ,20090101
15935,Remove sacrum pressure sore,81,,,$152.62 ,20090101
15935,Remove sacrum pressure sore,82,,,$152.62 ,20090101
15935,Remove sacrum pressure sore,AS,,,$152.62 ,20090101
15935,Remove sacrum pressure sore,,,,$763.11 ,20090101
15935,Remove sacrum pressure sore,,,Y,$545.32 ,20081209
15936,Remove sacrum pressure sore,80,,,$125.92 ,20090101
15936,Remove sacrum pressure sore,81,,,$125.92 ,20090101
15936,Remove sacrum pressure sore,82,,,$125.92 ,20090101
15936,Remove sacrum pressure sore,AS,,,$125.92 ,20090101
15936,Remove sacrum pressure sore,,,,$629.59 ,20090101
15936,Remove sacrum pressure sore,,,Y,$502.58 ,20081209
15937,Remove sacrum pressure sore,80,,,$147.18 ,20090101
15937,Remove sacrum pressure sore,81,,,$147.18 ,20090101
15937,Remove sacrum pressure sore,82,,,$147.18 ,20090101
15937,Remove sacrum pressure sore,AS,,,$147.18 ,20090101
15937,Remove sacrum pressure sore,,,,$735.89 ,20090101
15937,Remove sacrum pressure sore,,,Y,$545.32 ,20081209
15940,Remove hip pressure sore,,,,$484.36 ,20090101
15940,Remove hip pressure sore,,,Y,$480.79 ,20081209
15941,Remove hip pressure sore,,,,$635.43 ,20090101
15941,Remove hip pressure sore,,,Y,$480.79 ,20081209
15944,Remove hip pressure sore,,,,$620.13 ,20090101
15944,Remove hip pressure sore,,,Y,$473.32 ,20081209
15945,Remove hip pressure sore,,,,$685.78 ,20090101
15945,Remove hip pressure sore,,,Y,$545.32 ,20081209
15946,Remove hip pressure sore,80,,,$228.19 ,20090101
15946,Remove hip pressure sore,81,,,$228.19 ,20090101
15946,Remove hip pressure sore,82,,,$228.19 ,20090101
15946,Remove hip pressure sore,AS,,,$228.19 ,20090101
15946,Remove hip pressure sore,,,,"$1,140.93 ",20090101
15946,Remove hip pressure sore,,,Y,$545.32 ,20081209
15950,Remove thigh pressure sore,80,,,$79.90 ,20090101
15950,Remove thigh pressure sore,81,,,$79.90 ,20090101
15950,Remove thigh pressure sore,82,,,$79.90 ,20090101
15950,Remove thigh pressure sore,AS,,,$79.90 ,20090101
15950,Remove thigh pressure sore,,,,$399.51 ,20090101
15950,Remove thigh pressure sore,,,Y,$480.79 ,20081209
15951,Remove thigh pressure sore,80,,,$114.07 ,20090101
15951,Remove thigh pressure sore,81,,,$114.07 ,20090101
15951,Remove thigh pressure sore,82,,,$114.07 ,20090101
15951,Remove thigh pressure sore,AS,,,$114.07 ,20090101
15951,Remove thigh pressure sore,,,,$570.34 ,20090101
15951,Remove thigh pressure sore,,,Y,$552.79 ,20081209
15952,Remove thigh pressure sore,80,,,$118.80 ,20090101
15952,Remove thigh pressure sore,81,,,$118.80 ,20090101
15952,Remove thigh pressure sore,82,,,$118.80 ,20090101
15952,Remove thigh pressure sore,AS,,,$118.80 ,20090101
15952,Remove thigh pressure sore,,,,$593.99 ,20090101
15952,Remove thigh pressure sore,,,Y,$430.58 ,20081209
15953,Remove thigh pressure sore,80,,,$132.48 ,20090101
15953,Remove thigh pressure sore,81,,,$132.48 ,20090101
15953,Remove thigh pressure sore,82,,,$132.48 ,20090101
15953,Remove thigh pressure sore,AS,,,$132.48 ,20090101
15953,Remove thigh pressure sore,,,,$662.40 ,20090101
15953,Remove thigh pressure sore,,,Y,$502.58 ,20081209
15956,Remove thigh pressure sore,80,,,$161.19 ,20090101
15956,Remove thigh pressure sore,81,,,$161.19 ,20090101
15956,Remove thigh pressure sore,82,,,$161.19 ,20090101
15956,Remove thigh pressure sore,AS,,,$161.19 ,20090101
15956,Remove thigh pressure sore,,,,$805.95 ,20090101
15956,Remove thigh pressure sore,,,Y,$430.58 ,20081209
15958,Remove thigh pressure sore,80,,,$164.42 ,20090101
15958,Remove thigh pressure sore,81,,,$164.42 ,20090101
15958,Remove thigh pressure sore,82,,,$164.42 ,20090101
15958,Remove thigh pressure sore,AS,,,$164.42 ,20090101
15958,Remove thigh pressure sore,,,,$822.10 ,20090101
15958,Remove thigh pressure sore,,,Y,$502.58 ,20081209
16000,Initial treatment of burn(s),,,,$48.97 ,20090101
16020,"Dress/debrid p-thick burn, s",,,,$57.87 ,20090101
16025,"Dress/debrid p-thick burn, m",,,,$103.21 ,20090101
16025,"Dress/debrid p-thick burn, m",,,Y,$62.30 ,20081209
16030,"Dress/debrid p-thick burn, l",,,,$123.81 ,20090101
16030,"Dress/debrid p-thick burn, l",,,Y,$81.93 ,20081209
16035,"Incision of burn scab, initi",,,,$155.80 ,20090101
16035,"Incision of burn scab, initi",,,Y,$88.11 ,20081209
16036,Escharotomy; add値 incision,,,,$62.04 ,20090101
17000,Destruct premalg lesion,,,,$51.19 ,20090101
17003,"Destruct premalg les, 2-14",,,,$5.29 ,20090101
17004,Destroy premlg lesions 15+,,,,$119.63 ,20090101
17106,Destruction of skin lesions,,,,$267.64 ,20090101
17107,Destruction of skin lesions,,,,$470.45 ,20090101
17108,Destruction of skin lesions,,,,$635.15 ,20090101
17110,"Destruct b9 lesion, 1-14",,,,$67.33 ,20090101
17111,"Destruct lesion, 15 or more",,,,$82.08 ,20090101
17250,"Chemical cautery, tissue",,,,$50.91 ,20090101
17260,Destruction of skin lesions,,,,$64.26 ,20090101
17261,Destruction of skin lesions,,,,$91.54 ,20090101
17262,Destruction of skin lesions,,,,$111.84 ,20090101
17263,Destruction of skin lesions,,,,$123.53 ,20090101
17264,Destruction of skin lesions,,,,$133.27 ,20090101
17266,Destruction of skin lesions,,,,$151.63 ,20090101
17270,Destruction of skin lesions,,,,$96.26 ,20090101
17271,Destruction of skin lesions,,,,$105.45 ,20090101
17272,Destruction of skin lesions,,,,$121.02 ,20090101
17273,Destruction of skin lesions,,,,$135.21 ,20090101
17274,Destruction of skin lesions,,,,$161.36 ,20090101
17276,Destruction of skin lesions,,,,$189.18 ,20090101
17280,Destruction of skin lesions,,,,$89.86 ,20090101
17281,Destruction of skin lesions,,,,$114.90 ,20090101
17282,Destruction of skin lesions,,,,$133.27 ,20090101
17283,Destruction of skin lesions,,,,$161.92 ,20090101
17284,Destruction of skin lesions,,,,$189.46 ,20090101
17286,Destruction of skin lesions,,,,$243.15 ,20090101
17311,"Mohs, 1 stage, h/n/hf/g",,,,$477.12 ,20090101
17312,Mohs addl stage,,,,$287.11 ,20090101
17313,"Mohs, 1 stage, t/a/l",,,,$435.67 ,20090101
17314,"Mohs, addl stage, t/a/l",,,,$265.68 ,20090101
17315,"Mohs surg, addl block",,,,$56.76 ,20090101
17340,Cryotherapy of skin,,,,$32.55 ,20090101
17360,Skin peel therapy,,,,$87.63 ,20090101
19000,Drainage of breast lesion,,,,$79.85 ,20090101
19001,Drain breast lesion add-on,,,,$19.75 ,20090101
19020,Incision of breast lesion,,,,$296.85 ,20090101
19020,Incision of breast lesion,,,Y,$419.29 ,20081209
19030,Injection for breast x-ray,,,,$122.13 ,20090101
19100,Bx breast percut w/o image,,,,$97.65 ,20090101
19100,Bx breast percut w/o image,,,Y,$179.83 ,20081209
19101,"Biopsy of breast, open",,,,$223.40 ,20090101
19101,"Biopsy of breast, open",,,Y,$438.52 ,20081209
19102,Bx breast percut w/image,,,,$161.09 ,20090101
19102,Bx breast percut w/image,,,Y,$202.91 ,20081209
19103,Bx breast percut w/device,,,,$411.47 ,20090101
19103,Bx breast percut w/device,,,Y,$349.88 ,20081209
19105,"CRYOSURG ABLATE FA, EACH",,,,"$1,404.91 ",20090101
19110,Nipple exploration,,,,$301.86 ,20090101
19110,Nipple exploration,,,Y,$438.52 ,20081209
19112,Excise breast duct fistula,,,,$287.95 ,20090101
19112,Excise breast duct fistula,,,Y,$476.92 ,20081209
19120,Removal of breast lesion,,,,$316.60 ,20090101
19120,Removal of breast lesion,,,Y,$476.92 ,20081209
19125,"Excision, breast lesion",,,,$349.43 ,20090101
19125,"Excision, breast lesion",,,Y,$476.92 ,20081209
19126,"Excision, addl breast lesion",,,,$116.29 ,20090101
19126,"Excision, addl breast lesion",,,Y,$476.92 ,20081209
19260,Removal of chest wall lesion,80,,,$169.10 ,20090101
19260,Removal of chest wall lesion,81,,,$169.10 ,20090101
19260,Removal of chest wall lesion,82,,,$169.10 ,20090101
19260,Removal of chest wall lesion,AS,,,$169.10 ,20090101
19260,Removal of chest wall lesion,,,,$845.49 ,20090101
19271,Revision of chest wall,80,,,$230.30 ,20090101
19271,Revision of chest wall,81,,,$230.30 ,20090101
19271,Revision of chest wall,82,,,$230.30 ,20090101
19271,Revision of chest wall,AS,,,$230.30 ,20090101
19271,Revision of chest wall,,,,"$1,151.49 ",20090101
19272,Extensive chest wall surgery,80,,,$254.67 ,20090101
19272,Extensive chest wall surgery,81,,,$254.67 ,20090101
19272,Extensive chest wall surgery,82,,,$254.67 ,20090101
19272,Extensive chest wall surgery,AS,,,$254.67 ,20090101
19272,Extensive chest wall surgery,,,,"$1,273.36 ",20090101
19290,"Place needle wire, breast",,,,$117.12 ,20090101
19291,"Place needle wire, breast",,,,$51.19 ,20090101
19295,"Place breast clip, percut",,,,$69.55 ,20090101
19296,Place po breast cath for rad,80,,,$610.61 ,20090101
19296,Place po breast cath for rad,81,,,$610.61 ,20090101
19296,Place po breast cath for rad,82,,,$610.61 ,20090101
19296,Place po breast cath for rad,AS,,,$610.61 ,20090101
19296,Place po breast cath for rad,,,,"$3,053.04 ",20090101
19296,Place po breast cath for rad,,,Y,"$1,271.87 ",20081209
19297,Place breast cath for rad,,,,$67.61 ,20090101
19298,Place breast rad tube/caths,80,,,$214.39 ,20090101
19298,Place breast rad tube/caths,81,,,$214.39 ,20090101
19298,Place breast rad tube/caths,82,,,$214.39 ,20090101
19298,Place breast rad tube/caths,AS,,,$214.39 ,20090101
19298,Place breast rad tube/caths,,,,"$1,071.95 ",20090101
19298,Place breast rad tube/caths,,,Y,"$1,271.87 ",20081209
19301,Partical mastectomy,,,,$412.02 ,20090101
19301,Partical mastectomy,,,Y,$476.92 ,20081209
19302,P-mastectomy w/ln removal,,,,$609.83 ,20090101
19302,P-mastectomy w/ln removal,,,Y,$926.71 ,20081209
19303,"Mast, simple, complete",,,,$635.99 ,20090101
19303,"Mast, simple, complete",,,Y,$640.59 ,20081209
19304,"Mast, subq",,,,$381.15 ,20090101
19304,"Mast, subq",,,Y,$640.59 ,20081209
19305,"Mast, radical",80,,,$151.35 ,20090101
19305,"Mast, radical",81,,,$151.35 ,20090101
19305,"Mast, radical",82,,,$151.35 ,20090101
19305,"Mast, radical",AS,,,$151.35 ,20090101
19305,"Mast, radical",,,,$756.73 ,20090101
19306,"Mast, rad, urban type",80,,,$158.08 ,20090101
19306,"Mast, rad, urban type",81,,,$158.08 ,20090101
19306,"Mast, rad, urban type",82,,,$158.08 ,20090101
19306,"Mast, rad, urban type",AS,,,$158.08 ,20090101
19306,"Mast, rad, urban type",,,,$790.39 ,20090101
19307,"Mast, mod rad",80,,,$158.97 ,20090101
19307,"Mast, mod rad",81,,,$158.97 ,20090101
19307,"Mast, mod rad",82,,,$158.97 ,20090101
19307,"Mast, mod rad",AS,,,$158.97 ,20090101
19307,"Mast, mod rad",,,,$794.84 ,20090101
19318,Reduction of large breast,80,,,$163.48 ,20090101
19318,Reduction of large breast,81,,,$163.48 ,20090101
19318,Reduction of large breast,82,,,$163.48 ,20090101
19318,Reduction of large breast,AS,,,$163.48 ,20090101
19318,Reduction of large breast,,,,$817.39 ,20090101
19318,Reduction of large breast,,,Y,$707.71 ,20081209
19324,Enlarge breast,,,,$338.58 ,20090101
19324,Enlarge breast,,,Y,$707.71 ,20081209
19325,Enlarge breast with implant,,,,$454.03 ,20090101
19325,Enlarge breast with implant,,,Y,"$1,271.87 ",20081209
19328,Removal of breast implant,,,,$341.36 ,20090101
19328,Removal of breast implant,,,Y,$462.39 ,20081209
19330,Removal of implant material,,,,$435.39 ,20090101
19330,Removal of implant material,,,Y,$462.39 ,20081209
19340,Immediate breast prosthesis,,,,$287.67 ,20090101
19340,Immediate breast prosthesis,,,Y,$597.31 ,20081209
19342,Delayed breast prosthesis,,,,$644.61 ,20090101
19342,Delayed breast prosthesis,,,Y,$774.47 ,20081209
19350,Breast reconstruction,,,,$619.57 ,20090101
19350,Breast reconstruction,,,Y,$548.92 ,20081209
19355,Correct inverted nipple(s),,,,$504.12 ,20090101
19355,Correct inverted nipple(s),,,Y,$640.59 ,20081209
19357,Breast reconstruction,80,,,$217.11 ,20090101
19357,Breast reconstruction,81,,,$217.11 ,20090101
19357,Breast reconstruction,82,,,$217.11 ,20090101
19357,Breast reconstruction,AS,,,$217.11 ,20090101
19357,Breast reconstruction,,,,"$1,085.56 ",20090101
19357,Breast reconstruction,,,Y,$898.67 ,20081209
19361,Breast reconstr w/lat flap,80,,,$226.57 ,20090101
19361,Breast reconstr w/lat flap,81,,,$226.57 ,20090101
19361,Breast reconstr w/lat flap,82,,,$226.57 ,20090101
19361,Breast reconstr w/lat flap,AS,,,$226.57 ,20090101
19361,Breast reconstr w/lat flap,,,,"$1,132.86 ",20090101
19364,Breast reconstruction,80,,,$397.90 ,20090101
19364,Breast reconstruction,81,,,$397.90 ,20090101
19364,Breast reconstruction,82,,,$397.90 ,20090101
19364,Breast reconstruction,AS,,,$397.90 ,20090101
19364,Breast reconstruction,,,,"$1,989.48 ",20090101
19366,Breast reconstruction,80,,,$198.64 ,20090101
19366,Breast reconstruction,81,,,$198.64 ,20090101
19366,Breast reconstruction,82,,,$198.64 ,20090101
19366,Breast reconstruction,AS,,,$198.64 ,20090101
19366,Breast reconstruction,,,,$993.19 ,20090101
19366,Breast reconstruction,,,Y,$692.79 ,20081209
19367,Breast reconstruction,80,,,$259.17 ,20090101
19367,Breast reconstruction,81,,,$259.17 ,20090101
19367,Breast reconstruction,82,,,$259.17 ,20090101
19367,Breast reconstruction,AS,,,$259.17 ,20090101
19367,Breast reconstruction,,,,"$1,295.87 ",20090101
19368,Breast reconstruction,80,,,$320.66 ,20090101
19368,Breast reconstruction,81,,,$320.66 ,20090101
19368,Breast reconstruction,82,,,$320.66 ,20090101
19368,Breast reconstruction,AS,,,$320.66 ,20090101
19368,Breast reconstruction,,,,"$1,603.32 ",20090101
19369,Breast reconstruction,80,,,$294.34 ,20090101
19369,Breast reconstruction,81,,,$294.34 ,20090101
19369,Breast reconstruction,82,,,$294.34 ,20090101
19369,Breast reconstruction,AS,,,$294.34 ,20090101
19369,Breast reconstruction,,,,"$1,471.72 ",20090101
19371,Removal of breast capsule,,,,$550.85 ,20090101
19371,Removal of breast capsule,,,Y,$640.59 ,20081209
19380,Revise breast reconstruction,,,,$537.22 ,20090101
19380,Revise breast reconstruction,,,Y,$759.91 ,20081209
20000,Incision of abscess,,,,$142.72 ,20090101
20005,Incision of deep abscess,,,,$211.16 ,20090101
20005,Incision of deep abscess,,,Y,$443.71 ,20081209
20100,"Explore wound, neck",80,,,$86.58 ,20090101
20100,"Explore wound, neck",81,,,$86.58 ,20090101
20100,"Explore wound, neck",82,,,$86.58 ,20090101
20100,"Explore wound, neck",AS,,,$86.58 ,20090101
20100,"Explore wound, neck",,,,$432.89 ,20090101
20101,"Explore wound, chest",80,,,$55.20 ,20090101
20101,"Explore wound, chest",81,,,$55.20 ,20090101
20101,"Explore wound, chest",82,,,$55.20 ,20090101
20101,"Explore wound, chest",AS,,,$55.20 ,20090101
20101,"Explore wound, chest",,,,$275.98 ,20090101
20102,"Explore wound, abdomen",80,,,$64.82 ,20090101
20102,"Explore wound, abdomen",81,,,$64.82 ,20090101
20102,"Explore wound, abdomen",82,,,$64.82 ,20090101
20102,"Explore wound, abdomen",AS,,,$64.82 ,20090101
20102,"Explore wound, abdomen",,,,$324.11 ,20090101
20103,"Explore wound, extremity",80,,,$79.34 ,20090101
20103,"Explore wound, extremity",81,,,$79.34 ,20090101
20103,"Explore wound, extremity",82,,,$79.34 ,20090101
20103,"Explore wound, extremity",AS,,,$79.34 ,20090101
20103,"Explore wound, extremity",,,,$396.72 ,20090101
20150,Excise epiphyseal bar,80,,,$133.43 ,20090101
20150,Excise epiphyseal bar,81,,,$133.43 ,20090101
20150,Excise epiphyseal bar,82,,,$133.43 ,20090101
20150,Excise epiphyseal bar,AS,,,$133.43 ,20090101
20150,Excise epiphyseal bar,,,,$667.16 ,20090101
20200,Muscle biopsy,,,,$132.15 ,20090101
20200,Muscle biopsy,,,Y,$400.91 ,20081209
20205,Deep muscle biopsy,,,,$181.95 ,20090101
20205,Deep muscle biopsy,,,Y,$439.31 ,20081209
20206,"Needle biopsy, muscle",,,,$192.52 ,20090101
20206,"Needle biopsy, muscle",,,Y,$202.91 ,20081209
20220,"Bone biopsy, trocar/needle",,,,$138.55 ,20090101
20220,"Bone biopsy, trocar/needle",,,Y,$222.82 ,20081209
20225,"Bone biopsy, trocar/needle",,,,$565.32 ,20090101
20225,"Bone biopsy, trocar/needle",,,Y,$323.01 ,20081209
20240,"Bone biopsy, excisional",,,,$166.37 ,20090101
20240,"Bone biopsy, excisional",,,Y,$442.39 ,20081209
20245,"Bone biopsy, excisional",80,,,$90.37 ,20090101
20245,"Bone biopsy, excisional",81,,,$90.37 ,20090101
20245,"Bone biopsy, excisional",82,,,$90.37 ,20090101
20245,"Bone biopsy, excisional",AS,,,$90.37 ,20090101
20245,"Bone biopsy, excisional",,,,$451.83 ,20090101
20245,"Bone biopsy, excisional",,,Y,$480.79 ,20081209
20250,Open bone biopsy,,,,$271.25 ,20090101
20250,Open bone biopsy,,,Y,$482.11 ,20081209
20251,Open bone biopsy,80,,,$60.32 ,20090101
20251,Open bone biopsy,81,,,$60.32 ,20090101
20251,Open bone biopsy,82,,,$60.32 ,20090101
20251,Open bone biopsy,AS,,,$60.32 ,20090101
20251,Open bone biopsy,,,,$301.60 ,20090101
20251,Open bone biopsy,,,Y,$482.11 ,20081209
20500,Injection of sinus tract,,,,$88.19 ,20090101
20501,Inject sinus tract for x-ray,,,,$95.71 ,20090101
20520,Removal of foreign body,,,,$134.65 ,20090101
20525,Removal of foreign body,,,,$338.02 ,20090101
20525,Removal of foreign body,,,Y,$480.79 ,20081209
20526,"Ther injection, carp tunnel",,,,$54.52 ,20090101
20550,Inj tendon sheath/ligament,,,,$42.01 ,20090101
20551,Inj tendon origin/insertion,,,,$41.45 ,20090101
20555,Place ndl musc/tis for rt,,,,$239.54 ,20090101
20600,"Drain/inject, joint/bursa",,,,$38.95 ,20090101
20605,"Drain/inject, joint/bursa",,,,$42.01 ,20090101
20610,"Drain/inject, joint/bursa",,,,$53.14 ,20090101
20615,Treatment of bone cyst,,,,$156.08 ,20090101
20650,Insert and remove bone pin,80,,,$27.66 ,20090101
20650,Insert and remove bone pin,81,,,$27.66 ,20090101
20650,Insert and remove bone pin,82,,,$27.66 ,20090101
20650,Insert and remove bone pin,AS,,,$27.66 ,20090101
20650,Insert and remove bone pin,,,,$138.28 ,20090101
20650,Insert and remove bone pin,,,Y,$482.11 ,20081209
20660,"Apply, rem fixation device",,,,$191.13 ,20090101
20661,Application of head brace,,,,$327.17 ,20090101
20662,Application of pelvis brace,,,,$333.57 ,20090101
20662,Application of pelvis brace,,,Y,$704.44 ,20081209
20663,Application of thigh brace,,,,$317.16 ,20090101
20663,Application of thigh brace,,,Y,$704.44 ,20081209
20664,Halo brace application,,,,$529.71 ,20090101
20665,Removal of fixation device,,,,$91.26 ,20090101
20665,Removal of fixation device,,,Y,$20.90 ,20081209
20670,Removal of support implant,,,,$309.37 ,20090101
20670,Removal of support implant,,,Y,$333.11 ,20081209
20680,Removal of support implant,80,,,$83.07 ,20090101
20680,Removal of support implant,81,,,$83.07 ,20090101
20680,Removal of support implant,82,,,$83.07 ,20090101
20680,Removal of support implant,AS,,,$83.07 ,20090101
20680,Removal of support implant,,,,$415.35 ,20090101
20680,Removal of support implant,,,Y,$480.79 ,20081209
20690,Apply bone fixation device,,,,$360.28 ,20090101
20690,Apply bone fixation device,,,Y,$509.30 ,20081209
20692,Apply bone fixation device,80,,,$132.65 ,20090101
20692,Apply bone fixation device,81,,,$132.65 ,20090101
20692,Apply bone fixation device,82,,,$132.65 ,20090101
20692,Apply bone fixation device,AS,,,$132.65 ,20090101
20692,Apply bone fixation device,,,,$663.23 ,20090101
20692,Apply bone fixation device,,,Y,$547.70 ,20081209
20693,Adjust bone fixation device,,,,$331.62 ,20090101
20693,Adjust bone fixation device,,,Y,$482.11 ,20081209
20694,Remove bone fixation device,,,,$309.92 ,20090101
20694,Remove bone fixation device,,,Y,$375.91 ,20081209
20802,"Replantation, arm, complete",80,,,$351.77 ,20090101
20802,"Replantation, arm, complete",81,,,$351.77 ,20090101
20802,"Replantation, arm, complete",82,,,$351.77 ,20090101
20802,"Replantation, arm, complete",AS,,,$351.77 ,20090101
20802,"Replantation, arm, complete",,,,"$1,758.83 ",20090101
20805,"Replant forearm, complete",80,,,$457.10 ,20090101
20805,"Replant forearm, complete",81,,,$457.10 ,20090101
20805,"Replant forearm, complete",82,,,$457.10 ,20090101
20805,"Replant forearm, complete",AS,,,$457.10 ,20090101
20805,"Replant forearm, complete",,,,"$2,285.49 ",20090101
20808,"Replantation hand, complete",80,,,$589.46 ,20090101
20808,"Replantation hand, complete",81,,,$589.46 ,20090101
20808,"Replantation hand, complete",82,,,$589.46 ,20090101
20808,"Replantation hand, complete",AS,,,$589.46 ,20090101
20808,"Replantation hand, complete",,,,"$2,947.32 ",20090101
20816,"Replantation digit, complete",80,,,$352.54 ,20090101
20816,"Replantation digit, complete",81,,,$352.54 ,20090101
20816,"Replantation digit, complete",82,,,$352.54 ,20090101
20816,"Replantation digit, complete",AS,,,$352.54 ,20090101
20816,"Replantation digit, complete",,,,"$1,762.71 ",20090101
20822,"Replantation digit, complete",80,,,$308.53 ,20090101
20822,"Replantation digit, complete",81,,,$308.53 ,20090101
20822,"Replantation digit, complete",82,,,$308.53 ,20090101
20822,"Replantation digit, complete",AS,,,$308.53 ,20090101
20822,"Replantation digit, complete",,,,"$1,542.67 ",20090101
20824,"Replantation thumb, complete",80,,,$349.15 ,20090101
20824,"Replantation thumb, complete",81,,,$349.15 ,20090101
20824,"Replantation thumb, complete",82,,,$349.15 ,20090101
20824,"Replantation thumb, complete",AS,,,$349.15 ,20090101
20824,"Replantation thumb, complete",,,,"$1,745.73 ",20090101
20827,"Replantation thumb, complete",80,,,$314.55 ,20090101
20827,"Replantation thumb, complete",81,,,$314.55 ,20090101
20827,"Replantation thumb, complete",82,,,$314.55 ,20090101
20827,"Replantation thumb, complete",AS,,,$314.55 ,20090101
20827,"Replantation thumb, complete",,,,"$1,572.73 ",20090101
20838,"Replantation foot, complete",80,,,$344.09 ,20090101
20838,"Replantation foot, complete",81,,,$344.09 ,20090101
20838,"Replantation foot, complete",82,,,$344.09 ,20090101
20838,"Replantation foot, complete",AS,,,$344.09 ,20090101
20838,"Replantation foot, complete",,,,"$1,720.43 ",20090101
20900,Removal of bone for graft,80,,,$86.46 ,20090101
20900,Removal of bone for graft,81,,,$86.46 ,20090101
20900,Removal of bone for graft,82,,,$86.46 ,20090101
20900,Removal of bone for graft,AS,,,$86.46 ,20090101
20900,Removal of bone for graft,,,,$432.32 ,20090101
20900,Removal of bone for graft,,,Y,$547.70 ,20081209
20902,Removal of bone for graft,80,,,$87.42 ,20090101
20902,Removal of bone for graft,81,,,$87.42 ,20090101
20902,Removal of bone for graft,82,,,$87.42 ,20090101
20902,Removal of bone for graft,AS,,,$87.42 ,20090101
20902,Removal of bone for graft,,,,$437.08 ,20090101
20902,Removal of bone for graft,,,Y,$619.70 ,20081209
20910,Remove cartilage for graft,,,,$306.03 ,20090101
20910,Remove cartilage for graft,,,Y,$473.32 ,20081209
20912,Remove cartilage for graft,,,,$347.20 ,20090101
20912,Remove cartilage for graft,,,Y,$473.32 ,20081209
20920,Removal of fascia for graft,80,,,$57.65 ,20090101
20920,Removal of fascia for graft,81,,,$57.65 ,20090101
20920,Removal of fascia for graft,82,,,$57.65 ,20090101
20920,Removal of fascia for graft,AS,,,$57.65 ,20090101
20920,Removal of fascia for graft,,,,$288.25 ,20090101
20920,Removal of fascia for graft,,,Y,$502.58 ,20081209
20922,Removal of fascia for graft,80,,,$83.96 ,20090101
20922,Removal of fascia for graft,81,,,$83.96 ,20090101
20922,Removal of fascia for graft,82,,,$83.96 ,20090101
20922,Removal of fascia for graft,AS,,,$83.96 ,20090101
20922,Removal of fascia for graft,,,,$419.80 ,20090101
20922,Removal of fascia for graft,,,Y,$430.58 ,20081209
20924,Removal of tendon for graft,80,,,$72.67 ,20090101
20924,Removal of tendon for graft,81,,,$72.67 ,20090101
20924,Removal of tendon for graft,82,,,$72.67 ,20090101
20924,Removal of tendon for graft,AS,,,$72.67 ,20090101
20924,Removal of tendon for graft,,,,$363.34 ,20090101
20924,Removal of tendon for graft,,,Y,$619.70 ,20081209
20926,Removal of tissue for graft,,,,$311.32 ,20090101
20930,Sp bone algrft morsel add-on,,,,$56.58 ,20080101
20931,Sp bone algrft struct add-on,80,,,$16.91 ,20090101
20931,Sp bone algrft struct add-on,81,,,$16.91 ,20090101
20931,Sp bone algrft struct add-on,82,,,$16.91 ,20090101
20931,Sp bone algrft struct add-on,AS,,,$16.91 ,20090101
20931,Sp bone algrft struct add-on,,,,$84.56 ,20090101
20936,Sp bone agrft local add-on,80,,,$25.49 ,20090101
20936,Sp bone agrft local add-on,81,,,$25.49 ,20090101
20936,Sp bone agrft local add-on,82,,,$25.49 ,20090101
20936,Sp bone agrft local add-on,AS,,,$25.49 ,20090101
20936,Sp bone agrft local add-on,,,,$127.43 ,20090101
20937,Sp bone agrft morsel add-on,80,,,$25.54 ,20090101
20937,Sp bone agrft morsel add-on,81,,,$25.54 ,20090101
20937,Sp bone agrft morsel add-on,82,,,$25.54 ,20090101
20937,Sp bone agrft morsel add-on,AS,,,$25.54 ,20090101
20937,Sp bone agrft morsel add-on,,,,$127.72 ,20090101
20938,Sp bone agrft struct add-on,80,,,$27.87 ,20090101
20938,Sp bone agrft struct add-on,81,,,$27.87 ,20090101
20938,Sp bone agrft struct add-on,82,,,$27.87 ,20090101
20938,Sp bone agrft struct add-on,AS,,,$27.87 ,20090101
20938,Sp bone agrft struct add-on,,,,$139.36 ,20090101
20950,"Fluid pressure, muscle",,,,$194.75 ,20090101
20955,"Fibula bone graft, microvasc",80,,,$369.12 ,20090101
20955,"Fibula bone graft, microvasc",81,,,$369.12 ,20090101
20955,"Fibula bone graft, microvasc",82,,,$369.12 ,20090101
20955,"Fibula bone graft, microvasc",AS,,,$369.12 ,20090101
20955,"Fibula bone graft, microvasc",,,,"$1,845.61 ",20090101
20956,"Iliac bone graft, microvasc",80,,,$392.33 ,20090101
20956,"Iliac bone graft, microvasc",81,,,$392.33 ,20090101
20956,"Iliac bone graft, microvasc",82,,,$392.33 ,20090101
20956,"Iliac bone graft, microvasc",AS,,,$392.33 ,20090101
20956,"Iliac bone graft, microvasc",,,,"$1,961.64 ",20090101
20957,"Mt bone graft, microvasc",80,,,$371.79 ,20090101
20957,"Mt bone graft, microvasc",81,,,$371.79 ,20090101
20957,"Mt bone graft, microvasc",82,,,$371.79 ,20090101
20957,"Mt bone graft, microvasc",AS,,,$371.79 ,20090101
20957,"Mt bone graft, microvasc",,,,"$1,858.96 ",20090101
20962,"Other bone graft, microvasc",80,,,$387.88 ,20090101
20962,"Other bone graft, microvasc",81,,,$387.88 ,20090101
20962,"Other bone graft, microvasc",82,,,$387.88 ,20090101
20962,"Other bone graft, microvasc",AS,,,$387.88 ,20090101
20962,"Other bone graft, microvasc",,,,"$1,939.38 ",20090101
20969,"Bone/skin graft, microvasc",80,,,$410.58 ,20090101
20969,"Bone/skin graft, microvasc",81,,,$410.58 ,20090101
20969,"Bone/skin graft, microvasc",82,,,$410.58 ,20090101
20969,"Bone/skin graft, microvasc",AS,,,$410.58 ,20090101
20969,"Bone/skin graft, microvasc",,,,"$2,052.92 ",20090101
20970,"Bone/skin graft, iliac crest",80,,,$411.97 ,20090101
20970,"Bone/skin graft, iliac crest",81,,,$411.97 ,20090101
20970,"Bone/skin graft, iliac crest",82,,,$411.97 ,20090101
20970,"Bone/skin graft, iliac crest",AS,,,$411.97 ,20090101
20970,"Bone/skin graft, iliac crest",,,,"$2,059.86 ",20090101
20972,"Bone/skin graft, metatarsal",80,,,$374.30 ,20090101
20972,"Bone/skin graft, metatarsal",81,,,$374.30 ,20090101
20972,"Bone/skin graft, metatarsal",82,,,$374.30 ,20090101
20972,"Bone/skin graft, metatarsal",AS,,,$374.30 ,20090101
20972,"Bone/skin graft, metatarsal",,,,"$1,871.49 ",20090101
20972,"Bone/skin graft, metatarsal",,,Y,"$1,466.22 ",20081209
20973,"Bone/skin graft, great toe",80,,,$401.62 ,20090101
20973,"Bone/skin graft, great toe",81,,,$401.62 ,20090101
20973,"Bone/skin graft, great toe",82,,,$401.62 ,20090101
20973,"Bone/skin graft, great toe",AS,,,$401.62 ,20090101
20973,"Bone/skin graft, great toe",,,,"$2,008.11 ",20090101
20973,"Bone/skin graft, great toe",,,Y,"$1,466.22 ",20081209
20974,Electrical bone stimulation,,,,$43.40 ,20090101
20975,Electrical bone stimulation,80,,,$26.09 ,20090101
20975,Electrical bone stimulation,81,,,$26.09 ,20090101
20975,Electrical bone stimulation,82,,,$26.09 ,20090101
20975,Electrical bone stimulation,AS,,,$26.09 ,20090101
20975,Electrical bone stimulation,,,,$130.46 ,20090101
20979,Us bone stimulation,,,,$39.51 ,20090101
21010,Incision of jaw joint,,,,$520.25 ,20090101
21010,Incision of jaw joint,,,Y,$466.13 ,20081209
21015,Resection of facial tumor,,,,$304.64 ,20090101
21015,Resection of facial tumor,,,Y,$441.21 ,20081209
21025,"Excision of bone, lower jaw",,,,$689.68 ,20090101
21025,"Excision of bone, lower jaw",,,Y,$597.79 ,20081209
21026,Excision of facial bone(s),,,,$403.12 ,20090101
21026,Excision of facial bone(s),,,Y,$597.79 ,20081209
21029,Contour of face bone lesion,,,,$519.41 ,20090101
21029,Contour of face bone lesion,,,Y,$597.79 ,20081209
21030,Excise max/zygoma b9 tumor,,,,$336.63 ,20090101
21031,"Remove exostosis, mandible",,,,$258.18 ,20090101
21032,"Remove exostosis, maxilla",,,,$262.91 ,20090101
21034,Excise max/zygoma mlg tumor,80,,,$188.24 ,20090101
21034,Excise max/zygoma mlg tumor,81,,,$188.24 ,20090101
21034,Excise max/zygoma mlg tumor,82,,,$188.24 ,20090101
21034,Excise max/zygoma mlg tumor,AS,,,$188.24 ,20090101
21034,Excise max/zygoma mlg tumor,,,,$941.18 ,20090101
21034,Excise max/zygoma mlg tumor,,,Y,$636.19 ,20081209
21040,Excise mandible lesion,,,,$337.74 ,20090101
21040,Excise mandible lesion,,,Y,$466.13 ,20081209
21044,Removal of jaw bone lesion,80,,,$125.03 ,20090101
21044,Removal of jaw bone lesion,81,,,$125.03 ,20090101
21044,Removal of jaw bone lesion,82,,,$125.03 ,20090101
21044,Removal of jaw bone lesion,AS,,,$125.03 ,20090101
21044,Removal of jaw bone lesion,,,,$625.14 ,20090101
21044,Removal of jaw bone lesion,,,Y,$597.79 ,20081209
21045,Extensive jaw surgery,80,,,$173.77 ,20090101
21045,Extensive jaw surgery,81,,,$173.77 ,20090101
21045,Extensive jaw surgery,82,,,$173.77 ,20090101
21045,Extensive jaw surgery,AS,,,$173.77 ,20090101
21045,Extensive jaw surgery,,,,$868.83 ,20090101
21046,Remove mandible cyst complex,80,,,$153.18 ,20090101
21046,Remove mandible cyst complex,81,,,$153.18 ,20090101
21046,Remove mandible cyst complex,82,,,$153.18 ,20090101
21046,Remove mandible cyst complex,AS,,,$153.18 ,20090101
21046,Remove mandible cyst complex,,,,$765.90 ,20090101
21046,Remove mandible cyst complex,,,Y,$597.79 ,20081209
21047,Excise lwr jaw cyst w/repair,80,,,$188.02 ,20090101
21047,Excise lwr jaw cyst w/repair,81,,,$188.02 ,20090101
21047,Excise lwr jaw cyst w/repair,82,,,$188.02 ,20090101
21047,Excise lwr jaw cyst w/repair,AS,,,$188.02 ,20090101
21047,Excise lwr jaw cyst w/repair,,,,$940.09 ,20090101
21047,Excise lwr jaw cyst w/repair,,,Y,$597.79 ,20081209
21048,Remove maxilla cyst complex,80,,,$155.85 ,20090101
21048,Remove maxilla cyst complex,81,,,$155.85 ,20090101
21048,Remove maxilla cyst complex,82,,,$155.85 ,20090101
21048,Remove maxilla cyst complex,AS,,,$155.85 ,20090101
21048,Remove maxilla cyst complex,,,,$779.25 ,20090101
21049,Excis uppr jaw cyst w/repair,80,,,$179.89 ,20090101
21049,Excis uppr jaw cyst w/repair,81,,,$179.89 ,20090101
21049,Excis uppr jaw cyst w/repair,82,,,$179.89 ,20090101
21049,Excis uppr jaw cyst w/repair,AS,,,$179.89 ,20090101
21049,Excis uppr jaw cyst w/repair,,,,$899.47 ,20090101
21050,Removal of jaw joint,,,,$607.61 ,20090101
21050,Removal of jaw joint,,,Y,$636.19 ,20081209
21060,Remove jaw joint cartilage,80,,,$112.34 ,20090101
21060,Remove jaw joint cartilage,81,,,$112.34 ,20090101
21060,Remove jaw joint cartilage,82,,,$112.34 ,20090101
21060,Remove jaw joint cartilage,AS,,,$112.34 ,20090101
21060,Remove jaw joint cartilage,,,,$561.69 ,20090101
21060,Remove jaw joint cartilage,,,Y,$597.79 ,20081209
21070,Remove coronoid process,,,,$457.93 ,20090101
21070,Remove coronoid process,,,Y,$636.19 ,20081209
21076,Prepare face/oral prosthesis,,,,$711.94 ,20090101
21077,Prepare face/oral prosthesis,,,,"$1,756.88 ",20090101
21079,Prepare face/oral prosthesis,,,,"$1,202.13 ",20090101
21080,Prepare face/oral prosthesis,,,,"$1,367.11 ",20090101
21081,Prepare face/oral prosthesis,,,,"$1,244.42 ",20090101
21082,Prepare face/oral prosthesis,,,,"$1,143.16 ",20090101
21083,Prepare face/oral prosthesis,,,,"$1,085.57 ",20090101
21084,Prepare face/oral prosthesis,,,,"$1,233.02 ",20090101
21085,Prepare face/oral prosthesis,,,,$497.16 ,20090101
21086,Prepare face/oral prosthesis,,,,"$1,305.91 ",20090101
21087,Prepare face/oral prosthesis,,,,"$1,293.67 ",20090101
21100,Maxillofacial fixation,,,,$503.56 ,20090101
21100,Maxillofacial fixation,,,Y,$597.79 ,20081209
21110,Interdental fixation,,,,$496.04 ,20090101
21116,"Injection, jaw joint x-ray",,,,$119.36 ,20090101
21120,Reconstruction of chin,,,,$437.06 ,20090101
21120,Reconstruction of chin,,,Y,$795.53 ,20081209
21121,Reconstruction of chin,80,,,$104.56 ,20090101
21121,Reconstruction of chin,81,,,$104.56 ,20090101
21121,Reconstruction of chin,82,,,$104.56 ,20090101
21121,Reconstruction of chin,AS,,,$104.56 ,20090101
21121,Reconstruction of chin,,,,$522.78 ,20090101
21121,Reconstruction of chin,,,Y,$795.53 ,20081209
21137,Reduction of forehead,80,,,$105.89 ,20090101
21137,Reduction of forehead,81,,,$105.89 ,20090101
21137,Reduction of forehead,82,,,$105.89 ,20090101
21137,Reduction of forehead,AS,,,$105.89 ,20090101
21137,Reduction of forehead,,,,$529.45 ,20090101
21138,Reduction of forehead,80,,,$128.75 ,20090101
21138,Reduction of forehead,81,,,$128.75 ,20090101
21138,Reduction of forehead,82,,,$128.75 ,20090101
21138,Reduction of forehead,AS,,,$128.75 ,20090101
21138,Reduction of forehead,,,,$643.77 ,20090101
21139,Reduction of forehead,80,,,$139.71 ,20090101
21139,Reduction of forehead,81,,,$139.71 ,20090101
21139,Reduction of forehead,82,,,$139.71 ,20090101
21139,Reduction of forehead,AS,,,$139.71 ,20090101
21139,Reduction of forehead,,,,$698.57 ,20090101
21141,"Reconstruct midface, lefort",80,,,$191.35 ,20090101
21141,"Reconstruct midface, lefort",81,,,$191.35 ,20090101
21141,"Reconstruct midface, lefort",82,,,$191.35 ,20090101
21141,"Reconstruct midface, lefort",AS,,,$191.35 ,20090101
21141,"Reconstruct midface, lefort",,,,$956.75 ,20090101
21142,"Reconstruct midface, lefort",80,,,$188.24 ,20090101
21142,"Reconstruct midface, lefort",81,,,$188.24 ,20090101
21142,"Reconstruct midface, lefort",82,,,$188.24 ,20090101
21142,"Reconstruct midface, lefort",AS,,,$188.24 ,20090101
21142,"Reconstruct midface, lefort",,,,$941.18 ,20090101
21143,"Reconstruct midface, lefort",80,,,$197.36 ,20090101
21143,"Reconstruct midface, lefort",81,,,$197.36 ,20090101
21143,"Reconstruct midface, lefort",82,,,$197.36 ,20090101
21143,"Reconstruct midface, lefort",AS,,,$197.36 ,20090101
21143,"Reconstruct midface, lefort",,,,$986.82 ,20090101
21145,"Reconstruct midface, lefort",80,,,$222.17 ,20090101
21145,"Reconstruct midface, lefort",81,,,$222.17 ,20090101
21145,"Reconstruct midface, lefort",82,,,$222.17 ,20090101
21145,"Reconstruct midface, lefort",AS,,,$222.17 ,20090101
21145,"Reconstruct midface, lefort",,,,"$1,110.87 ",20090101
21146,"Reconstruct midface, lefort",80,,,$222.01 ,20090101
21146,"Reconstruct midface, lefort",81,,,$222.01 ,20090101
21146,"Reconstruct midface, lefort",82,,,$222.01 ,20090101
21146,"Reconstruct midface, lefort",AS,,,$222.01 ,20090101
21146,"Reconstruct midface, lefort",,,,"$1,110.04 ",20090101
21147,"Reconstruct midface, lefort",80,,,$237.42 ,20090101
21147,"Reconstruct midface, lefort",81,,,$237.42 ,20090101
21147,"Reconstruct midface, lefort",82,,,$237.42 ,20090101
21147,"Reconstruct midface, lefort",AS,,,$237.42 ,20090101
21147,"Reconstruct midface, lefort",,,,"$1,187.09 ",20090101
21150,"Reconstruct midface, lefort",80,,,$251.44 ,20090101
21150,"Reconstruct midface, lefort",81,,,$251.44 ,20090101
21150,"Reconstruct midface, lefort",82,,,$251.44 ,20090101
21150,"Reconstruct midface, lefort",AS,,,$251.44 ,20090101
21150,"Reconstruct midface, lefort",,,,"$1,257.21 ",20090101
21151,"Reconstruct midface, lefort",80,,,$269.52 ,20090101
21151,"Reconstruct midface, lefort",81,,,$269.52 ,20090101
21151,"Reconstruct midface, lefort",82,,,$269.52 ,20090101
21151,"Reconstruct midface, lefort",AS,,,$269.52 ,20090101
21151,"Reconstruct midface, lefort",,,,"$1,347.62 ",20090101
21154,"Reconstruct midface, lefort",80,,,$300.80 ,20090101
21154,"Reconstruct midface, lefort",81,,,$300.80 ,20090101
21154,"Reconstruct midface, lefort",82,,,$300.80 ,20090101
21154,"Reconstruct midface, lefort",AS,,,$300.80 ,20090101
21154,"Reconstruct midface, lefort",,,,"$1,504.01 ",20090101
21155,"Reconstruct midface, lefort",80,,,$348.76 ,20090101
21155,"Reconstruct midface, lefort",81,,,$348.76 ,20090101
21155,"Reconstruct midface, lefort",82,,,$348.76 ,20090101
21155,"Reconstruct midface, lefort",AS,,,$348.76 ,20090101
21155,"Reconstruct midface, lefort",,,,"$1,743.82 ",20090101
21159,"Reconstruct midface, lefort",80,,,$407.41 ,20090101
21159,"Reconstruct midface, lefort",81,,,$407.41 ,20090101
21159,"Reconstruct midface, lefort",82,,,$407.41 ,20090101
21159,"Reconstruct midface, lefort",AS,,,$407.41 ,20090101
21159,"Reconstruct midface, lefort",,,,"$2,037.04 ",20090101
21160,"Reconstruct midface, lefort",80,,,$425.44 ,20090101
21160,"Reconstruct midface, lefort",81,,,$425.44 ,20090101
21160,"Reconstruct midface, lefort",82,,,$425.44 ,20090101
21160,"Reconstruct midface, lefort",AS,,,$425.44 ,20090101
21160,"Reconstruct midface, lefort",,,,"$2,127.18 ",20090101
21172,Reconstruct orbit/forehead,80,,,$252.50 ,20090101
21172,Reconstruct orbit/forehead,81,,,$252.50 ,20090101
21172,Reconstruct orbit/forehead,82,,,$252.50 ,20090101
21172,Reconstruct orbit/forehead,AS,,,$252.50 ,20090101
21172,Reconstruct orbit/forehead,,,,"$1,262.49 ",20090101
21175,Reconstruct orbit/forehead,80,,,$300.13 ,20090101
21175,Reconstruct orbit/forehead,81,,,$300.13 ,20090101
21175,Reconstruct orbit/forehead,82,,,$300.13 ,20090101
21175,Reconstruct orbit/forehead,AS,,,$300.13 ,20090101
21175,Reconstruct orbit/forehead,,,,"$1,500.65 ",20090101
21179,Reconstruct entire forehead,80,,,$211.55 ,20090101
21179,Reconstruct entire forehead,81,,,$211.55 ,20090101
21179,Reconstruct entire forehead,82,,,$211.55 ,20090101
21179,Reconstruct entire forehead,AS,,,$211.55 ,20090101
21179,Reconstruct entire forehead,,,,"$1,057.77 ",20090101
21180,Reconstruct entire forehead,80,,,$240.04 ,20090101
21180,Reconstruct entire forehead,81,,,$240.04 ,20090101
21180,Reconstruct entire forehead,82,,,$240.04 ,20090101
21180,Reconstruct entire forehead,AS,,,$240.04 ,20090101
21180,Reconstruct entire forehead,,,,"$1,200.19 ",20090101
21181,Contour cranial bone lesion,,,,$518.86 ,20090101
21181,Contour cranial bone lesion,,,Y,$795.53 ,20081209
21182,Reconstruct cranial bone,80,,,$291.89 ,20090101
21182,Reconstruct cranial bone,81,,,$291.89 ,20090101
21182,Reconstruct cranial bone,82,,,$291.89 ,20090101
21182,Reconstruct cranial bone,AS,,,$291.89 ,20090101
21182,Reconstruct cranial bone,,,,"$1,459.45 ",20090101
21183,Reconstruct cranial bone,80,,,$334.29 ,20090101
21183,Reconstruct cranial bone,81,,,$334.29 ,20090101
21183,Reconstruct cranial bone,82,,,$334.29 ,20090101
21183,Reconstruct cranial bone,AS,,,$334.29 ,20090101
21183,Reconstruct cranial bone,,,,"$1,671.47 ",20090101
21184,Reconstruct cranial bone,80,,,$350.54 ,20090101
21184,Reconstruct cranial bone,81,,,$350.54 ,20090101
21184,Reconstruct cranial bone,82,,,$350.54 ,20090101
21184,Reconstruct cranial bone,AS,,,$350.54 ,20090101
21184,Reconstruct cranial bone,,,,"$1,752.72 ",20090101
21188,Reconstruction of midface,80,,,$233.36 ,20090101
21188,Reconstruction of midface,81,,,$233.36 ,20090101
21188,Reconstruction of midface,82,,,$233.36 ,20090101
21188,Reconstruction of midface,AS,,,$233.36 ,20090101
21188,Reconstruction of midface,,,,"$1,166.81 ",20090101
21193,Reconst lwr jaw w/o graft,80,,,$178.78 ,20090101
21193,Reconst lwr jaw w/o graft,81,,,$178.78 ,20090101
21193,Reconst lwr jaw w/o graft,82,,,$178.78 ,20090101
21193,Reconst lwr jaw w/o graft,AS,,,$178.78 ,20090101
21193,Reconst lwr jaw w/o graft,,,,$893.88 ,20090101
21194,Reconst lwr jaw w/graft,80,,,$203.20 ,20090101
21194,Reconst lwr jaw w/graft,81,,,$203.20 ,20090101
21194,Reconst lwr jaw w/graft,82,,,$203.20 ,20090101
21194,Reconst lwr jaw w/graft,AS,,,$203.20 ,20090101
21194,Reconst lwr jaw w/graft,,,,"$1,016.01 ",20090101
21195,Reconst lwr jaw w/o fixation,80,,,$191.80 ,20090101
21195,Reconst lwr jaw w/o fixation,81,,,$191.80 ,20090101
21195,Reconst lwr jaw w/o fixation,82,,,$191.80 ,20090101
21195,Reconst lwr jaw w/o fixation,AS,,,$191.80 ,20090101
21195,Reconst lwr jaw w/o fixation,,,,$958.98 ,20090101
21196,Reconst lwr jaw w/fixation,80,,,$208.43 ,20090101
21196,Reconst lwr jaw w/fixation,81,,,$208.43 ,20090101
21196,Reconst lwr jaw w/fixation,82,,,$208.43 ,20090101
21196,Reconst lwr jaw w/fixation,AS,,,$208.43 ,20090101
21196,Reconst lwr jaw w/fixation,,,,"$1,042.14 ",20090101
21198,Reconstr lwr jaw segment,80,,,$162.59 ,20090101
21198,Reconstr lwr jaw segment,81,,,$162.59 ,20090101
21198,Reconstr lwr jaw segment,82,,,$162.59 ,20090101
21198,Reconstr lwr jaw segment,AS,,,$162.59 ,20090101
21198,Reconstr lwr jaw segment,,,,$812.94 ,20090101
21199,Reconstr lwr jaw w/advance,80,,,$146.67 ,20090101
21199,Reconstr lwr jaw w/advance,81,,,$146.67 ,20090101
21199,Reconstr lwr jaw w/advance,82,,,$146.67 ,20090101
21199,Reconstr lwr jaw w/advance,AS,,,$146.67 ,20090101
21199,Reconstr lwr jaw w/advance,,,,$733.35 ,20090101
21206,Reconstruct upper jaw bone,80,,,$158.36 ,20090101
21206,Reconstruct upper jaw bone,81,,,$158.36 ,20090101
21206,Reconstruct upper jaw bone,82,,,$158.36 ,20090101
21206,Reconstruct upper jaw bone,AS,,,$158.36 ,20090101
21206,Reconstruct upper jaw bone,,,,$791.78 ,20090101
21206,Reconstruct upper jaw bone,,,Y,$760.39 ,20081209
21208,Augmentation of facial bones,,,,"$1,112.83 ",20090101
21208,Augmentation of facial bones,,,Y,$927.19 ,20081209
21209,Reduction of facial bones,80,,,$111.17 ,20090101
21209,Reduction of facial bones,81,,,$111.17 ,20090101
21209,Reduction of facial bones,82,,,$111.17 ,20090101
21209,Reduction of facial bones,AS,,,$111.17 ,20090101
21209,Reduction of facial bones,,,,$555.85 ,20090101
21209,Reduction of facial bones,,,Y,$760.39 ,20081209
21210,Face bone graft,,,,"$1,304.51 ",20090101
21210,Face bone graft,,,Y,$927.19 ,20081209
21215,Lower jaw bone graft,,,,"$2,155.83 ",20090101
21215,Lower jaw bone graft,,,Y,$927.19 ,20081209
21230,Rib cartilage graft,,,,$553.07 ,20090101
21230,Rib cartilage graft,,,Y,$927.19 ,20081209
21235,Ear cartilage graft,,,,$497.99 ,20090101
21235,Ear cartilage graft,,,Y,$795.53 ,20081209
21240,Reconstruction of jaw joint,80,,,$160.08 ,20090101
21240,Reconstruction of jaw joint,81,,,$160.08 ,20090101
21240,Reconstruction of jaw joint,82,,,$160.08 ,20090101
21240,Reconstruction of jaw joint,AS,,,$160.08 ,20090101
21240,Reconstruction of jaw joint,,,,$800.42 ,20090101
21240,Reconstruction of jaw joint,,,Y,$708.19 ,20081209
21242,Reconstruction of jaw joint,80,,,$146.78 ,20090101
21242,Reconstruction of jaw joint,81,,,$146.78 ,20090101
21242,Reconstruction of jaw joint,82,,,$146.78 ,20090101
21242,Reconstruction of jaw joint,AS,,,$146.78 ,20090101
21242,Reconstruction of jaw joint,,,,$733.92 ,20090101
21242,Reconstruction of jaw joint,,,Y,$760.39 ,20081209
21243,Reconstruction of jaw joint,80,,,$239.76 ,20090101
21243,Reconstruction of jaw joint,81,,,$239.76 ,20090101
21243,Reconstruction of jaw joint,82,,,$239.76 ,20090101
21243,Reconstruction of jaw joint,AS,,,$239.76 ,20090101
21243,Reconstruction of jaw joint,,,,"$1,198.79 ",20090101
21243,Reconstruction of jaw joint,,,Y,$760.39 ,20081209
21244,Reconstruction of lower jaw,80,,,$146.95 ,20090101
21244,Reconstruction of lower jaw,81,,,$146.95 ,20090101
21244,Reconstruction of lower jaw,82,,,$146.95 ,20090101
21244,Reconstruction of lower jaw,AS,,,$146.95 ,20090101
21244,Reconstruction of lower jaw,,,,$734.75 ,20090101
21244,Reconstruction of lower jaw,,,Y,$927.19 ,20081209
21245,Reconstruction of jaw,80,,,$157.91 ,20090101
21245,Reconstruction of jaw,81,,,$157.91 ,20090101
21245,Reconstruction of jaw,82,,,$157.91 ,20090101
21245,Reconstruction of jaw,AS,,,$157.91 ,20090101
21245,Reconstruction of jaw,,,,$789.55 ,20090101
21245,Reconstruction of jaw,,,Y,$927.19 ,20081209
21246,Reconstruction of jaw,80,,,$124.47 ,20090101
21246,Reconstruction of jaw,81,,,$124.47 ,20090101
21246,Reconstruction of jaw,82,,,$124.47 ,20090101
21246,Reconstruction of jaw,AS,,,$124.47 ,20090101
21246,Reconstruction of jaw,,,,$622.35 ,20090101
21246,Reconstruction of jaw,,,Y,$927.19 ,20081209
21247,Reconstruct lower jaw bone,80,,,$233.25 ,20090101
21247,Reconstruct lower jaw bone,81,,,$233.25 ,20090101
21247,Reconstruct lower jaw bone,82,,,$233.25 ,20090101
21247,Reconstruct lower jaw bone,AS,,,$233.25 ,20090101
21247,Reconstruct lower jaw bone,,,,"$1,166.24 ",20090101
21248,Reconstruction of jaw,,,,$736.41 ,20090101
21248,Reconstruction of jaw,,,Y,$927.19 ,20081209
21249,Reconstruction of jaw,,,,"$1,037.71 ",20090101
21249,Reconstruction of jaw,,,Y,$927.19 ,20081209
21255,Reconstruct lower jaw bone,80,,,$198.25 ,20090101
21255,Reconstruct lower jaw bone,81,,,$198.25 ,20090101
21255,Reconstruct lower jaw bone,82,,,$198.25 ,20090101
21255,Reconstruct lower jaw bone,AS,,,$198.25 ,20090101
21255,Reconstruct lower jaw bone,,,,$991.27 ,20090101
21256,Reconstruction of orbit,80,,,$164.81 ,20090101
21256,Reconstruction of orbit,81,,,$164.81 ,20090101
21256,Reconstruction of orbit,82,,,$164.81 ,20090101
21256,Reconstruction of orbit,AS,,,$164.81 ,20090101
21256,Reconstruction of orbit,,,,$824.07 ,20090101
21260,Revise eye sockets,80,,,$175.71 ,20090101
21260,Revise eye sockets,81,,,$175.71 ,20090101
21260,Revise eye sockets,82,,,$175.71 ,20090101
21260,Revise eye sockets,AS,,,$175.71 ,20090101
21260,Revise eye sockets,,,,$878.56 ,20090101
21261,Revise eye sockets,80,,,$315.54 ,20090101
21261,Revise eye sockets,81,,,$315.54 ,20090101
21261,Revise eye sockets,82,,,$315.54 ,20090101
21261,Revise eye sockets,AS,,,$315.54 ,20090101
21261,Revise eye sockets,,,,"$1,577.70 ",20090101
21263,Revise eye sockets,80,,,$277.76 ,20090101
21263,Revise eye sockets,81,,,$277.76 ,20090101
21263,Revise eye sockets,82,,,$277.76 ,20090101
21263,Revise eye sockets,AS,,,$277.76 ,20090101
21263,Revise eye sockets,,,,"$1,388.81 ",20090101
21267,Revise eye sockets,80,,,$223.01 ,20090101
21267,Revise eye sockets,81,,,$223.01 ,20090101
21267,Revise eye sockets,82,,,$223.01 ,20090101
21267,Revise eye sockets,AS,,,$223.01 ,20090101
21267,Revise eye sockets,,,,"$1,115.06 ",20090101
21267,Revise eye sockets,,,Y,$927.19 ,20081209
21268,Revise eye sockets,80,,,$262.19 ,20090101
21268,Revise eye sockets,81,,,$262.19 ,20090101
21268,Revise eye sockets,82,,,$262.19 ,20090101
21268,Revise eye sockets,AS,,,$262.19 ,20090101
21268,Revise eye sockets,,,,"$1,310.93 ",20090101
21270,"Augmentation, cheek bone",80,,,$126.03 ,20090101
21270,"Augmentation, cheek bone",81,,,$126.03 ,20090101
21270,"Augmentation, cheek bone",82,,,$126.03 ,20090101
21270,"Augmentation, cheek bone",AS,,,$126.03 ,20090101
21270,"Augmentation, cheek bone",,,,$630.16 ,20090101
21270,"Augmentation, cheek bone",,,Y,$760.39 ,20081209
21275,"Revision, orbitofacial bones",80,,,$114.63 ,20090101
21275,"Revision, orbitofacial bones",81,,,$114.63 ,20090101
21275,"Revision, orbitofacial bones",82,,,$114.63 ,20090101
21275,"Revision, orbitofacial bones",AS,,,$114.63 ,20090101
21275,"Revision, orbitofacial bones",,,,$573.13 ,20090101
21275,"Revision, orbitofacial bones",,,Y,$927.19 ,20081209
21280,Revision of eyelid,,,,$365.28 ,20090101
21280,Revision of eyelid,,,Y,$760.39 ,20081209
21282,Revision of eyelid,,,,$241.77 ,20090101
21282,Revision of eyelid,,,Y,$565.41 ,20081209
21295,Revision of jaw muscle/bone,,,,$121.30 ,20090101
21295,Revision of jaw muscle/bone,,,Y,$261.46 ,20081209
21296,Revision of jaw muscle/bone,,,,$283.22 ,20090101
21296,Revision of jaw muscle/bone,,,Y,$398.33 ,20081209
21310,Treatment of nose fracture,,,,$77.07 ,20090101
21310,Treatment of nose fracture,,,Y,$111.14 ,20081209
21315,Treatment of nose fracture,,,,$178.05 ,20090101
21315,Treatment of nose fracture,,,Y,$111.14 ,20081209
21320,Treatment of nose fracture,,,,$171.10 ,20090101
21320,Treatment of nose fracture,,,Y,$402.81 ,20081209
21325,Treatment of nose fracture,,,,$338.86 ,20090101
21325,Treatment of nose fracture,,,Y,$576.53 ,20081209
21330,Treatment of nose fracture,,,,$414.81 ,20090101
21330,Treatment of nose fracture,,,Y,$628.73 ,20081209
21335,Treatment of nose fracture,,,,$520.25 ,20090101
21335,Treatment of nose fracture,,,Y,$795.53 ,20081209
21336,Treat nasal septal fracture,,,,$452.09 ,20090101
21336,Treat nasal septal fracture,,,Y,$594.61 ,20081209
21337,Treat nasal septal fracture,,,,$269.31 ,20090101
21337,Treat nasal septal fracture,,,Y,$402.81 ,20081209
21338,Treat nasoethmoid fracture,,,,$544.17 ,20090101
21338,Treat nasoethmoid fracture,,,Y,$576.53 ,20081209
21339,Treat nasoethmoid fracture,80,,,$118.07 ,20090101
21339,Treat nasoethmoid fracture,81,,,$118.07 ,20090101
21339,Treat nasoethmoid fracture,82,,,$118.07 ,20090101
21339,Treat nasoethmoid fracture,AS,,,$118.07 ,20090101
21339,Treat nasoethmoid fracture,,,,$590.36 ,20090101
21339,Treat nasoethmoid fracture,,,Y,$628.73 ,20081209
21340,Treatment of nose fracture,,,,$565.04 ,20090101
21340,Treatment of nose fracture,,,Y,$708.19 ,20081209
21343,Treatment of sinus fracture,80,,,$165.36 ,20090101
21343,Treatment of sinus fracture,81,,,$165.36 ,20090101
21343,Treatment of sinus fracture,82,,,$165.36 ,20090101
21343,Treatment of sinus fracture,AS,,,$165.36 ,20090101
21343,Treatment of sinus fracture,,,,$826.81 ,20090101
21344,Treatment of sinus fracture,80,,,$214.72 ,20090101
21344,Treatment of sinus fracture,81,,,$214.72 ,20090101
21344,Treatment of sinus fracture,82,,,$214.72 ,20090101
21344,Treatment of sinus fracture,AS,,,$214.72 ,20090101
21344,Treatment of sinus fracture,,,,"$1,073.61 ",20090101
21345,Treat nose/jaw fracture,,,,$555.30 ,20090101
21345,Treat nose/jaw fracture,,,Y,$795.53 ,20081209
21346,Treat nose/jaw fracture,,,,$668.26 ,20090101
21347,Treat nose/jaw fracture,80,,,$160.30 ,20090101
21347,Treat nose/jaw fracture,81,,,$160.30 ,20090101
21347,Treat nose/jaw fracture,82,,,$160.30 ,20090101
21347,Treat nose/jaw fracture,AS,,,$160.30 ,20090101
21347,Treat nose/jaw fracture,,,,$801.50 ,20090101
21348,Treat nose/jaw fracture,80,,,$171.99 ,20090101
21348,Treat nose/jaw fracture,81,,,$171.99 ,20090101
21348,Treat nose/jaw fracture,82,,,$171.99 ,20090101
21348,Treat nose/jaw fracture,AS,,,$171.99 ,20090101
21348,Treat nose/jaw fracture,,,,$859.93 ,20090101
21355,Treat cheek bone fracture,,,,$298.51 ,20090101
21355,Treat cheek bone fracture,,,Y,$636.19 ,20081209
21356,Treat cheek bone fracture,,,,$339.69 ,20090101
21360,Treat cheek bone fracture,80,,,$74.78 ,20090101
21360,Treat cheek bone fracture,81,,,$74.78 ,20090101
21360,Treat cheek bone fracture,82,,,$74.78 ,20090101
21360,Treat cheek bone fracture,AS,,,$74.78 ,20090101
21360,Treat cheek bone fracture,,,,$373.89 ,20090101
21360,Treat cheek bone fracture,,,Y,$794.12 ,20081209
21365,Treat cheek bone fracture,80,,,$156.85 ,20090101
21365,Treat cheek bone fracture,81,,,$156.85 ,20090101
21365,Treat cheek bone fracture,82,,,$156.85 ,20090101
21365,Treat cheek bone fracture,AS,,,$156.85 ,20090101
21365,Treat cheek bone fracture,,,,$784.27 ,20090101
21366,Treat cheek bone fracture,80,,,$177.27 ,20090101
21366,Treat cheek bone fracture,81,,,$177.27 ,20090101
21366,Treat cheek bone fracture,82,,,$177.27 ,20090101
21366,Treat cheek bone fracture,AS,,,$177.27 ,20090101
21366,Treat cheek bone fracture,,,,$886.37 ,20090101
21385,Treat eye socket fracture,80,,,$100.93 ,20090101
21385,Treat eye socket fracture,81,,,$100.93 ,20090101
21385,Treat eye socket fracture,82,,,$100.93 ,20090101
21385,Treat eye socket fracture,AS,,,$100.93 ,20090101
21385,Treat eye socket fracture,,,,$504.67 ,20090101
21386,Treat eye socket fracture,80,,,$94.42 ,20090101
21386,Treat eye socket fracture,81,,,$94.42 ,20090101
21386,Treat eye socket fracture,82,,,$94.42 ,20090101
21386,Treat eye socket fracture,AS,,,$94.42 ,20090101
21386,Treat eye socket fracture,,,,$472.12 ,20090101
21387,Treat eye socket fracture,80,,,$107.33 ,20090101
21387,Treat eye socket fracture,81,,,$107.33 ,20090101
21387,Treat eye socket fracture,82,,,$107.33 ,20090101
21387,Treat eye socket fracture,AS,,,$107.33 ,20090101
21387,Treat eye socket fracture,,,,$536.65 ,20090101
21390,Treat eye socket fracture,80,,,$107.84 ,20090101
21390,Treat eye socket fracture,81,,,$107.84 ,20090101
21390,Treat eye socket fracture,82,,,$107.84 ,20090101
21390,Treat eye socket fracture,AS,,,$107.84 ,20090101
21390,Treat eye socket fracture,,,,$539.18 ,20090101
21390,Treat eye socket fracture,,,Y,"$1,320.78 ",20081209
21395,Treat eye socket fracture,80,,,$137.72 ,20090101
21395,Treat eye socket fracture,81,,,$137.72 ,20090101
21395,Treat eye socket fracture,82,,,$137.72 ,20090101
21395,Treat eye socket fracture,AS,,,$137.72 ,20090101
21395,Treat eye socket fracture,,,,$688.59 ,20090101
21400,Treat eye socket fracture,,,,$118.24 ,20090101
21400,Treat eye socket fracture,,,Y,$329.26 ,20081209
21401,Treat eye socket fracture,80,,,$63.82 ,20090101
21401,Treat eye socket fracture,81,,,$63.82 ,20090101
21401,Treat eye socket fracture,82,,,$63.82 ,20090101
21401,Treat eye socket fracture,AS,,,$63.82 ,20090101
21401,Treat eye socket fracture,,,,$319.09 ,20090101
21401,Treat eye socket fracture,,,Y,$441.21 ,20081209
21406,Treat eye socket fracture,80,,,$76.39 ,20090101
21406,Treat eye socket fracture,81,,,$76.39 ,20090101
21406,Treat eye socket fracture,82,,,$76.39 ,20090101
21406,Treat eye socket fracture,AS,,,$76.39 ,20090101
21406,Treat eye socket fracture,,,,$381.97 ,20090101
21406,Treat eye socket fracture,,,Y,"$1,320.78 ",20081209
21407,Treat eye socket fracture,80,,,$90.37 ,20090101
21407,Treat eye socket fracture,81,,,$90.37 ,20090101
21407,Treat eye socket fracture,82,,,$90.37 ,20090101
21407,Treat eye socket fracture,AS,,,$90.37 ,20090101
21407,Treat eye socket fracture,,,,$451.83 ,20090101
21407,Treat eye socket fracture,,,Y,"$1,320.78 ",20081209
21408,Treat eye socket fracture,80,,,$123.97 ,20090101
21408,Treat eye socket fracture,81,,,$123.97 ,20090101
21408,Treat eye socket fracture,82,,,$123.97 ,20090101
21408,Treat eye socket fracture,AS,,,$123.97 ,20090101
21408,Treat eye socket fracture,,,,$619.86 ,20090101
21421,Treat mouth roof fracture,,,,$484.92 ,20090101
21421,Treat mouth roof fracture,,,Y,$576.53 ,20081209
21422,Treat mouth roof fracture,80,,,$95.54 ,20090101
21422,Treat mouth roof fracture,81,,,$95.54 ,20090101
21422,Treat mouth roof fracture,82,,,$95.54 ,20090101
21422,Treat mouth roof fracture,AS,,,$95.54 ,20090101
21422,Treat mouth roof fracture,,,,$477.70 ,20090101
21423,Treat mouth roof fracture,80,,,$113.23 ,20090101
21423,Treat mouth roof fracture,81,,,$113.23 ,20090101
21423,Treat mouth roof fracture,82,,,$113.23 ,20090101
21423,Treat mouth roof fracture,AS,,,$113.23 ,20090101
21423,Treat mouth roof fracture,,,,$566.15 ,20090101
21431,Treat craniofacial fracture,80,,,$103.66 ,20090101
21431,Treat craniofacial fracture,81,,,$103.66 ,20090101
21431,Treat craniofacial fracture,82,,,$103.66 ,20090101
21431,Treat craniofacial fracture,AS,,,$103.66 ,20090101
21431,Treat craniofacial fracture,,,,$518.28 ,20090101
21432,Treat craniofacial fracture,80,,,$94.65 ,20090101
21432,Treat craniofacial fracture,81,,,$94.65 ,20090101
21432,Treat craniofacial fracture,82,,,$94.65 ,20090101
21432,Treat craniofacial fracture,AS,,,$94.65 ,20090101
21432,Treat craniofacial fracture,,,,$473.25 ,20090101
21433,Treat craniofacial fracture,80,,,$240.37 ,20090101
21433,Treat craniofacial fracture,81,,,$240.37 ,20090101
21433,Treat craniofacial fracture,82,,,$240.37 ,20090101
21433,Treat craniofacial fracture,AS,,,$240.37 ,20090101
21433,Treat craniofacial fracture,,,,"$1,201.84 ",20090101
21435,Treat craniofacial fracture,80,,,$188.68 ,20090101
21435,Treat craniofacial fracture,81,,,$188.68 ,20090101
21435,Treat craniofacial fracture,82,,,$188.68 ,20090101
21435,Treat craniofacial fracture,AS,,,$188.68 ,20090101
21435,Treat craniofacial fracture,,,,$943.40 ,20090101
21436,Treat craniofacial fracture,80,,,$271.53 ,20090101
21436,Treat craniofacial fracture,81,,,$271.53 ,20090101
21436,Treat craniofacial fracture,82,,,$271.53 ,20090101
21436,Treat craniofacial fracture,AS,,,$271.53 ,20090101
21436,Treat craniofacial fracture,,,,"$1,357.66 ",20090101
21440,Treat dental ridge fracture,,,,$340.80 ,20090101
21440,Treat dental ridge fracture,,,Y,$261.74 ,20081209
21445,Treat dental ridge fracture,80,,,$99.27 ,20090101
21445,Treat dental ridge fracture,81,,,$99.27 ,20090101
21445,Treat dental ridge fracture,82,,,$99.27 ,20090101
21445,Treat dental ridge fracture,AS,,,$99.27 ,20090101
21445,Treat dental ridge fracture,,,,$496.33 ,20090101
21445,Treat dental ridge fracture,,,Y,$576.53 ,20081209
21450,Treat lower jaw fracture,,,,$356.94 ,20090101
21450,Treat lower jaw fracture,,,Y,$111.14 ,20081209
21451,Treat lower jaw fracture,,,,$480.19 ,20090101
21451,Treat lower jaw fracture,,,Y,$340.16 ,20081209
21452,Treat lower jaw fracture,,,,$420.10 ,20090101
21452,Treat lower jaw fracture,,,Y,$402.81 ,20081209
21453,Treat lower jaw fracture,,,,$554.19 ,20090101
21453,Treat lower jaw fracture,,,Y,$636.19 ,20081209
21454,Treat lower jaw fracture,80,,,$77.84 ,20090101
21454,Treat lower jaw fracture,81,,,$77.84 ,20090101
21454,Treat lower jaw fracture,82,,,$77.84 ,20090101
21454,Treat lower jaw fracture,AS,,,$77.84 ,20090101
21454,Treat lower jaw fracture,,,,$389.21 ,20090101
21454,Treat lower jaw fracture,,,Y,$628.73 ,20081209
21461,Treat lower jaw fracture,80,,,$126.81 ,20090101
21461,Treat lower jaw fracture,81,,,$126.81 ,20090101
21461,Treat lower jaw fracture,82,,,$126.81 ,20090101
21461,Treat lower jaw fracture,AS,,,$126.81 ,20090101
21461,Treat lower jaw fracture,,,,$634.04 ,20090101
21461,Treat lower jaw fracture,,,Y,$708.19 ,20081209
21462,Treat lower jaw fracture,80,,,$139.72 ,20090101
21462,Treat lower jaw fracture,81,,,$139.72 ,20090101
21462,Treat lower jaw fracture,82,,,$139.72 ,20090101
21462,Treat lower jaw fracture,AS,,,$139.72 ,20090101
21462,Treat lower jaw fracture,,,,$698.58 ,20090101
21462,Treat lower jaw fracture,,,Y,$760.39 ,20081209
21465,Treat lower jaw fracture,80,,,$129.92 ,20090101
21465,Treat lower jaw fracture,81,,,$129.92 ,20090101
21465,Treat lower jaw fracture,82,,,$129.92 ,20090101
21465,Treat lower jaw fracture,AS,,,$129.92 ,20090101
21465,Treat lower jaw fracture,,,,$649.62 ,20090101
21465,Treat lower jaw fracture,,,Y,$708.19 ,20081209
21470,Treat lower jaw fracture,80,,,$168.65 ,20090101
21470,Treat lower jaw fracture,81,,,$168.65 ,20090101
21470,Treat lower jaw fracture,82,,,$168.65 ,20090101
21470,Treat lower jaw fracture,AS,,,$168.65 ,20090101
21470,Treat lower jaw fracture,,,,$843.27 ,20090101
21480,Reset dislocated jaw,,,,$64.54 ,20090101
21480,Reset dislocated jaw,,,Y,$111.14 ,20081209
21485,Reset dislocated jaw,,,,$424.27 ,20090101
21485,Reset dislocated jaw,,,Y,$402.81 ,20081209
21490,Repair dislocated jaw,80,,,$131.26 ,20090101
21490,Repair dislocated jaw,81,,,$131.26 ,20090101
21490,Repair dislocated jaw,82,,,$131.26 ,20090101
21490,Repair dislocated jaw,AS,,,$131.26 ,20090101
21490,Repair dislocated jaw,,,,$656.29 ,20090101
21490,Repair dislocated jaw,,,Y,$636.19 ,20081209
21495,Treat hyoid bone fracture,80,,,$91.59 ,20090101
21495,Treat hyoid bone fracture,81,,,$91.59 ,20090101
21495,Treat hyoid bone fracture,82,,,$91.59 ,20090101
21495,Treat hyoid bone fracture,AS,,,$91.59 ,20090101
21495,Treat hyoid bone fracture,,,,$457.94 ,20090101
21495,Treat hyoid bone fracture,,,Y,$540.82 ,20081209
21497,Interdental wiring,,,,$425.39 ,20090101
21497,Interdental wiring,,,Y,$402.81 ,20081209
21501,Drain neck/chest lesion,,,,$300.19 ,20090101
21501,Drain neck/chest lesion,,,Y,$419.29 ,20081209
21502,Drain chest lesion,80,,,$75.12 ,20090101
21502,Drain chest lesion,81,,,$75.12 ,20090101
21502,Drain chest lesion,82,,,$75.12 ,20090101
21502,Drain chest lesion,AS,,,$75.12 ,20090101
21502,Drain chest lesion,,,,$375.60 ,20090101
21502,Drain chest lesion,,,Y,$443.71 ,20081209
21510,Drainage of bone lesion,,,,$336.63 ,20090101
21550,Biopsy of neck/chest,,,,$172.76 ,20090101
21550,Biopsy of neck/chest,,,Y,$287.66 ,20081209
21555,"Remove lesion, neck/chest",,,,$295.18 ,20090101
21555,"Remove lesion, neck/chest",,,Y,$442.39 ,20081209
21556,"Remove lesion, neck/chest",,,,$289.33 ,20090101
21556,"Remove lesion, neck/chest",,,Y,$442.39 ,20081209
21557,"Remove tumor, neck/chest",80,,,$83.07 ,20090101
21557,"Remove tumor, neck/chest",81,,,$83.07 ,20090101
21557,"Remove tumor, neck/chest",82,,,$83.07 ,20090101
21557,"Remove tumor, neck/chest",AS,,,$83.07 ,20090101
21557,"Remove tumor, neck/chest",,,,$415.35 ,20090101
21600,Partial removal of rib,80,,,$77.79 ,20090101
21600,Partial removal of rib,81,,,$77.79 ,20090101
21600,Partial removal of rib,82,,,$77.79 ,20090101
21600,Partial removal of rib,AS,,,$77.79 ,20090101
21600,Partial removal of rib,,,,$388.95 ,20090101
21600,Partial removal of rib,,,Y,$509.30 ,20081209
21610,Partial removal of rib,80,,,$154.30 ,20090101
21610,Partial removal of rib,81,,,$154.30 ,20090101
21610,Partial removal of rib,82,,,$154.30 ,20090101
21610,Partial removal of rib,AS,,,$154.30 ,20090101
21610,Partial removal of rib,,,,$771.49 ,20090101
21610,Partial removal of rib,,,Y,$509.30 ,20081209
21615,Removal of rib,80,,,$98.43 ,20090101
21615,Removal of rib,81,,,$98.43 ,20090101
21615,Removal of rib,82,,,$98.43 ,20090101
21615,Removal of rib,AS,,,$98.43 ,20090101
21615,Removal of rib,,,,$492.14 ,20090101
21616,Removal of rib and nerves,80,,,$120.63 ,20090101
21616,Removal of rib and nerves,81,,,$120.63 ,20090101
21616,Removal of rib and nerves,82,,,$120.63 ,20090101
21616,Removal of rib and nerves,AS,,,$120.63 ,20090101
21616,Removal of rib and nerves,,,,$603.15 ,20090101
21620,Partial removal of sternum,80,,,$75.17 ,20090101
21620,Partial removal of sternum,81,,,$75.17 ,20090101
21620,Partial removal of sternum,82,,,$75.17 ,20090101
21620,Partial removal of sternum,AS,,,$75.17 ,20090101
21620,Partial removal of sternum,,,,$375.86 ,20090101
21627,Sternal debridement,80,,,$78.62 ,20090101
21627,Sternal debridement,81,,,$78.62 ,20090101
21627,Sternal debridement,82,,,$78.62 ,20090101
21627,Sternal debridement,AS,,,$78.62 ,20090101
21627,Sternal debridement,,,,$393.09 ,20090101
21630,Extensive sternum surgery,80,,,$181.95 ,20090101
21630,Extensive sternum surgery,81,,,$181.95 ,20090101
21630,Extensive sternum surgery,82,,,$181.95 ,20090101
21630,Extensive sternum surgery,AS,,,$181.95 ,20090101
21630,Extensive sternum surgery,,,,$909.77 ,20090101
21632,Extensive sternum surgery,80,,,$180.50 ,20090101
21632,Extensive sternum surgery,81,,,$180.50 ,20090101
21632,Extensive sternum surgery,82,,,$180.50 ,20090101
21632,Extensive sternum surgery,AS,,,$180.50 ,20090101
21632,Extensive sternum surgery,,,,$902.52 ,20090101
21700,Revision of neck muscle,80,,,$61.03 ,20090101
21700,Revision of neck muscle,81,,,$61.03 ,20090101
21700,Revision of neck muscle,82,,,$61.03 ,20090101
21700,Revision of neck muscle,AS,,,$61.03 ,20090101
21700,Revision of neck muscle,,,,$305.17 ,20090101
21700,Revision of neck muscle,,,Y,$443.71 ,20081209
21705,Revision of neck muscle/rib,80,,,$90.30 ,20090101
21705,Revision of neck muscle/rib,81,,,$90.30 ,20090101
21705,Revision of neck muscle/rib,82,,,$90.30 ,20090101
21705,Revision of neck muscle/rib,AS,,,$90.30 ,20090101
21705,Revision of neck muscle/rib,,,,$451.52 ,20090101
21720,Revision of neck muscle,80,,,$55.20 ,20090101
21720,Revision of neck muscle,81,,,$55.20 ,20090101
21720,Revision of neck muscle,82,,,$55.20 ,20090101
21720,Revision of neck muscle,AS,,,$55.20 ,20090101
21720,Revision of neck muscle,,,,$275.98 ,20090101
21720,Revision of neck muscle,,,Y,$482.11 ,20081209
21725,Revision of neck muscle,80,,,$75.73 ,20090101
21725,Revision of neck muscle,81,,,$75.73 ,20090101
21725,Revision of neck muscle,82,,,$75.73 ,20090101
21725,Revision of neck muscle,AS,,,$75.73 ,20090101
21725,Revision of neck muscle,,,,$378.65 ,20090101
21725,Revision of neck muscle,,,Y,$64.72 ,20081209
21740,Reconstruction of sternum,80,,,$156.91 ,20090101
21740,Reconstruction of sternum,81,,,$156.91 ,20090101
21740,Reconstruction of sternum,82,,,$156.91 ,20090101
21740,Reconstruction of sternum,AS,,,$156.91 ,20090101
21740,Reconstruction of sternum,,,,$784.53 ,20090101
21750,Repair of sternum separation,80,,,$104.05 ,20090101
21750,Repair of sternum separation,81,,,$104.05 ,20090101
21750,Repair of sternum separation,82,,,$104.05 ,20090101
21750,Repair of sternum separation,AS,,,$104.05 ,20090101
21750,Repair of sternum separation,,,,$520.24 ,20090101
21800,Treatment of rib fracture,,,,$67.33 ,20090101
21800,Treatment of rib fracture,,,Y,$76.82 ,20081209
21805,Treatment of rib fracture,,,,$178.61 ,20090101
21805,Treatment of rib fracture,,,Y,$484.21 ,20081209
21810,Treatment of rib fracture(s),80,,,$72.50 ,20090101
21810,Treatment of rib fracture(s),81,,,$72.50 ,20090101
21810,Treatment of rib fracture(s),82,,,$72.50 ,20090101
21810,Treatment of rib fracture(s),AS,,,$72.50 ,20090101
21810,Treatment of rib fracture(s),,,,$362.51 ,20090101
21820,Treat sternum fracture,,,,$91.80 ,20090101
21820,Treat sternum fracture,,,Y,$76.82 ,20081209
21825,Treat sternum fracture,80,,,$81.52 ,20090101
21825,Treat sternum fracture,81,,,$81.52 ,20090101
21825,Treat sternum fracture,82,,,$81.52 ,20090101
21825,Treat sternum fracture,AS,,,$81.52 ,20090101
21825,Treat sternum fracture,,,,$407.58 ,20090101
21920,Biopsy soft tissue of back,,,,$169.15 ,20090101
21920,Biopsy soft tissue of back,,,Y,$117.62 ,20081209
21925,Biopsy soft tissue of back,,,,$289.33 ,20090101
21925,Biopsy soft tissue of back,,,Y,$442.39 ,20081209
21930,"Remove lesion, back or flank",,,,$322.72 ,20090101
21930,"Remove lesion, back or flank",,,Y,$442.39 ,20081209
21935,"Remove tumor, back",,,,$831.84 ,20090101
21935,"Remove tumor, back",,,Y,$480.79 ,20081209
22010,"I&d, p-spine, c/t/cerv-thor",,,,$637.93 ,20090101
22015,"I&d, p-spine, l/s/ls",,,,$633.48 ,20090101
22100,Remove part of neck vertebra,80,,,$115.79 ,20090101
22100,Remove part of neck vertebra,81,,,$115.79 ,20090101
22100,Remove part of neck vertebra,82,,,$115.79 ,20090101
22100,Remove part of neck vertebra,AS,,,$115.79 ,20090101
22100,Remove part of neck vertebra,,,,$578.93 ,20090101
22101,"Remove part, thorax vertebra",80,,,$115.34 ,20090101
22101,"Remove part, thorax vertebra",81,,,$115.34 ,20090101
22101,"Remove part, thorax vertebra",82,,,$115.34 ,20090101
22101,"Remove part, thorax vertebra",AS,,,$115.34 ,20090101
22101,"Remove part, thorax vertebra",,,,$576.70 ,20090101
22102,"Remove part, lumbar vertebra",80,,,$115.62 ,20090101
22102,"Remove part, lumbar vertebra",81,,,$115.62 ,20090101
22102,"Remove part, lumbar vertebra",82,,,$115.62 ,20090101
22102,"Remove part, lumbar vertebra",AS,,,$115.62 ,20090101
22102,"Remove part, lumbar vertebra",,,,$578.10 ,20090101
22102,"Remove part, lumbar vertebra",,,Y,"$1,549.14 ",20081209
22103,Remove extra spine segment,80,,,$21.31 ,20090101
22103,Remove extra spine segment,81,,,$21.31 ,20090101
22103,Remove extra spine segment,82,,,$21.31 ,20090101
22103,Remove extra spine segment,AS,,,$21.31 ,20090101
22103,Remove extra spine segment,,,,$106.55 ,20090101
22103,Remove extra spine segment,,,Y,"$1,549.14 ",20081209
22110,Remove part of neck vertebra,80,,,$143.11 ,20090101
22110,Remove part of neck vertebra,81,,,$143.11 ,20090101
22110,Remove part of neck vertebra,82,,,$143.11 ,20090101
22110,Remove part of neck vertebra,AS,,,$143.11 ,20090101
22110,Remove part of neck vertebra,,,,$715.55 ,20090101
22112,"Remove part, thorax vertebra",80,,,$142.22 ,20090101
22112,"Remove part, thorax vertebra",81,,,$142.22 ,20090101
22112,"Remove part, thorax vertebra",82,,,$142.22 ,20090101
22112,"Remove part, thorax vertebra",AS,,,$142.22 ,20090101
22112,"Remove part, thorax vertebra",,,,$711.10 ,20090101
22114,"Remove part, lumbar vertebra",80,,,$142.72 ,20090101
22114,"Remove part, lumbar vertebra",81,,,$142.72 ,20090101
22114,"Remove part, lumbar vertebra",82,,,$142.72 ,20090101
22114,"Remove part, lumbar vertebra",AS,,,$142.72 ,20090101
22114,"Remove part, lumbar vertebra",,,,$713.58 ,20090101
22116,Remove extra spine segment,80,,,$21.42 ,20090101
22116,Remove extra spine segment,81,,,$21.42 ,20090101
22116,Remove extra spine segment,82,,,$21.42 ,20090101
22116,Remove extra spine segment,AS,,,$21.42 ,20090101
22116,Remove extra spine segment,,,,$107.12 ,20090101
22210,Revision of neck spine,80,,,$253.62 ,20090101
22210,Revision of neck spine,81,,,$253.62 ,20090101
22210,Revision of neck spine,82,,,$253.62 ,20090101
22210,Revision of neck spine,AS,,,$253.62 ,20090101
22210,Revision of neck spine,,,,"$1,268.08 ",20090101
22212,Revision of thorax spine,,,,"$1,043.84 ",20090101
22214,Revision of lumbar spine,80,,,$210.72 ,20090101
22214,Revision of lumbar spine,81,,,$210.72 ,20090101
22214,Revision of lumbar spine,82,,,$210.72 ,20090101
22214,Revision of lumbar spine,AS,,,$210.72 ,20090101
22214,Revision of lumbar spine,,,,"$1,053.58 ",20090101
22216,"Revise, extra spine segment",80,,,$55.92 ,20090101
22216,"Revise, extra spine segment",81,,,$55.92 ,20090101
22216,"Revise, extra spine segment",82,,,$55.92 ,20090101
22216,"Revise, extra spine segment",AS,,,$55.92 ,20090101
22216,"Revise, extra spine segment",,,,$279.61 ,20090101
22220,Revision of neck spine,80,,,$229.64 ,20090101
22220,Revision of neck spine,81,,,$229.64 ,20090101
22220,Revision of neck spine,82,,,$229.64 ,20090101
22220,Revision of neck spine,AS,,,$229.64 ,20090101
22220,Revision of neck spine,,,,"$1,148.18 ",20090101
22222,Revision of thorax spine,80,,,$210.16 ,20090101
22222,Revision of thorax spine,81,,,$210.16 ,20090101
22222,Revision of thorax spine,82,,,$210.16 ,20090101
22222,Revision of thorax spine,AS,,,$210.16 ,20090101
22222,Revision of thorax spine,,,,"$1,050.78 ",20090101
22224,Revision of lumbar spine,80,,,$225.91 ,20090101
22224,Revision of lumbar spine,81,,,$225.91 ,20090101
22224,Revision of lumbar spine,82,,,$225.91 ,20090101
22224,Revision of lumbar spine,AS,,,$225.91 ,20090101
22224,Revision of lumbar spine,,,,"$1,129.55 ",20090101
22226,"Revise, extra spine segment",80,,,$55.69 ,20090101
22226,"Revise, extra spine segment",81,,,$55.69 ,20090101
22226,"Revise, extra spine segment",82,,,$55.69 ,20090101
22226,"Revise, extra spine segment",AS,,,$55.69 ,20090101
22226,"Revise, extra spine segment",,,,$278.47 ,20090101
22305,Treat spine process fracture,,,,$130.76 ,20090101
22305,Treat spine process fracture,,,Y,$76.82 ,20081209
22310,Treat spine fracture,,,,$197.25 ,20090101
22310,Treat spine fracture,,,Y,$76.82 ,20081209
22315,Treat spine fracture,,,,$599.81 ,20090101
22315,Treat spine fracture,,,Y,$76.82 ,20081209
22318,Treat odontoid fx w/o graft,80,,,$229.08 ,20090101
22318,Treat odontoid fx w/o graft,81,,,$229.08 ,20090101
22318,Treat odontoid fx w/o graft,82,,,$229.08 ,20090101
22318,Treat odontoid fx w/o graft,AS,,,$229.08 ,20090101
22318,Treat odontoid fx w/o graft,,,,"$1,145.38 ",20090101
22319,Treat odontoid fx w/graft,80,,,$252.00 ,20090101
22319,Treat odontoid fx w/graft,81,,,$252.00 ,20090101
22319,Treat odontoid fx w/graft,82,,,$252.00 ,20090101
22319,Treat odontoid fx w/graft,AS,,,$252.00 ,20090101
22319,Treat odontoid fx w/graft,,,,"$1,260.01 ",20090101
22325,Treat spine fracture,80,,,$198.19 ,20090101
22325,Treat spine fracture,81,,,$198.19 ,20090101
22325,Treat spine fracture,82,,,$198.19 ,20090101
22325,Treat spine fracture,AS,,,$198.19 ,20090101
22325,Treat spine fracture,,,,$990.96 ,20090101
22326,Treat neck spine fracture,80,,,$208.32 ,20090101
22326,Treat neck spine fracture,81,,,$208.32 ,20090101
22326,Treat neck spine fracture,82,,,$208.32 ,20090101
22326,Treat neck spine fracture,AS,,,$208.32 ,20090101
22326,Treat neck spine fracture,,,,"$1,041.62 ",20090101
22327,Treat thorax spine fracture,80,,,$205.15 ,20090101
22327,Treat thorax spine fracture,81,,,$205.15 ,20090101
22327,Treat thorax spine fracture,82,,,$205.15 ,20090101
22327,Treat thorax spine fracture,AS,,,$205.15 ,20090101
22327,Treat thorax spine fracture,,,,"$1,025.74 ",20090101
22328,Treat each add spine fx,80,,,$42.01 ,20090101
22328,Treat each add spine fx,81,,,$42.01 ,20090101
22328,Treat each add spine fx,82,,,$42.01 ,20090101
22328,Treat each add spine fx,AS,,,$42.01 ,20090101
22328,Treat each add spine fx,,,,$210.05 ,20090101
22505,Manipulation of spine,,,,$90.42 ,20090101
22505,Manipulation of spine,,,Y,$389.86 ,20081209
22520,Percut vertebroplasty thor,,,,$437.62 ,20090101
22521,Percut vertebroplasty lumb,,,,"$1,689.00 ",20090101
22522,Percut vertebroplasty add値,,,,$186.67 ,20090101
22532,Lat thorax spine fusion,80,,,$247.44 ,20090101
22532,Lat thorax spine fusion,81,,,$247.44 ,20090101
22532,Lat thorax spine fusion,82,,,$247.44 ,20090101
22532,Lat thorax spine fusion,AS,,,$247.44 ,20090101
22532,Lat thorax spine fusion,,,,"$1,237.19 ",20090101
22533,Lat lumbar spine fusion,80,,,$230.13 ,20090101
22533,Lat lumbar spine fusion,81,,,$230.13 ,20090101
22533,Lat lumbar spine fusion,82,,,$230.13 ,20090101
22533,Lat lumbar spine fusion,AS,,,$230.13 ,20090101
22533,Lat lumbar spine fusion,,,,"$1,150.66 ",20090101
22534,"Lat thor/lumb, add値 seg",80,,,$55.08 ,20090101
22534,"Lat thor/lumb, add値 seg",81,,,$55.08 ,20090101
22534,"Lat thor/lumb, add値 seg",82,,,$55.08 ,20090101
22534,"Lat thor/lumb, add値 seg",AS,,,$55.08 ,20090101
22534,"Lat thor/lumb, add値 seg",,,,$275.41 ,20090101
22548,Neck spine fusion,80,,,$266.24 ,20090101
22548,Neck spine fusion,81,,,$266.24 ,20090101
22548,Neck spine fusion,82,,,$266.24 ,20090101
22548,Neck spine fusion,AS,,,$266.24 ,20090101
22548,Neck spine fusion,,,,"$1,331.22 ",20090101
22554,Neck spine fusion,80,,,$186.40 ,20090101
22554,Neck spine fusion,81,,,$186.40 ,20090101
22554,Neck spine fusion,82,,,$186.40 ,20090101
22554,Neck spine fusion,AS,,,$186.40 ,20090101
22554,Neck spine fusion,,,,$932.02 ,20090101
22556,Thorax spine fusion,80,,,$237.59 ,20090101
22556,Thorax spine fusion,81,,,$237.59 ,20090101
22556,Thorax spine fusion,82,,,$237.59 ,20090101
22556,Thorax spine fusion,AS,,,$237.59 ,20090101
22556,Thorax spine fusion,,,,"$1,187.97 ",20090101
22558,Lumbar spine fusion,80,,,$216.22 ,20090101
22558,Lumbar spine fusion,81,,,$216.22 ,20090101
22558,Lumbar spine fusion,82,,,$216.22 ,20090101
22558,Lumbar spine fusion,AS,,,$216.22 ,20090101
22558,Lumbar spine fusion,,,,"$1,081.11 ",20090101
22585,Additional spinal fusion,80,,,$51.19 ,20090101
22585,Additional spinal fusion,81,,,$51.19 ,20090101
22585,Additional spinal fusion,82,,,$51.19 ,20090101
22585,Additional spinal fusion,AS,,,$51.19 ,20090101
22585,Additional spinal fusion,,,,$255.96 ,20090101
22590,Spine & skull spinal fusion,80,,,$220.11 ,20090101
22590,Spine & skull spinal fusion,81,,,$220.11 ,20090101
22590,Spine & skull spinal fusion,82,,,$220.11 ,20090101
22590,Spine & skull spinal fusion,AS,,,$220.11 ,20090101
22590,Spine & skull spinal fusion,,,,"$1,100.57 ",20090101
22595,Neck spinal fusion,80,,,$209.21 ,20090101
22595,Neck spinal fusion,81,,,$209.21 ,20090101
22595,Neck spinal fusion,82,,,$209.21 ,20090101
22595,Neck spinal fusion,AS,,,$209.21 ,20090101
22595,Neck spinal fusion,,,,"$1,046.07 ",20090101
22600,Neck spine fusion,80,,,$178.78 ,20090101
22600,Neck spine fusion,81,,,$178.78 ,20090101
22600,Neck spine fusion,82,,,$178.78 ,20090101
22600,Neck spine fusion,AS,,,$178.78 ,20090101
22600,Neck spine fusion,,,,$893.88 ,20090101
22610,Thorax spine fusion,80,,,$176.55 ,20090101
22610,Thorax spine fusion,81,,,$176.55 ,20090101
22610,Thorax spine fusion,82,,,$176.55 ,20090101
22610,Thorax spine fusion,AS,,,$176.55 ,20090101
22610,Thorax spine fusion,,,,$882.75 ,20090101
22612,Lumbar spine fusion,80,,,$229.29 ,20090101
22612,Lumbar spine fusion,81,,,$229.29 ,20090101
22612,Lumbar spine fusion,82,,,$229.29 ,20090101
22612,Lumbar spine fusion,AS,,,$229.29 ,20090101
22612,Lumbar spine fusion,,,,"$1,146.47 ",20090101
22614,"Spine fusion, extra segment",80,,,$59.60 ,20090101
22614,"Spine fusion, extra segment",81,,,$59.60 ,20090101
22614,"Spine fusion, extra segment",82,,,$59.60 ,20090101
22614,"Spine fusion, extra segment",AS,,,$59.60 ,20090101
22614,"Spine fusion, extra segment",,,,$297.98 ,20090101
22630,Lumbar spine fusion,80,,,$220.90 ,20090101
22630,Lumbar spine fusion,81,,,$220.90 ,20090101
22630,Lumbar spine fusion,82,,,$220.90 ,20090101
22630,Lumbar spine fusion,AS,,,$220.90 ,20090101
22630,Lumbar spine fusion,,,,"$1,104.50 ",20090101
22632,"Spine fusion, extra segment",80,,,$48.46 ,20090101
22632,"Spine fusion, extra segment",81,,,$48.46 ,20090101
22632,"Spine fusion, extra segment",82,,,$48.46 ,20090101
22632,"Spine fusion, extra segment",AS,,,$48.46 ,20090101
22632,"Spine fusion, extra segment",,,,$242.29 ,20090101
22800,Fusion of spine,80,,,$194.91 ,20090101
22800,Fusion of spine,81,,,$194.91 ,20090101
22800,Fusion of spine,82,,,$194.91 ,20090101
22800,Fusion of spine,AS,,,$194.91 ,20090101
22800,Fusion of spine,,,,$974.56 ,20090101
22802,Fusion of spine,80,,,$310.92 ,20090101
22802,Fusion of spine,81,,,$310.92 ,20090101
22802,Fusion of spine,82,,,$310.92 ,20090101
22802,Fusion of spine,AS,,,$310.92 ,20090101
22802,Fusion of spine,,,,"$1,554.62 ",20090101
22804,Fusion of spine,80,,,$360.11 ,20090101
22804,Fusion of spine,81,,,$360.11 ,20090101
22804,Fusion of spine,82,,,$360.11 ,20090101
22804,Fusion of spine,AS,,,$360.11 ,20090101
22804,Fusion of spine,,,,"$1,800.54 ",20090101
22808,Fusion of spine,80,,,$263.90 ,20090101
22808,Fusion of spine,81,,,$263.90 ,20090101
22808,Fusion of spine,82,,,$263.90 ,20090101
22808,Fusion of spine,AS,,,$263.90 ,20090101
22808,Fusion of spine,,,,"$1,319.52 ",20090101
22810,Fusion of spine,80,,,$295.40 ,20090101
22810,Fusion of spine,81,,,$295.40 ,20090101
22810,Fusion of spine,82,,,$295.40 ,20090101
22810,Fusion of spine,AS,,,$295.40 ,20090101
22810,Fusion of spine,,,,"$1,477.00 ",20090101
22812,Fusion of spine,80,,,$322.89 ,20090101
22812,Fusion of spine,81,,,$322.89 ,20090101
22812,Fusion of spine,82,,,$322.89 ,20090101
22812,Fusion of spine,AS,,,$322.89 ,20090101
22812,Fusion of spine,,,,"$1,614.45 ",20090101
22818,"Kyphectomy, 1-2 segments",80,,,$324.95 ,20090101
22818,"Kyphectomy, 1-2 segments",81,,,$324.95 ,20090101
22818,"Kyphectomy, 1-2 segments",82,,,$324.95 ,20090101
22818,"Kyphectomy, 1-2 segments",AS,,,$324.95 ,20090101
22818,"Kyphectomy, 1-2 segments",,,,"$1,624.74 ",20090101
22819,"Kyphectomy, 3 or more",80,,,$369.02 ,20090101
22819,"Kyphectomy, 3 or more",81,,,$369.02 ,20090101
22819,"Kyphectomy, 3 or more",82,,,$369.02 ,20090101
22819,"Kyphectomy, 3 or more",AS,,,$369.02 ,20090101
22819,"Kyphectomy, 3 or more",,,,"$1,845.09 ",20090101
22830,Exploration of spinal fusion,80,,,$116.51 ,20090101
22830,Exploration of spinal fusion,81,,,$116.51 ,20090101
22830,Exploration of spinal fusion,82,,,$116.51 ,20090101
22830,Exploration of spinal fusion,AS,,,$116.51 ,20090101
22830,Exploration of spinal fusion,,,,$582.55 ,20090101
22840,Insert spine fixation device,80,,,$116.57 ,20090101
22840,Insert spine fixation device,81,,,$116.57 ,20090101
22840,Insert spine fixation device,82,,,$116.57 ,20090101
22840,Insert spine fixation device,AS,,,$116.57 ,20090101
22840,Insert spine fixation device,,,,$582.86 ,20090101
22842,Insert spine fixation device,80,,,$116.62 ,20090101
22842,Insert spine fixation device,81,,,$116.62 ,20090101
22842,Insert spine fixation device,82,,,$116.62 ,20090101
22842,Insert spine fixation device,AS,,,$116.62 ,20090101
22842,Insert spine fixation device,,,,$583.12 ,20090101
22843,Insert spine fixation device,80,,,$123.41 ,20090101
22843,Insert spine fixation device,81,,,$123.41 ,20090101
22843,Insert spine fixation device,82,,,$123.41 ,20090101
22843,Insert spine fixation device,AS,,,$123.41 ,20090101
22843,Insert spine fixation device,,,,$617.07 ,20090101
22844,Insert spine fixation device,80,,,$151.29 ,20090101
22844,Insert spine fixation device,81,,,$151.29 ,20090101
22844,Insert spine fixation device,82,,,$151.29 ,20090101
22844,Insert spine fixation device,AS,,,$151.29 ,20090101
22844,Insert spine fixation device,,,,$756.43 ,20090101
22845,Insert spine fixation device,80,,,$111.73 ,20090101
22845,Insert spine fixation device,81,,,$111.73 ,20090101
22845,Insert spine fixation device,82,,,$111.73 ,20090101
22845,Insert spine fixation device,AS,,,$111.73 ,20090101
22845,Insert spine fixation device,,,,$558.64 ,20090101
22846,Insert spine fixation device,80,,,$116.06 ,20090101
22846,Insert spine fixation device,81,,,$116.06 ,20090101
22846,Insert spine fixation device,82,,,$116.06 ,20090101
22846,Insert spine fixation device,AS,,,$116.06 ,20090101
22846,Insert spine fixation device,,,,$580.32 ,20090101
22847,Insert spine fixation device,80,,,$127.37 ,20090101
22847,Insert spine fixation device,81,,,$127.37 ,20090101
22847,Insert spine fixation device,82,,,$127.37 ,20090101
22847,Insert spine fixation device,AS,,,$127.37 ,20090101
22847,Insert spine fixation device,,,,$636.84 ,20090101
22848,Insert pelv fixation device,80,,,$55.08 ,20090101
22848,Insert pelv fixation device,81,,,$55.08 ,20090101
22848,Insert pelv fixation device,82,,,$55.08 ,20090101
22848,Insert pelv fixation device,AS,,,$55.08 ,20090101
22848,Insert pelv fixation device,,,,$275.41 ,20090101
22849,Reinsert spinal fixation,80,,,$188.79 ,20090101
22849,Reinsert spinal fixation,81,,,$188.79 ,20090101
22849,Reinsert spinal fixation,82,,,$188.79 ,20090101
22849,Reinsert spinal fixation,AS,,,$188.79 ,20090101
22849,Reinsert spinal fixation,,,,$943.97 ,20090101
22850,Remove spine fixation device,80,,,$102.88 ,20090101
22850,Remove spine fixation device,81,,,$102.88 ,20090101
22850,Remove spine fixation device,82,,,$102.88 ,20090101
22850,Remove spine fixation device,AS,,,$102.88 ,20090101
22850,Remove spine fixation device,,,,$514.40 ,20090101
22851,Apply spine prosth device,80,,,$61.99 ,20090101
22851,Apply spine prosth device,81,,,$61.99 ,20090101
22851,Apply spine prosth device,82,,,$61.99 ,20090101
22851,Apply spine prosth device,AS,,,$61.99 ,20090101
22851,Apply spine prosth device,,,,$309.93 ,20090101
22852,Remove spine fixation device,80,,,$98.38 ,20090101
22852,Remove spine fixation device,81,,,$98.38 ,20090101
22852,Remove spine fixation device,82,,,$98.38 ,20090101
22852,Remove spine fixation device,AS,,,$98.38 ,20090101
22852,Remove spine fixation device,,,,$491.88 ,20090101
22855,Remove spine fixation device,80,,,$159.80 ,20090101
22855,Remove spine fixation device,81,,,$159.80 ,20090101
22855,Remove spine fixation device,82,,,$159.80 ,20090101
22855,Remove spine fixation device,AS,,,$159.80 ,20090101
22855,Remove spine fixation device,,,,$799.02 ,20090101
22900,Remove abdominal wall lesion,80,,,$57.20 ,20090101
22900,Remove abdominal wall lesion,81,,,$57.20 ,20090101
22900,Remove abdominal wall lesion,82,,,$57.20 ,20090101
22900,Remove abdominal wall lesion,AS,,,$57.20 ,20090101
22900,Remove abdominal wall lesion,,,,$286.02 ,20090101
22900,Remove abdominal wall lesion,,,Y,$552.79 ,20081209
23000,Removal of calcium deposits,80,,,$73.95 ,20090101
23000,Removal of calcium deposits,81,,,$73.95 ,20090101
23000,Removal of calcium deposits,82,,,$73.95 ,20090101
23000,Removal of calcium deposits,AS,,,$73.95 ,20090101
23000,Removal of calcium deposits,,,,$369.75 ,20090101
23000,Removal of calcium deposits,,,Y,$400.91 ,20081209
23020,Release shoulder joint,80,,,$99.04 ,20090101
23020,Release shoulder joint,81,,,$99.04 ,20090101
23020,Release shoulder joint,82,,,$99.04 ,20090101
23020,Release shoulder joint,AS,,,$99.04 ,20090101
23020,Release shoulder joint,,,,$495.20 ,20090101
23020,Release shoulder joint,,,Y,$623.53 ,20081209
23030,Drain shoulder lesion,,,,$301.86 ,20090101
23030,Drain shoulder lesion,,,Y,$351.49 ,20081209
23031,Drain shoulder bursa,,,,$289.61 ,20090101
23031,Drain shoulder bursa,,,Y,$457.69 ,20081209
23035,Drain shoulder bone lesion,80,,,$99.43 ,20090101
23035,Drain shoulder bone lesion,81,,,$99.43 ,20090101
23035,Drain shoulder bone lesion,82,,,$99.43 ,20090101
23035,Drain shoulder bone lesion,AS,,,$99.43 ,20090101
23035,Drain shoulder bone lesion,,,,$497.16 ,20090101
23035,Drain shoulder bone lesion,,,Y,$482.11 ,20081209
23040,Exploratory shoulder surgery,80,,,$103.16 ,20090101
23040,Exploratory shoulder surgery,81,,,$103.16 ,20090101
23040,Exploratory shoulder surgery,82,,,$103.16 ,20090101
23040,Exploratory shoulder surgery,AS,,,$103.16 ,20090101
23040,Exploratory shoulder surgery,,,,$515.79 ,20090101
23040,Exploratory shoulder surgery,,,Y,$547.70 ,20081209
23044,Exploratory shoulder surgery,80,,,$81.80 ,20090101
23044,Exploratory shoulder surgery,81,,,$81.80 ,20090101
23044,Exploratory shoulder surgery,82,,,$81.80 ,20090101
23044,Exploratory shoulder surgery,AS,,,$81.80 ,20090101
23044,Exploratory shoulder surgery,,,,$408.98 ,20090101
23044,Exploratory shoulder surgery,,,Y,$619.70 ,20081209
23065,Biopsy shoulder tissues,,,,$144.67 ,20090101
23065,Biopsy shoulder tissues,,,Y,$82.88 ,20081209
23066,Biopsy shoulder tissues,,,,$349.43 ,20090101
23066,Biopsy shoulder tissues,,,Y,$442.39 ,20081209
23075,Removal of shoulder lesion,,,,$178.89 ,20090101
23075,Removal of shoulder lesion,,,Y,$400.91 ,20081209
23076,Removal of shoulder lesion,,,,$398.95 ,20090101
23076,Removal of shoulder lesion,,,Y,$442.39 ,20081209
23077,Remove tumor of shoulder,80,,,$168.82 ,20090101
23077,Remove tumor of shoulder,81,,,$168.82 ,20090101
23077,Remove tumor of shoulder,82,,,$168.82 ,20090101
23077,Remove tumor of shoulder,AS,,,$168.82 ,20090101
23077,Remove tumor of shoulder,,,,$844.09 ,20090101
23077,Remove tumor of shoulder,,,Y,$480.79 ,20081209
23100,Biopsy of shoulder joint,80,,,$69.32 ,20090101
23100,Biopsy of shoulder joint,81,,,$69.32 ,20090101
23100,Biopsy of shoulder joint,82,,,$69.32 ,20090101
23100,Biopsy of shoulder joint,AS,,,$69.32 ,20090101
23100,Biopsy of shoulder joint,,,,$346.62 ,20090101
23100,Biopsy of shoulder joint,,,Y,$443.71 ,20081209
23101,Shoulder joint surgery,80,,,$64.16 ,20090101
23101,Shoulder joint surgery,81,,,$64.16 ,20090101
23101,Shoulder joint surgery,82,,,$64.16 ,20090101
23101,Shoulder joint surgery,AS,,,$64.16 ,20090101
23101,Shoulder joint surgery,,,,$320.80 ,20090101
23101,Shoulder joint surgery,,,Y,$838.70 ,20081209
23105,Remove shoulder joint lining,80,,,$91.19 ,20090101
23105,Remove shoulder joint lining,81,,,$91.19 ,20090101
23105,Remove shoulder joint lining,82,,,$91.19 ,20090101
23105,Remove shoulder joint lining,AS,,,$91.19 ,20090101
23105,Remove shoulder joint lining,,,,$455.97 ,20090101
23105,Remove shoulder joint lining,,,Y,$619.70 ,20081209
23106,Incision of collarbone joint,80,,,$68.22 ,20090101
23106,Incision of collarbone joint,81,,,$68.22 ,20090101
23106,Incision of collarbone joint,82,,,$68.22 ,20090101
23106,Incision of collarbone joint,AS,,,$68.22 ,20090101
23106,Incision of collarbone joint,,,,$341.08 ,20090101
23106,Incision of collarbone joint,,,Y,$619.70 ,20081209
23107,Explore treat shoulder joint,80,,,$94.98 ,20090101
23107,Explore treat shoulder joint,81,,,$94.98 ,20090101
23107,Explore treat shoulder joint,82,,,$94.98 ,20090101
23107,Explore treat shoulder joint,AS,,,$94.98 ,20090101
23107,Explore treat shoulder joint,,,,$474.91 ,20090101
23107,Explore treat shoulder joint,,,Y,$619.70 ,20081209
23120,"Partial removal, collar bone",80,,,$80.30 ,20090101
23120,"Partial removal, collar bone",81,,,$80.30 ,20090101
23120,"Partial removal, collar bone",82,,,$80.30 ,20090101
23120,"Partial removal, collar bone",AS,,,$80.30 ,20090101
23120,"Partial removal, collar bone",,,,$401.48 ,20090101
23120,"Partial removal, collar bone",,,Y,$671.90 ,20081209
23125,Removal of collar bone,80,,,$100.82 ,20090101
23125,Removal of collar bone,81,,,$100.82 ,20090101
23125,Removal of collar bone,82,,,$100.82 ,20090101
23125,Removal of collar bone,AS,,,$100.82 ,20090101
23125,Removal of collar bone,,,,$504.10 ,20090101
23125,Removal of collar bone,,,Y,$671.90 ,20081209
23130,"Remove shoulder bone, part",80,,,$86.46 ,20090101
23130,"Remove shoulder bone, part",81,,,$86.46 ,20090101
23130,"Remove shoulder bone, part",82,,,$86.46 ,20090101
23130,"Remove shoulder bone, part",AS,,,$86.46 ,20090101
23130,"Remove shoulder bone, part",,,,$432.32 ,20090101
23130,"Remove shoulder bone, part",,,Y,$786.13 ,20081209
23140,Removal of bone lesion,,,,$366.12 ,20090101
23140,Removal of bone lesion,,,Y,$554.11 ,20081209
23145,Removal of bone lesion,80,,,$98.71 ,20090101
23145,Removal of bone lesion,81,,,$98.71 ,20090101
23145,Removal of bone lesion,82,,,$98.71 ,20090101
23145,Removal of bone lesion,AS,,,$98.71 ,20090101
23145,Removal of bone lesion,,,,$493.54 ,20090101
23145,Removal of bone lesion,,,Y,$671.90 ,20081209
23146,Removal of bone lesion,,,,$440.40 ,20090101
23146,Removal of bone lesion,,,Y,$671.90 ,20081209
23150,Removal of humerus lesion,80,,,$92.92 ,20090101
23150,Removal of humerus lesion,81,,,$92.92 ,20090101
23150,Removal of humerus lesion,82,,,$92.92 ,20090101
23150,Removal of humerus lesion,AS,,,$92.92 ,20090101
23150,Removal of humerus lesion,,,,$464.61 ,20090101
23150,Removal of humerus lesion,,,Y,$619.70 ,20081209
23155,Removal of humerus lesion,80,,,$113.06 ,20090101
23155,Removal of humerus lesion,81,,,$113.06 ,20090101
23155,Removal of humerus lesion,82,,,$113.06 ,20090101
23155,Removal of humerus lesion,AS,,,$113.06 ,20090101
23155,Removal of humerus lesion,,,,$565.32 ,20090101
23155,Removal of humerus lesion,,,Y,$671.90 ,20081209
23156,Removal of humerus lesion,80,,,$96.43 ,20090101
23156,Removal of humerus lesion,81,,,$96.43 ,20090101
23156,Removal of humerus lesion,82,,,$96.43 ,20090101
23156,Removal of humerus lesion,AS,,,$96.43 ,20090101
23156,Removal of humerus lesion,,,,$482.15 ,20090101
23156,Removal of humerus lesion,,,Y,$671.90 ,20081209
23170,Remove collar bone lesion,80,,,$76.39 ,20090101
23170,Remove collar bone lesion,81,,,$76.39 ,20090101
23170,Remove collar bone lesion,82,,,$76.39 ,20090101
23170,Remove collar bone lesion,AS,,,$76.39 ,20090101
23170,Remove collar bone lesion,,,,$381.97 ,20090101
23170,Remove collar bone lesion,,,Y,$509.30 ,20081209
23172,Remove shoulder blade lesion,80,,,$78.52 ,20090101
23172,Remove shoulder blade lesion,81,,,$78.52 ,20090101
23172,Remove shoulder blade lesion,82,,,$78.52 ,20090101
23172,Remove shoulder blade lesion,AS,,,$78.52 ,20090101
23172,Remove shoulder blade lesion,,,,$392.58 ,20090101
23172,Remove shoulder blade lesion,,,Y,$509.30 ,20081209
23174,Remove humerus lesion,80,,,$107.50 ,20090101
23174,Remove humerus lesion,81,,,$107.50 ,20090101
23174,Remove humerus lesion,82,,,$107.50 ,20090101
23174,Remove humerus lesion,AS,,,$107.50 ,20090101
23174,Remove humerus lesion,,,,$537.48 ,20090101
23174,Remove humerus lesion,,,Y,$509.30 ,20081209
23180,Remove collar bone lesion,80,,,$100.32 ,20090101
23180,Remove collar bone lesion,81,,,$100.32 ,20090101
23180,Remove collar bone lesion,82,,,$100.32 ,20090101
23180,Remove collar bone lesion,AS,,,$100.32 ,20090101
23180,Remove collar bone lesion,,,,$501.61 ,20090101
23180,Remove collar bone lesion,,,Y,$619.70 ,20081209
23182,Remove shoulder blade lesion,80,,,$96.43 ,20090101
23182,Remove shoulder blade lesion,81,,,$96.43 ,20090101
23182,Remove shoulder blade lesion,82,,,$96.43 ,20090101
23182,Remove shoulder blade lesion,AS,,,$96.43 ,20090101
23182,Remove shoulder blade lesion,,,,$482.15 ,20090101
23182,Remove shoulder blade lesion,,,Y,$619.70 ,20081209
23184,Remove humerus lesion,80,,,$108.56 ,20090101
23184,Remove humerus lesion,81,,,$108.56 ,20090101
23184,Remove humerus lesion,82,,,$108.56 ,20090101
23184,Remove humerus lesion,AS,,,$108.56 ,20090101
23184,Remove humerus lesion,,,,$542.81 ,20090101
23184,Remove humerus lesion,,,Y,$619.70 ,20081209
23190,Partial removal of scapula,80,,,$79.41 ,20090101
23190,Partial removal of scapula,81,,,$79.41 ,20090101
23190,Partial removal of scapula,82,,,$79.41 ,20090101
23190,Partial removal of scapula,AS,,,$79.41 ,20090101
23190,Partial removal of scapula,,,,$397.03 ,20090101
23190,Partial removal of scapula,,,Y,$619.70 ,20081209
23195,Removal of head of humerus,80,,,$107.28 ,20090101
23195,Removal of head of humerus,81,,,$107.28 ,20090101
23195,Removal of head of humerus,82,,,$107.28 ,20090101
23195,Removal of head of humerus,AS,,,$107.28 ,20090101
23195,Removal of head of humerus,,,,$536.39 ,20090101
23195,Removal of head of humerus,,,Y,$671.90 ,20081209
23200,Removal of collar bone,80,,,$125.47 ,20090101
23200,Removal of collar bone,81,,,$125.47 ,20090101
23200,Removal of collar bone,82,,,$125.47 ,20090101
23200,Removal of collar bone,AS,,,$125.47 ,20090101
23200,Removal of collar bone,,,,$627.37 ,20090101
23210,Removal of shoulder blade,80,,,$131.31 ,20090101
23210,Removal of shoulder blade,81,,,$131.31 ,20090101
23210,Removal of shoulder blade,82,,,$131.31 ,20090101
23210,Removal of shoulder blade,AS,,,$131.31 ,20090101
23210,Removal of shoulder blade,,,,$656.55 ,20090101
23220,Partial removal of humerus,80,,,$154.91 ,20090101
23220,Partial removal of humerus,81,,,$154.91 ,20090101
23220,Partial removal of humerus,82,,,$154.91 ,20090101
23220,Partial removal of humerus,AS,,,$154.91 ,20090101
23220,Partial removal of humerus,,,,$774.54 ,20090101
23221,Partial removal of humerus,80,,,$181.61 ,20090101
23221,Partial removal of humerus,81,,,$181.61 ,20090101
23221,Partial removal of humerus,82,,,$181.61 ,20090101
23221,Partial removal of humerus,AS,,,$181.61 ,20090101
23221,Partial removal of humerus,,,,$908.06 ,20090101
23222,Partial removal of humerus,80,,,$244.60 ,20090101
23222,Partial removal of humerus,81,,,$244.60 ,20090101
23222,Partial removal of humerus,82,,,$244.60 ,20090101
23222,Partial removal of humerus,AS,,,$244.60 ,20090101
23222,Partial removal of humerus,,,,"$1,223.01 ",20090101
23330,Remove shoulder foreign body,,,,$156.63 ,20090101
23330,Remove shoulder foreign body,,,Y,$271.71 ,20081209
23331,Remove shoulder foreign body,,,,$420.10 ,20090101
23331,Remove shoulder foreign body,,,Y,$374.59 ,20081209
23332,Remove shoulder foreign body,80,,,$127.47 ,20090101
23332,Remove shoulder foreign body,81,,,$127.47 ,20090101
23332,Remove shoulder foreign body,82,,,$127.47 ,20090101
23332,Remove shoulder foreign body,AS,,,$127.47 ,20090101
23332,Remove shoulder foreign body,,,,$637.35 ,20090101
23350,Injection for shoulder x-ray,,,,$115.73 ,20090101
23395,"Muscle transfer,shoulder/arm",80,,,$185.12 ,20090101
23395,"Muscle transfer,shoulder/arm",81,,,$185.12 ,20090101
23395,"Muscle transfer,shoulder/arm",82,,,$185.12 ,20090101
23395,"Muscle transfer,shoulder/arm",AS,,,$185.12 ,20090101
23395,"Muscle transfer,shoulder/arm",,,,$925.60 ,20090101
23395,"Muscle transfer,shoulder/arm",,,Y,$786.13 ,20081209
23397,Muscle transfers,80,,,$165.98 ,20090101
23397,Muscle transfers,81,,,$165.98 ,20090101
23397,Muscle transfers,82,,,$165.98 ,20090101
23397,Muscle transfers,AS,,,$165.98 ,20090101
23397,Muscle transfers,,,,$829.91 ,20090101
23397,Muscle transfers,,,Y,"$1,254.65 ",20081209
23400,Fixation of shoulder blade,80,,,$141.00 ,20090101
23400,Fixation of shoulder blade,81,,,$141.00 ,20090101
23400,Fixation of shoulder blade,82,,,$141.00 ,20090101
23400,Fixation of shoulder blade,AS,,,$141.00 ,20090101
23400,Fixation of shoulder blade,,,,$704.99 ,20090101
23400,Fixation of shoulder blade,,,Y,$838.70 ,20081209
23405,Incision of tendon & muscle,80,,,$90.70 ,20090101
23405,Incision of tendon & muscle,81,,,$90.70 ,20090101
23405,Incision of tendon & muscle,82,,,$90.70 ,20090101
23405,Incision of tendon & muscle,AS,,,$90.70 ,20090101
23405,Incision of tendon & muscle,,,,$453.49 ,20090101
23405,Incision of tendon & muscle,,,Y,$509.30 ,20081209
23406,Incise tendon(s) & muscle(s),80,,,$113.56 ,20090101
23406,Incise tendon(s) & muscle(s),81,,,$113.56 ,20090101
23406,Incise tendon(s) & muscle(s),82,,,$113.56 ,20090101
23406,Incise tendon(s) & muscle(s),AS,,,$113.56 ,20090101
23406,Incise tendon(s) & muscle(s),,,,$567.80 ,20090101
23406,Incise tendon(s) & muscle(s),,,Y,$509.30 ,20081209
23410,"Repair rotator cuff, acute",80,,,$130.20 ,20090101
23410,"Repair rotator cuff, acute",81,,,$130.20 ,20090101
23410,"Repair rotator cuff, acute",82,,,$130.20 ,20090101
23410,"Repair rotator cuff, acute",AS,,,$130.20 ,20090101
23410,"Repair rotator cuff, acute",,,,$651.02 ,20090101
23410,"Repair rotator cuff, acute",,,Y,$786.13 ,20081209
23412,"Repair rotator cuff, chronic",80,,,$138.55 ,20090101
23412,"Repair rotator cuff, chronic",81,,,$138.55 ,20090101
23412,"Repair rotator cuff, chronic",82,,,$138.55 ,20090101
23412,"Repair rotator cuff, chronic",AS,,,$138.55 ,20090101
23412,"Repair rotator cuff, chronic",,,,$692.73 ,20090101
23412,"Repair rotator cuff, chronic",,,Y,$952.93 ,20081209
23415,Release of shoulder ligament,80,,,$106.39 ,20090101
23415,Release of shoulder ligament,81,,,$106.39 ,20090101
23415,Release of shoulder ligament,82,,,$106.39 ,20090101
23415,Release of shoulder ligament,AS,,,$106.39 ,20090101
23415,Release of shoulder ligament,,,,$531.94 ,20090101
23415,Release of shoulder ligament,,,Y,$786.13 ,20081209
23420,Repair of shoulder,80,,,$152.18 ,20090101
23420,Repair of shoulder,81,,,$152.18 ,20090101
23420,Repair of shoulder,82,,,$152.18 ,20090101
23420,Repair of shoulder,AS,,,$152.18 ,20090101
23420,Repair of shoulder,,,,$760.88 ,20090101
23420,Repair of shoulder,,,Y,$952.93 ,20081209
23430,Repair biceps tendon,80,,,$107.00 ,20090101
23430,Repair biceps tendon,81,,,$107.00 ,20090101
23430,Repair biceps tendon,82,,,$107.00 ,20090101
23430,Repair biceps tendon,AS,,,$107.00 ,20090101
23430,Repair biceps tendon,,,,$534.99 ,20090101
23430,Repair biceps tendon,,,Y,$733.93 ,20081209
23440,Remove/transplant tendon,80,,,$110.61 ,20090101
23440,Remove/transplant tendon,81,,,$110.61 ,20090101
23440,Remove/transplant tendon,82,,,$110.61 ,20090101
23440,Remove/transplant tendon,AS,,,$110.61 ,20090101
23440,Remove/transplant tendon,,,,$553.05 ,20090101
23440,Remove/transplant tendon,,,Y,$733.93 ,20081209
23450,Repair shoulder capsule,80,,,$138.71 ,20090101
23450,Repair shoulder capsule,81,,,$138.71 ,20090101
23450,Repair shoulder capsule,82,,,$138.71 ,20090101
23450,Repair shoulder capsule,AS,,,$138.71 ,20090101
23450,Repair shoulder capsule,,,,$693.55 ,20090101
23450,Repair shoulder capsule,,,Y,"$1,087.85 ",20081209
23455,Repair shoulder capsule,80,,,$147.73 ,20090101
23455,Repair shoulder capsule,81,,,$147.73 ,20090101
23455,Repair shoulder capsule,82,,,$147.73 ,20090101
23455,Repair shoulder capsule,AS,,,$147.73 ,20090101
23455,Repair shoulder capsule,,,,$738.63 ,20090101
23455,Repair shoulder capsule,,,Y,"$1,254.65 ",20081209
23460,Repair shoulder capsule,80,,,$159.80 ,20090101
23460,Repair shoulder capsule,81,,,$159.80 ,20090101
23460,Repair shoulder capsule,82,,,$159.80 ,20090101
23460,Repair shoulder capsule,AS,,,$159.80 ,20090101
23460,Repair shoulder capsule,,,,$799.02 ,20090101
23460,Repair shoulder capsule,,,Y,"$1,087.85 ",20081209
23462,Repair shoulder capsule,80,,,$156.46 ,20090101
23462,Repair shoulder capsule,81,,,$156.46 ,20090101
23462,Repair shoulder capsule,82,,,$156.46 ,20090101
23462,Repair shoulder capsule,AS,,,$156.46 ,20090101
23462,Repair shoulder capsule,,,,$782.30 ,20090101
23462,Repair shoulder capsule,,,Y,$952.93 ,20081209
23465,Repair shoulder capsule,80,,,$162.87 ,20090101
23465,Repair shoulder capsule,81,,,$162.87 ,20090101
23465,Repair shoulder capsule,82,,,$162.87 ,20090101
23465,Repair shoulder capsule,AS,,,$162.87 ,20090101
23465,Repair shoulder capsule,,,,$814.34 ,20090101
23465,Repair shoulder capsule,,,Y,"$1,087.85 ",20081209
23466,Repair shoulder capsule,80,,,$159.74 ,20090101
23466,Repair shoulder capsule,81,,,$159.74 ,20090101
23466,Repair shoulder capsule,82,,,$159.74 ,20090101
23466,Repair shoulder capsule,AS,,,$159.74 ,20090101
23466,Repair shoulder capsule,,,,$798.71 ,20090101
23466,Repair shoulder capsule,,,Y,$952.93 ,20081209
23470,Reconstruct shoulder joint,80,,,$177.67 ,20090101
23470,Reconstruct shoulder joint,81,,,$177.67 ,20090101
23470,Reconstruct shoulder joint,82,,,$177.67 ,20090101
23470,Reconstruct shoulder joint,AS,,,$177.67 ,20090101
23470,Reconstruct shoulder joint,,,,$888.34 ,20090101
23472,Reconstruct shoulder joint,80,,,$219.34 ,20090101
23472,Reconstruct shoulder joint,81,,,$219.34 ,20090101
23472,Reconstruct shoulder joint,82,,,$219.34 ,20090101
23472,Reconstruct shoulder joint,AS,,,$219.34 ,20090101
23472,Reconstruct shoulder joint,,,,"$1,096.69 ",20090101
23480,Revision of collar bone,80,,,$119.13 ,20090101
23480,Revision of collar bone,81,,,$119.13 ,20090101
23480,Revision of collar bone,82,,,$119.13 ,20090101
23480,Revision of collar bone,AS,,,$119.13 ,20090101
23480,Revision of collar bone,,,,$595.64 ,20090101
23480,Revision of collar bone,,,Y,$733.93 ,20081209
23485,Revision of collar bone,80,,,$140.11 ,20090101
23485,Revision of collar bone,81,,,$140.11 ,20090101
23485,Revision of collar bone,82,,,$140.11 ,20090101
23485,Revision of collar bone,AS,,,$140.11 ,20090101
23485,Revision of collar bone,,,,$700.54 ,20090101
23485,Revision of collar bone,,,Y,"$1,254.65 ",20081209
23490,Reinforce clavicle,80,,,$118.19 ,20090101
23490,Reinforce clavicle,81,,,$118.19 ,20090101
23490,Reinforce clavicle,82,,,$118.19 ,20090101
23490,Reinforce clavicle,AS,,,$118.19 ,20090101
23490,Reinforce clavicle,,,,$590.93 ,20090101
23490,Reinforce clavicle,,,Y,$661.93 ,20081209
23491,Reinforce shoulder bones,80,,,$147.95 ,20090101
23491,Reinforce shoulder bones,81,,,$147.95 ,20090101
23491,Reinforce shoulder bones,82,,,$147.95 ,20090101
23491,Reinforce shoulder bones,AS,,,$147.95 ,20090101
23491,Reinforce shoulder bones,,,,$739.77 ,20090101
23491,Reinforce shoulder bones,,,Y,$963.65 ,20081209
23500,Treat clavicle fracture,,,,$144.39 ,20090101
23500,Treat clavicle fracture,,,Y,$76.82 ,20081209
23505,Treat clavicle fracture,,,,$238.14 ,20090101
23505,Treat clavicle fracture,,,Y,$76.82 ,20081209
23515,Treat clavicle fracture,80,,,$97.87 ,20090101
23515,Treat clavicle fracture,81,,,$97.87 ,20090101
23515,Treat clavicle fracture,82,,,$97.87 ,20090101
23515,Treat clavicle fracture,AS,,,$97.87 ,20090101
23515,Treat clavicle fracture,,,,$489.35 ,20090101
23515,Treat clavicle fracture,,,Y,$796.38 ,20081209
23520,Treat clavicle dislocation,,,,$149.12 ,20090101
23520,Treat clavicle dislocation,,,Y,$76.82 ,20081209
23525,Treat clavicle dislocation,,,,$235.92 ,20090101
23525,Treat clavicle dislocation,,,Y,$76.82 ,20081209
23530,Treat clavicle dislocation,80,,,$78.96 ,20090101
23530,Treat clavicle dislocation,81,,,$78.96 ,20090101
23530,Treat clavicle dislocation,82,,,$78.96 ,20090101
23530,Treat clavicle dislocation,AS,,,$78.96 ,20090101
23530,Treat clavicle dislocation,,,,$394.80 ,20090101
23530,Treat clavicle dislocation,,,Y,$646.39 ,20081209
23532,Treat clavicle dislocation,80,,,$88.80 ,20090101
23532,Treat clavicle dislocation,81,,,$88.80 ,20090101
23532,Treat clavicle dislocation,82,,,$88.80 ,20090101
23532,Treat clavicle dislocation,AS,,,$88.80 ,20090101
23532,Treat clavicle dislocation,,,,$444.02 ,20090101
23532,Treat clavicle dislocation,,,Y,$594.61 ,20081209
23540,Treat clavicle dislocation,,,,$148.56 ,20090101
23540,Treat clavicle dislocation,,,Y,$76.82 ,20081209
23545,Treat clavicle dislocation,,,,$212.55 ,20090101
23545,Treat clavicle dislocation,,,Y,$76.82 ,20081209
23550,Treat clavicle dislocation,80,,,$81.73 ,20090101
23550,Treat clavicle dislocation,81,,,$81.73 ,20090101
23550,Treat clavicle dislocation,82,,,$81.73 ,20090101
23550,Treat clavicle dislocation,AS,,,$81.73 ,20090101
23550,Treat clavicle dislocation,,,,$408.67 ,20090101
23550,Treat clavicle dislocation,,,Y,$646.39 ,20081209
23552,Treat clavicle dislocation,80,,,$94.31 ,20090101
23552,Treat clavicle dislocation,81,,,$94.31 ,20090101
23552,Treat clavicle dislocation,82,,,$94.31 ,20090101
23552,Treat clavicle dislocation,AS,,,$94.31 ,20090101
23552,Treat clavicle dislocation,,,,$471.55 ,20090101
23552,Treat clavicle dislocation,,,Y,$718.39 ,20081209
23570,Treat shoulder blade fx,,,,$154.13 ,20090101
23570,Treat shoulder blade fx,,,Y,$76.82 ,20081209
23575,Treat shoulder blade fx,,,,$262.91 ,20090101
23575,Treat shoulder blade fx,,,Y,$76.82 ,20081209
23585,Treat scapula fracture,80,,,$131.82 ,20090101
23585,Treat scapula fracture,81,,,$131.82 ,20090101
23585,Treat scapula fracture,82,,,$131.82 ,20090101
23585,Treat scapula fracture,AS,,,$131.82 ,20090101
23585,Treat scapula fracture,,,,$659.09 ,20090101
23585,Treat scapula fracture,,,Y,$796.38 ,20081209
23600,Treat humerus fracture,,,,$216.73 ,20090101
23600,Treat humerus fracture,,,Y,$58.57 ,20081209
23605,Treat humerus fracture,,,,$321.33 ,20090101
23615,Treat humerus fracture,80,,,$123.47 ,20090101
23615,Treat humerus fracture,81,,,$123.47 ,20090101
23615,Treat humerus fracture,82,,,$123.47 ,20090101
23615,Treat humerus fracture,AS,,,$123.47 ,20090101
23615,Treat humerus fracture,,,,$617.33 ,20090101
23615,Treat humerus fracture,,,Y,$868.38 ,20081209
23616,Treat humerus fracture,80,,,$190.24 ,20090101
23616,Treat humerus fracture,81,,,$190.24 ,20090101
23616,Treat humerus fracture,82,,,$190.24 ,20090101
23616,Treat humerus fracture,AS,,,$190.24 ,20090101
23616,Treat humerus fracture,,,,$951.22 ,20090101
23616,Treat humerus fracture,,,Y,$868.38 ,20081209
23620,Treat humerus fracture,,,,$177.22 ,20090101
23625,Treat humerus fracture,,,,$260.13 ,20090101
23625,Treat humerus fracture,,,Y,$76.82 ,20081209
23630,Treat humerus fracture,80,,,$103.83 ,20090101
23630,Treat humerus fracture,81,,,$103.83 ,20090101
23630,Treat humerus fracture,82,,,$103.83 ,20090101
23630,Treat humerus fracture,AS,,,$103.83 ,20090101
23630,Treat humerus fracture,,,,$519.16 ,20090101
23630,Treat humerus fracture,,,Y,$920.58 ,20081209
23650,Treat shoulder dislocation,,,,$202.26 ,20090101
23650,Treat shoulder dislocation,,,Y,$76.82 ,20081209
23655,Treat shoulder dislocation,,,,$264.02 ,20090101
23655,Treat shoulder dislocation,,,Y,$322.06 ,20081209
23660,Treat shoulder dislocation,80,,,$82.79 ,20090101
23660,Treat shoulder dislocation,81,,,$82.79 ,20090101
23660,Treat shoulder dislocation,82,,,$82.79 ,20090101
23660,Treat shoulder dislocation,AS,,,$82.79 ,20090101
23660,Treat shoulder dislocation,,,,$413.95 ,20090101
23660,Treat shoulder dislocation,,,Y,$646.39 ,20081209
23665,Treat dislocation/fracture,,,,$287.67 ,20090101
23665,Treat dislocation/fracture,,,Y,$76.82 ,20081209
23670,Treat dislocation/fracture,80,,,$116.06 ,20090101
23670,Treat dislocation/fracture,81,,,$116.06 ,20090101
23670,Treat dislocation/fracture,82,,,$116.06 ,20090101
23670,Treat dislocation/fracture,AS,,,$116.06 ,20090101
23670,Treat dislocation/fracture,,,,$580.32 ,20090101
23670,Treat dislocation/fracture,,,Y,$796.38 ,20081209
23675,Treat dislocation/fracture,,,,$378.92 ,20090101
23675,Treat dislocation/fracture,,,Y,$76.82 ,20081209
23680,Treat dislocation/fracture,80,,,$127.53 ,20090101
23680,Treat dislocation/fracture,81,,,$127.53 ,20090101
23680,Treat dislocation/fracture,82,,,$127.53 ,20090101
23680,Treat dislocation/fracture,AS,,,$127.53 ,20090101
23680,Treat dislocation/fracture,,,,$637.66 ,20090101
23680,Treat dislocation/fracture,,,Y,$646.39 ,20081209
23700,Fixation of shoulder,,,,$139.66 ,20090101
23700,Fixation of shoulder,,,Y,$322.06 ,20081209
23800,Fusion of shoulder joint,80,,,$147.95 ,20090101
23800,Fusion of shoulder joint,81,,,$147.95 ,20090101
23800,Fusion of shoulder joint,82,,,$147.95 ,20090101
23800,Fusion of shoulder joint,AS,,,$147.95 ,20090101
23800,Fusion of shoulder joint,,,,$739.77 ,20090101
23800,Fusion of shoulder joint,,,Y,"$1,035.65 ",20081209
23802,Fusion of shoulder joint,80,,,$175.71 ,20090101
23802,Fusion of shoulder joint,81,,,$175.71 ,20090101
23802,Fusion of shoulder joint,82,,,$175.71 ,20090101
23802,Fusion of shoulder joint,AS,,,$175.71 ,20090101
23802,Fusion of shoulder joint,,,,$878.56 ,20090101
23802,Fusion of shoulder joint,,,Y,$952.93 ,20081209
23900,Amputation of arm & girdle,80,,,$193.80 ,20090101
23900,Amputation of arm & girdle,81,,,$193.80 ,20090101
23900,Amputation of arm & girdle,82,,,$193.80 ,20090101
23900,Amputation of arm & girdle,AS,,,$193.80 ,20090101
23900,Amputation of arm & girdle,,,,$969.02 ,20090101
23920,Amputation at shoulder joint,80,,,$156.24 ,20090101
23920,Amputation at shoulder joint,81,,,$156.24 ,20090101
23920,Amputation at shoulder joint,82,,,$156.24 ,20090101
23920,Amputation at shoulder joint,AS,,,$156.24 ,20090101
23920,Amputation at shoulder joint,,,,$781.22 ,20090101
23921,Amputation follow-up surgery,80,,,$63.21 ,20090101
23921,Amputation follow-up surgery,81,,,$63.21 ,20090101
23921,Amputation follow-up surgery,82,,,$63.21 ,20090101
23921,Amputation follow-up surgery,AS,,,$63.21 ,20090101
23921,Amputation follow-up surgery,,,,$316.04 ,20090101
23921,Amputation follow-up surgery,,,Y,$318.55 ,20081209
23930,Drainage of arm lesion,,,,$251.51 ,20090101
23930,Drainage of arm lesion,,,Y,$351.49 ,20081209
23931,Drainage of arm bursa,,,,$201.14 ,20090101
23931,Drainage of arm bursa,,,Y,$419.29 ,20081209
23935,Drain arm/elbow bone lesion,,,,$356.94 ,20090101
23935,Drain arm/elbow bone lesion,,,Y,$443.71 ,20081209
24000,Exploratory elbow surgery,,,,$334.97 ,20090101
24000,Exploratory elbow surgery,,,Y,$619.70 ,20081209
24006,Release elbow joint,80,,,$101.82 ,20090101
24006,Release elbow joint,81,,,$101.82 ,20090101
24006,Release elbow joint,82,,,$101.82 ,20090101
24006,Release elbow joint,AS,,,$101.82 ,20090101
24006,Release elbow joint,,,,$509.12 ,20090101
24006,Release elbow joint,,,Y,$619.70 ,20081209
24065,Biopsy arm/elbow soft tissue,,,,$165.54 ,20090101
24065,Biopsy arm/elbow soft tissue,,,Y,$112.13 ,20081209
24066,Biopsy arm/elbow soft tissue,,,,$408.13 ,20090101
24066,Biopsy arm/elbow soft tissue,,,Y,$400.91 ,20081209
24075,Remove arm/elbow lesion,,,,$328.01 ,20090101
24075,Remove arm/elbow lesion,,,Y,$400.91 ,20081209
24076,Remove arm/elbow lesion,,,,$334.69 ,20090101
24076,Remove arm/elbow lesion,,,Y,$442.39 ,20081209
24077,Remove tumor of arm/elbow,80,,,$116.74 ,20090101
24077,Remove tumor of arm/elbow,81,,,$116.74 ,20090101
24077,Remove tumor of arm/elbow,82,,,$116.74 ,20090101
24077,Remove tumor of arm/elbow,AS,,,$116.74 ,20090101
24077,Remove tumor of arm/elbow,,,,$583.69 ,20090101
24077,Remove tumor of arm/elbow,,,Y,$480.79 ,20081209
24100,Biopsy elbow joint lining,80,,,$56.42 ,20090101
24100,Biopsy elbow joint lining,81,,,$56.42 ,20090101
24100,Biopsy elbow joint lining,82,,,$56.42 ,20090101
24100,Biopsy elbow joint lining,AS,,,$56.42 ,20090101
24100,Biopsy elbow joint lining,,,,$282.09 ,20090101
24100,Biopsy elbow joint lining,,,Y,$375.91 ,20081209
24101,Explore/treat elbow joint,80,,,$70.72 ,20090101
24101,Explore/treat elbow joint,81,,,$70.72 ,20090101
24101,Explore/treat elbow joint,82,,,$70.72 ,20090101
24101,Explore/treat elbow joint,AS,,,$70.72 ,20090101
24101,Explore/treat elbow joint,,,,$353.61 ,20090101
24101,Explore/treat elbow joint,,,Y,$619.70 ,20081209
24102,Remove elbow joint lining,80,,,$88.03 ,20090101
24102,Remove elbow joint lining,81,,,$88.03 ,20090101
24102,Remove elbow joint lining,82,,,$88.03 ,20090101
24102,Remove elbow joint lining,AS,,,$88.03 ,20090101
24102,Remove elbow joint lining,,,,$440.13 ,20090101
24102,Remove elbow joint lining,,,Y,$619.70 ,20081209
24105,Removal of elbow bursa,,,,$236.20 ,20090101
24105,Removal of elbow bursa,,,Y,$482.11 ,20081209
24110,Remove humerus lesion,,,,$414.53 ,20090101
24110,Remove humerus lesion,,,Y,$443.71 ,20081209
24115,Remove/graft bone lesion,80,,,$97.09 ,20090101
24115,Remove/graft bone lesion,81,,,$97.09 ,20090101
24115,Remove/graft bone lesion,82,,,$97.09 ,20090101
24115,Remove/graft bone lesion,AS,,,$97.09 ,20090101
24115,Remove/graft bone lesion,,,,$485.47 ,20090101
24115,Remove/graft bone lesion,,,Y,$547.70 ,20081209
24116,Remove/graft bone lesion,80,,,$125.47 ,20090101
24116,Remove/graft bone lesion,81,,,$125.47 ,20090101
24116,Remove/graft bone lesion,82,,,$125.47 ,20090101
24116,Remove/graft bone lesion,AS,,,$125.47 ,20090101
24116,Remove/graft bone lesion,,,,$627.37 ,20090101
24116,Remove/graft bone lesion,,,Y,$547.70 ,20081209
24120,Remove elbow lesion,,,,$371.69 ,20090101
24120,Remove elbow lesion,,,Y,$482.11 ,20081209
24125,Remove/graft bone lesion,80,,,$84.35 ,20090101
24125,Remove/graft bone lesion,81,,,$84.35 ,20090101
24125,Remove/graft bone lesion,82,,,$84.35 ,20090101
24125,Remove/graft bone lesion,AS,,,$84.35 ,20090101
24125,Remove/graft bone lesion,,,,$421.76 ,20090101
24125,Remove/graft bone lesion,,,Y,$547.70 ,20081209
24126,Remove/graft bone lesion,80,,,$90.02 ,20090101
24126,Remove/graft bone lesion,81,,,$90.02 ,20090101
24126,Remove/graft bone lesion,82,,,$90.02 ,20090101
24126,Remove/graft bone lesion,AS,,,$90.02 ,20090101
24126,Remove/graft bone lesion,,,,$450.12 ,20090101
24126,Remove/graft bone lesion,,,Y,$547.70 ,20081209
24130,Removal of head of radius,80,,,$71.94 ,20090101
24130,Removal of head of radius,81,,,$71.94 ,20090101
24130,Removal of head of radius,82,,,$71.94 ,20090101
24130,Removal of head of radius,AS,,,$71.94 ,20090101
24130,Removal of head of radius,,,,$359.71 ,20090101
24130,Removal of head of radius,,,Y,$547.70 ,20081209
24134,Removal of arm bone lesion,80,,,$109.17 ,20090101
24134,Removal of arm bone lesion,81,,,$109.17 ,20090101
24134,Removal of arm bone lesion,82,,,$109.17 ,20090101
24134,Removal of arm bone lesion,AS,,,$109.17 ,20090101
24134,Removal of arm bone lesion,,,,$545.86 ,20090101
24134,Removal of arm bone lesion,,,Y,$509.30 ,20081209
24136,Remove radius bone lesion,80,,,$89.97 ,20090101
24136,Remove radius bone lesion,81,,,$89.97 ,20090101
24136,Remove radius bone lesion,82,,,$89.97 ,20090101
24136,Remove radius bone lesion,AS,,,$89.97 ,20090101
24136,Remove radius bone lesion,,,,$449.86 ,20090101
24136,Remove radius bone lesion,,,Y,$509.30 ,20081209
24138,Remove elbow bone lesion,80,,,$93.53 ,20090101
24138,Remove elbow bone lesion,81,,,$93.53 ,20090101
24138,Remove elbow bone lesion,82,,,$93.53 ,20090101
24138,Remove elbow bone lesion,AS,,,$93.53 ,20090101
24138,Remove elbow bone lesion,,,,$467.66 ,20090101
24138,Remove elbow bone lesion,,,Y,$509.30 ,20081209
24140,Partial removal of arm bone,80,,,$104.49 ,20090101
24140,Partial removal of arm bone,81,,,$104.49 ,20090101
24140,Partial removal of arm bone,82,,,$104.49 ,20090101
24140,Partial removal of arm bone,AS,,,$104.49 ,20090101
24140,Partial removal of arm bone,,,,$522.47 ,20090101
24140,Partial removal of arm bone,,,Y,$547.70 ,20081209
24145,Partial removal of radius,80,,,$87.91 ,20090101
24145,Partial removal of radius,81,,,$87.91 ,20090101
24145,Partial removal of radius,82,,,$87.91 ,20090101
24145,Partial removal of radius,AS,,,$87.91 ,20090101
24145,Partial removal of radius,,,,$439.56 ,20090101
24145,Partial removal of radius,,,Y,$547.70 ,20081209
24147,Partial removal of elbow,,,,$457.10 ,20090101
24147,Partial removal of elbow,,,Y,$509.30 ,20081209
24149,Radical resection of elbow,80,,,$163.98 ,20090101
24149,Radical resection of elbow,81,,,$163.98 ,20090101
24149,Radical resection of elbow,82,,,$163.98 ,20090101
24149,Radical resection of elbow,AS,,,$163.98 ,20090101
24149,Radical resection of elbow,,,,$819.88 ,20090101
24150,Extensive humerus surgery,80,,,$140.67 ,20090101
24150,Extensive humerus surgery,81,,,$140.67 ,20090101
24150,Extensive humerus surgery,82,,,$140.67 ,20090101
24150,Extensive humerus surgery,AS,,,$140.67 ,20090101
24150,Extensive humerus surgery,,,,$703.33 ,20090101
24151,Extensive humerus surgery,80,,,$162.97 ,20090101
24151,Extensive humerus surgery,81,,,$162.97 ,20090101
24151,Extensive humerus surgery,82,,,$162.97 ,20090101
24151,Extensive humerus surgery,AS,,,$162.97 ,20090101
24151,Extensive humerus surgery,,,,$814.86 ,20090101
24152,Extensive radius surgery,80,,,$103.88 ,20090101
24152,Extensive radius surgery,81,,,$103.88 ,20090101
24152,Extensive radius surgery,82,,,$103.88 ,20090101
24152,Extensive radius surgery,AS,,,$103.88 ,20090101
24152,Extensive radius surgery,,,,$519.41 ,20090101
24152,Extensive radius surgery,,,Y,"$1,423.70 ",20081209
24153,Extensive radius surgery,,,,$492.15 ,20090101
24153,Extensive radius surgery,,,Y,"$2,630.60 ",20081209
24155,Removal of elbow joint,80,,,$121.35 ,20090101
24155,Removal of elbow joint,81,,,$121.35 ,20090101
24155,Removal of elbow joint,82,,,$121.35 ,20090101
24155,Removal of elbow joint,AS,,,$121.35 ,20090101
24155,Removal of elbow joint,,,,$606.77 ,20090101
24155,Removal of elbow joint,,,Y,$661.93 ,20081209
24160,Remove elbow joint implant,80,,,$86.53 ,20090101
24160,Remove elbow joint implant,81,,,$86.53 ,20090101
24160,Remove elbow joint implant,82,,,$86.53 ,20090101
24160,Remove elbow joint implant,AS,,,$86.53 ,20090101
24160,Remove elbow joint implant,,,,$432.63 ,20090101
24160,Remove elbow joint implant,,,Y,$509.30 ,20081209
24164,Remove radius head implant,80,,,$70.72 ,20090101
24164,Remove radius head implant,81,,,$70.72 ,20090101
24164,Remove radius head implant,82,,,$70.72 ,20090101
24164,Remove radius head implant,AS,,,$70.72 ,20090101
24164,Remove radius head implant,,,,$353.61 ,20090101
24164,Remove radius head implant,,,Y,$547.70 ,20081209
24200,Removal of arm foreign body,,,,$140.77 ,20090101
24201,Removal of arm foreign body,,,,$393.38 ,20090101
24201,Removal of arm foreign body,,,Y,$400.91 ,20081209
24220,Injection for elbow x-ray,,,,$126.31 ,20090101
24300,Manipulate elbow w/anesth,,,,$276.82 ,20090101
24301,Muscle/tendon transfer,80,,,$108.12 ,20090101
24301,Muscle/tendon transfer,81,,,$108.12 ,20090101
24301,Muscle/tendon transfer,82,,,$108.12 ,20090101
24301,Muscle/tendon transfer,AS,,,$108.12 ,20090101
24301,Muscle/tendon transfer,,,,$540.58 ,20090101
24301,Muscle/tendon transfer,,,Y,$619.70 ,20081209
24305,Arm tendon lengthening,,,,$413.14 ,20090101
24305,Arm tendon lengthening,,,Y,$619.70 ,20081209
24310,Revision of arm tendon,,,,$338.02 ,20090101
24310,Revision of arm tendon,,,Y,$482.11 ,20081209
24320,Repair of arm tendon,80,,,$109.95 ,20090101
24320,Repair of arm tendon,81,,,$109.95 ,20090101
24320,Repair of arm tendon,82,,,$109.95 ,20090101
24320,Repair of arm tendon,AS,,,$109.95 ,20090101
24320,Repair of arm tendon,,,,$549.74 ,20090101
24320,Repair of arm tendon,,,Y,$661.93 ,20081209
24330,Revision of arm muscles,80,,,$103.11 ,20090101
24330,Revision of arm muscles,81,,,$103.11 ,20090101
24330,Revision of arm muscles,82,,,$103.11 ,20090101
24330,Revision of arm muscles,AS,,,$103.11 ,20090101
24330,Revision of arm muscles,,,,$515.53 ,20090101
24330,Revision of arm muscles,,,Y,$963.65 ,20081209
24331,Revision of arm muscles,80,,,$113.67 ,20090101
24331,Revision of arm muscles,81,,,$113.67 ,20090101
24331,Revision of arm muscles,82,,,$113.67 ,20090101
24331,Revision of arm muscles,AS,,,$113.67 ,20090101
24331,Revision of arm muscles,,,,$568.37 ,20090101
24331,Revision of arm muscles,,,Y,$661.93 ,20081209
24332,"Tenolysis, triceps",,,,$427.05 ,20090101
24340,Repair of biceps tendon,80,,,$87.86 ,20090101
24340,Repair of biceps tendon,81,,,$87.86 ,20090101
24340,Repair of biceps tendon,82,,,$87.86 ,20090101
24340,Repair of biceps tendon,AS,,,$87.86 ,20090101
24340,Repair of biceps tendon,,,,$439.31 ,20090101
24340,Repair of biceps tendon,,,Y,$661.93 ,20081209
24341,Repair arm tendon/muscle,80,,,$101.94 ,20090101
24341,Repair arm tendon/muscle,81,,,$101.94 ,20090101
24341,Repair arm tendon/muscle,82,,,$101.94 ,20090101
24341,Repair arm tendon/muscle,AS,,,$101.94 ,20090101
24341,Repair arm tendon/muscle,,,,$509.69 ,20090101
24341,Repair arm tendon/muscle,,,Y,$661.93 ,20081209
24342,Repair of ruptured tendon,80,,,$113.46 ,20090101
24342,Repair of ruptured tendon,81,,,$113.46 ,20090101
24342,Repair of ruptured tendon,82,,,$113.46 ,20090101
24342,Repair of ruptured tendon,AS,,,$113.46 ,20090101
24342,Repair of ruptured tendon,,,,$567.28 ,20090101
24342,Repair of ruptured tendon,,,Y,$661.93 ,20081209
24343,Repr elbow lat ligmnt w/tiss,,,,$500.49 ,20090101
24344,Reconstruct elbow lat ligmnt,,,,$781.21 ,20090101
24345,Repr elbw med ligmnt w/tissu,,,,$498.27 ,20090101
24345,Repr elbw med ligmnt w/tissu,,,Y,$509.30 ,20081209
24346,Reconstruct elbow med ligmnt,,,,$778.98 ,20090101
24360,Reconstruct elbow joint,80,,,$129.36 ,20090101
24360,Reconstruct elbow joint,81,,,$129.36 ,20090101
24360,Reconstruct elbow joint,82,,,$129.36 ,20090101
24360,Reconstruct elbow joint,AS,,,$129.36 ,20090101
24360,Reconstruct elbow joint,,,,$646.82 ,20090101
24360,Reconstruct elbow joint,,,Y,$727.50 ,20081209
24361,Reconstruct elbow joint,80,,,$145.39 ,20090101
24361,Reconstruct elbow joint,81,,,$145.39 ,20090101
24361,Reconstruct elbow joint,82,,,$145.39 ,20090101
24361,Reconstruct elbow joint,AS,,,$145.39 ,20090101
24361,Reconstruct elbow joint,,,,$726.93 ,20090101
24361,Reconstruct elbow joint,,,Y,"$1,442.09 ",20081209
24362,Reconstruct elbow joint,80,,,$142.89 ,20090101
24362,Reconstruct elbow joint,81,,,$142.89 ,20090101
24362,Reconstruct elbow joint,82,,,$142.89 ,20090101
24362,Reconstruct elbow joint,AS,,,$142.89 ,20090101
24362,Reconstruct elbow joint,,,,$714.46 ,20090101
24362,Reconstruct elbow joint,,,Y,$851.56 ,20081209
24363,Replace elbow joint,80,,,$213.88 ,20090101
24363,Replace elbow joint,81,,,$213.88 ,20090101
24363,Replace elbow joint,82,,,$213.88 ,20090101
24363,Replace elbow joint,AS,,,$213.88 ,20090101
24363,Replace elbow joint,,,,"$1,069.41 ",20090101
24363,Replace elbow joint,,,Y,"$1,608.89 ",20081209
24365,Reconstruct head of radius,80,,,$91.87 ,20090101
24365,Reconstruct head of radius,81,,,$91.87 ,20090101
24365,Reconstruct head of radius,82,,,$91.87 ,20090101
24365,Reconstruct head of radius,AS,,,$91.87 ,20090101
24365,Reconstruct head of radius,,,,$459.33 ,20090101
24365,Reconstruct head of radius,,,Y,$727.50 ,20081209
24366,Reconstruct head of radius,80,,,$98.49 ,20090101
24366,Reconstruct head of radius,81,,,$98.49 ,20090101
24366,Reconstruct head of radius,82,,,$98.49 ,20090101
24366,Reconstruct head of radius,AS,,,$98.49 ,20090101
24366,Reconstruct head of radius,,,,$492.45 ,20090101
24366,Reconstruct head of radius,,,Y,"$1,442.09 ",20081209
24400,Revision of humerus,80,,,$118.52 ,20090101
24400,Revision of humerus,81,,,$118.52 ,20090101
24400,Revision of humerus,82,,,$118.52 ,20090101
24400,Revision of humerus,AS,,,$118.52 ,20090101
24400,Revision of humerus,,,,$592.59 ,20090101
24400,Revision of humerus,,,Y,$619.70 ,20081209
24410,Revision of humerus,80,,,$152.01 ,20090101
24410,Revision of humerus,81,,,$152.01 ,20090101
24410,Revision of humerus,82,,,$152.01 ,20090101
24410,Revision of humerus,AS,,,$152.01 ,20090101
24410,Revision of humerus,,,,$760.05 ,20090101
24410,Revision of humerus,,,Y,$619.70 ,20081209
24420,Revision of humerus,80,,,$140.72 ,20090101
24420,Revision of humerus,81,,,$140.72 ,20090101
24420,Revision of humerus,82,,,$140.72 ,20090101
24420,Revision of humerus,AS,,,$140.72 ,20090101
24420,Revision of humerus,,,,$703.59 ,20090101
24420,Revision of humerus,,,Y,$661.93 ,20081209
24430,Repair of humerus,80,,,$149.01 ,20090101
24430,Repair of humerus,81,,,$149.01 ,20090101
24430,Repair of humerus,82,,,$149.01 ,20090101
24430,Repair of humerus,AS,,,$149.01 ,20090101
24430,Repair of humerus,,,,$745.04 ,20090101
24430,Repair of humerus,,,Y,$963.65 ,20081209
24435,Repair humerus with graft,80,,,$152.29 ,20090101
24435,Repair humerus with graft,81,,,$152.29 ,20090101
24435,Repair humerus with graft,82,,,$152.29 ,20090101
24435,Repair humerus with graft,AS,,,$152.29 ,20090101
24435,Repair humerus with graft,,,,$761.45 ,20090101
24435,Repair humerus with graft,,,Y,"$1,035.65 ",20081209
24470,Revision of elbow joint,80,,,$94.47 ,20090101
24470,Revision of elbow joint,81,,,$94.47 ,20090101
24470,Revision of elbow joint,82,,,$94.47 ,20090101
24470,Revision of elbow joint,AS,,,$94.47 ,20090101
24470,Revision of elbow joint,,,,$472.37 ,20090101
24470,Revision of elbow joint,,,Y,$661.93 ,20081209
24495,Decompression of forearm,,,,$474.62 ,20090101
24495,Decompression of forearm,,,Y,$509.30 ,20081209
24498,Reinforce humerus,80,,,$126.31 ,20090101
24498,Reinforce humerus,81,,,$126.31 ,20090101
24498,Reinforce humerus,82,,,$126.31 ,20090101
24498,Reinforce humerus,AS,,,$126.31 ,20090101
24498,Reinforce humerus,,,,$631.56 ,20090101
24498,Reinforce humerus,,,Y,$963.65 ,20081209
24500,Treat humerus fracture,,,,$234.81 ,20090101
24500,Treat humerus fracture,,,Y,$76.82 ,20081209
24505,Treat humerus fracture,,,,$343.87 ,20090101
24505,Treat humerus fracture,,,Y,$76.82 ,20081209
24515,Treat humerus fracture,80,,,$126.41 ,20090101
24515,Treat humerus fracture,81,,,$126.41 ,20090101
24515,Treat humerus fracture,82,,,$126.41 ,20090101
24515,Treat humerus fracture,AS,,,$126.41 ,20090101
24515,Treat humerus fracture,,,,$632.07 ,20090101
24515,Treat humerus fracture,,,Y,$868.38 ,20081209
24516,Treat humerus fracture,80,,,$125.08 ,20090101
24516,Treat humerus fracture,81,,,$125.08 ,20090101
24516,Treat humerus fracture,82,,,$125.08 ,20090101
24516,Treat humerus fracture,AS,,,$125.08 ,20090101
24516,Treat humerus fracture,,,,$625.40 ,20090101
24516,Treat humerus fracture,,,Y,$868.38 ,20081209
24530,Treat humerus fracture,,,,$253.45 ,20090101
24530,Treat humerus fracture,,,Y,$76.82 ,20081209
24535,Treat humerus fracture,,,,$430.38 ,20090101
24535,Treat humerus fracture,,,Y,$76.82 ,20081209
24538,Treat humerus fracture,80,,,$106.95 ,20090101
24538,Treat humerus fracture,81,,,$106.95 ,20090101
24538,Treat humerus fracture,82,,,$106.95 ,20090101
24538,Treat humerus fracture,AS,,,$106.95 ,20090101
24538,Treat humerus fracture,,,,$534.73 ,20090101
24538,Treat humerus fracture,,,Y,$484.21 ,20081209
24545,Treat humerus fracture,80,,,$129.03 ,20090101
24545,Treat humerus fracture,81,,,$129.03 ,20090101
24545,Treat humerus fracture,82,,,$129.03 ,20090101
24545,Treat humerus fracture,AS,,,$129.03 ,20090101
24545,Treat humerus fracture,,,,$645.17 ,20090101
24545,Treat humerus fracture,,,Y,$868.38 ,20081209
24546,Treat humerus fracture,80,,,$154.07 ,20090101
24546,Treat humerus fracture,81,,,$154.07 ,20090101
24546,Treat humerus fracture,82,,,$154.07 ,20090101
24546,Treat humerus fracture,AS,,,$154.07 ,20090101
24546,Treat humerus fracture,,,,$770.35 ,20090101
24546,Treat humerus fracture,,,Y,$920.58 ,20081209
24560,Treat humerus fracture,,,,$211.72 ,20090101
24560,Treat humerus fracture,,,Y,$76.82 ,20081209
24565,Treat humerus fracture,80,,,$71.50 ,20090101
24565,Treat humerus fracture,81,,,$71.50 ,20090101
24565,Treat humerus fracture,82,,,$71.50 ,20090101
24565,Treat humerus fracture,AS,,,$71.50 ,20090101
24565,Treat humerus fracture,,,,$357.49 ,20090101
24565,Treat humerus fracture,,,Y,$76.82 ,20081209
24566,Treat humerus fracture,,,,$490.76 ,20090101
24566,Treat humerus fracture,,,Y,$484.21 ,20081209
24575,Treat humerus fracture,80,,,$106.22 ,20090101
24575,Treat humerus fracture,81,,,$106.22 ,20090101
24575,Treat humerus fracture,82,,,$106.22 ,20090101
24575,Treat humerus fracture,AS,,,$106.22 ,20090101
24575,Treat humerus fracture,,,,$531.11 ,20090101
24575,Treat humerus fracture,,,Y,$796.38 ,20081209
24576,Treat humerus fracture,,,,$222.29 ,20090101
24576,Treat humerus fracture,,,Y,$76.82 ,20081209
24577,Treat humerus fracture,,,,$370.29 ,20090101
24577,Treat humerus fracture,,,Y,$76.82 ,20081209
24579,Treat humerus fracture,80,,,$120.07 ,20090101
24579,Treat humerus fracture,81,,,$120.07 ,20090101
24579,Treat humerus fracture,82,,,$120.07 ,20090101
24579,Treat humerus fracture,AS,,,$120.07 ,20090101
24579,Treat humerus fracture,,,,$600.35 ,20090101
24579,Treat humerus fracture,,,Y,$796.38 ,20081209
24582,Treat humerus fracture,,,,$556.97 ,20090101
24582,Treat humerus fracture,,,Y,$484.21 ,20081209
24586,Treat elbow fracture,80,,,$158.97 ,20090101
24586,Treat elbow fracture,81,,,$158.97 ,20090101
24586,Treat elbow fracture,82,,,$158.97 ,20090101
24586,Treat elbow fracture,AS,,,$158.97 ,20090101
24586,Treat elbow fracture,,,,$794.83 ,20090101
24586,Treat elbow fracture,,,Y,$868.38 ,20081209
24587,Treat elbow fracture,80,,,$157.74 ,20090101
24587,Treat elbow fracture,81,,,$157.74 ,20090101
24587,Treat elbow fracture,82,,,$157.74 ,20090101
24587,Treat elbow fracture,AS,,,$157.74 ,20090101
24587,Treat elbow fracture,,,,$788.72 ,20090101
24587,Treat elbow fracture,,,Y,$920.58 ,20081209
24600,Treat elbow dislocation,,,,$254.28 ,20090101
24600,Treat elbow dislocation,,,Y,$76.82 ,20081209
24605,Treat elbow dislocation,,,,$320.78 ,20090101
24605,Treat elbow dislocation,,,Y,$389.86 ,20081209
24615,Treat elbow dislocation,80,,,$102.99 ,20090101
24615,Treat elbow dislocation,81,,,$102.99 ,20090101
24615,Treat elbow dislocation,82,,,$102.99 ,20090101
24615,Treat elbow dislocation,AS,,,$102.99 ,20090101
24615,Treat elbow dislocation,,,,$514.96 ,20090101
24615,Treat elbow dislocation,,,Y,$796.38 ,20081209
24620,Treat elbow fracture,,,,$389.77 ,20090101
24620,Treat elbow fracture,,,Y,$76.82 ,20081209
24635,Treat elbow fracture,80,,,$118.19 ,20090101
24635,Treat elbow fracture,81,,,$118.19 ,20090101
24635,Treat elbow fracture,82,,,$118.19 ,20090101
24635,Treat elbow fracture,AS,,,$118.19 ,20090101
24635,Treat elbow fracture,,,,$590.93 ,20090101
24635,Treat elbow fracture,,,Y,$796.38 ,20081209
24640,Treat elbow dislocation,,,,$84.30 ,20090101
24650,Treat radius fracture,,,,$171.65 ,20090101
24655,Treat radius fracture,,,,$299.07 ,20090101
24655,Treat radius fracture,,,Y,$76.82 ,20081209
24665,Treat radius fracture,80,,,$92.59 ,20090101
24665,Treat radius fracture,81,,,$92.59 ,20090101
24665,Treat radius fracture,82,,,$92.59 ,20090101
24665,Treat radius fracture,AS,,,$92.59 ,20090101
24665,Treat radius fracture,,,,$462.96 ,20090101
24665,Treat radius fracture,,,Y,$718.39 ,20081209
24666,Treat radius fracture,80,,,$105.00 ,20090101
24666,Treat radius fracture,81,,,$105.00 ,20090101
24666,Treat radius fracture,82,,,$105.00 ,20090101
24666,Treat radius fracture,AS,,,$105.00 ,20090101
24666,Treat radius fracture,,,,$525.00 ,20090101
24666,Treat radius fracture,,,Y,$868.38 ,20081209
24670,Treat ulnar fracture,,,,$192.80 ,20090101
24670,Treat ulnar fracture,,,Y,$76.82 ,20081209
24675,Treat ulnar fracture,,,,$314.10 ,20090101
24675,Treat ulnar fracture,,,Y,$76.82 ,20081209
24685,Treat ulnar fracture,80,,,$93.20 ,20090101
24685,Treat ulnar fracture,81,,,$93.20 ,20090101
24685,Treat ulnar fracture,82,,,$93.20 ,20090101
24685,Treat ulnar fracture,AS,,,$93.20 ,20090101
24685,Treat ulnar fracture,,,,$466.01 ,20090101
24685,Treat ulnar fracture,,,Y,$646.39 ,20081209
24800,Fusion of elbow joint,80,,,$115.29 ,20090101
24800,Fusion of elbow joint,81,,,$115.29 ,20090101
24800,Fusion of elbow joint,82,,,$115.29 ,20090101
24800,Fusion of elbow joint,AS,,,$115.29 ,20090101
24800,Fusion of elbow joint,,,,$576.44 ,20090101
24800,Fusion of elbow joint,,,Y,$733.93 ,20081209
24802,Fusion/graft of elbow joint,80,,,$143.39 ,20090101
24802,Fusion/graft of elbow joint,81,,,$143.39 ,20090101
24802,Fusion/graft of elbow joint,82,,,$143.39 ,20090101
24802,Fusion/graft of elbow joint,AS,,,$143.39 ,20090101
24802,Fusion/graft of elbow joint,,,,$716.94 ,20090101
24802,Fusion/graft of elbow joint,,,Y,$786.13 ,20081209
24900,Amputation of upper arm,80,,,$101.88 ,20090101
24900,Amputation of upper arm,81,,,$101.88 ,20090101
24900,Amputation of upper arm,82,,,$101.88 ,20090101
24900,Amputation of upper arm,AS,,,$101.88 ,20090101
24900,Amputation of upper arm,,,,$509.38 ,20090101
24920,Amputation of upper arm,80,,,$100.82 ,20090101
24920,Amputation of upper arm,81,,,$100.82 ,20090101
24920,Amputation of upper arm,82,,,$100.82 ,20090101
24920,Amputation of upper arm,AS,,,$100.82 ,20090101
24920,Amputation of upper arm,,,,$504.10 ,20090101
24925,Amputation follow-up surgery,80,,,$77.07 ,20090101
24925,Amputation follow-up surgery,81,,,$77.07 ,20090101
24925,Amputation follow-up surgery,82,,,$77.07 ,20090101
24925,Amputation follow-up surgery,AS,,,$77.07 ,20090101
24925,Amputation follow-up surgery,,,,$385.33 ,20090101
24925,Amputation follow-up surgery,,,Y,$482.11 ,20081209
24930,Amputation follow-up surgery,80,,,$106.39 ,20090101
24930,Amputation follow-up surgery,81,,,$106.39 ,20090101
24930,Amputation follow-up surgery,82,,,$106.39 ,20090101
24930,Amputation follow-up surgery,AS,,,$106.39 ,20090101
24930,Amputation follow-up surgery,,,,$531.94 ,20090101
24931,Amputate upper arm & implant,80,,,$114.73 ,20090101
24931,Amputate upper arm & implant,81,,,$114.73 ,20090101
24931,Amputate upper arm & implant,82,,,$114.73 ,20090101
24931,Amputate upper arm & implant,AS,,,$114.73 ,20090101
24931,Amputate upper arm & implant,,,,$573.65 ,20090101
24935,Revision of amputation,,,,$770.36 ,20090101
24940,Revision of upper arm,80,,,$180.59 ,20090101
24940,Revision of upper arm,81,,,$180.59 ,20090101
24940,Revision of upper arm,82,,,$180.59 ,20090101
24940,Revision of upper arm,AS,,,$180.59 ,20090101
24940,Revision of upper arm,,,,$902.93 ,20090101
25000,Incision of tendon sheath,,,,$262.07 ,20090101
25000,Incision of tendon sheath,,,Y,$482.11 ,20081209
25001,Incise flexor carpi radialis,,,,$231.47 ,20090101
25020,Decompress forearm 1 space,,,,$421.76 ,20090101
25020,Decompress forearm 1 space,,,Y,$482.11 ,20081209
25023,Decompress forearm 1 space,,,,$803.19 ,20090101
25023,Decompress forearm 1 space,,,Y,$547.70 ,20081209
25024,Decompress forearm 2 spaces,,,,$535.83 ,20090101
25024,Decompress forearm 2 spaces,,,Y,$547.70 ,20081209
25025,Decompress forearm 2 spaces,,,,$819.05 ,20090101
25025,Decompress forearm 2 spaces,,,Y,$547.70 ,20081209
25028,Drainage of forearm lesion,,,,$369.74 ,20090101
25028,Drainage of forearm lesion,,,Y,$375.91 ,20081209
25031,Drainage of forearm bursa,,,,$292.68 ,20090101
25031,Drainage of forearm bursa,,,Y,$443.71 ,20081209
25035,Treat forearm bone lesion,,,,$511.62 ,20090101
25035,Treat forearm bone lesion,,,Y,$443.71 ,20081209
25040,Explore/treat wrist joint,,,,$414.81 ,20090101
25040,Explore/treat wrist joint,,,Y,$671.90 ,20081209
25065,Biopsy forearm soft tissues,,,,$165.26 ,20090101
25065,Biopsy forearm soft tissues,,,Y,$115.18 ,20081209
25066,Biopsy forearm soft tissues,,,,$285.72 ,20090101
25066,Biopsy forearm soft tissues,,,Y,$442.39 ,20081209
25075,Removal forearm lesion subcu,,,,$248.44 ,20090101
25075,Removal forearm lesion subcu,,,Y,$400.91 ,20081209
25076,Removal forearm lesion deep,,,,$348.88 ,20090101
25076,Removal forearm lesion deep,,,Y,$480.79 ,20081209
25077,"Remove tumor, forearm/wrist",,,,$569.21 ,20090101
25077,"Remove tumor, forearm/wrist",,,Y,$480.79 ,20081209
25085,Incision of wrist capsule,80,,,$68.27 ,20090101
25085,Incision of wrist capsule,81,,,$68.27 ,20090101
25085,Incision of wrist capsule,82,,,$68.27 ,20090101
25085,Incision of wrist capsule,AS,,,$68.27 ,20090101
25085,Incision of wrist capsule,,,,$341.34 ,20090101
25085,Incision of wrist capsule,,,Y,$482.11 ,20081209
25100,Biopsy of wrist joint,,,,$252.05 ,20090101
25100,Biopsy of wrist joint,,,Y,$443.71 ,20081209
25101,Explore/treat wrist joint,,,,$295.18 ,20090101
25101,Explore/treat wrist joint,,,Y,$547.70 ,20081209
25105,Remove wrist joint lining,,,,$360.83 ,20090101
25105,Remove wrist joint lining,,,Y,$619.70 ,20081209
25107,Remove wrist joint cartilage,80,,,$87.80 ,20090101
25107,Remove wrist joint cartilage,81,,,$87.80 ,20090101
25107,Remove wrist joint cartilage,82,,,$87.80 ,20090101
25107,Remove wrist joint cartilage,AS,,,$87.80 ,20090101
25107,Remove wrist joint cartilage,,,,$439.00 ,20090101
25107,Remove wrist joint cartilage,,,Y,$547.70 ,20081209
25109,Excise tendon forearm/wrist,,,,$361.95 ,20090101
25110,Remove wrist tendon lesion,,,,$275.98 ,20090101
25110,Remove wrist tendon lesion,,,Y,$482.11 ,20081209
25111,Remove wrist tendon lesion,,,,$226.18 ,20090101
25111,Remove wrist tendon lesion,,,Y,$442.32 ,20081209
25112,Reremove wrist tendon lesion,,,,$276.82 ,20090101
25112,Reremove wrist tendon lesion,,,Y,$514.32 ,20081209
25115,Remove wrist/forearm lesion,,,,$608.99 ,20090101
25115,Remove wrist/forearm lesion,,,Y,$554.11 ,20081209
25116,Remove wrist/forearm lesion,,,,$505.22 ,20090101
25116,Remove wrist/forearm lesion,,,Y,$554.11 ,20081209
25118,Excise wrist tendon sheath,,,,$279.59 ,20090101
25118,Excise wrist tendon sheath,,,Y,$509.30 ,20081209
25119,Partial removal of ulna,80,,,$74.50 ,20090101
25119,Partial removal of ulna,81,,,$74.50 ,20090101
25119,Partial removal of ulna,82,,,$74.50 ,20090101
25119,Partial removal of ulna,AS,,,$74.50 ,20090101
25119,Partial removal of ulna,,,,$372.50 ,20090101
25119,Partial removal of ulna,,,Y,$547.70 ,20081209
25120,Removal of forearm lesion,,,,$438.46 ,20090101
25120,Removal of forearm lesion,,,Y,$547.70 ,20081209
25125,Remove/graft forearm lesion,,,,$497.43 ,20090101
25125,Remove/graft forearm lesion,,,Y,$547.70 ,20081209
25126,Remove/graft forearm lesion,80,,,$101.99 ,20090101
25126,Remove/graft forearm lesion,81,,,$101.99 ,20090101
25126,Remove/graft forearm lesion,82,,,$101.99 ,20090101
25126,Remove/graft forearm lesion,AS,,,$101.99 ,20090101
25126,Remove/graft forearm lesion,,,,$509.94 ,20090101
25126,Remove/graft forearm lesion,,,Y,$547.70 ,20081209
25130,Removal of wrist lesion,,,,$325.51 ,20090101
25130,Removal of wrist lesion,,,Y,$547.70 ,20081209
25135,Remove & graft wrist lesion,80,,,$80.96 ,20090101
25135,Remove & graft wrist lesion,81,,,$80.96 ,20090101
25135,Remove & graft wrist lesion,82,,,$80.96 ,20090101
25135,Remove & graft wrist lesion,AS,,,$80.96 ,20090101
25135,Remove & graft wrist lesion,,,,$404.79 ,20090101
25135,Remove & graft wrist lesion,,,Y,$547.70 ,20081209
25136,Remove & graft wrist lesion,80,,,$71.83 ,20090101
25136,Remove & graft wrist lesion,81,,,$71.83 ,20090101
25136,Remove & graft wrist lesion,82,,,$71.83 ,20090101
25136,Remove & graft wrist lesion,AS,,,$71.83 ,20090101
25136,Remove & graft wrist lesion,,,,$359.15 ,20090101
25136,Remove & graft wrist lesion,,,Y,$547.70 ,20081209
25145,Remove forearm bone lesion,80,,,$89.48 ,20090101
25145,Remove forearm bone lesion,81,,,$89.48 ,20090101
25145,Remove forearm bone lesion,82,,,$89.48 ,20090101
25145,Remove forearm bone lesion,AS,,,$89.48 ,20090101
25145,Remove forearm bone lesion,,,,$447.38 ,20090101
25145,Remove forearm bone lesion,,,Y,$509.30 ,20081209
25150,Partial removal of ulna,,,,$425.11 ,20090101
25150,Partial removal of ulna,,,Y,$509.30 ,20081209
25151,Partial removal of radius,80,,,$99.83 ,20090101
25151,Partial removal of radius,81,,,$99.83 ,20090101
25151,Partial removal of radius,82,,,$99.83 ,20090101
25151,Partial removal of radius,AS,,,$99.83 ,20090101
25151,Partial removal of radius,,,,$499.13 ,20090101
25151,Partial removal of radius,,,Y,$509.30 ,20081209
25170,Extensive forearm surgery,80,,,$135.66 ,20090101
25170,Extensive forearm surgery,81,,,$135.66 ,20090101
25170,Extensive forearm surgery,82,,,$135.66 ,20090101
25170,Extensive forearm surgery,AS,,,$135.66 ,20090101
25170,Extensive forearm surgery,,,,$678.29 ,20090101
25210,Removal of wrist bone,,,,$356.38 ,20090101
25210,Removal of wrist bone,,,Y,$523.86 ,20081209
25215,Removal of wrist bones,80,,,$92.43 ,20090101
25215,Removal of wrist bones,81,,,$92.43 ,20090101
25215,Removal of wrist bones,82,,,$92.43 ,20090101
25215,Removal of wrist bones,AS,,,$92.43 ,20090101
25215,Removal of wrist bones,,,,$462.13 ,20090101
25215,Removal of wrist bones,,,Y,$595.86 ,20081209
25230,Partial removal of radius,,,,$316.88 ,20090101
25230,Partial removal of radius,,,Y,$619.70 ,20081209
25240,Partial removal of ulna,,,,$326.61 ,20090101
25240,Partial removal of ulna,,,Y,$619.70 ,20081209
25246,Injection for wrist x-ray,,,,$128.81 ,20090101
25248,Remove forearm foreign body,,,,$339.69 ,20090101
25248,Remove forearm foreign body,,,Y,$443.71 ,20081209
25250,Removal of wrist prosthesis,80,,,$74.33 ,20090101
25250,Removal of wrist prosthesis,81,,,$74.33 ,20090101
25250,Removal of wrist prosthesis,82,,,$74.33 ,20090101
25250,Removal of wrist prosthesis,AS,,,$74.33 ,20090101
25250,Removal of wrist prosthesis,,,,$371.67 ,20090101
25250,Removal of wrist prosthesis,,,Y,$441.50 ,20081209
25251,Removal of wrist prosthesis,80,,,$101.77 ,20090101
25251,Removal of wrist prosthesis,81,,,$101.77 ,20090101
25251,Removal of wrist prosthesis,82,,,$101.77 ,20090101
25251,Removal of wrist prosthesis,AS,,,$101.77 ,20090101
25251,Removal of wrist prosthesis,,,,$508.86 ,20090101
25251,Removal of wrist prosthesis,,,Y,$441.50 ,20081209
25259,Manipulate wrist w/anesthes,,,,$275.98 ,20090101
25260,Repair forearm tendon/muscle,,,,$526.65 ,20090101
25260,Repair forearm tendon/muscle,,,Y,$619.70 ,20081209
25263,Repair forearm tendon/muscle,80,,,$104.38 ,20090101
25263,Repair forearm tendon/muscle,81,,,$104.38 ,20090101
25263,Repair forearm tendon/muscle,82,,,$104.38 ,20090101
25263,Repair forearm tendon/muscle,AS,,,$104.38 ,20090101
25263,Repair forearm tendon/muscle,,,,$521.90 ,20090101
25263,Repair forearm tendon/muscle,,,Y,$509.30 ,20081209
25265,Repair forearm tendon/muscle,80,,,$123.19 ,20090101
25265,Repair forearm tendon/muscle,81,,,$123.19 ,20090101
25265,Repair forearm tendon/muscle,82,,,$123.19 ,20090101
25265,Repair forearm tendon/muscle,AS,,,$123.19 ,20090101
25265,Repair forearm tendon/muscle,,,,$615.93 ,20090101
25265,Repair forearm tendon/muscle,,,Y,$547.70 ,20081209
25270,Repair forearm tendon/muscle,,,,$431.50 ,20090101
25270,Repair forearm tendon/muscle,,,Y,$619.70 ,20081209
25272,Repair forearm tendon/muscle,,,,$482.69 ,20090101
25272,Repair forearm tendon/muscle,,,Y,$547.70 ,20081209
25274,Repair forearm tendon/muscle,,,,$561.43 ,20090101
25274,Repair forearm tendon/muscle,,,Y,$619.70 ,20081209
25275,Repair forearm tendon sheath,,,,$477.40 ,20090101
25275,Repair forearm tendon sheath,,,Y,$619.70 ,20081209
25280,Revise wrist/forearm tendon,,,,$485.75 ,20090101
25280,Revise wrist/forearm tendon,,,Y,$619.70 ,20081209
25290,Incise wrist/forearm tendon,,,,$442.63 ,20090101
25290,Incise wrist/forearm tendon,,,Y,$547.70 ,20081209
25295,Release wrist/forearm tendon,,,,$454.59 ,20090101
25295,Release wrist/forearm tendon,,,Y,$482.11 ,20081209
25300,Fusion of tendons at wrist,80,,,$98.49 ,20090101
25300,Fusion of tendons at wrist,81,,,$98.49 ,20090101
25300,Fusion of tendons at wrist,82,,,$98.49 ,20090101
25300,Fusion of tendons at wrist,AS,,,$98.49 ,20090101
25300,Fusion of tendons at wrist,,,,$492.45 ,20090101
25300,Fusion of tendons at wrist,,,Y,$547.70 ,20081209
25301,Fusion of tendons at wrist,80,,,$93.98 ,20090101
25301,Fusion of tendons at wrist,81,,,$93.98 ,20090101
25301,Fusion of tendons at wrist,82,,,$93.98 ,20090101
25301,Fusion of tendons at wrist,AS,,,$93.98 ,20090101
25301,Fusion of tendons at wrist,,,,$469.89 ,20090101
25301,Fusion of tendons at wrist,,,Y,$547.70 ,20081209
25310,Transplant forearm tendon,80,,,$105.50 ,20090101
25310,Transplant forearm tendon,81,,,$105.50 ,20090101
25310,Transplant forearm tendon,82,,,$105.50 ,20090101
25310,Transplant forearm tendon,AS,,,$105.50 ,20090101
25310,Transplant forearm tendon,,,,$527.49 ,20090101
25310,Transplant forearm tendon,,,Y,$661.93 ,20081209
25312,Transplant forearm tendon,80,,,$119.29 ,20090101
25312,Transplant forearm tendon,81,,,$119.29 ,20090101
25312,Transplant forearm tendon,82,,,$119.29 ,20090101
25312,Transplant forearm tendon,AS,,,$119.29 ,20090101
25312,Transplant forearm tendon,,,,$596.47 ,20090101
25312,Transplant forearm tendon,,,Y,$733.93 ,20081209
25315,Revise palsy hand tendon(s),80,,,$127.42 ,20090101
25315,Revise palsy hand tendon(s),81,,,$127.42 ,20090101
25315,Revise palsy hand tendon(s),82,,,$127.42 ,20090101
25315,Revise palsy hand tendon(s),AS,,,$127.42 ,20090101
25315,Revise palsy hand tendon(s),,,,$637.09 ,20090101
25315,Revise palsy hand tendon(s),,,Y,$661.93 ,20081209
25316,Revise palsy hand tendon(s),80,,,$147.67 ,20090101
25316,Revise palsy hand tendon(s),81,,,$147.67 ,20090101
25316,Revise palsy hand tendon(s),82,,,$147.67 ,20090101
25316,Revise palsy hand tendon(s),AS,,,$147.67 ,20090101
25316,Revise palsy hand tendon(s),,,,$738.37 ,20090101
25316,Revise palsy hand tendon(s),,,Y,$963.65 ,20081209
25320,Repair/revise wrist joint,80,,,$136.99 ,20090101
25320,Repair/revise wrist joint,81,,,$136.99 ,20090101
25320,Repair/revise wrist joint,82,,,$136.99 ,20090101
25320,Repair/revise wrist joint,AS,,,$136.99 ,20090101
25320,Repair/revise wrist joint,,,,$684.96 ,20090101
25320,Repair/revise wrist joint,,,Y,$661.93 ,20081209
25332,Revise wrist joint,80,,,$121.52 ,20090101
25332,Revise wrist joint,81,,,$121.52 ,20090101
25332,Revise wrist joint,82,,,$121.52 ,20090101
25332,Revise wrist joint,AS,,,$121.52 ,20090101
25332,Revise wrist joint,,,,$607.60 ,20090101
25332,Revise wrist joint,,,Y,$727.50 ,20081209
25335,Realignment of hand,80,,,$139.83 ,20090101
25335,Realignment of hand,81,,,$139.83 ,20090101
25335,Realignment of hand,82,,,$139.83 ,20090101
25335,Realignment of hand,AS,,,$139.83 ,20090101
25335,Realignment of hand,,,,$699.14 ,20090101
25335,Realignment of hand,,,Y,$661.93 ,20081209
25337,Reconstruct ulna/radioulnar,80,,,$127.47 ,20090101
25337,Reconstruct ulna/radioulnar,81,,,$127.47 ,20090101
25337,Reconstruct ulna/radioulnar,82,,,$127.47 ,20090101
25337,Reconstruct ulna/radioulnar,AS,,,$127.47 ,20090101
25337,Reconstruct ulna/radioulnar,,,,$637.35 ,20090101
25337,Reconstruct ulna/radioulnar,,,Y,$786.13 ,20081209
25350,Revision of radius,80,,,$114.63 ,20090101
25350,Revision of radius,81,,,$114.63 ,20090101
25350,Revision of radius,82,,,$114.63 ,20090101
25350,Revision of radius,AS,,,$114.63 ,20090101
25350,Revision of radius,,,,$573.13 ,20090101
25350,Revision of radius,,,Y,$963.65 ,20081209
25355,Revision of radius,80,,,$127.03 ,20090101
25355,Revision of radius,81,,,$127.03 ,20090101
25355,Revision of radius,82,,,$127.03 ,20090101
25355,Revision of radius,AS,,,$127.03 ,20090101
25355,Revision of radius,,,,$635.13 ,20090101
25355,Revision of radius,,,Y,$661.93 ,20081209
25360,Revision of ulna,80,,,$111.78 ,20090101
25360,Revision of ulna,81,,,$111.78 ,20090101
25360,Revision of ulna,82,,,$111.78 ,20090101
25360,Revision of ulna,AS,,,$111.78 ,20090101
25360,Revision of ulna,,,,$558.90 ,20090101
25360,Revision of ulna,,,Y,$547.70 ,20081209
25365,Revise radius & ulna,80,,,$149.40 ,20090101
25365,Revise radius & ulna,81,,,$149.40 ,20090101
25365,Revise radius & ulna,82,,,$149.40 ,20090101
25365,Revise radius & ulna,AS,,,$149.40 ,20090101
25365,Revise radius & ulna,,,,$747.01 ,20090101
25365,Revise radius & ulna,,,Y,$547.70 ,20081209
25370,Revise radius or ulna,80,,,$160.08 ,20090101
25370,Revise radius or ulna,81,,,$160.08 ,20090101
25370,Revise radius or ulna,82,,,$160.08 ,20090101
25370,Revise radius or ulna,AS,,,$160.08 ,20090101
25370,Revise radius or ulna,,,,$800.42 ,20090101
25370,Revise radius or ulna,,,Y,$661.93 ,20081209
25375,Revise radius & ulna,80,,,$156.24 ,20090101
25375,Revise radius & ulna,81,,,$156.24 ,20090101
25375,Revise radius & ulna,82,,,$156.24 ,20090101
25375,Revise radius & ulna,AS,,,$156.24 ,20090101
25375,Revise radius & ulna,,,,$781.22 ,20090101
25375,Revise radius & ulna,,,Y,$733.93 ,20081209
25390,Shorten radius or ulna,80,,,$128.31 ,20090101
25390,Shorten radius or ulna,81,,,$128.31 ,20090101
25390,Shorten radius or ulna,82,,,$128.31 ,20090101
25390,Shorten radius or ulna,AS,,,$128.31 ,20090101
25390,Shorten radius or ulna,,,,$641.54 ,20090101
25390,Shorten radius or ulna,,,Y,$547.70 ,20081209
25391,Lengthen radius or ulna,80,,,$161.25 ,20090101
25391,Lengthen radius or ulna,81,,,$161.25 ,20090101
25391,Lengthen radius or ulna,82,,,$161.25 ,20090101
25391,Lengthen radius or ulna,AS,,,$161.25 ,20090101
25391,Lengthen radius or ulna,,,,$806.27 ,20090101
25391,Lengthen radius or ulna,,,Y,$733.93 ,20081209
25392,Shorten radius & ulna,80,,,$161.30 ,20090101
25392,Shorten radius & ulna,81,,,$161.30 ,20090101
25392,Shorten radius & ulna,82,,,$161.30 ,20090101
25392,Shorten radius & ulna,AS,,,$161.30 ,20090101
25392,Shorten radius & ulna,,,,$806.52 ,20090101
25392,Shorten radius & ulna,,,Y,$547.70 ,20081209
25393,Lengthen radius & ulna,80,,,$182.34 ,20090101
25393,Lengthen radius & ulna,81,,,$182.34 ,20090101
25393,Lengthen radius & ulna,82,,,$182.34 ,20090101
25393,Lengthen radius & ulna,AS,,,$182.34 ,20090101
25393,Lengthen radius & ulna,,,,$911.68 ,20090101
25393,Lengthen radius & ulna,,,Y,$733.93 ,20081209
25394,"Repair carpal bone, shorten",,,,$551.13 ,20090101
25400,Repair radius or ulna,80,,,$134.77 ,20090101
25400,Repair radius or ulna,81,,,$134.77 ,20090101
25400,Repair radius or ulna,82,,,$134.77 ,20090101
25400,Repair radius or ulna,AS,,,$134.77 ,20090101
25400,Repair radius or ulna,,,,$673.84 ,20090101
25400,Repair radius or ulna,,,Y,$963.65 ,20081209
25405,Repair/graft radius or ulna,80,,,$168.65 ,20090101
25405,Repair/graft radius or ulna,81,,,$168.65 ,20090101
25405,Repair/graft radius or ulna,82,,,$168.65 ,20090101
25405,Repair/graft radius or ulna,AS,,,$168.65 ,20090101
25405,Repair/graft radius or ulna,,,,$843.27 ,20090101
25405,Repair/graft radius or ulna,,,Y,"$1,035.65 ",20081209
25415,Repair radius & ulna,80,,,$158.58 ,20090101
25415,Repair radius & ulna,81,,,$158.58 ,20090101
25415,Repair radius & ulna,82,,,$158.58 ,20090101
25415,Repair radius & ulna,AS,,,$158.58 ,20090101
25415,Repair radius & ulna,,,,$792.91 ,20090101
25415,Repair radius & ulna,,,Y,$963.65 ,20081209
25420,Repair/graft radius & ulna,80,,,$187.07 ,20090101
25420,Repair/graft radius & ulna,81,,,$187.07 ,20090101
25420,Repair/graft radius & ulna,82,,,$187.07 ,20090101
25420,Repair/graft radius & ulna,AS,,,$187.07 ,20090101
25420,Repair/graft radius & ulna,,,,$935.33 ,20090101
25420,Repair/graft radius & ulna,,,Y,"$1,035.65 ",20081209
25425,Repair/graft radius or ulna,80,,,$170.32 ,20090101
25425,Repair/graft radius or ulna,81,,,$170.32 ,20090101
25425,Repair/graft radius or ulna,82,,,$170.32 ,20090101
25425,Repair/graft radius or ulna,AS,,,$170.32 ,20090101
25425,Repair/graft radius or ulna,,,,$851.60 ,20090101
25425,Repair/graft radius or ulna,,,Y,$661.93 ,20081209
25426,Repair/graft radius & ulna,80,,,$176.60 ,20090101
25426,Repair/graft radius & ulna,81,,,$176.60 ,20090101
25426,Repair/graft radius & ulna,82,,,$176.60 ,20090101
25426,Repair/graft radius & ulna,AS,,,$176.60 ,20090101
25426,Repair/graft radius & ulna,,,,$883.01 ,20090101
25426,Repair/graft radius & ulna,,,Y,$733.93 ,20081209
25430,Vasc graft into carpal bone,,,,$501.61 ,20090101
25431,Repair nonunion carpal bone,,,,$568.66 ,20090101
25440,Repair/graft wrist bone,80,,,$113.18 ,20090101
25440,Repair/graft wrist bone,81,,,$113.18 ,20090101
25440,Repair/graft wrist bone,82,,,$113.18 ,20090101
25440,Repair/graft wrist bone,AS,,,$113.18 ,20090101
25440,Repair/graft wrist bone,,,,$565.89 ,20090101
25440,Repair/graft wrist bone,,,Y,"$1,035.65 ",20081209
25441,Reconstruct wrist joint,80,,,$135.15 ,20090101
25441,Reconstruct wrist joint,81,,,$135.15 ,20090101
25441,Reconstruct wrist joint,82,,,$135.15 ,20090101
25441,Reconstruct wrist joint,AS,,,$135.15 ,20090101
25441,Reconstruct wrist joint,,,,$675.75 ,20090101
25441,Reconstruct wrist joint,,,Y,"$1,442.09 ",20081209
25442,Reconstruct wrist joint,80,,,$115.24 ,20090101
25442,Reconstruct wrist joint,81,,,$115.24 ,20090101
25442,Reconstruct wrist joint,82,,,$115.24 ,20090101
25442,Reconstruct wrist joint,AS,,,$115.24 ,20090101
25442,Reconstruct wrist joint,,,,$576.18 ,20090101
25442,Reconstruct wrist joint,,,Y,"$1,442.09 ",20081209
25443,Reconstruct wrist joint,80,,,$110.67 ,20090101
25443,Reconstruct wrist joint,81,,,$110.67 ,20090101
25443,Reconstruct wrist joint,82,,,$110.67 ,20090101
25443,Reconstruct wrist joint,AS,,,$110.67 ,20090101
25443,Reconstruct wrist joint,,,,$553.36 ,20090101
25443,Reconstruct wrist joint,,,Y,$851.56 ,20081209
25444,Reconstruct wrist joint,80,,,$118.19 ,20090101
25444,Reconstruct wrist joint,81,,,$118.19 ,20090101
25444,Reconstruct wrist joint,82,,,$118.19 ,20090101
25444,Reconstruct wrist joint,AS,,,$118.19 ,20090101
25444,Reconstruct wrist joint,,,,$590.93 ,20090101
25444,Reconstruct wrist joint,,,Y,$851.56 ,20081209
25445,Reconstruct wrist joint,80,,,$103.83 ,20090101
25445,Reconstruct wrist joint,81,,,$103.83 ,20090101
25445,Reconstruct wrist joint,82,,,$103.83 ,20090101
25445,Reconstruct wrist joint,AS,,,$103.83 ,20090101
25445,Reconstruct wrist joint,,,,$519.16 ,20090101
25445,Reconstruct wrist joint,,,Y,$851.56 ,20081209
25446,Wrist replacement,80,,,$170.27 ,20090101
25446,Wrist replacement,81,,,$170.27 ,20090101
25446,Wrist replacement,82,,,$170.27 ,20090101
25446,Wrist replacement,AS,,,$170.27 ,20090101
25446,Wrist replacement,,,,$851.34 ,20090101
25446,Wrist replacement,,,Y,"$1,608.89 ",20081209
25447,Repair wrist joint(s),80,,,$115.90 ,20090101
25447,Repair wrist joint(s),81,,,$115.90 ,20090101
25447,Repair wrist joint(s),82,,,$115.90 ,20090101
25447,Repair wrist joint(s),AS,,,$115.90 ,20090101
25447,Repair wrist joint(s),,,,$579.50 ,20090101
25447,Repair wrist joint(s),,,Y,$727.50 ,20081209
25449,Remove wrist joint implant,80,,,$149.34 ,20090101
25449,Remove wrist joint implant,81,,,$149.34 ,20090101
25449,Remove wrist joint implant,82,,,$149.34 ,20090101
25449,Remove wrist joint implant,AS,,,$149.34 ,20090101
25449,Remove wrist joint implant,,,,$746.70 ,20090101
25449,Remove wrist joint implant,,,Y,$727.50 ,20081209
25450,Revision of wrist joint,80,,,$90.81 ,20090101
25450,Revision of wrist joint,81,,,$90.81 ,20090101
25450,Revision of wrist joint,82,,,$90.81 ,20090101
25450,Revision of wrist joint,AS,,,$90.81 ,20090101
25450,Revision of wrist joint,,,,$454.05 ,20090101
25450,Revision of wrist joint,,,Y,$661.93 ,20081209
25455,Revision of wrist joint,80,,,$107.89 ,20090101
25455,Revision of wrist joint,81,,,$107.89 ,20090101
25455,Revision of wrist joint,82,,,$107.89 ,20090101
25455,Revision of wrist joint,AS,,,$107.89 ,20090101
25455,Revision of wrist joint,,,,$539.44 ,20090101
25455,Revision of wrist joint,,,Y,$661.93 ,20081209
25490,Reinforce radius,80,,,$117.96 ,20090101
25490,Reinforce radius,81,,,$117.96 ,20090101
25490,Reinforce radius,82,,,$117.96 ,20090101
25490,Reinforce radius,AS,,,$117.96 ,20090101
25490,Reinforce radius,,,,$589.79 ,20090101
25490,Reinforce radius,,,Y,$661.93 ,20081209
25491,Reinforce ulna,80,,,$123.86 ,20090101
25491,Reinforce ulna,81,,,$123.86 ,20090101
25491,Reinforce ulna,82,,,$123.86 ,20090101
25491,Reinforce ulna,AS,,,$123.86 ,20090101
25491,Reinforce ulna,,,,$619.29 ,20090101
25491,Reinforce ulna,,,Y,$661.93 ,20081209
25492,Reinforce radius and ulna,80,,,$147.39 ,20090101
25492,Reinforce radius and ulna,81,,,$147.39 ,20090101
25492,Reinforce radius and ulna,82,,,$147.39 ,20090101
25492,Reinforce radius and ulna,AS,,,$147.39 ,20090101
25492,Reinforce radius and ulna,,,,$736.97 ,20090101
25492,Reinforce radius and ulna,,,Y,$661.93 ,20081209
25500,Treat fracture of radius,,,,$175.27 ,20090101
25505,Treat fracture of radius,,,,$344.70 ,20090101
25505,Treat fracture of radius,,,Y,$76.82 ,20081209
25515,Treat fracture of radius,80,,,$95.71 ,20090101
25515,Treat fracture of radius,81,,,$95.71 ,20090101
25515,Treat fracture of radius,82,,,$95.71 ,20090101
25515,Treat fracture of radius,AS,,,$95.71 ,20090101
25515,Treat fracture of radius,,,,$478.53 ,20090101
25515,Treat fracture of radius,,,Y,$646.39 ,20081209
25520,Treat fracture of radius,,,,$381.42 ,20090101
25520,Treat fracture of radius,,,Y,$76.82 ,20081209
25525,Treat fracture of radius,80,,,$118.01 ,20090101
25525,Treat fracture of radius,81,,,$118.01 ,20090101
25525,Treat fracture of radius,82,,,$118.01 ,20090101
25525,Treat fracture of radius,AS,,,$118.01 ,20090101
25525,Treat fracture of radius,,,,$590.05 ,20090101
25525,Treat fracture of radius,,,Y,$718.39 ,20081209
25526,Treat fracture of radius,80,,,$146.11 ,20090101
25526,Treat fracture of radius,81,,,$146.11 ,20090101
25526,Treat fracture of radius,82,,,$146.11 ,20090101
25526,Treat fracture of radius,AS,,,$146.11 ,20090101
25526,Treat fracture of radius,,,,$730.55 ,20090101
25526,Treat fracture of radius,,,Y,$770.59 ,20081209
25530,Treat fracture of ulna,,,,$169.99 ,20090101
25535,Treat fracture of ulna,,,,$331.07 ,20090101
25535,Treat fracture of ulna,,,Y,$76.82 ,20081209
25545,Treat fracture of ulna,80,,,$90.47 ,20090101
25545,Treat fracture of ulna,81,,,$90.47 ,20090101
25545,Treat fracture of ulna,82,,,$90.47 ,20090101
25545,Treat fracture of ulna,AS,,,$90.47 ,20090101
25545,Treat fracture of ulna,,,,$452.35 ,20090101
25545,Treat fracture of ulna,,,Y,$646.39 ,20081209
25560,Treat fracture radius & ulna,,,,$177.49 ,20090101
25565,Treat fracture radius & ulna,,,,$360.28 ,20090101
25565,Treat fracture radius & ulna,,,Y,$76.82 ,20081209
25574,Treat fracture radius & ulna,80,,,$93.09 ,20090101
25574,Treat fracture radius & ulna,81,,,$93.09 ,20090101
25574,Treat fracture radius & ulna,82,,,$93.09 ,20090101
25574,Treat fracture radius & ulna,AS,,,$93.09 ,20090101
25574,Treat fracture radius & ulna,,,,$465.44 ,20090101
25574,Treat fracture radius & ulna,,,Y,$796.38 ,20081209
25575,Treat fracture radius/ulna,80,,,$127.20 ,20090101
25575,Treat fracture radius/ulna,81,,,$127.20 ,20090101
25575,Treat fracture radius/ulna,82,,,$127.20 ,20090101
25575,Treat fracture radius/ulna,AS,,,$127.20 ,20090101
25575,Treat fracture radius/ulna,,,,$636.01 ,20090101
25575,Treat fracture radius/ulna,,,Y,$796.38 ,20081209
25600,Treat fracture radius/ulna,,,,$194.75 ,20090101
25605,Treat fracture radius/ulna,,,,$419.26 ,20090101
25605,Treat fracture radius/ulna,,,Y,$76.82 ,20081209
25606,Treat fx distal radial,,,,$478.24 ,20090101
25606,Treat fx distal radial,,,Y,$522.61 ,20081209
25607,Treat fx rad extra-articul,,,,$498.27 ,20090101
25607,Treat fx rad extra-articul,,,Y,$920.58 ,20081209
25608,Treat fx rad intra-articul,,,,$570.33 ,20090101
25608,Treat fx rad intra-articul,,,Y,$920.58 ,20081209
25609,Treat fx radial 3+ frag,,,,$727.79 ,20090101
25609,Treat fx radial 3+ frag,,,Y,$920.58 ,20081209
25622,Treat wrist bone fracture,,,,$199.76 ,20090101
25624,Treat wrist bone fracture,,,,$315.77 ,20090101
25624,Treat wrist bone fracture,,,Y,$76.82 ,20081209
25628,Treat wrist bone fracture,80,,,$101.38 ,20090101
25628,Treat wrist bone fracture,81,,,$101.38 ,20090101
25628,Treat wrist bone fracture,82,,,$101.38 ,20090101
25628,Treat wrist bone fracture,AS,,,$101.38 ,20090101
25628,Treat wrist bone fracture,,,,$506.89 ,20090101
25628,Treat wrist bone fracture,,,Y,$646.39 ,20081209
25630,Treat wrist bone fracture,,,,$204.76 ,20090101
25635,Treat wrist bone fracture,,,,$298.79 ,20090101
25635,Treat wrist bone fracture,,,Y,$76.82 ,20081209
25645,Treat wrist bone fracture,80,,,$81.29 ,20090101
25645,Treat wrist bone fracture,81,,,$81.29 ,20090101
25645,Treat wrist bone fracture,82,,,$81.29 ,20090101
25645,Treat wrist bone fracture,AS,,,$81.29 ,20090101
25645,Treat wrist bone fracture,,,,$406.44 ,20090101
25645,Treat wrist bone fracture,,,Y,$646.39 ,20081209
25650,Treat wrist bone fracture,,,,$212.83 ,20090101
25651,Pin ulnar styloid fracture,,,,$329.96 ,20090101
25652,Treat fracture ulnar styloid,,,,$437.06 ,20090101
25660,Treat wrist dislocation,,,,$276.54 ,20090101
25660,Treat wrist dislocation,,,Y,$76.82 ,20081209
25670,Treat wrist dislocation,80,,,$87.19 ,20090101
25670,Treat wrist dislocation,81,,,$87.19 ,20090101
25670,Treat wrist dislocation,82,,,$87.19 ,20090101
25670,Treat wrist dislocation,AS,,,$87.19 ,20090101
25670,Treat wrist dislocation,,,,$435.94 ,20090101
25670,Treat wrist dislocation,,,Y,$522.61 ,20081209
25671,Pin radioulnar dislocation,,,,$366.40 ,20090101
25671,Pin radioulnar dislocation,,,Y,$416.41 ,20081209
25675,Treat wrist dislocation,,,,$293.78 ,20090101
25675,Treat wrist dislocation,,,Y,$76.82 ,20081209
25676,Treat wrist dislocation,80,,,$90.30 ,20090101
25676,Treat wrist dislocation,81,,,$90.30 ,20090101
25676,Treat wrist dislocation,82,,,$90.30 ,20090101
25676,Treat wrist dislocation,AS,,,$90.30 ,20090101
25676,Treat wrist dislocation,,,,$451.52 ,20090101
25676,Treat wrist dislocation,,,Y,$484.21 ,20081209
25680,Treat wrist fracture,,,,$317.71 ,20090101
25680,Treat wrist fracture,,,Y,$76.82 ,20081209
25685,Treat wrist fracture,80,,,$104.49 ,20090101
25685,Treat wrist fracture,81,,,$104.49 ,20090101
25685,Treat wrist fracture,82,,,$104.49 ,20090101
25685,Treat wrist fracture,AS,,,$104.49 ,20090101
25685,Treat wrist fracture,,,,$522.47 ,20090101
25685,Treat wrist fracture,,,Y,$522.61 ,20081209
25690,Treat wrist dislocation,,,,$323.83 ,20090101
25690,Treat wrist dislocation,,,Y,$76.82 ,20081209
25695,Treat wrist dislocation,80,,,$90.53 ,20090101
25695,Treat wrist dislocation,81,,,$90.53 ,20090101
25695,Treat wrist dislocation,82,,,$90.53 ,20090101
25695,Treat wrist dislocation,AS,,,$90.53 ,20090101
25695,Treat wrist dislocation,,,,$452.66 ,20090101
25695,Treat wrist dislocation,,,Y,$484.21 ,20081209
25800,Fusion of wrist joint,80,,,$108.33 ,20090101
25800,Fusion of wrist joint,81,,,$108.33 ,20090101
25800,Fusion of wrist joint,82,,,$108.33 ,20090101
25800,Fusion of wrist joint,AS,,,$108.33 ,20090101
25800,Fusion of wrist joint,,,,$541.67 ,20090101
25800,Fusion of wrist joint,,,Y,"$1,035.65 ",20081209
25805,Fusion/graft of wrist joint,80,,,$124.47 ,20090101
25805,Fusion/graft of wrist joint,81,,,$124.47 ,20090101
25805,Fusion/graft of wrist joint,82,,,$124.47 ,20090101
25805,Fusion/graft of wrist joint,AS,,,$124.47 ,20090101
25805,Fusion/graft of wrist joint,,,,$622.35 ,20090101
25805,Fusion/graft of wrist joint,,,Y,$786.13 ,20081209
25810,Fusion/graft of wrist joint,80,,,$124.70 ,20090101
25810,Fusion/graft of wrist joint,81,,,$124.70 ,20090101
25810,Fusion/graft of wrist joint,82,,,$124.70 ,20090101
25810,Fusion/graft of wrist joint,AS,,,$124.70 ,20090101
25810,Fusion/graft of wrist joint,,,,$623.48 ,20090101
25810,Fusion/graft of wrist joint,,,Y,"$1,087.85 ",20081209
25820,Fusion of hand bones,80,,,$88.31 ,20090101
25820,Fusion of hand bones,81,,,$88.31 ,20090101
25820,Fusion of hand bones,82,,,$88.31 ,20090101
25820,Fusion of hand bones,AS,,,$88.31 ,20090101
25820,Fusion of hand bones,,,,$441.53 ,20090101
25820,Fusion of hand bones,,,Y,$514.32 ,20081209
25825,Fuse hand bones with graft,80,,,$107.94 ,20090101
25825,Fuse hand bones with graft,81,,,$107.94 ,20090101
25825,Fuse hand bones with graft,82,,,$107.94 ,20090101
25825,Fuse hand bones with graft,AS,,,$107.94 ,20090101
25825,Fuse hand bones with graft,,,,$539.70 ,20090101
25825,Fuse hand bones with graft,,,Y,"$1,087.85 ",20081209
25830,"Fusion, radioulnar jnt/ulna",80,,,$137.66 ,20090101
25830,"Fusion, radioulnar jnt/ulna",81,,,$137.66 ,20090101
25830,"Fusion, radioulnar jnt/ulna",82,,,$137.66 ,20090101
25830,"Fusion, radioulnar jnt/ulna",AS,,,$137.66 ,20090101
25830,"Fusion, radioulnar jnt/ulna",,,,$688.28 ,20090101
25830,"Fusion, radioulnar jnt/ulna",,,Y,"$1,087.85 ",20081209
25900,Amputation of forearm,80,,,$113.62 ,20090101
25900,Amputation of forearm,81,,,$113.62 ,20090101
25900,Amputation of forearm,82,,,$113.62 ,20090101
25900,Amputation of forearm,AS,,,$113.62 ,20090101
25900,Amputation of forearm,,,,$568.11 ,20090101
25905,Amputation of forearm,80,,,$111.68 ,20090101
25905,Amputation of forearm,81,,,$111.68 ,20090101
25905,Amputation of forearm,82,,,$111.68 ,20090101
25905,Amputation of forearm,AS,,,$111.68 ,20090101
25905,Amputation of forearm,,,,$558.38 ,20090101
25907,Amputation follow-up surgery,80,,,$99.32 ,20090101
25907,Amputation follow-up surgery,81,,,$99.32 ,20090101
25907,Amputation follow-up surgery,82,,,$99.32 ,20090101
25907,Amputation follow-up surgery,AS,,,$99.32 ,20090101
25907,Amputation follow-up surgery,,,,$496.59 ,20090101
25907,Amputation follow-up surgery,,,Y,$482.11 ,20081209
25909,Amputation follow-up surgery,80,,,$111.00 ,20090101
25909,Amputation follow-up surgery,81,,,$111.00 ,20090101
25909,Amputation follow-up surgery,82,,,$111.00 ,20090101
25909,Amputation follow-up surgery,AS,,,$111.00 ,20090101
25909,Amputation follow-up surgery,,,,$555.02 ,20090101
25915,Amputation of forearm,80,,,$182.22 ,20090101
25915,Amputation of forearm,81,,,$182.22 ,20090101
25915,Amputation of forearm,82,,,$182.22 ,20090101
25915,Amputation of forearm,AS,,,$182.22 ,20090101
25915,Amputation of forearm,,,,$911.11 ,20090101
25920,Amputate hand at wrist,80,,,$97.32 ,20090101
25920,Amputate hand at wrist,81,,,$97.32 ,20090101
25920,Amputate hand at wrist,82,,,$97.32 ,20090101
25920,Amputate hand at wrist,AS,,,$97.32 ,20090101
25920,Amputate hand at wrist,,,,$486.61 ,20090101
25922,Amputate hand at wrist,80,,,$85.29 ,20090101
25922,Amputate hand at wrist,81,,,$85.29 ,20090101
25922,Amputate hand at wrist,82,,,$85.29 ,20090101
25922,Amputate hand at wrist,AS,,,$85.29 ,20090101
25922,Amputate hand at wrist,,,,$426.47 ,20090101
25922,Amputate hand at wrist,,,Y,$482.11 ,20081209
25924,Amputation follow-up surgery,80,,,$95.31 ,20090101
25924,Amputation follow-up surgery,81,,,$95.31 ,20090101
25924,Amputation follow-up surgery,82,,,$95.31 ,20090101
25924,Amputation follow-up surgery,AS,,,$95.31 ,20090101
25924,Amputation follow-up surgery,,,,$476.57 ,20090101
25927,Amputation of hand,,,,$568.10 ,20090101
25929,Amputation follow-up surgery,80,,,$81.35 ,20090101
25929,Amputation follow-up surgery,81,,,$81.35 ,20090101
25929,Amputation follow-up surgery,82,,,$81.35 ,20090101
25929,Amputation follow-up surgery,AS,,,$81.35 ,20090101
25929,Amputation follow-up surgery,,,,$406.76 ,20090101
25929,Amputation follow-up surgery,,,Y,$430.58 ,20081209
25931,Amputation follow-up surgery,80,,,$105.61 ,20090101
25931,Amputation follow-up surgery,81,,,$105.61 ,20090101
25931,Amputation follow-up surgery,82,,,$105.61 ,20090101
25931,Amputation follow-up surgery,AS,,,$105.61 ,20090101
25931,Amputation follow-up surgery,,,,$528.06 ,20090101
26010,Drainage of finger abscess,,,,$182.22 ,20090101
26011,Drainage of finger abscess,,,,$280.43 ,20090101
26011,Drainage of finger abscess,,,Y,$295.51 ,20081209
26020,Drain hand tendon sheath,,,,$299.07 ,20090101
26020,Drain hand tendon sheath,,,Y,$403.92 ,20081209
26025,Drainage of palm bursa,,,,$293.24 ,20090101
26025,Drainage of palm bursa,,,Y,$336.12 ,20081209
26030,Drainage of palm bursa(s),,,,$346.09 ,20090101
26030,Drainage of palm bursa(s),,,Y,$403.92 ,20081209
26034,Treat hand bone lesion,,,,$374.74 ,20090101
26034,Treat hand bone lesion,,,Y,$403.92 ,20081209
26035,Decompress fingers/hand,,,,$573.39 ,20090101
26035,Decompress fingers/hand,,,Y,$545.29 ,20081209
26037,Decompress fingers/hand,,,,$403.96 ,20090101
26040,Release palm contracture,,,,$215.33 ,20090101
26040,Release palm contracture,,,Y,$595.86 ,20081209
26045,Release palm contracture,,,,$328.84 ,20090101
26045,Release palm contracture,,,Y,$523.86 ,20081209
26055,Incise finger tendon sheath,,,,$420.92 ,20090101
26055,Incise finger tendon sheath,,,Y,$403.92 ,20081209
26060,Incision of finger tendon,,,,$183.06 ,20090101
26060,Incision of finger tendon,,,Y,$403.92 ,20081209
26070,Explore/treat hand joint,,,,$206.43 ,20090101
26070,Explore/treat hand joint,,,Y,$403.92 ,20081209
26075,Explore/treat finger joint,,,,$220.90 ,20090101
26075,Explore/treat finger joint,,,Y,$514.32 ,20081209
26080,Explore/treat finger joint,,,,$267.36 ,20090101
26080,Explore/treat finger joint,,,Y,$514.32 ,20081209
26100,Biopsy hand joint lining,,,,$226.74 ,20090101
26100,Biopsy hand joint lining,,,Y,$403.92 ,20081209
26105,Biopsy finger joint lining,,,,$230.91 ,20090101
26105,Biopsy finger joint lining,,,Y,$336.12 ,20081209
26110,Biopsy finger joint lining,,,,$220.62 ,20090101
26110,Biopsy finger joint lining,,,Y,$336.12 ,20081209
26115,Removal hand lesion subcut,,,,$444.57 ,20090101
26115,Removal hand lesion subcut,,,Y,$442.39 ,20081209
26116,"Removal hand lesion, deep",,,,$336.91 ,20090101
26116,"Removal hand lesion, deep",,,Y,$442.39 ,20081209
26117,"Remove tumor, hand/finger",,,,$459.32 ,20090101
26117,"Remove tumor, hand/finger",,,Y,$480.79 ,20081209
26121,Release palm contracture,,,,$423.71 ,20090101
26121,Release palm contracture,,,Y,$595.86 ,20081209
26123,Release palm contracture,,,,$573.11 ,20090101
26123,Release palm contracture,,,Y,$595.86 ,20081209
26125,Release palm contracture,,,,$207.54 ,20090101
26125,Release palm contracture,,,Y,$514.32 ,20081209
26130,Remove wrist joint lining,,,,$321.06 ,20090101
26130,Remove wrist joint lining,,,Y,$442.32 ,20081209
26135,"Revise finger joint, each",,,,$391.16 ,20090101
26135,"Revise finger joint, each",,,Y,$595.86 ,20081209
26140,"Revise finger joint, each",,,,$354.99 ,20090101
26140,"Revise finger joint, each",,,Y,$403.92 ,20081209
26145,"Tendon excision, palm/finger",,,,$360.83 ,20090101
26145,"Tendon excision, palm/finger",,,Y,$442.32 ,20081209
26160,Remove tendon sheath lesion,,,,$407.85 ,20090101
26160,Remove tendon sheath lesion,,,Y,$442.32 ,20081209
26170,"Removal of palm tendon, each",,,,$282.94 ,20090101
26170,"Removal of palm tendon, each",,,Y,$442.32 ,20081209
26180,Removal of finger tendon,,,,$308.25 ,20090101
26180,Removal of finger tendon,,,Y,$442.32 ,20081209
26185,Remove finger bone,80,,,$72.45 ,20090101
26185,Remove finger bone,81,,,$72.45 ,20090101
26185,Remove finger bone,82,,,$72.45 ,20090101
26185,Remove finger bone,AS,,,$72.45 ,20090101
26185,Remove finger bone,,,,$362.25 ,20090101
26185,Remove finger bone,,,Y,$514.32 ,20081209
26200,Remove hand bone lesion,,,,$317.16 ,20090101
26200,Remove hand bone lesion,,,Y,$403.92 ,20081209
26205,Remove/graft bone lesion,,,,$428.16 ,20090101
26205,Remove/graft bone lesion,,,Y,$523.86 ,20081209
26210,Removal of finger lesion,,,,$308.25 ,20090101
26210,Removal of finger lesion,,,Y,$403.92 ,20081209
26215,Remove/graft finger lesion,80,,,$78.29 ,20090101
26215,Remove/graft finger lesion,81,,,$78.29 ,20090101
26215,Remove/graft finger lesion,82,,,$78.29 ,20090101
26215,Remove/graft finger lesion,AS,,,$78.29 ,20090101
26215,Remove/graft finger lesion,,,,$391.44 ,20090101
26215,Remove/graft finger lesion,,,Y,$442.32 ,20081209
26230,Partial removal of hand bone,,,,$356.66 ,20090101
26230,Partial removal of hand bone,,,Y,$732.10 ,20081209
26235,"Partial removal, finger bone",,,,$349.71 ,20090101
26235,"Partial removal, finger bone",,,Y,$442.32 ,20081209
26236,"Partial removal, finger bone",,,,$309.64 ,20090101
26236,"Partial removal, finger bone",,,Y,$442.32 ,20081209
26250,Extensive hand surgery,,,,$410.64 ,20090101
26250,Extensive hand surgery,,,Y,$442.32 ,20081209
26255,Extensive hand surgery,80,,,$129.76 ,20090101
26255,Extensive hand surgery,81,,,$129.76 ,20090101
26255,Extensive hand surgery,82,,,$129.76 ,20090101
26255,Extensive hand surgery,AS,,,$129.76 ,20090101
26255,Extensive hand surgery,,,,$648.79 ,20090101
26255,Extensive hand surgery,,,Y,$523.86 ,20081209
26260,Extensive finger surgery,80,,,$77.51 ,20090101
26260,Extensive finger surgery,81,,,$77.51 ,20090101
26260,Extensive finger surgery,82,,,$77.51 ,20090101
26260,Extensive finger surgery,AS,,,$77.51 ,20090101
26260,Extensive finger surgery,,,,$387.56 ,20090101
26260,Extensive finger surgery,,,Y,$442.32 ,20081209
26261,Extensive finger surgery,80,,,$93.86 ,20090101
26261,Extensive finger surgery,81,,,$93.86 ,20090101
26261,Extensive finger surgery,82,,,$93.86 ,20090101
26261,Extensive finger surgery,AS,,,$93.86 ,20090101
26261,Extensive finger surgery,,,,$469.32 ,20090101
26261,Extensive finger surgery,,,Y,$442.32 ,20081209
26262,Partial removal of finger,80,,,$64.77 ,20090101
26262,Partial removal of finger,81,,,$64.77 ,20090101
26262,Partial removal of finger,82,,,$64.77 ,20090101
26262,Partial removal of finger,AS,,,$64.77 ,20090101
26262,Partial removal of finger,,,,$323.85 ,20090101
26262,Partial removal of finger,,,Y,$403.92 ,20081209
26320,Removal of implant from hand,,,,$240.93 ,20090101
26320,Removal of implant from hand,,,Y,$400.91 ,20081209
26340,Manipulate finger w/anesth,,,,$215.61 ,20090101
26350,Repair finger/hand tendon,,,,$530.82 ,20090101
26350,Repair finger/hand tendon,,,Y,$417.66 ,20081209
26352,Repair/graft hand tendon,80,,,$120.18 ,20090101
26352,Repair/graft hand tendon,81,,,$120.18 ,20090101
26352,Repair/graft hand tendon,82,,,$120.18 ,20090101
26352,Repair/graft hand tendon,AS,,,$120.18 ,20090101
26352,Repair/graft hand tendon,,,,$600.92 ,20090101
26352,Repair/graft hand tendon,,,Y,$595.86 ,20081209
26356,Repair finger/hand tendon,,,,$764.51 ,20090101
26356,Repair finger/hand tendon,,,Y,$595.86 ,20081209
26357,Repair finger/hand tendon,80,,,$127.86 ,20090101
26357,Repair finger/hand tendon,81,,,$127.86 ,20090101
26357,Repair finger/hand tendon,82,,,$127.86 ,20090101
26357,Repair finger/hand tendon,AS,,,$127.86 ,20090101
26357,Repair finger/hand tendon,,,,$639.32 ,20090101
26357,Repair finger/hand tendon,,,Y,$595.86 ,20081209
26358,Repair/graft hand tendon,80,,,$135.82 ,20090101
26358,Repair/graft hand tendon,81,,,$135.82 ,20090101
26358,Repair/graft hand tendon,82,,,$135.82 ,20090101
26358,Repair/graft hand tendon,AS,,,$135.82 ,20090101
26358,Repair/graft hand tendon,,,,$679.12 ,20090101
26358,Repair/graft hand tendon,,,Y,$595.86 ,20081209
26370,Repair finger/hand tendon,,,,$573.11 ,20090101
26370,Repair finger/hand tendon,,,Y,$595.86 ,20081209
26372,Repair/graft hand tendon,80,,,$132.59 ,20090101
26372,Repair/graft hand tendon,81,,,$132.59 ,20090101
26372,Repair/graft hand tendon,82,,,$132.59 ,20090101
26372,Repair/graft hand tendon,AS,,,$132.59 ,20090101
26372,Repair/graft hand tendon,,,,$662.97 ,20090101
26372,Repair/graft hand tendon,,,Y,$595.86 ,20081209
26373,Repair finger/hand tendon,80,,,$125.92 ,20090101
26373,Repair finger/hand tendon,81,,,$125.92 ,20090101
26373,Repair finger/hand tendon,82,,,$125.92 ,20090101
26373,Repair finger/hand tendon,AS,,,$125.92 ,20090101
26373,Repair finger/hand tendon,,,,$629.59 ,20090101
26373,Repair finger/hand tendon,,,Y,$523.86 ,20081209
26390,Revise hand/finger tendon,80,,,$122.19 ,20090101
26390,Revise hand/finger tendon,81,,,$122.19 ,20090101
26390,Revise hand/finger tendon,82,,,$122.19 ,20090101
26390,Revise hand/finger tendon,AS,,,$122.19 ,20090101
26390,Revise hand/finger tendon,,,,$610.96 ,20090101
26390,Revise hand/finger tendon,,,Y,$595.86 ,20081209
26392,Repair/graft hand tendon,80,,,$144.11 ,20090101
26392,Repair/graft hand tendon,81,,,$144.11 ,20090101
26392,Repair/graft hand tendon,82,,,$144.11 ,20090101
26392,Repair/graft hand tendon,AS,,,$144.11 ,20090101
26392,Repair/graft hand tendon,,,,$720.57 ,20090101
26392,Repair/graft hand tendon,,,Y,$523.86 ,20081209
26410,Repair hand tendon,,,,$422.88 ,20090101
26410,Repair hand tendon,,,Y,$442.32 ,20081209
26412,Repair/graft hand tendon,80,,,$101.77 ,20090101
26412,Repair/graft hand tendon,81,,,$101.77 ,20090101
26412,Repair/graft hand tendon,82,,,$101.77 ,20090101
26412,Repair/graft hand tendon,AS,,,$101.77 ,20090101
26412,Repair/graft hand tendon,,,,$508.86 ,20090101
26412,Repair/graft hand tendon,,,Y,$523.86 ,20081209
26415,"Excision, hand/finger tendon",,,,$528.87 ,20090101
26415,"Excision, hand/finger tendon",,,Y,$595.86 ,20081209
26416,Graft hand or finger tendon,80,,,$122.74 ,20090101
26416,Graft hand or finger tendon,81,,,$122.74 ,20090101
26416,Graft hand or finger tendon,82,,,$122.74 ,20090101
26416,Graft hand or finger tendon,AS,,,$122.74 ,20090101
26416,Graft hand or finger tendon,,,,$613.70 ,20090101
26416,Graft hand or finger tendon,,,Y,$523.86 ,20081209
26418,Repair finger tendon,,,,$423.99 ,20090101
26418,Repair finger tendon,,,Y,$514.32 ,20081209
26420,Repair/graft finger tendon,80,,,$106.39 ,20090101
26420,Repair/graft finger tendon,81,,,$106.39 ,20090101
26420,Repair/graft finger tendon,82,,,$106.39 ,20090101
26420,Repair/graft finger tendon,AS,,,$106.39 ,20090101
26420,Repair/graft finger tendon,,,,$531.94 ,20090101
26420,Repair/graft finger tendon,,,Y,$595.86 ,20081209
26426,Repair finger/hand tendon,80,,,$90.70 ,20090101
26426,Repair finger/hand tendon,81,,,$90.70 ,20090101
26426,Repair finger/hand tendon,82,,,$90.70 ,20090101
26426,Repair finger/hand tendon,AS,,,$90.70 ,20090101
26426,Repair finger/hand tendon,,,,$453.49 ,20090101
26426,Repair finger/hand tendon,,,Y,$523.86 ,20081209
26428,Repair/graft finger tendon,,,,$554.75 ,20090101
26428,Repair/graft finger tendon,,,Y,$523.86 ,20081209
26432,Repair finger tendon,,,,$368.35 ,20090101
26432,Repair finger tendon,,,Y,$442.32 ,20081209
26433,Repair finger tendon,,,,$396.17 ,20090101
26433,Repair finger tendon,,,Y,$442.32 ,20081209
26434,Repair/graft finger tendon,80,,,$93.58 ,20090101
26434,Repair/graft finger tendon,81,,,$93.58 ,20090101
26434,Repair/graft finger tendon,82,,,$93.58 ,20090101
26434,Repair/graft finger tendon,AS,,,$93.58 ,20090101
26434,Repair/graft finger tendon,,,,$467.92 ,20090101
26434,Repair/graft finger tendon,,,Y,$523.86 ,20081209
26437,Realignment of tendons,,,,$457.93 ,20090101
26437,Realignment of tendons,,,Y,$442.32 ,20081209
26440,Release palm/finger tendon,,,,$467.12 ,20090101
26440,Release palm/finger tendon,,,Y,$442.32 ,20081209
26442,Release palm & finger tendon,,,,$684.11 ,20090101
26442,Release palm & finger tendon,,,Y,$523.86 ,20081209
26445,Release hand/finger tendon,,,,$436.79 ,20090101
26445,Release hand/finger tendon,,,Y,$442.32 ,20081209
26449,Release forearm/hand tendon,,,,$582.29 ,20090101
26449,Release forearm/hand tendon,,,Y,$523.86 ,20081209
26450,Incision of palm tendon,,,,$293.78 ,20090101
26450,Incision of palm tendon,,,Y,$442.32 ,20081209
26455,Incision of finger tendon,,,,$291.56 ,20090101
26455,Incision of finger tendon,,,Y,$442.32 ,20081209
26460,Incise hand/finger tendon,,,,$283.22 ,20090101
26460,Incise hand/finger tendon,,,Y,$442.32 ,20081209
26471,Fusion of finger tendons,,,,$450.42 ,20090101
26471,Fusion of finger tendons,,,Y,$403.92 ,20081209
26474,Fusion of finger tendons,80,,,$87.02 ,20090101
26474,Fusion of finger tendons,81,,,$87.02 ,20090101
26474,Fusion of finger tendons,82,,,$87.02 ,20090101
26474,Fusion of finger tendons,AS,,,$87.02 ,20090101
26474,Fusion of finger tendons,,,,$435.11 ,20090101
26474,Fusion of finger tendons,,,Y,$403.92 ,20081209
26476,Tendon lengthening,80,,,$84.47 ,20090101
26476,Tendon lengthening,81,,,$84.47 ,20090101
26476,Tendon lengthening,82,,,$84.47 ,20090101
26476,Tendon lengthening,AS,,,$84.47 ,20090101
26476,Tendon lengthening,,,,$422.33 ,20090101
26476,Tendon lengthening,,,Y,$336.12 ,20081209
26477,Tendon shortening,,,,$426.77 ,20090101
26477,Tendon shortening,,,Y,$336.12 ,20081209
26478,Lengthening of hand tendon,,,,$460.99 ,20090101
26478,Lengthening of hand tendon,,,Y,$336.12 ,20081209
26479,Shortening of hand tendon,80,,,$91.09 ,20090101
26479,Shortening of hand tendon,81,,,$91.09 ,20090101
26479,Shortening of hand tendon,82,,,$91.09 ,20090101
26479,Shortening of hand tendon,AS,,,$91.09 ,20090101
26479,Shortening of hand tendon,,,,$455.45 ,20090101
26479,Shortening of hand tendon,,,Y,$336.12 ,20081209
26480,Transplant hand tendon,80,,,$112.06 ,20090101
26480,Transplant hand tendon,81,,,$112.06 ,20090101
26480,Transplant hand tendon,82,,,$112.06 ,20090101
26480,Transplant hand tendon,AS,,,$112.06 ,20090101
26480,Transplant hand tendon,,,,$560.30 ,20090101
26480,Transplant hand tendon,,,Y,$523.86 ,20081209
26483,Transplant/graft hand tendon,80,,,$125.14 ,20090101
26483,Transplant/graft hand tendon,81,,,$125.14 ,20090101
26483,Transplant/graft hand tendon,82,,,$125.14 ,20090101
26483,Transplant/graft hand tendon,AS,,,$125.14 ,20090101
26483,Transplant/graft hand tendon,,,,$625.71 ,20090101
26483,Transplant/graft hand tendon,,,Y,$523.86 ,20081209
26485,Transplant palm tendon,80,,,$120.46 ,20090101
26485,Transplant palm tendon,81,,,$120.46 ,20090101
26485,Transplant palm tendon,82,,,$120.46 ,20090101
26485,Transplant palm tendon,AS,,,$120.46 ,20090101
26485,Transplant palm tendon,,,,$602.32 ,20090101
26485,Transplant palm tendon,,,Y,$485.46 ,20081209
26489,Transplant/graft palm tendon,,,,$624.58 ,20090101
26489,Transplant/graft palm tendon,,,Y,$523.86 ,20081209
26490,Revise thumb tendon,,,,$571.71 ,20090101
26490,Revise thumb tendon,,,Y,$523.86 ,20081209
26492,Tendon transfer with graft,80,,,$126.97 ,20090101
26492,Tendon transfer with graft,81,,,$126.97 ,20090101
26492,Tendon transfer with graft,82,,,$126.97 ,20090101
26492,Tendon transfer with graft,AS,,,$126.97 ,20090101
26492,Tendon transfer with graft,,,,$634.87 ,20090101
26492,Tendon transfer with graft,,,Y,$523.86 ,20081209
26494,Hand tendon/muscle transfer,80,,,$116.46 ,20090101
26494,Hand tendon/muscle transfer,81,,,$116.46 ,20090101
26494,Hand tendon/muscle transfer,82,,,$116.46 ,20090101
26494,Hand tendon/muscle transfer,AS,,,$116.46 ,20090101
26494,Hand tendon/muscle transfer,,,,$582.29 ,20090101
26494,Hand tendon/muscle transfer,,,Y,$523.86 ,20081209
26496,Revise thumb tendon,,,,$626.53 ,20090101
26496,Revise thumb tendon,,,Y,$523.86 ,20081209
26497,Finger tendon transfer,80,,,$125.80 ,20090101
26497,Finger tendon transfer,81,,,$125.80 ,20090101
26497,Finger tendon transfer,82,,,$125.80 ,20090101
26497,Finger tendon transfer,AS,,,$125.80 ,20090101
26497,Finger tendon transfer,,,,$629.02 ,20090101
26497,Finger tendon transfer,,,Y,$523.86 ,20081209
26498,Finger tendon transfer,80,,,$167.48 ,20090101
26498,Finger tendon transfer,81,,,$167.48 ,20090101
26498,Finger tendon transfer,82,,,$167.48 ,20090101
26498,Finger tendon transfer,AS,,,$167.48 ,20090101
26498,Finger tendon transfer,,,,$837.42 ,20090101
26498,Finger tendon transfer,,,Y,$595.86 ,20081209
26499,Revision of finger,80,,,$118.80 ,20090101
26499,Revision of finger,81,,,$118.80 ,20090101
26499,Revision of finger,82,,,$118.80 ,20090101
26499,Revision of finger,AS,,,$118.80 ,20090101
26499,Revision of finger,,,,$593.99 ,20090101
26499,Revision of finger,,,Y,$523.86 ,20081209
26500,Hand tendon reconstruction,,,,$459.60 ,20090101
26500,Hand tendon reconstruction,,,Y,$514.32 ,20081209
26502,Hand tendon reconstruction,80,,,$102.99 ,20090101
26502,Hand tendon reconstruction,81,,,$102.99 ,20090101
26502,Hand tendon reconstruction,82,,,$102.99 ,20090101
26502,Hand tendon reconstruction,AS,,,$102.99 ,20090101
26502,Hand tendon reconstruction,,,,$514.96 ,20090101
26502,Hand tendon reconstruction,,,Y,$595.86 ,20081209
26508,Release thumb contracture,,,,$467.12 ,20090101
26508,Release thumb contracture,,,Y,$442.32 ,20081209
26510,Thumb tendon transfer,,,,$438.74 ,20090101
26510,Thumb tendon transfer,,,Y,$523.86 ,20081209
26516,Fusion of knuckle joint,,,,$517.19 ,20090101
26516,Fusion of knuckle joint,,,Y,$417.66 ,20081209
26517,Fusion of knuckle joints,80,,,$120.35 ,20090101
26517,Fusion of knuckle joints,81,,,$120.35 ,20090101
26517,Fusion of knuckle joints,82,,,$120.35 ,20090101
26517,Fusion of knuckle joints,AS,,,$120.35 ,20090101
26517,Fusion of knuckle joints,,,,$601.75 ,20090101
26517,Fusion of knuckle joints,,,Y,$523.86 ,20081209
26518,Fusion of knuckle joints,80,,,$120.63 ,20090101
26518,Fusion of knuckle joints,81,,,$120.63 ,20090101
26518,Fusion of knuckle joints,82,,,$120.63 ,20090101
26518,Fusion of knuckle joints,AS,,,$120.63 ,20090101
26518,Fusion of knuckle joints,,,,$603.15 ,20090101
26518,Fusion of knuckle joints,,,Y,$523.86 ,20081209
26520,Release knuckle contracture,,,,$488.25 ,20090101
26520,Release knuckle contracture,,,Y,$442.32 ,20081209
26525,Release finger contracture,,,,$490.76 ,20090101
26525,Release finger contracture,,,Y,$442.32 ,20081209
26530,Revise knuckle joint,80,,,$75.57 ,20090101
26530,Revise knuckle joint,81,,,$75.57 ,20090101
26530,Revise knuckle joint,82,,,$75.57 ,20090101
26530,Revise knuckle joint,AS,,,$75.57 ,20090101
26530,Revise knuckle joint,,,,$377.83 ,20090101
26530,Revise knuckle joint,,,Y,$603.30 ,20081209
26531,Revise knuckle with implant,80,,,$87.96 ,20090101
26531,Revise knuckle with implant,81,,,$87.96 ,20090101
26531,Revise knuckle with implant,82,,,$87.96 ,20090101
26531,Revise knuckle with implant,AS,,,$87.96 ,20090101
26531,Revise knuckle with implant,,,,$439.82 ,20090101
26531,Revise knuckle with implant,,,Y,"$1,018.36 ",20081209
26535,Revise finger joint,,,,$276.26 ,20090101
26535,Revise finger joint,,,Y,$727.50 ,20081209
26536,Revise/implant finger joint,80,,,$93.76 ,20090101
26536,Revise/implant finger joint,81,,,$93.76 ,20090101
26536,Revise/implant finger joint,82,,,$93.76 ,20090101
26536,Revise/implant finger joint,AS,,,$93.76 ,20090101
26536,Revise/implant finger joint,,,,$468.80 ,20090101
26536,Revise/implant finger joint,,,Y,$851.56 ,20081209
26540,Repair hand joint,,,,$485.48 ,20090101
26540,Repair hand joint,,,Y,$514.32 ,20081209
26541,Repair hand joint with graft,80,,,$118.12 ,20090101
26541,Repair hand joint with graft,81,,,$118.12 ,20090101
26541,Repair hand joint with graft,82,,,$118.12 ,20090101
26541,Repair hand joint with graft,AS,,,$118.12 ,20090101
26541,Repair hand joint with graft,,,,$590.62 ,20090101
26541,Repair hand joint with graft,,,Y,$814.86 ,20081209
26542,Repair hand joint with graft,,,,$500.22 ,20090101
26542,Repair hand joint with graft,,,Y,$514.32 ,20081209
26545,Reconstruct finger joint,,,,$510.23 ,20090101
26545,Reconstruct finger joint,,,Y,$595.86 ,20081209
26546,Repair nonunion hand,80,,,$140.27 ,20090101
26546,Repair nonunion hand,81,,,$140.27 ,20090101
26546,Repair nonunion hand,82,,,$140.27 ,20090101
26546,Repair nonunion hand,AS,,,$140.27 ,20090101
26546,Repair nonunion hand,,,,$701.37 ,20090101
26546,Repair nonunion hand,,,Y,$595.86 ,20081209
26548,Reconstruct finger joint,,,,$560.03 ,20090101
26548,Reconstruct finger joint,,,Y,$595.86 ,20081209
26550,Construct thumb replacement,80,,,$222.96 ,20090101
26550,Construct thumb replacement,81,,,$222.96 ,20090101
26550,Construct thumb replacement,82,,,$222.96 ,20090101
26550,Construct thumb replacement,AS,,,$222.96 ,20090101
26550,Construct thumb replacement,,,,"$1,114.80 ",20090101
26550,Construct thumb replacement,,,Y,$485.46 ,20081209
26551,Great toe-hand transfer,80,,,$450.87 ,20090101
26551,Great toe-hand transfer,81,,,$450.87 ,20090101
26551,Great toe-hand transfer,82,,,$450.87 ,20090101
26551,Great toe-hand transfer,AS,,,$450.87 ,20090101
26551,Great toe-hand transfer,,,,"$2,254.33 ",20090101
26553,"Single transfer, toe-hand",80,,,$419.42 ,20090101
26553,"Single transfer, toe-hand",81,,,$419.42 ,20090101
26553,"Single transfer, toe-hand",82,,,$419.42 ,20090101
26553,"Single transfer, toe-hand",AS,,,$419.42 ,20090101
26553,"Single transfer, toe-hand",,,,"$2,097.12 ",20090101
26554,"Double transfer, toe-hand",80,,,$572.33 ,20090101
26554,"Double transfer, toe-hand",81,,,$572.33 ,20090101
26554,"Double transfer, toe-hand",82,,,$572.33 ,20090101
26554,"Double transfer, toe-hand",AS,,,$572.33 ,20090101
26554,"Double transfer, toe-hand",,,,"$2,861.67 ",20090101
26555,Positional change of finger,80,,,$197.70 ,20090101
26555,Positional change of finger,81,,,$197.70 ,20090101
26555,Positional change of finger,82,,,$197.70 ,20090101
26555,Positional change of finger,AS,,,$197.70 ,20090101
26555,Positional change of finger,,,,$988.48 ,20090101
26555,Positional change of finger,,,Y,$523.86 ,20081209
26556,Toe joint transfer,80,,,$432.39 ,20090101
26556,Toe joint transfer,81,,,$432.39 ,20090101
26556,Toe joint transfer,82,,,$432.39 ,20090101
26556,Toe joint transfer,AS,,,$432.39 ,20090101
26556,Toe joint transfer,,,,"$2,161.96 ",20090101
26560,Repair of web finger,80,,,$80.74 ,20090101
26560,Repair of web finger,81,,,$80.74 ,20090101
26560,Repair of web finger,82,,,$80.74 ,20090101
26560,Repair of web finger,AS,,,$80.74 ,20090101
26560,Repair of web finger,,,,$403.70 ,20090101
26560,Repair of web finger,,,Y,$403.92 ,20081209
26561,Repair of web finger,80,,,$129.98 ,20090101
26561,Repair of web finger,81,,,$129.98 ,20090101
26561,Repair of web finger,82,,,$129.98 ,20090101
26561,Repair of web finger,AS,,,$129.98 ,20090101
26561,Repair of web finger,,,,$649.88 ,20090101
26561,Repair of web finger,,,Y,$523.86 ,20081209
26562,Repair of web finger,80,,,$175.83 ,20090101
26562,Repair of web finger,81,,,$175.83 ,20090101
26562,Repair of web finger,82,,,$175.83 ,20090101
26562,Repair of web finger,AS,,,$175.83 ,20090101
26562,Repair of web finger,,,,$879.13 ,20090101
26562,Repair of web finger,,,Y,$595.86 ,20081209
26565,Correct metacarpal flaw,80,,,$99.48 ,20090101
26565,Correct metacarpal flaw,81,,,$99.48 ,20090101
26565,Correct metacarpal flaw,82,,,$99.48 ,20090101
26565,Correct metacarpal flaw,AS,,,$99.48 ,20090101
26565,Correct metacarpal flaw,,,,$497.42 ,20090101
26565,Correct metacarpal flaw,,,Y,$648.06 ,20081209
26567,Correct finger deformity,,,,$499.66 ,20090101
26567,Correct finger deformity,,,Y,$648.06 ,20081209
26568,Lengthen metacarpal/finger,80,,,$131.92 ,20090101
26568,Lengthen metacarpal/finger,81,,,$131.92 ,20090101
26568,Lengthen metacarpal/finger,82,,,$131.92 ,20090101
26568,Lengthen metacarpal/finger,AS,,,$131.92 ,20090101
26568,Lengthen metacarpal/finger,,,,$659.61 ,20090101
26568,Lengthen metacarpal/finger,,,Y,$523.86 ,20081209
26580,Repair hand deformity,80,,,$186.34 ,20090101
26580,Repair hand deformity,81,,,$186.34 ,20090101
26580,Repair hand deformity,82,,,$186.34 ,20090101
26580,Repair hand deformity,AS,,,$186.34 ,20090101
26580,Repair hand deformity,,,,$931.71 ,20090101
26580,Repair hand deformity,,,Y,$566.52 ,20081209
26587,Reconstruct extra finger,80,,,$136.38 ,20090101
26587,Reconstruct extra finger,81,,,$136.38 ,20090101
26587,Reconstruct extra finger,82,,,$136.38 ,20090101
26587,Reconstruct extra finger,AS,,,$136.38 ,20090101
26587,Reconstruct extra finger,,,,$681.91 ,20090101
26587,Reconstruct extra finger,,,Y,$566.52 ,20081209
26590,Repair finger deformity,80,,,$191.85 ,20090101
26590,Repair finger deformity,81,,,$191.85 ,20090101
26590,Repair finger deformity,82,,,$191.85 ,20090101
26590,Repair finger deformity,AS,,,$191.85 ,20090101
26590,Repair finger deformity,,,,$959.24 ,20090101
26590,Repair finger deformity,,,Y,$566.52 ,20081209
26591,Repair muscles of hand,,,,$325.51 ,20090101
26591,Repair muscles of hand,,,Y,$523.86 ,20081209
26593,Release muscles of hand,,,,$434.83 ,20090101
26593,Release muscles of hand,,,Y,$442.32 ,20081209
26596,Excision constricting tissue,80,,,$103.55 ,20090101
26596,Excision constricting tissue,81,,,$103.55 ,20090101
26596,Excision constricting tissue,82,,,$103.55 ,20090101
26596,Excision constricting tissue,AS,,,$103.55 ,20090101
26596,Excision constricting tissue,,,,$517.76 ,20090101
26596,Excision constricting tissue,,,Y,$403.92 ,20081209
26600,Treat metacarpal fracture,,,,$181.11 ,20090101
26605,Treat metacarpal fracture,,,,$215.05 ,20090101
26605,Treat metacarpal fracture,,,Y,$76.82 ,20081209
26607,Treat metacarpal fracture,,,,$329.68 ,20090101
26607,Treat metacarpal fracture,,,Y,$76.82 ,20081209
26608,Treat metacarpal fracture,,,,$335.24 ,20090101
26608,Treat metacarpal fracture,,,Y,$594.61 ,20081209
26615,Treat metacarpal fracture,,,,$373.64 ,20090101
26615,Treat metacarpal fracture,,,Y,$718.39 ,20081209
26641,Treat thumb dislocation,,,,$242.05 ,20090101
26645,Treat thumb fracture,,,,$279.05 ,20090101
26645,Treat thumb fracture,,,Y,$76.82 ,20081209
26650,Treat thumb fracture,,,,$331.62 ,20090101
26650,Treat thumb fracture,,,Y,$484.21 ,20081209
26665,Treat thumb fracture,80,,,$84.30 ,20090101
26665,Treat thumb fracture,81,,,$84.30 ,20090101
26665,Treat thumb fracture,82,,,$84.30 ,20090101
26665,Treat thumb fracture,AS,,,$84.30 ,20090101
26665,Treat thumb fracture,,,,$421.50 ,20090101
26665,Treat thumb fracture,,,Y,$718.39 ,20081209
26670,Treat hand dislocation,,,,$224.51 ,20090101
26675,Treat hand dislocation,,,,$301.86 ,20090101
26675,Treat hand dislocation,,,Y,$76.82 ,20081209
26676,Pin hand dislocation,80,,,$70.33 ,20090101
26676,Pin hand dislocation,81,,,$70.33 ,20090101
26676,Pin hand dislocation,82,,,$70.33 ,20090101
26676,Pin hand dislocation,AS,,,$70.33 ,20090101
26676,Pin hand dislocation,,,,$351.64 ,20090101
26676,Pin hand dislocation,,,Y,$484.21 ,20081209
26685,Treat hand dislocation,80,,,$78.24 ,20090101
26685,Treat hand dislocation,81,,,$78.24 ,20090101
26685,Treat hand dislocation,82,,,$78.24 ,20090101
26685,Treat hand dislocation,AS,,,$78.24 ,20090101
26685,Treat hand dislocation,,,,$391.18 ,20090101
26685,Treat hand dislocation,,,Y,$522.61 ,20081209
26686,Treat hand dislocation,80,,,$87.86 ,20090101
26686,Treat hand dislocation,81,,,$87.86 ,20090101
26686,Treat hand dislocation,82,,,$87.86 ,20090101
26686,Treat hand dislocation,AS,,,$87.86 ,20090101
26686,Treat hand dislocation,,,,$439.31 ,20090101
26686,Treat hand dislocation,,,Y,$796.38 ,20081209
26700,Treat knuckle dislocation,,,,$212.00 ,20090101
26705,Treat knuckle dislocation,,,,$277.09 ,20090101
26705,Treat knuckle dislocation,,,Y,$76.82 ,20081209
26706,Pin knuckle dislocation,80,,,$60.65 ,20090101
26706,Pin knuckle dislocation,81,,,$60.65 ,20090101
26706,Pin knuckle dislocation,82,,,$60.65 ,20090101
26706,Pin knuckle dislocation,AS,,,$60.65 ,20090101
26706,Pin knuckle dislocation,,,,$303.26 ,20090101
26706,Pin knuckle dislocation,,,Y,$76.82 ,20081209
26715,Treat knuckle dislocation,,,,$376.70 ,20090101
26715,Treat knuckle dislocation,,,Y,$594.61 ,20081209
26720,"Treat finger fracture, each",,,,$128.54 ,20090101
26725,"Treat finger fracture, each",,,,$232.31 ,20090101
26727,"Treat finger fracture, each",,,,$329.68 ,20090101
26727,"Treat finger fracture, each",,,Y,$813.61 ,20081209
26735,"Treat finger fracture, each",,,,$390.88 ,20090101
26735,"Treat finger fracture, each",,,Y,$594.61 ,20081209
26740,"Treat finger fracture, each",,,,$149.40 ,20090101
26742,"Treat finger fracture, each",,,,$253.45 ,20090101
26742,"Treat finger fracture, each",,,Y,$76.82 ,20081209
26746,"Treat finger fracture, each",,,,$469.61 ,20090101
26746,"Treat finger fracture, each",,,Y,$646.81 ,20081209
26750,"Treat finger fracture, each",,,,$120.46 ,20090101
26755,"Treat finger fracture, each",,,,$212.83 ,20090101
26756,"Pin finger fracture, each",,,,$291.00 ,20090101
26756,"Pin finger fracture, each",,,Y,$484.21 ,20081209
26765,"Treat finger fracture, each",,,,$314.10 ,20090101
26765,"Treat finger fracture, each",,,Y,$594.61 ,20081209
26770,Treat finger dislocation,,,,$181.39 ,20090101
26775,Treat finger dislocation,,,,$256.78 ,20090101
26776,Pin finger dislocation,,,,$309.92 ,20090101
26776,Pin finger dislocation,,,Y,$484.21 ,20081209
26785,Treat finger dislocation,,,,$341.36 ,20090101
26785,Treat finger dislocation,,,Y,$484.21 ,20081209
26820,Thumb fusion with graft,80,,,$115.40 ,20090101
26820,Thumb fusion with graft,81,,,$115.40 ,20090101
26820,Thumb fusion with graft,82,,,$115.40 ,20090101
26820,Thumb fusion with graft,AS,,,$115.40 ,20090101
26820,Thumb fusion with graft,,,,$577.01 ,20090101
26820,Thumb fusion with graft,,,Y,$648.06 ,20081209
26841,Fusion of thumb,,,,$539.44 ,20090101
26841,Fusion of thumb,,,Y,$595.86 ,20081209
26842,Thumb fusion with graft,80,,,$116.23 ,20090101
26842,Thumb fusion with graft,81,,,$116.23 ,20090101
26842,Thumb fusion with graft,82,,,$116.23 ,20090101
26842,Thumb fusion with graft,AS,,,$116.23 ,20090101
26842,Thumb fusion with graft,,,,$581.15 ,20090101
26842,Thumb fusion with graft,,,Y,$595.86 ,20081209
26843,Fusion of hand joint,80,,,$107.28 ,20090101
26843,Fusion of hand joint,81,,,$107.28 ,20090101
26843,Fusion of hand joint,82,,,$107.28 ,20090101
26843,Fusion of hand joint,AS,,,$107.28 ,20090101
26843,Fusion of hand joint,,,,$536.39 ,20090101
26843,Fusion of hand joint,,,Y,$523.86 ,20081209
26844,Fusion/graft of hand joint,80,,,$119.41 ,20090101
26844,Fusion/graft of hand joint,81,,,$119.41 ,20090101
26844,Fusion/graft of hand joint,82,,,$119.41 ,20090101
26844,Fusion/graft of hand joint,AS,,,$119.41 ,20090101
26844,Fusion/graft of hand joint,,,,$597.04 ,20090101
26844,Fusion/graft of hand joint,,,Y,$523.86 ,20081209
26850,Fusion of knuckle,,,,$509.95 ,20090101
26850,Fusion of knuckle,,,Y,$595.86 ,20081209
26852,Fusion of knuckle with graft,80,,,$115.90 ,20090101
26852,Fusion of knuckle with graft,81,,,$115.90 ,20090101
26852,Fusion of knuckle with graft,82,,,$115.90 ,20090101
26852,Fusion of knuckle with graft,AS,,,$115.90 ,20090101
26852,Fusion of knuckle with graft,,,,$579.50 ,20090101
26852,Fusion of knuckle with graft,,,Y,$595.86 ,20081209
26860,Fusion of finger joint,,,,$413.42 ,20090101
26860,Fusion of finger joint,,,Y,$523.86 ,20081209
26861,"Fusion of finger jnt, add-on",,,,$78.73 ,20090101
26861,"Fusion of finger jnt, add-on",,,Y,$485.46 ,20081209
26862,Fusion/graft of finger joint,80,,,$105.99 ,20090101
26862,Fusion/graft of finger joint,81,,,$105.99 ,20090101
26862,Fusion/graft of finger joint,82,,,$105.99 ,20090101
26862,Fusion/graft of finger joint,AS,,,$105.99 ,20090101
26862,Fusion/graft of finger joint,,,,$529.97 ,20090101
26862,Fusion/graft of finger joint,,,Y,$595.86 ,20081209
26863,Fuse/graft added joint,80,,,$35.06 ,20090101
26863,Fuse/graft added joint,81,,,$35.06 ,20090101
26863,Fuse/graft added joint,82,,,$35.06 ,20090101
26863,Fuse/graft added joint,AS,,,$35.06 ,20090101
26863,Fuse/graft added joint,,,,$175.28 ,20090101
26863,Fuse/graft added joint,,,Y,$523.86 ,20081209
26910,Amputate metacarpal bone,,,,$516.91 ,20090101
26910,Amputate metacarpal bone,,,Y,$523.86 ,20081209
26951,Amputation of finger/thumb,,,,$440.68 ,20090101
26951,Amputation of finger/thumb,,,Y,$403.92 ,20081209
26952,Amputation of finger/thumb,,,,$476.02 ,20090101
26952,Amputation of finger/thumb,,,Y,$514.32 ,20081209
26990,Drainage of pelvis lesion,,,,$438.74 ,20090101
26990,Drainage of pelvis lesion,,,Y,$375.91 ,20081209
26991,Drainage of pelvis bursa,,,,$499.94 ,20090101
26991,Drainage of pelvis bursa,,,Y,$375.91 ,20081209
26992,Drainage of bone lesion,,,,$693.85 ,20090101
27000,Incision of hip tendon,80,,,$64.21 ,20090101
27000,Incision of hip tendon,81,,,$64.21 ,20090101
27000,Incision of hip tendon,82,,,$64.21 ,20090101
27000,Incision of hip tendon,AS,,,$64.21 ,20090101
27000,Incision of hip tendon,,,,$321.06 ,20090101
27000,Incision of hip tendon,,,Y,$443.71 ,20081209
27001,Incision of hip tendon,80,,,$77.63 ,20090101
27001,Incision of hip tendon,81,,,$77.63 ,20090101
27001,Incision of hip tendon,82,,,$77.63 ,20090101
27001,Incision of hip tendon,AS,,,$77.63 ,20090101
27001,Incision of hip tendon,,,,$388.13 ,20090101
27001,Incision of hip tendon,,,Y,$547.70 ,20081209
27003,Incision of hip tendon,80,,,$83.07 ,20090101
27003,Incision of hip tendon,81,,,$83.07 ,20090101
27003,Incision of hip tendon,82,,,$83.07 ,20090101
27003,Incision of hip tendon,AS,,,$83.07 ,20090101
27003,Incision of hip tendon,,,,$415.35 ,20090101
27003,Incision of hip tendon,,,Y,$547.70 ,20081209
27005,Incision of hip tendon,80,,,$104.82 ,20090101
27005,Incision of hip tendon,81,,,$104.82 ,20090101
27005,Incision of hip tendon,82,,,$104.82 ,20090101
27005,Incision of hip tendon,AS,,,$104.82 ,20090101
27005,Incision of hip tendon,,,,$524.12 ,20090101
27006,Incision of hip tendons,80,,,$106.06 ,20090101
27006,Incision of hip tendons,81,,,$106.06 ,20090101
27006,Incision of hip tendons,82,,,$106.06 ,20090101
27006,Incision of hip tendons,AS,,,$106.06 ,20090101
27006,Incision of hip tendons,,,,$530.28 ,20090101
27025,Incision of hip/thigh fascia,,,,$636.81 ,20090101
27030,Drainage of hip joint,80,,,$137.16 ,20090101
27030,Drainage of hip joint,81,,,$137.16 ,20090101
27030,Drainage of hip joint,82,,,$137.16 ,20090101
27030,Drainage of hip joint,AS,,,$137.16 ,20090101
27030,Drainage of hip joint,,,,$685.79 ,20090101
27033,Exploration of hip joint,80,,,$141.77 ,20090101
27033,Exploration of hip joint,81,,,$141.77 ,20090101
27033,Exploration of hip joint,82,,,$141.77 ,20090101
27033,Exploration of hip joint,AS,,,$141.77 ,20090101
27033,Exploration of hip joint,,,,$708.87 ,20090101
27033,Exploration of hip joint,,,Y,$661.93 ,20081209
27035,Denervation of hip joint,80,,,$162.87 ,20090101
27035,Denervation of hip joint,81,,,$162.87 ,20090101
27035,Denervation of hip joint,82,,,$162.87 ,20090101
27035,Denervation of hip joint,AS,,,$162.87 ,20090101
27035,Denervation of hip joint,,,,$814.34 ,20090101
27035,Denervation of hip joint,,,Y,$733.93 ,20081209
27036,Excision of hip joint/muscle,80,,,$144.23 ,20090101
27036,Excision of hip joint/muscle,81,,,$144.23 ,20090101
27036,Excision of hip joint/muscle,82,,,$144.23 ,20090101
27036,Excision of hip joint/muscle,AS,,,$144.23 ,20090101
27036,Excision of hip joint/muscle,,,,$721.14 ,20090101
27040,Biopsy of soft tissues,,,,$233.13 ,20090101
27040,Biopsy of soft tissues,,,Y,$271.71 ,20081209
27041,Biopsy of soft tissues,,,,$489.93 ,20090101
27041,Biopsy of soft tissues,,,Y,$323.01 ,20081209
27047,Remove hip/pelvis lesion,,,,$434.29 ,20090101
27047,Remove hip/pelvis lesion,,,Y,$442.39 ,20081209
27048,Remove hip/pelvis lesion,80,,,$67.10 ,20090101
27048,Remove hip/pelvis lesion,81,,,$67.10 ,20090101
27048,Remove hip/pelvis lesion,82,,,$67.10 ,20090101
27048,Remove hip/pelvis lesion,AS,,,$67.10 ,20090101
27048,Remove hip/pelvis lesion,,,,$335.50 ,20090101
27048,Remove hip/pelvis lesion,,,Y,$480.79 ,20081209
27049,"Remove tumor, hip/pelvis",80,,,$142.22 ,20090101
27049,"Remove tumor, hip/pelvis",81,,,$142.22 ,20090101
27049,"Remove tumor, hip/pelvis",82,,,$142.22 ,20090101
27049,"Remove tumor, hip/pelvis",AS,,,$142.22 ,20090101
27049,"Remove tumor, hip/pelvis",,,,$711.10 ,20090101
27049,"Remove tumor, hip/pelvis",,,Y,$480.79 ,20081209
27050,Biopsy of sacroiliac joint,,,,$249.55 ,20090101
27050,Biopsy of sacroiliac joint,,,Y,$482.11 ,20081209
27052,Biopsy of hip joint,80,,,$78.57 ,20090101
27052,Biopsy of hip joint,81,,,$78.57 ,20090101
27052,Biopsy of hip joint,82,,,$78.57 ,20090101
27052,Biopsy of hip joint,AS,,,$78.57 ,20090101
27052,Biopsy of hip joint,,,,$392.83 ,20090101
27052,Biopsy of hip joint,,,Y,$482.11 ,20081209
27054,Removal of hip joint lining,80,,,$97.26 ,20090101
27054,Removal of hip joint lining,81,,,$97.26 ,20090101
27054,Removal of hip joint lining,82,,,$97.26 ,20090101
27054,Removal of hip joint lining,AS,,,$97.26 ,20090101
27054,Removal of hip joint lining,,,,$486.29 ,20090101
27060,Removal of ischial bursa,80,,,$60.93 ,20090101
27060,Removal of ischial bursa,81,,,$60.93 ,20090101
27060,Removal of ischial bursa,82,,,$60.93 ,20090101
27060,Removal of ischial bursa,AS,,,$60.93 ,20090101
27060,Removal of ischial bursa,,,,$304.65 ,20090101
27060,Removal of ischial bursa,,,Y,$606.31 ,20081209
27062,Remove femur lesion/bursa,80,,,$63.93 ,20090101
27062,Remove femur lesion/bursa,81,,,$63.93 ,20090101
27062,Remove femur lesion/bursa,82,,,$63.93 ,20090101
27062,Remove femur lesion/bursa,AS,,,$63.93 ,20090101
27062,Remove femur lesion/bursa,,,,$319.66 ,20090101
27062,Remove femur lesion/bursa,,,Y,$606.31 ,20081209
27065,Removal of hip bone lesion,80,,,$70.49 ,20090101
27065,Removal of hip bone lesion,81,,,$70.49 ,20090101
27065,Removal of hip bone lesion,82,,,$70.49 ,20090101
27065,Removal of hip bone lesion,AS,,,$70.49 ,20090101
27065,Removal of hip bone lesion,,,,$352.47 ,20090101
27065,Removal of hip bone lesion,,,Y,$606.31 ,20081209
27066,Removal of hip bone lesion,80,,,$115.73 ,20090101
27066,Removal of hip bone lesion,81,,,$115.73 ,20090101
27066,Removal of hip bone lesion,82,,,$115.73 ,20090101
27066,Removal of hip bone lesion,AS,,,$115.73 ,20090101
27066,Removal of hip bone lesion,,,,$578.67 ,20090101
27066,Removal of hip bone lesion,,,Y,$671.90 ,20081209
27067,Remove/graft hip bone lesion,80,,,$145.67 ,20090101
27067,Remove/graft hip bone lesion,81,,,$145.67 ,20090101
27067,Remove/graft hip bone lesion,82,,,$145.67 ,20090101
27067,Remove/graft hip bone lesion,AS,,,$145.67 ,20090101
27067,Remove/graft hip bone lesion,,,,$728.33 ,20090101
27067,Remove/graft hip bone lesion,,,Y,$671.90 ,20081209
27070,Partial removal of hip bone,80,,,$121.19 ,20090101
27070,Partial removal of hip bone,81,,,$121.19 ,20090101
27070,Partial removal of hip bone,82,,,$121.19 ,20090101
27070,Partial removal of hip bone,AS,,,$121.19 ,20090101
27070,Partial removal of hip bone,,,,$605.94 ,20090101
27071,Partial removal of hip bone,80,,,$130.70 ,20090101
27071,Partial removal of hip bone,81,,,$130.70 ,20090101
27071,Partial removal of hip bone,82,,,$130.70 ,20090101
27071,Partial removal of hip bone,AS,,,$130.70 ,20090101
27071,Partial removal of hip bone,,,,$653.50 ,20090101
27075,Extensive hip surgery,80,,,$334.46 ,20090101
27075,Extensive hip surgery,81,,,$334.46 ,20090101
27075,Extensive hip surgery,82,,,$334.46 ,20090101
27075,Extensive hip surgery,AS,,,$334.46 ,20090101
27075,Extensive hip surgery,,,,"$1,672.30 ",20090101
27076,Extensive hip surgery,80,,,$231.70 ,20090101
27076,Extensive hip surgery,81,,,$231.70 ,20090101
27076,Extensive hip surgery,82,,,$231.70 ,20090101
27076,Extensive hip surgery,AS,,,$231.70 ,20090101
27076,Extensive hip surgery,,,,"$1,158.48 ",20090101
27077,Extensive hip surgery,80,,,$389.44 ,20090101
27077,Extensive hip surgery,81,,,$389.44 ,20090101
27077,Extensive hip surgery,82,,,$389.44 ,20090101
27077,Extensive hip surgery,AS,,,$389.44 ,20090101
27077,Extensive hip surgery,,,,"$1,947.20 ",20090101
27078,Extensive hip surgery,80,,,$145.50 ,20090101
27078,Extensive hip surgery,81,,,$145.50 ,20090101
27078,Extensive hip surgery,82,,,$145.50 ,20090101
27078,Extensive hip surgery,AS,,,$145.50 ,20090101
27078,Extensive hip surgery,,,,$727.50 ,20090101
27079,Extensive hip surgery,80,,,$142.66 ,20090101
27079,Extensive hip surgery,81,,,$142.66 ,20090101
27079,Extensive hip surgery,82,,,$142.66 ,20090101
27079,Extensive hip surgery,AS,,,$142.66 ,20090101
27079,Extensive hip surgery,,,,$713.32 ,20090101
27080,Removal of tail bone,80,,,$69.22 ,20090101
27080,Removal of tail bone,81,,,$69.22 ,20090101
27080,Removal of tail bone,82,,,$69.22 ,20090101
27080,Removal of tail bone,AS,,,$69.22 ,20090101
27080,Removal of tail bone,,,,$346.10 ,20090101
27080,Removal of tail bone,,,Y,$509.30 ,20081209
27086,Remove hip foreign body,,,,$173.88 ,20090101
27086,Remove hip foreign body,,,Y,$271.71 ,20081209
27087,Remove hip foreign body,80,,,$90.30 ,20090101
27087,Remove hip foreign body,81,,,$90.30 ,20090101
27087,Remove hip foreign body,82,,,$90.30 ,20090101
27087,Remove hip foreign body,AS,,,$90.30 ,20090101
27087,Remove hip foreign body,,,,$451.52 ,20090101
27087,Remove hip foreign body,,,Y,$482.11 ,20081209
27090,Removal of hip prosthesis,80,,,$120.30 ,20090101
27090,Removal of hip prosthesis,81,,,$120.30 ,20090101
27090,Removal of hip prosthesis,82,,,$120.30 ,20090101
27090,Removal of hip prosthesis,AS,,,$120.30 ,20090101
27090,Removal of hip prosthesis,,,,$601.49 ,20090101
27091,Removal of hip prosthesis,80,,,$230.69 ,20090101
27091,Removal of hip prosthesis,81,,,$230.69 ,20090101
27091,Removal of hip prosthesis,82,,,$230.69 ,20090101
27091,Removal of hip prosthesis,AS,,,$230.69 ,20090101
27091,Removal of hip prosthesis,,,,"$1,153.46 ",20090101
27093,Injection for hip x-ray,,,,$145.78 ,20090101
27095,Injection for hip x-ray,,,,$176.94 ,20090101
27096,Inject sacroiliac joint,,,,$136.88 ,20090101
27097,Revision of hip tendon,80,,,$95.20 ,20090101
27097,Revision of hip tendon,81,,,$95.20 ,20090101
27097,Revision of hip tendon,82,,,$95.20 ,20090101
27097,Revision of hip tendon,AS,,,$95.20 ,20090101
27097,Revision of hip tendon,,,,$476.00 ,20090101
27097,Revision of hip tendon,,,Y,$547.70 ,20081209
27098,Transfer tendon to pelvis,80,,,$89.69 ,20090101
27098,Transfer tendon to pelvis,81,,,$89.69 ,20090101
27098,Transfer tendon to pelvis,82,,,$89.69 ,20090101
27098,Transfer tendon to pelvis,AS,,,$89.69 ,20090101
27098,Transfer tendon to pelvis,,,,$448.47 ,20090101
27098,Transfer tendon to pelvis,,,Y,$547.70 ,20081209
27100,Transfer of abdominal muscle,80,,,$117.46 ,20090101
27100,Transfer of abdominal muscle,81,,,$117.46 ,20090101
27100,Transfer of abdominal muscle,82,,,$117.46 ,20090101
27100,Transfer of abdominal muscle,AS,,,$117.46 ,20090101
27100,Transfer of abdominal muscle,,,,$587.31 ,20090101
27100,Transfer of abdominal muscle,,,Y,$733.93 ,20081209
27105,Transfer of spinal muscle,80,,,$121.80 ,20090101
27105,Transfer of spinal muscle,81,,,$121.80 ,20090101
27105,Transfer of spinal muscle,82,,,$121.80 ,20090101
27105,Transfer of spinal muscle,AS,,,$121.80 ,20090101
27105,Transfer of spinal muscle,,,,$608.99 ,20090101
27105,Transfer of spinal muscle,,,Y,$733.93 ,20081209
27110,Transfer of iliopsoas muscle,80,,,$136.43 ,20090101
27110,Transfer of iliopsoas muscle,81,,,$136.43 ,20090101
27110,Transfer of iliopsoas muscle,82,,,$136.43 ,20090101
27110,Transfer of iliopsoas muscle,AS,,,$136.43 ,20090101
27110,Transfer of iliopsoas muscle,,,,$682.17 ,20090101
27110,Transfer of iliopsoas muscle,,,Y,$733.93 ,20081209
27111,Transfer of iliopsoas muscle,80,,,$128.09 ,20090101
27111,Transfer of iliopsoas muscle,81,,,$128.09 ,20090101
27111,Transfer of iliopsoas muscle,82,,,$128.09 ,20090101
27111,Transfer of iliopsoas muscle,AS,,,$128.09 ,20090101
27111,Transfer of iliopsoas muscle,,,,$640.46 ,20090101
27111,Transfer of iliopsoas muscle,,,Y,$733.93 ,20081209
27120,Reconstruction of hip socket,80,,,$186.51 ,20090101
27120,Reconstruction of hip socket,81,,,$186.51 ,20090101
27120,Reconstruction of hip socket,82,,,$186.51 ,20090101
27120,Reconstruction of hip socket,AS,,,$186.51 ,20090101
27120,Reconstruction of hip socket,,,,$932.54 ,20090101
27122,Reconstruction of hip socket,80,,,$160.30 ,20090101
27122,Reconstruction of hip socket,81,,,$160.30 ,20090101
27122,Reconstruction of hip socket,82,,,$160.30 ,20090101
27122,Reconstruction of hip socket,AS,,,$160.30 ,20090101
27122,Reconstruction of hip socket,,,,$801.50 ,20090101
27125,Partial hip replacement,80,,,$162.03 ,20090101
27125,Partial hip replacement,81,,,$162.03 ,20090101
27125,Partial hip replacement,82,,,$162.03 ,20090101
27125,Partial hip replacement,AS,,,$162.03 ,20090101
27125,Partial hip replacement,,,,$810.15 ,20090101
27130,Total hip arthroplasty,80,,,$209.55 ,20090101
27130,Total hip arthroplasty,81,,,$209.55 ,20090101
27130,Total hip arthroplasty,82,,,$209.55 ,20090101
27130,Total hip arthroplasty,AS,,,$209.55 ,20090101
27130,Total hip arthroplasty,,,,"$1,047.73 ",20090101
27132,Total hip arthroplasty,80,,,$245.26 ,20090101
27132,Total hip arthroplasty,81,,,$245.26 ,20090101
27132,Total hip arthroplasty,82,,,$245.26 ,20090101
27132,Total hip arthroplasty,AS,,,$245.26 ,20090101
27132,Total hip arthroplasty,,,,"$1,226.32 ",20090101
27134,Revise hip joint replacement,80,,,$285.61 ,20090101
27134,Revise hip joint replacement,81,,,$285.61 ,20090101
27134,Revise hip joint replacement,82,,,$285.61 ,20090101
27134,Revise hip joint replacement,AS,,,$285.61 ,20090101
27134,Revise hip joint replacement,,,,"$1,428.04 ",20090101
27137,Revise hip joint replacement,80,,,$217.39 ,20090101
27137,Revise hip joint replacement,81,,,$217.39 ,20090101
27137,Revise hip joint replacement,82,,,$217.39 ,20090101
27137,Revise hip joint replacement,AS,,,$217.39 ,20090101
27137,Revise hip joint replacement,,,,"$1,086.96 ",20090101
27138,Revise hip joint replacement,80,,,$226.24 ,20090101
27138,Revise hip joint replacement,81,,,$226.24 ,20090101
27138,Revise hip joint replacement,82,,,$226.24 ,20090101
27138,Revise hip joint replacement,AS,,,$226.24 ,20090101
27138,Revise hip joint replacement,,,,"$1,131.20 ",20090101
27140,Transplant femur ridge,80,,,$130.37 ,20090101
27140,Transplant femur ridge,81,,,$130.37 ,20090101
27140,Transplant femur ridge,82,,,$130.37 ,20090101
27140,Transplant femur ridge,AS,,,$130.37 ,20090101
27140,Transplant femur ridge,,,,$651.84 ,20090101
27146,Incision of hip bone,80,,,$184.23 ,20090101
27146,Incision of hip bone,81,,,$184.23 ,20090101
27146,Incision of hip bone,82,,,$184.23 ,20090101
27146,Incision of hip bone,AS,,,$184.23 ,20090101
27146,Incision of hip bone,,,,$921.15 ,20090101
27147,Revision of hip bone,80,,,$211.94 ,20090101
27147,Revision of hip bone,81,,,$211.94 ,20090101
27147,Revision of hip bone,82,,,$211.94 ,20090101
27147,Revision of hip bone,AS,,,$211.94 ,20090101
27147,Revision of hip bone,,,,"$1,059.68 ",20090101
27151,Incision of hip bones,80,,,$212.89 ,20090101
27151,Incision of hip bones,81,,,$212.89 ,20090101
27151,Incision of hip bones,82,,,$212.89 ,20090101
27151,Incision of hip bones,AS,,,$212.89 ,20090101
27151,Incision of hip bones,,,,"$1,064.45 ",20090101
27156,Revision of hip bones,80,,,$251.23 ,20090101
27156,Revision of hip bones,81,,,$251.23 ,20090101
27156,Revision of hip bones,82,,,$251.23 ,20090101
27156,Revision of hip bones,AS,,,$251.23 ,20090101
27156,Revision of hip bones,,,,"$1,256.13 ",20090101
27158,Revision of pelvis,80,,,$196.47 ,20090101
27158,Revision of pelvis,81,,,$196.47 ,20090101
27158,Revision of pelvis,82,,,$196.47 ,20090101
27158,Revision of pelvis,AS,,,$196.47 ,20090101
27158,Revision of pelvis,,,,$982.37 ,20090101
27161,Incision of neck of femur,80,,,$177.67 ,20090101
27161,Incision of neck of femur,81,,,$177.67 ,20090101
27161,Incision of neck of femur,82,,,$177.67 ,20090101
27161,Incision of neck of femur,AS,,,$177.67 ,20090101
27161,Incision of neck of femur,,,,$888.34 ,20090101
27165,Incision/fixation of femur,80,,,$197.08 ,20090101
27165,Incision/fixation of femur,81,,,$197.08 ,20090101
27165,Incision/fixation of femur,82,,,$197.08 ,20090101
27165,Incision/fixation of femur,AS,,,$197.08 ,20090101
27165,Incision/fixation of femur,,,,$985.42 ,20090101
27170,Repair/graft femur head/neck,80,,,$171.43 ,20090101
27170,Repair/graft femur head/neck,81,,,$171.43 ,20090101
27170,Repair/graft femur head/neck,82,,,$171.43 ,20090101
27170,Repair/graft femur head/neck,AS,,,$171.43 ,20090101
27170,Repair/graft femur head/neck,,,,$857.14 ,20090101
27175,Treat slipped epiphysis,,,,$463.77 ,20090101
27176,Treat slipped epiphysis,80,,,$131.37 ,20090101
27176,Treat slipped epiphysis,81,,,$131.37 ,20090101
27176,Treat slipped epiphysis,82,,,$131.37 ,20090101
27176,Treat slipped epiphysis,AS,,,$131.37 ,20090101
27176,Treat slipped epiphysis,,,,$656.86 ,20090101
27177,Treat slipped epiphysis,80,,,$160.41 ,20090101
27177,Treat slipped epiphysis,81,,,$160.41 ,20090101
27177,Treat slipped epiphysis,82,,,$160.41 ,20090101
27177,Treat slipped epiphysis,AS,,,$160.41 ,20090101
27177,Treat slipped epiphysis,,,,$802.07 ,20090101
27178,Treat slipped epiphysis,80,,,$128.36 ,20090101
27178,Treat slipped epiphysis,81,,,$128.36 ,20090101
27178,Treat slipped epiphysis,82,,,$128.36 ,20090101
27178,Treat slipped epiphysis,AS,,,$128.36 ,20090101
27178,Treat slipped epiphysis,,,,$641.80 ,20090101
27179,Revise head/neck of femur,80,,,$141.22 ,20090101
27179,Revise head/neck of femur,81,,,$141.22 ,20090101
27179,Revise head/neck of femur,82,,,$141.22 ,20090101
27179,Revise head/neck of femur,AS,,,$141.22 ,20090101
27179,Revise head/neck of femur,,,,$706.08 ,20090101
27181,Treat slipped epiphysis,80,,,$153.18 ,20090101
27181,Treat slipped epiphysis,81,,,$153.18 ,20090101
27181,Treat slipped epiphysis,82,,,$153.18 ,20090101
27181,Treat slipped epiphysis,AS,,,$153.18 ,20090101
27181,Treat slipped epiphysis,,,,$765.90 ,20090101
27185,Revision of femur epiphysis,80,,,$106.55 ,20090101
27185,Revision of femur epiphysis,81,,,$106.55 ,20090101
27185,Revision of femur epiphysis,82,,,$106.55 ,20090101
27185,Revision of femur epiphysis,AS,,,$106.55 ,20090101
27185,Revision of femur epiphysis,,,,$532.77 ,20090101
27187,Reinforce hip bones,80,,,$144.56 ,20090101
27187,Reinforce hip bones,81,,,$144.56 ,20090101
27187,Reinforce hip bones,82,,,$144.56 ,20090101
27187,Reinforce hip bones,AS,,,$144.56 ,20090101
27187,Reinforce hip bones,,,,$722.79 ,20090101
27193,Treat pelvic ring fracture,,,,$328.28 ,20090101
27193,Treat pelvic ring fracture,,,Y,$76.82 ,20081209
27194,Treat pelvic ring fracture,,,,$524.70 ,20090101
27194,Treat pelvic ring fracture,,,Y,$389.86 ,20081209
27200,Treat tail bone fracture,,,,$119.63 ,20090101
27202,Treat tail bone fracture,80,,,$106.83 ,20090101
27202,Treat tail bone fracture,81,,,$106.83 ,20090101
27202,Treat tail bone fracture,82,,,$106.83 ,20090101
27202,Treat tail bone fracture,AS,,,$106.83 ,20090101
27202,Treat tail bone fracture,,,,$534.16 ,20090101
27202,Treat tail bone fracture,,,Y,$607.99 ,20081209
27215,Treat pelvic fracture(s),80,,,$107.11 ,20090101
27215,Treat pelvic fracture(s),81,,,$107.11 ,20090101
27215,Treat pelvic fracture(s),82,,,$107.11 ,20090101
27215,Treat pelvic fracture(s),AS,,,$107.11 ,20090101
27215,Treat pelvic fracture(s),,,,$535.56 ,20090101
27216,Treat pelvic ring fracture,80,,,$154.35 ,20090101
27216,Treat pelvic ring fracture,81,,,$154.35 ,20090101
27216,Treat pelvic ring fracture,82,,,$154.35 ,20090101
27216,Treat pelvic ring fracture,AS,,,$154.35 ,20090101
27216,Treat pelvic ring fracture,,,,$771.75 ,20090101
27217,Treat pelvic ring fracture,80,,,$147.23 ,20090101
27217,Treat pelvic ring fracture,81,,,$147.23 ,20090101
27217,Treat pelvic ring fracture,82,,,$147.23 ,20090101
27217,Treat pelvic ring fracture,AS,,,$147.23 ,20090101
27217,Treat pelvic ring fracture,,,,$736.14 ,20090101
27218,Treat pelvic ring fracture,80,,,$199.14 ,20090101
27218,Treat pelvic ring fracture,81,,,$199.14 ,20090101
27218,Treat pelvic ring fracture,82,,,$199.14 ,20090101
27218,Treat pelvic ring fracture,AS,,,$199.14 ,20090101
27218,Treat pelvic ring fracture,,,,$995.72 ,20090101
27220,Treat hip socket fracture,,,,$369.46 ,20090101
27222,Treat hip socket fracture,,,,$707.21 ,20090101
27226,Treat hip wall fracture,80,,,$146.39 ,20090101
27226,Treat hip wall fracture,81,,,$146.39 ,20090101
27226,Treat hip wall fracture,82,,,$146.39 ,20090101
27226,Treat hip wall fracture,AS,,,$146.39 ,20090101
27226,Treat hip wall fracture,,,,$731.95 ,20090101
27227,Treat hip fracture(s),80,,,$242.94 ,20090101
27227,Treat hip fracture(s),81,,,$242.94 ,20090101
27227,Treat hip fracture(s),82,,,$242.94 ,20090101
27227,Treat hip fracture(s),AS,,,$242.94 ,20090101
27227,Treat hip fracture(s),,,,"$1,214.68 ",20090101
27228,Treat hip fracture(s),80,,,$278.44 ,20090101
27228,Treat hip fracture(s),81,,,$278.44 ,20090101
27228,Treat hip fracture(s),82,,,$278.44 ,20090101
27228,Treat hip fracture(s),AS,,,$278.44 ,20090101
27228,Treat hip fracture(s),,,,"$1,392.18 ",20090101
27230,Treat thigh fracture,,,,$330.24 ,20090101
27230,Treat thigh fracture,,,Y,$76.82 ,20081209
27232,Treat thigh fracture,,,,$560.87 ,20090101
27235,Treat thigh fracture,80,,,$131.98 ,20090101
27235,Treat thigh fracture,81,,,$131.98 ,20090101
27235,Treat thigh fracture,82,,,$131.98 ,20090101
27235,Treat thigh fracture,AS,,,$131.98 ,20090101
27235,Treat thigh fracture,,,,$659.92 ,20090101
27236,Treat thigh fracture,80,,,$171.10 ,20090101
27236,Treat thigh fracture,81,,,$171.10 ,20090101
27236,Treat thigh fracture,82,,,$171.10 ,20090101
27236,Treat thigh fracture,AS,,,$171.10 ,20090101
27236,Treat thigh fracture,,,,$855.48 ,20090101
27238,Treat thigh fracture,,,,$317.99 ,20090101
27238,Treat thigh fracture,,,Y,$76.82 ,20081209
27240,Treat thigh fracture,,,,$686.34 ,20090101
27244,Treat thigh fracture,80,,,$168.71 ,20090101
27244,Treat thigh fracture,81,,,$168.71 ,20090101
27244,Treat thigh fracture,82,,,$168.71 ,20090101
27244,Treat thigh fracture,AS,,,$168.71 ,20090101
27244,Treat thigh fracture,,,,$843.53 ,20090101
27245,Treat thigh fracture,80,,,$206.82 ,20090101
27245,Treat thigh fracture,81,,,$206.82 ,20090101
27245,Treat thigh fracture,82,,,$206.82 ,20090101
27245,Treat thigh fracture,AS,,,$206.82 ,20090101
27245,Treat thigh fracture,,,,"$1,034.12 ",20090101
27246,Treat thigh fracture,,,,$270.97 ,20090101
27246,Treat thigh fracture,,,Y,$76.82 ,20081209
27248,Treat thigh fracture,80,,,$109.95 ,20090101
27248,Treat thigh fracture,81,,,$109.95 ,20090101
27248,Treat thigh fracture,82,,,$109.95 ,20090101
27248,Treat thigh fracture,AS,,,$109.95 ,20090101
27248,Treat thigh fracture,,,,$549.74 ,20090101
27250,Treat hip dislocation,,,,$341.92 ,20090101
27250,Treat hip dislocation,,,Y,$76.82 ,20081209
27252,Treat hip dislocation,,,,$543.62 ,20090101
27252,Treat hip dislocation,,,Y,$389.86 ,20081209
27253,Treat hip dislocation,80,,,$137.38 ,20090101
27253,Treat hip dislocation,81,,,$137.38 ,20090101
27253,Treat hip dislocation,82,,,$137.38 ,20090101
27253,Treat hip dislocation,AS,,,$137.38 ,20090101
27253,Treat hip dislocation,,,,$686.88 ,20090101
27254,Treat hip dislocation,80,,,$185.07 ,20090101
27254,Treat hip dislocation,81,,,$185.07 ,20090101
27254,Treat hip dislocation,82,,,$185.07 ,20090101
27254,Treat hip dislocation,AS,,,$185.07 ,20090101
27254,Treat hip dislocation,,,,$925.34 ,20090101
27256,Treat hip dislocation,,,,$215.05 ,20090101
27257,Treat hip dislocation,,,,$242.59 ,20090101
27257,Treat hip dislocation,,,Y,$428.26 ,20081209
27258,Treat hip dislocation,80,,,$160.64 ,20090101
27258,Treat hip dislocation,81,,,$160.64 ,20090101
27258,Treat hip dislocation,82,,,$160.64 ,20090101
27258,Treat hip dislocation,AS,,,$160.64 ,20090101
27258,Treat hip dislocation,,,,$803.21 ,20090101
27259,Treat hip dislocation,80,,,$223.85 ,20090101
27259,Treat hip dislocation,81,,,$223.85 ,20090101
27259,Treat hip dislocation,82,,,$223.85 ,20090101
27259,Treat hip dislocation,AS,,,$223.85 ,20090101
27259,Treat hip dislocation,,,,"$1,119.25 ",20090101
27265,Treat hip dislocation,,,,$281.55 ,20090101
27265,Treat hip dislocation,,,Y,$76.82 ,20081209
27266,Treat hip dislocation,,,,$414.25 ,20090101
27266,Treat hip dislocation,,,Y,$389.86 ,20081209
27267,Cltx thigh fx,,,,$296.85 ,20090101
27267,Cltx thigh fx,,,Y,$58.57 ,20081209
27268,Cltx thigh fx w/mnpj,,,,$366.68 ,20090101
27269,Optx thigh fx,,,,$878.28 ,20080101
27275,Manipulation of hip joint,,,,$129.64 ,20090101
27275,Manipulation of hip joint,,,Y,$389.86 ,20081209
27280,Fusion of sacroiliac joint,80,,,$148.07 ,20090101
27280,Fusion of sacroiliac joint,81,,,$148.07 ,20090101
27280,Fusion of sacroiliac joint,82,,,$148.07 ,20090101
27280,Fusion of sacroiliac joint,AS,,,$148.07 ,20090101
27280,Fusion of sacroiliac joint,,,,$740.34 ,20090101
27282,Fusion of pubic bones,80,,,$119.46 ,20090101
27282,Fusion of pubic bones,81,,,$119.46 ,20090101
27282,Fusion of pubic bones,82,,,$119.46 ,20090101
27282,Fusion of pubic bones,AS,,,$119.46 ,20090101
27282,Fusion of pubic bones,,,,$597.30 ,20090101
27284,Fusion of hip joint,80,,,$234.98 ,20090101
27284,Fusion of hip joint,81,,,$234.98 ,20090101
27284,Fusion of hip joint,82,,,$234.98 ,20090101
27284,Fusion of hip joint,AS,,,$234.98 ,20090101
27284,Fusion of hip joint,,,,"$1,174.88 ",20090101
27286,Fusion of hip joint,80,,,$235.42 ,20090101
27286,Fusion of hip joint,81,,,$235.42 ,20090101
27286,Fusion of hip joint,82,,,$235.42 ,20090101
27286,Fusion of hip joint,AS,,,$235.42 ,20090101
27286,Fusion of hip joint,,,,"$1,177.11 ",20090101
27290,Amputation of leg at hip,80,,,$227.63 ,20090101
27290,Amputation of leg at hip,81,,,$227.63 ,20090101
27290,Amputation of leg at hip,82,,,$227.63 ,20090101
27290,Amputation of leg at hip,AS,,,$227.63 ,20090101
27290,Amputation of leg at hip,,,,"$1,138.14 ",20090101
27295,Amputation of leg at hip,80,,,$183.34 ,20090101
27295,Amputation of leg at hip,81,,,$183.34 ,20090101
27295,Amputation of leg at hip,82,,,$183.34 ,20090101
27295,Amputation of leg at hip,AS,,,$183.34 ,20090101
27295,Amputation of leg at hip,,,,$916.70 ,20090101
27301,Drain thigh/knee lesion,,,,$468.78 ,20090101
27301,Drain thigh/knee lesion,,,Y,$457.69 ,20081209
27303,Drainage of bone lesion,80,,,$91.47 ,20090101
27303,Drainage of bone lesion,81,,,$91.47 ,20090101
27303,Drainage of bone lesion,82,,,$91.47 ,20090101
27303,Drainage of bone lesion,AS,,,$91.47 ,20090101
27303,Drainage of bone lesion,,,,$457.37 ,20090101
27305,Incise thigh tendon & fascia,80,,,$66.93 ,20090101
27305,Incise thigh tendon & fascia,81,,,$66.93 ,20090101
27305,Incise thigh tendon & fascia,82,,,$66.93 ,20090101
27305,Incise thigh tendon & fascia,AS,,,$66.93 ,20090101
27305,Incise thigh tendon & fascia,,,,$334.67 ,20090101
27305,Incise thigh tendon & fascia,,,Y,$443.71 ,20081209
27306,Incision of thigh tendon,80,,,$55.14 ,20090101
27306,Incision of thigh tendon,81,,,$55.14 ,20090101
27306,Incision of thigh tendon,82,,,$55.14 ,20090101
27306,Incision of thigh tendon,AS,,,$55.14 ,20090101
27306,Incision of thigh tendon,,,,$275.72 ,20090101
27306,Incision of thigh tendon,,,Y,$482.11 ,20081209
27307,Incision of thigh tendons,80,,,$67.16 ,20090101
27307,Incision of thigh tendons,81,,,$67.16 ,20090101
27307,Incision of thigh tendons,82,,,$67.16 ,20090101
27307,Incision of thigh tendons,AS,,,$67.16 ,20090101
27307,Incision of thigh tendons,,,,$335.81 ,20090101
27307,Incision of thigh tendons,,,Y,$482.11 ,20081209
27310,Exploration of knee joint,80,,,$103.88 ,20090101
27310,Exploration of knee joint,81,,,$103.88 ,20090101
27310,Exploration of knee joint,82,,,$103.88 ,20090101
27310,Exploration of knee joint,AS,,,$103.88 ,20090101
27310,Exploration of knee joint,,,,$519.41 ,20090101
27310,Exploration of knee joint,,,Y,$619.70 ,20081209
27323,"Biopsy, thigh soft tissues",,,,$178.05 ,20090101
27323,"Biopsy, thigh soft tissues",,,Y,$271.71 ,20081209
27324,"Biopsy, thigh soft tissues",,,,$269.87 ,20090101
27324,"Biopsy, thigh soft tissues",,,Y,$374.59 ,20081209
27325,"Neurectomy, hamstring",,,,$365.84 ,20090101
27325,"Neurectomy, hamstring",,,Y,$417.07 ,20081209
27326,"Neurectomy, popliteal",,,,$350.54 ,20090101
27326,"Neurectomy, popliteal",,,Y,$417.07 ,20081209
27327,Removal of thigh lesion,,,,$311.04 ,20090101
27327,Removal of thigh lesion,,,Y,$442.39 ,20081209
27328,Removal of thigh lesion,,,,$297.13 ,20090101
27328,Removal of thigh lesion,,,Y,$480.79 ,20081209
27329,"Remove tumor, thigh/knee",80,,,$147.89 ,20090101
27329,"Remove tumor, thigh/knee",81,,,$147.89 ,20090101
27329,"Remove tumor, thigh/knee",82,,,$147.89 ,20090101
27329,"Remove tumor, thigh/knee",AS,,,$147.89 ,20090101
27329,"Remove tumor, thigh/knee",,,,$739.46 ,20090101
27329,"Remove tumor, thigh/knee",,,Y,$552.79 ,20081209
27330,"Biopsy, knee joint lining",80,,,$57.31 ,20090101
27330,"Biopsy, knee joint lining",81,,,$57.31 ,20090101
27330,"Biopsy, knee joint lining",82,,,$57.31 ,20090101
27330,"Biopsy, knee joint lining",AS,,,$57.31 ,20090101
27330,"Biopsy, knee joint lining",,,,$286.54 ,20090101
27330,"Biopsy, knee joint lining",,,Y,$619.70 ,20081209
27331,Explore/treat knee joint,80,,,$67.38 ,20090101
27331,Explore/treat knee joint,81,,,$67.38 ,20090101
27331,Explore/treat knee joint,82,,,$67.38 ,20090101
27331,Explore/treat knee joint,AS,,,$67.38 ,20090101
27331,Explore/treat knee joint,,,,$336.89 ,20090101
27331,Explore/treat knee joint,,,Y,$619.70 ,20081209
27332,Removal of knee cartilage,80,,,$91.19 ,20090101
27332,Removal of knee cartilage,81,,,$91.19 ,20090101
27332,Removal of knee cartilage,82,,,$91.19 ,20090101
27332,Removal of knee cartilage,AS,,,$91.19 ,20090101
27332,Removal of knee cartilage,,,,$455.97 ,20090101
27332,Removal of knee cartilage,,,Y,$619.70 ,20081209
27333,Removal of knee cartilage,80,,,$82.74 ,20090101
27333,Removal of knee cartilage,81,,,$82.74 ,20090101
27333,Removal of knee cartilage,82,,,$82.74 ,20090101
27333,Removal of knee cartilage,AS,,,$82.74 ,20090101
27333,Removal of knee cartilage,,,,$413.69 ,20090101
27333,Removal of knee cartilage,,,Y,$619.70 ,20081209
27334,Remove knee joint lining,80,,,$97.37 ,20090101
27334,Remove knee joint lining,81,,,$97.37 ,20090101
27334,Remove knee joint lining,82,,,$97.37 ,20090101
27334,Remove knee joint lining,AS,,,$97.37 ,20090101
27334,Remove knee joint lining,,,,$486.86 ,20090101
27334,Remove knee joint lining,,,Y,$619.70 ,20081209
27335,Remove knee joint lining,80,,,$110.17 ,20090101
27335,Remove knee joint lining,81,,,$110.17 ,20090101
27335,Remove knee joint lining,82,,,$110.17 ,20090101
27335,Remove knee joint lining,AS,,,$110.17 ,20090101
27335,Remove knee joint lining,,,,$550.83 ,20090101
27335,Remove knee joint lining,,,Y,$619.70 ,20081209
27340,Removal of kneecap bursa,,,,$257.34 ,20090101
27340,Removal of kneecap bursa,,,Y,$482.11 ,20081209
27345,Removal of knee cyst,80,,,$68.10 ,20090101
27345,Removal of knee cyst,81,,,$68.10 ,20090101
27345,Removal of knee cyst,82,,,$68.10 ,20090101
27345,Removal of knee cyst,AS,,,$68.10 ,20090101
27345,Removal of knee cyst,,,,$340.52 ,20090101
27345,Removal of knee cyst,,,Y,$554.11 ,20081209
27347,Remove knee cyst,80,,,$71.78 ,20090101
27347,Remove knee cyst,81,,,$71.78 ,20090101
27347,Remove knee cyst,82,,,$71.78 ,20090101
27347,Remove knee cyst,AS,,,$71.78 ,20090101
27347,Remove knee cyst,,,,$358.89 ,20090101
27347,Remove knee cyst,,,Y,$554.11 ,20081209
27350,Removal of kneecap,80,,,$92.92 ,20090101
27350,Removal of kneecap,81,,,$92.92 ,20090101
27350,Removal of kneecap,82,,,$92.92 ,20090101
27350,Removal of kneecap,AS,,,$92.92 ,20090101
27350,Removal of kneecap,,,,$464.61 ,20090101
27350,Removal of kneecap,,,Y,$619.70 ,20081209
27355,Remove femur lesion,80,,,$86.25 ,20090101
27355,Remove femur lesion,81,,,$86.25 ,20090101
27355,Remove femur lesion,82,,,$86.25 ,20090101
27355,Remove femur lesion,AS,,,$86.25 ,20090101
27355,Remove femur lesion,,,,$431.23 ,20090101
27355,Remove femur lesion,,,Y,$547.70 ,20081209
27356,Remove femur lesion/graft,80,,,$105.50 ,20090101
27356,Remove femur lesion/graft,81,,,$105.50 ,20090101
27356,Remove femur lesion/graft,82,,,$105.50 ,20090101
27356,Remove femur lesion/graft,AS,,,$105.50 ,20090101
27356,Remove femur lesion/graft,,,,$527.49 ,20090101
27356,Remove femur lesion/graft,,,Y,$619.70 ,20081209
27357,Remove femur lesion/graft,80,,,$117.23 ,20090101
27357,Remove femur lesion/graft,81,,,$117.23 ,20090101
27357,Remove femur lesion/graft,82,,,$117.23 ,20090101
27357,Remove femur lesion/graft,AS,,,$117.23 ,20090101
27357,Remove femur lesion/graft,,,,$586.17 ,20090101
27357,Remove femur lesion/graft,,,Y,$671.90 ,20081209
27358,Remove femur lesion/fixation,80,,,$42.95 ,20090101
27358,Remove femur lesion/fixation,81,,,$42.95 ,20090101
27358,Remove femur lesion/fixation,82,,,$42.95 ,20090101
27358,Remove femur lesion/fixation,AS,,,$42.95 ,20090101
27358,Remove femur lesion/fixation,,,,$214.76 ,20090101
27358,Remove femur lesion/fixation,,,Y,$671.90 ,20081209
27360,"Partial removal, leg bone(s)",80,,,$122.36 ,20090101
27360,"Partial removal, leg bone(s)",81,,,$122.36 ,20090101
27360,"Partial removal, leg bone(s)",82,,,$122.36 ,20090101
27360,"Partial removal, leg bone(s)",AS,,,$122.36 ,20090101
27360,"Partial removal, leg bone(s)",,,,$611.79 ,20090101
27360,"Partial removal, leg bone(s)",,,Y,$671.90 ,20081209
27365,Extensive leg surgery,80,,,$176.83 ,20090101
27365,Extensive leg surgery,81,,,$176.83 ,20090101
27365,Extensive leg surgery,82,,,$176.83 ,20090101
27365,Extensive leg surgery,AS,,,$176.83 ,20090101
27365,Extensive leg surgery,,,,$884.15 ,20090101
27370,Injection for knee x-ray,,,,$122.41 ,20090101
27372,Removal of foreign body,,,,$421.20 ,20090101
27372,Removal of foreign body,,,Y,$771.79 ,20081209
27380,Repair of kneecap tendon,80,,,$84.85 ,20090101
27380,Repair of kneecap tendon,81,,,$84.85 ,20090101
27380,Repair of kneecap tendon,82,,,$84.85 ,20090101
27380,Repair of kneecap tendon,AS,,,$84.85 ,20090101
27380,Repair of kneecap tendon,,,,$424.25 ,20090101
27380,Repair of kneecap tendon,,,Y,$375.91 ,20081209
27381,Repair/graft kneecap tendon,80,,,$115.57 ,20090101
27381,Repair/graft kneecap tendon,81,,,$115.57 ,20090101
27381,Repair/graft kneecap tendon,82,,,$115.57 ,20090101
27381,Repair/graft kneecap tendon,AS,,,$115.57 ,20090101
27381,Repair/graft kneecap tendon,,,,$577.84 ,20090101
27381,Repair/graft kneecap tendon,,,Y,$482.11 ,20081209
27385,Repair of thigh muscle,80,,,$90.86 ,20090101
27385,Repair of thigh muscle,81,,,$90.86 ,20090101
27385,Repair of thigh muscle,82,,,$90.86 ,20090101
27385,Repair of thigh muscle,AS,,,$90.86 ,20090101
27385,Repair of thigh muscle,,,,$454.31 ,20090101
27385,Repair of thigh muscle,,,Y,$482.11 ,20081209
27386,Repair/graft of thigh muscle,80,,,$120.02 ,20090101
27386,Repair/graft of thigh muscle,81,,,$120.02 ,20090101
27386,Repair/graft of thigh muscle,82,,,$120.02 ,20090101
27386,Repair/graft of thigh muscle,AS,,,$120.02 ,20090101
27386,Repair/graft of thigh muscle,,,,$600.09 ,20090101
27386,Repair/graft of thigh muscle,,,Y,$482.11 ,20081209
27390,Incision of thigh tendon,80,,,$62.04 ,20090101
27390,Incision of thigh tendon,81,,,$62.04 ,20090101
27390,Incision of thigh tendon,82,,,$62.04 ,20090101
27390,Incision of thigh tendon,AS,,,$62.04 ,20090101
27390,Incision of thigh tendon,,,,$310.19 ,20090101
27390,Incision of thigh tendon,,,Y,$375.91 ,20081209
27391,Incision of thigh tendons,80,,,$81.63 ,20090101
27391,Incision of thigh tendons,81,,,$81.63 ,20090101
27391,Incision of thigh tendons,82,,,$81.63 ,20090101
27391,Incision of thigh tendons,AS,,,$81.63 ,20090101
27391,Incision of thigh tendons,,,,$408.15 ,20090101
27391,Incision of thigh tendons,,,Y,$443.71 ,20081209
27392,Incision of thigh tendons,80,,,$101.33 ,20090101
27392,Incision of thigh tendons,81,,,$101.33 ,20090101
27392,Incision of thigh tendons,82,,,$101.33 ,20090101
27392,Incision of thigh tendons,AS,,,$101.33 ,20090101
27392,Incision of thigh tendons,,,,$506.63 ,20090101
27392,Incision of thigh tendons,,,Y,$482.11 ,20081209
27393,Lengthening of thigh tendon,80,,,$72.34 ,20090101
27393,Lengthening of thigh tendon,81,,,$72.34 ,20090101
27393,Lengthening of thigh tendon,82,,,$72.34 ,20090101
27393,Lengthening of thigh tendon,AS,,,$72.34 ,20090101
27393,Lengthening of thigh tendon,,,,$361.68 ,20090101
27393,Lengthening of thigh tendon,,,Y,$509.30 ,20081209
27394,Lengthening of thigh tendons,80,,,$93.70 ,20090101
27394,Lengthening of thigh tendons,81,,,$93.70 ,20090101
27394,Lengthening of thigh tendons,82,,,$93.70 ,20090101
27394,Lengthening of thigh tendons,AS,,,$93.70 ,20090101
27394,Lengthening of thigh tendons,,,,$468.49 ,20090101
27394,Lengthening of thigh tendons,,,Y,$547.70 ,20081209
27395,Lengthening of thigh tendons,80,,,$126.76 ,20090101
27395,Lengthening of thigh tendons,81,,,$126.76 ,20090101
27395,Lengthening of thigh tendons,82,,,$126.76 ,20090101
27395,Lengthening of thigh tendons,AS,,,$126.76 ,20090101
27395,Lengthening of thigh tendons,,,,$633.78 ,20090101
27395,Lengthening of thigh tendons,,,Y,$661.93 ,20081209
27396,Transplant of thigh tendon,80,,,$87.91 ,20090101
27396,Transplant of thigh tendon,81,,,$87.91 ,20090101
27396,Transplant of thigh tendon,82,,,$87.91 ,20090101
27396,Transplant of thigh tendon,AS,,,$87.91 ,20090101
27396,Transplant of thigh tendon,,,,$439.56 ,20090101
27396,Transplant of thigh tendon,,,Y,$547.70 ,20081209
27397,Transplants of thigh tendons,80,,,$127.92 ,20090101
27397,Transplants of thigh tendons,81,,,$127.92 ,20090101
27397,Transplants of thigh tendons,82,,,$127.92 ,20090101
27397,Transplants of thigh tendons,AS,,,$127.92 ,20090101
27397,Transplants of thigh tendons,,,,$639.58 ,20090101
27397,Transplants of thigh tendons,,,Y,$661.93 ,20081209
27400,Revise thigh muscles/tendons,80,,,$96.81 ,20090101
27400,Revise thigh muscles/tendons,81,,,$96.81 ,20090101
27400,Revise thigh muscles/tendons,82,,,$96.81 ,20090101
27400,Revise thigh muscles/tendons,AS,,,$96.81 ,20090101
27400,Revise thigh muscles/tendons,,,,$484.07 ,20090101
27400,Revise thigh muscles/tendons,,,Y,$661.93 ,20081209
27403,Repair of knee cartilage,80,,,$92.15 ,20090101
27403,Repair of knee cartilage,81,,,$92.15 ,20090101
27403,Repair of knee cartilage,82,,,$92.15 ,20090101
27403,Repair of knee cartilage,AS,,,$92.15 ,20090101
27403,Repair of knee cartilage,,,,$460.73 ,20090101
27403,Repair of knee cartilage,,,Y,$619.70 ,20081209
27405,Repair of knee ligament,80,,,$96.88 ,20090101
27405,Repair of knee ligament,81,,,$96.88 ,20090101
27405,Repair of knee ligament,82,,,$96.88 ,20090101
27405,Repair of knee ligament,AS,,,$96.88 ,20090101
27405,Repair of knee ligament,,,,$484.38 ,20090101
27405,Repair of knee ligament,,,Y,$733.93 ,20081209
27407,Repair of knee ligament,80,,,$111.73 ,20090101
27407,Repair of knee ligament,81,,,$111.73 ,20090101
27407,Repair of knee ligament,82,,,$111.73 ,20090101
27407,Repair of knee ligament,AS,,,$111.73 ,20090101
27407,Repair of knee ligament,,,,$558.64 ,20090101
27407,Repair of knee ligament,,,Y,"$1,035.65 ",20081209
27409,Repair of knee ligaments,80,,,$138.71 ,20090101
27409,Repair of knee ligaments,81,,,$138.71 ,20090101
27409,Repair of knee ligaments,82,,,$138.71 ,20090101
27409,Repair of knee ligaments,AS,,,$138.71 ,20090101
27409,Repair of knee ligaments,,,,$693.55 ,20090101
27409,Repair of knee ligaments,,,Y,$733.93 ,20081209
27412,AUTOCHONDROCYTE IMPLANT KNEE,80,,,$239.92 ,20090101
27412,AUTOCHONDROCYTE IMPLANT KNEE,,,,"$1,199.60 ",20090101
27415,OSTEOCHONDRAL KNEE ALLOGRAFT,80,,,$202.08 ,20090101
27415,OSTEOCHONDRAL KNEE ALLOGRAFT,,,,"$1,010.42 ",20090101
27416,27416 OSTEOCHONDRAL KNEE AUTOGRAFT,,,Y,$687.43 ,20090101
27418,Repair degenerated kneecap,80,,,$120.13 ,20090101
27418,Repair degenerated kneecap,81,,,$120.13 ,20090101
27418,Repair degenerated kneecap,82,,,$120.13 ,20090101
27418,Repair degenerated kneecap,AS,,,$120.13 ,20090101
27418,Repair degenerated kneecap,,,,$600.66 ,20090101
27418,Repair degenerated kneecap,,,Y,$661.93 ,20081209
27420,Revision of unstable kneecap,80,,,$107.77 ,20090101
27420,Revision of unstable kneecap,81,,,$107.77 ,20090101
27420,Revision of unstable kneecap,82,,,$107.77 ,20090101
27420,Revision of unstable kneecap,AS,,,$107.77 ,20090101
27420,Revision of unstable kneecap,,,,$538.87 ,20090101
27420,Revision of unstable kneecap,,,Y,$661.93 ,20081209
27422,Revision of unstable kneecap,80,,,$107.39 ,20090101
27422,Revision of unstable kneecap,81,,,$107.39 ,20090101
27422,Revision of unstable kneecap,82,,,$107.39 ,20090101
27422,Revision of unstable kneecap,AS,,,$107.39 ,20090101
27422,Revision of unstable kneecap,,,,$536.96 ,20090101
27422,Revision of unstable kneecap,,,Y,$952.93 ,20081209
27424,Revision/removal of kneecap,80,,,$107.56 ,20090101
27424,Revision/removal of kneecap,81,,,$107.56 ,20090101
27424,Revision/removal of kneecap,82,,,$107.56 ,20090101
27424,Revision/removal of kneecap,AS,,,$107.56 ,20090101
27424,Revision/removal of kneecap,,,,$537.79 ,20090101
27424,Revision/removal of kneecap,,,Y,$661.93 ,20081209
27425,Lat retinacular release open,80,,,$62.88 ,20090101
27425,Lat retinacular release open,81,,,$62.88 ,20090101
27425,Lat retinacular release open,82,,,$62.88 ,20090101
27425,Lat retinacular release open,AS,,,$62.88 ,20090101
27425,Lat retinacular release open,,,,$314.38 ,20090101
27425,Lat retinacular release open,,,Y,$838.70 ,20081209
27427,"Reconstruction, knee",80,,,$103.21 ,20090101
27427,"Reconstruction, knee",81,,,$103.21 ,20090101
27427,"Reconstruction, knee",82,,,$103.21 ,20090101
27427,"Reconstruction, knee",AS,,,$103.21 ,20090101
27427,"Reconstruction, knee",,,,$516.05 ,20090101
27427,"Reconstruction, knee",,,Y,$661.93 ,20081209
27428,"Reconstruction, knee",80,,,$158.08 ,20090101
27428,"Reconstruction, knee",81,,,$158.08 ,20090101
27428,"Reconstruction, knee",82,,,$158.08 ,20090101
27428,"Reconstruction, knee",AS,,,$158.08 ,20090101
27428,"Reconstruction, knee",,,,$790.38 ,20090101
27428,"Reconstruction, knee",,,Y,"$1,035.65 ",20081209
27429,"Reconstruction, knee",80,,,$176.88 ,20090101
27429,"Reconstruction, knee",81,,,$176.88 ,20090101
27429,"Reconstruction, knee",82,,,$176.88 ,20090101
27429,"Reconstruction, knee",AS,,,$176.88 ,20090101
27429,"Reconstruction, knee",,,,$884.41 ,20090101
27429,"Reconstruction, knee",,,Y,"$1,035.65 ",20081209
27430,Revision of thigh muscles,80,,,$106.61 ,20090101
27430,Revision of thigh muscles,81,,,$106.61 ,20090101
27430,Revision of thigh muscles,82,,,$106.61 ,20090101
27430,Revision of thigh muscles,AS,,,$106.61 ,20090101
27430,Revision of thigh muscles,,,,$533.03 ,20090101
27430,Revision of thigh muscles,,,Y,$733.93 ,20081209
27435,Incision of knee joint,80,,,$113.62 ,20090101
27435,Incision of knee joint,81,,,$113.62 ,20090101
27435,Incision of knee joint,82,,,$113.62 ,20090101
27435,Incision of knee joint,AS,,,$113.62 ,20090101
27435,Incision of knee joint,,,,$568.11 ,20090101
27435,Incision of knee joint,,,Y,$733.93 ,20081209
27437,Revise kneecap,80,,,$94.75 ,20090101
27437,Revise kneecap,81,,,$94.75 ,20090101
27437,Revise kneecap,82,,,$94.75 ,20090101
27437,Revise kneecap,AS,,,$94.75 ,20090101
27437,Revise kneecap,,,,$473.77 ,20090101
27437,Revise kneecap,,,Y,$675.30 ,20081209
27438,Revise kneecap with implant,80,,,$121.02 ,20090101
27438,Revise kneecap with implant,81,,,$121.02 ,20090101
27438,Revise kneecap with implant,82,,,$121.02 ,20090101
27438,Revise kneecap with implant,AS,,,$121.02 ,20090101
27438,Revise kneecap with implant,,,,$605.11 ,20090101
27438,Revise kneecap with implant,,,Y,$851.56 ,20081209
27440,Revision of knee joint,80,,,$107.33 ,20090101
27440,Revision of knee joint,81,,,$107.33 ,20090101
27440,Revision of knee joint,82,,,$107.33 ,20090101
27440,Revision of knee joint,AS,,,$107.33 ,20090101
27440,Revision of knee joint,,,,$536.65 ,20090101
27440,Revision of knee joint,,,Y,"$1,189.17 ",20081209
27441,Revision of knee joint,80,,,$113.23 ,20090101
27441,Revision of knee joint,81,,,$113.23 ,20090101
27441,Revision of knee joint,82,,,$113.23 ,20090101
27441,Revision of knee joint,AS,,,$113.23 ,20090101
27441,Revision of knee joint,,,,$566.15 ,20090101
27441,Revision of knee joint,,,Y,$727.50 ,20081209
27442,Revision of knee joint,80,,,$125.92 ,20090101
27442,Revision of knee joint,81,,,$125.92 ,20090101
27442,Revision of knee joint,82,,,$125.92 ,20090101
27442,Revision of knee joint,AS,,,$125.92 ,20090101
27442,Revision of knee joint,,,,$629.59 ,20090101
27442,Revision of knee joint,,,Y,$727.50 ,20081209
27443,Revision of knee joint,80,,,$118.19 ,20090101
27443,Revision of knee joint,81,,,$118.19 ,20090101
27443,Revision of knee joint,82,,,$118.19 ,20090101
27443,Revision of knee joint,AS,,,$118.19 ,20090101
27443,Revision of knee joint,,,,$590.93 ,20090101
27443,Revision of knee joint,,,Y,$727.50 ,20081209
27445,Revision of knee joint,80,,,$183.62 ,20090101
27445,Revision of knee joint,81,,,$183.62 ,20090101
27445,Revision of knee joint,82,,,$183.62 ,20090101
27445,Revision of knee joint,AS,,,$183.62 ,20090101
27445,Revision of knee joint,,,,$918.10 ,20090101
27446,Revision of knee joint,80,,,$163.31 ,20090101
27446,Revision of knee joint,81,,,$163.31 ,20090101
27446,Revision of knee joint,82,,,$163.31 ,20090101
27446,Revision of knee joint,AS,,,$163.31 ,20090101
27446,Revision of knee joint,,,,$816.56 ,20090101
27447,Total knee arthroplasty,80,,,$224.96 ,20090101
27447,Total knee arthroplasty,81,,,$224.96 ,20090101
27447,Total knee arthroplasty,82,,,$224.96 ,20090101
27447,Total knee arthroplasty,AS,,,$224.96 ,20090101
27447,Total knee arthroplasty,,,,"$1,124.79 ",20090101
27448,Incision of thigh,80,,,$119.01 ,20090101
27448,Incision of thigh,81,,,$119.01 ,20090101
27448,Incision of thigh,82,,,$119.01 ,20090101
27448,Incision of thigh,AS,,,$119.01 ,20090101
27448,Incision of thigh,,,,$595.07 ,20090101
27450,Incision of thigh,80,,,$148.07 ,20090101
27450,Incision of thigh,81,,,$148.07 ,20090101
27450,Incision of thigh,82,,,$148.07 ,20090101
27450,Incision of thigh,AS,,,$148.07 ,20090101
27450,Incision of thigh,,,,$740.34 ,20090101
27454,Realignment of thigh bone,80,,,$187.62 ,20090101
27454,Realignment of thigh bone,81,,,$187.62 ,20090101
27454,Realignment of thigh bone,82,,,$187.62 ,20090101
27454,Realignment of thigh bone,AS,,,$187.62 ,20090101
27454,Realignment of thigh bone,,,,$938.12 ,20090101
27455,Realignment of knee,80,,,$136.83 ,20090101
27455,Realignment of knee,81,,,$136.83 ,20090101
27455,Realignment of knee,82,,,$136.83 ,20090101
27455,Realignment of knee,AS,,,$136.83 ,20090101
27455,Realignment of knee,,,,$684.14 ,20090101
27457,Realignment of knee,80,,,$141.05 ,20090101
27457,Realignment of knee,81,,,$141.05 ,20090101
27457,Realignment of knee,82,,,$141.05 ,20090101
27457,Realignment of knee,AS,,,$141.05 ,20090101
27457,Realignment of knee,,,,$705.25 ,20090101
27465,Shortening of thigh bone,80,,,$173.49 ,20090101
27465,Shortening of thigh bone,81,,,$173.49 ,20090101
27465,Shortening of thigh bone,82,,,$173.49 ,20090101
27465,Shortening of thigh bone,AS,,,$173.49 ,20090101
27465,Shortening of thigh bone,,,,$867.43 ,20090101
27466,Lengthening of thigh bone,80,,,$171.71 ,20090101
27466,Lengthening of thigh bone,81,,,$171.71 ,20090101
27466,Lengthening of thigh bone,82,,,$171.71 ,20090101
27466,Lengthening of thigh bone,AS,,,$171.71 ,20090101
27466,Lengthening of thigh bone,,,,$858.53 ,20090101
27468,Shorten/lengthen thighs,80,,,$194.19 ,20090101
27468,Shorten/lengthen thighs,81,,,$194.19 ,20090101
27468,Shorten/lengthen thighs,82,,,$194.19 ,20090101
27468,Shorten/lengthen thighs,AS,,,$194.19 ,20090101
27468,Shorten/lengthen thighs,,,,$970.93 ,20090101
27470,Repair of thigh,80,,,$171.10 ,20090101
27470,Repair of thigh,81,,,$171.10 ,20090101
27470,Repair of thigh,82,,,$171.10 ,20090101
27470,Repair of thigh,AS,,,$171.10 ,20090101
27470,Repair of thigh,,,,$855.48 ,20090101
27472,Repair/graft of thigh,80,,,$185.40 ,20090101
27472,Repair/graft of thigh,81,,,$185.40 ,20090101
27472,Repair/graft of thigh,82,,,$185.40 ,20090101
27472,Repair/graft of thigh,AS,,,$185.40 ,20090101
27472,Repair/graft of thigh,,,,$927.00 ,20090101
27475,Surgery to stop leg growth,80,,,$93.98 ,20090101
27475,Surgery to stop leg growth,81,,,$93.98 ,20090101
27475,Surgery to stop leg growth,82,,,$93.98 ,20090101
27475,Surgery to stop leg growth,AS,,,$93.98 ,20090101
27475,Surgery to stop leg growth,,,,$469.89 ,20090101
27477,Surgery to stop leg growth,80,,,$105.38 ,20090101
27477,Surgery to stop leg growth,81,,,$105.38 ,20090101
27477,Surgery to stop leg growth,82,,,$105.38 ,20090101
27477,Surgery to stop leg growth,AS,,,$105.38 ,20090101
27477,Surgery to stop leg growth,,,,$526.92 ,20090101
27479,Surgery to stop leg growth,80,,,$139.55 ,20090101
27479,Surgery to stop leg growth,81,,,$139.55 ,20090101
27479,Surgery to stop leg growth,82,,,$139.55 ,20090101
27479,Surgery to stop leg growth,AS,,,$139.55 ,20090101
27479,Surgery to stop leg growth,,,,$697.75 ,20090101
27485,Surgery to stop leg growth,80,,,$96.60 ,20090101
27485,Surgery to stop leg growth,81,,,$96.60 ,20090101
27485,Surgery to stop leg growth,82,,,$96.60 ,20090101
27485,Surgery to stop leg growth,AS,,,$96.60 ,20090101
27485,Surgery to stop leg growth,,,,$482.98 ,20090101
27486,Revise/replace knee joint,80,,,$205.10 ,20090101
27486,Revise/replace knee joint,81,,,$205.10 ,20090101
27486,Revise/replace knee joint,82,,,$205.10 ,20090101
27486,Revise/replace knee joint,AS,,,$205.10 ,20090101
27486,Revise/replace knee joint,,,,"$1,025.48 ",20090101
27487,Revise/replace knee joint,80,,,$259.17 ,20090101
27487,Revise/replace knee joint,81,,,$259.17 ,20090101
27487,Revise/replace knee joint,82,,,$259.17 ,20090101
27487,Revise/replace knee joint,AS,,,$259.17 ,20090101
27487,Revise/replace knee joint,,,,"$1,295.87 ",20090101
27488,Removal of knee prosthesis,80,,,$173.21 ,20090101
27488,Removal of knee prosthesis,81,,,$173.21 ,20090101
27488,Removal of knee prosthesis,82,,,$173.21 ,20090101
27488,Removal of knee prosthesis,AS,,,$173.21 ,20090101
27488,Removal of knee prosthesis,,,,$866.04 ,20090101
27495,Reinforce thigh,80,,,$164.87 ,20090101
27495,Reinforce thigh,81,,,$164.87 ,20090101
27495,Reinforce thigh,82,,,$164.87 ,20090101
27495,Reinforce thigh,AS,,,$164.87 ,20090101
27495,Reinforce thigh,,,,$824.33 ,20090101
27496,Decompression of thigh/knee,,,,$360.00 ,20090101
27496,Decompression of thigh/knee,,,Y,$606.31 ,20081209
27497,Decompression of thigh/knee,,,,$391.16 ,20090101
27497,Decompression of thigh/knee,,,Y,$482.11 ,20081209
27498,Decompression of thigh/knee,80,,,$85.41 ,20090101
27498,Decompression of thigh/knee,81,,,$85.41 ,20090101
27498,Decompression of thigh/knee,82,,,$85.41 ,20090101
27498,Decompression of thigh/knee,AS,,,$85.41 ,20090101
27498,Decompression of thigh/knee,,,,$427.04 ,20090101
27498,Decompression of thigh/knee,,,Y,$482.11 ,20081209
27499,Decompression of thigh/knee,80,,,$95.59 ,20090101
27499,Decompression of thigh/knee,81,,,$95.59 ,20090101
27499,Decompression of thigh/knee,82,,,$95.59 ,20090101
27499,Decompression of thigh/knee,AS,,,$95.59 ,20090101
27499,Decompression of thigh/knee,,,,$477.96 ,20090101
27499,Decompression of thigh/knee,,,Y,$482.11 ,20081209
27500,Treatment of thigh fracture,,,,$361.11 ,20090101
27500,Treatment of thigh fracture,,,Y,$76.82 ,20081209
27501,Treatment of thigh fracture,,,,$355.27 ,20090101
27501,Treatment of thigh fracture,,,Y,$76.82 ,20081209
27502,Treatment of thigh fracture,,,,$570.89 ,20090101
27502,Treatment of thigh fracture,,,Y,$76.82 ,20081209
27503,Treatment of thigh fracture,,,,$576.72 ,20090101
27503,Treatment of thigh fracture,,,Y,$76.82 ,20081209
27506,Treatment of thigh fracture,80,,,$192.19 ,20090101
27506,Treatment of thigh fracture,81,,,$192.19 ,20090101
27506,Treatment of thigh fracture,82,,,$192.19 ,20090101
27506,Treatment of thigh fracture,AS,,,$192.19 ,20090101
27506,Treatment of thigh fracture,,,,$960.95 ,20090101
27507,Treatment of thigh fracture,80,,,$143.61 ,20090101
27507,Treatment of thigh fracture,81,,,$143.61 ,20090101
27507,Treatment of thigh fracture,82,,,$143.61 ,20090101
27507,Treatment of thigh fracture,AS,,,$143.61 ,20090101
27507,Treatment of thigh fracture,,,,$718.03 ,20090101
27508,Treatment of thigh fracture,,,,$365.28 ,20090101
27508,Treatment of thigh fracture,,,Y,$76.82 ,20081209
27509,Treatment of thigh fracture,,,,$462.11 ,20090101
27509,Treatment of thigh fracture,,,Y,$522.61 ,20081209
27510,Treatment of thigh fracture,,,,$501.05 ,20090101
27510,Treatment of thigh fracture,,,Y,$76.82 ,20081209
27511,Treatment of thigh fracture,80,,,$150.29 ,20090101
27511,Treatment of thigh fracture,81,,,$150.29 ,20090101
27511,Treatment of thigh fracture,82,,,$150.29 ,20090101
27511,Treatment of thigh fracture,AS,,,$150.29 ,20090101
27511,Treatment of thigh fracture,,,,$751.46 ,20090101
27513,Treatment of thigh fracture,80,,,$189.52 ,20090101
27513,Treatment of thigh fracture,81,,,$189.52 ,20090101
27513,Treatment of thigh fracture,82,,,$189.52 ,20090101
27513,Treatment of thigh fracture,AS,,,$189.52 ,20090101
27513,Treatment of thigh fracture,,,,$947.59 ,20090101
27514,Treatment of thigh fracture,80,,,$156.30 ,20090101
27514,Treatment of thigh fracture,81,,,$156.30 ,20090101
27514,Treatment of thigh fracture,82,,,$156.30 ,20090101
27514,Treatment of thigh fracture,AS,,,$156.30 ,20090101
27514,Treatment of thigh fracture,,,,$781.48 ,20090101
27516,Treat thigh fx growth plate,,,,$342.19 ,20090101
27516,Treat thigh fx growth plate,,,Y,$76.82 ,20081209
27517,Treat thigh fx growth plate,,,,$476.85 ,20090101
27517,Treat thigh fx growth plate,,,Y,$76.82 ,20081209
27519,Treat thigh fx growth plate,80,,,$139.99 ,20090101
27519,Treat thigh fx growth plate,81,,,$139.99 ,20090101
27519,Treat thigh fx growth plate,82,,,$139.99 ,20090101
27519,Treat thigh fx growth plate,AS,,,$139.99 ,20090101
27519,Treat thigh fx growth plate,,,,$699.97 ,20090101
27520,Treat kneecap fracture,,,,$214.77 ,20090101
27520,Treat kneecap fracture,,,Y,$76.82 ,20081209
27524,Treat kneecap fracture,80,,,$109.01 ,20090101
27524,Treat kneecap fracture,81,,,$109.01 ,20090101
27524,Treat kneecap fracture,82,,,$109.01 ,20090101
27524,Treat kneecap fracture,AS,,,$109.01 ,20090101
27524,Treat kneecap fracture,,,,$545.03 ,20090101
27530,Treat knee fracture,,,,$269.59 ,20090101
27530,Treat knee fracture,,,Y,$76.82 ,20081209
27532,Treat knee fracture,,,,$433.17 ,20090101
27532,Treat knee fracture,,,Y,$76.82 ,20081209
27535,Treat knee fracture,80,,,$133.88 ,20090101
27535,Treat knee fracture,81,,,$133.88 ,20090101
27535,Treat knee fracture,82,,,$133.88 ,20090101
27535,Treat knee fracture,AS,,,$133.88 ,20090101
27535,Treat knee fracture,,,,$669.39 ,20090101
27536,Treat knee fracture,80,,,$171.60 ,20090101
27536,Treat knee fracture,81,,,$171.60 ,20090101
27536,Treat knee fracture,82,,,$171.60 ,20090101
27536,Treat knee fracture,AS,,,$171.60 ,20090101
27536,Treat knee fracture,,,,$858.02 ,20090101
27538,Treat knee fracture(s),,,,$323.28 ,20090101
27538,Treat knee fracture(s),,,Y,$76.82 ,20081209
27540,Treat knee fracture,80,,,$121.80 ,20090101
27540,Treat knee fracture,81,,,$121.80 ,20090101
27540,Treat knee fracture,82,,,$121.80 ,20090101
27540,Treat knee fracture,AS,,,$121.80 ,20090101
27540,Treat knee fracture,,,,$608.99 ,20090101
27550,Treat knee dislocation,,,,$339.97 ,20090101
27550,Treat knee dislocation,,,Y,$76.82 ,20081209
27552,Treat knee dislocation,,,,$442.91 ,20090101
27552,Treat knee dislocation,,,Y,$322.06 ,20081209
27556,Treat knee dislocation,80,,,$138.16 ,20090101
27556,Treat knee dislocation,81,,,$138.16 ,20090101
27556,Treat knee dislocation,82,,,$138.16 ,20090101
27556,Treat knee dislocation,AS,,,$138.16 ,20090101
27556,Treat knee dislocation,,,,$690.81 ,20090101
27557,Treat knee dislocation,80,,,$164.31 ,20090101
27557,Treat knee dislocation,81,,,$164.31 ,20090101
27557,Treat knee dislocation,82,,,$164.31 ,20090101
27557,Treat knee dislocation,AS,,,$164.31 ,20090101
27557,Treat knee dislocation,,,,$821.53 ,20090101
27558,Treat knee dislocation,80,,,$180.89 ,20090101
27558,Treat knee dislocation,81,,,$180.89 ,20090101
27558,Treat knee dislocation,82,,,$180.89 ,20090101
27558,Treat knee dislocation,AS,,,$180.89 ,20090101
27558,Treat knee dislocation,,,,$904.43 ,20090101
27560,Treat kneecap dislocation,,,,$245.38 ,20090101
27560,Treat kneecap dislocation,,,Y,$76.82 ,20081209
27562,Treat kneecap dislocation,,,,$319.66 ,20090101
27562,Treat kneecap dislocation,,,Y,$322.06 ,20081209
27566,Treat kneecap dislocation,80,,,$129.81 ,20090101
27566,Treat kneecap dislocation,81,,,$129.81 ,20090101
27566,Treat kneecap dislocation,82,,,$129.81 ,20090101
27566,Treat kneecap dislocation,AS,,,$129.81 ,20090101
27566,Treat kneecap dislocation,,,,$649.05 ,20090101
27566,Treat kneecap dislocation,,,Y,$607.99 ,20081209
27570,Fixation of knee joint,,,,$104.61 ,20090101
27570,Fixation of knee joint,,,Y,$322.06 ,20081209
27580,Fusion of knee,80,,,$210.22 ,20090101
27580,Fusion of knee,81,,,$210.22 ,20090101
27580,Fusion of knee,82,,,$210.22 ,20090101
27580,Fusion of knee,AS,,,$210.22 ,20090101
27580,Fusion of knee,,,,"$1,051.09 ",20090101
27590,Amputate leg at thigh,80,,,$119.36 ,20090101
27590,Amputate leg at thigh,81,,,$119.36 ,20090101
27590,Amputate leg at thigh,82,,,$119.36 ,20090101
27590,Amputate leg at thigh,AS,,,$119.36 ,20090101
27590,Amputate leg at thigh,,,,$596.78 ,20090101
27591,Amputate leg at thigh,80,,,$132.71 ,20090101
27591,Amputate leg at thigh,81,,,$132.71 ,20090101
27591,Amputate leg at thigh,82,,,$132.71 ,20090101
27591,Amputate leg at thigh,AS,,,$132.71 ,20090101
27591,Amputate leg at thigh,,,,$663.54 ,20090101
27592,Amputate leg at thigh,80,,,$100.82 ,20090101
27592,Amputate leg at thigh,81,,,$100.82 ,20090101
27592,Amputate leg at thigh,82,,,$100.82 ,20090101
27592,Amputate leg at thigh,AS,,,$100.82 ,20090101
27592,Amputate leg at thigh,,,,$504.10 ,20090101
27594,Amputation follow-up surgery,,,,$365.56 ,20090101
27594,Amputation follow-up surgery,,,Y,$482.11 ,20081209
27596,Amputation follow-up surgery,,,,$531.94 ,20090101
27598,Amputate lower leg at knee,80,,,$107.61 ,20090101
27598,Amputate lower leg at knee,81,,,$107.61 ,20090101
27598,Amputate lower leg at knee,82,,,$107.61 ,20090101
27598,Amputate lower leg at knee,AS,,,$107.61 ,20090101
27598,Amputate lower leg at knee,,,,$538.04 ,20090101
27600,Decompression of lower leg,80,,,$60.98 ,20090101
27600,Decompression of lower leg,81,,,$60.98 ,20090101
27600,Decompression of lower leg,82,,,$60.98 ,20090101
27600,Decompression of lower leg,AS,,,$60.98 ,20090101
27600,Decompression of lower leg,,,,$304.91 ,20090101
27600,Decompression of lower leg,,,Y,$482.11 ,20081209
27601,Decompression of lower leg,80,,,$62.60 ,20090101
27601,Decompression of lower leg,81,,,$62.60 ,20090101
27601,Decompression of lower leg,82,,,$62.60 ,20090101
27601,Decompression of lower leg,AS,,,$62.60 ,20090101
27601,Decompression of lower leg,,,,$312.98 ,20090101
27601,Decompression of lower leg,,,Y,$482.11 ,20081209
27602,Decompression of lower leg,80,,,$75.22 ,20090101
27602,Decompression of lower leg,81,,,$75.22 ,20090101
27602,Decompression of lower leg,82,,,$75.22 ,20090101
27602,Decompression of lower leg,AS,,,$75.22 ,20090101
27602,Decompression of lower leg,,,,$376.12 ,20090101
27602,Decompression of lower leg,,,Y,$482.11 ,20081209
27603,Drain lower leg lesion,,,,$365.28 ,20090101
27603,Drain lower leg lesion,,,Y,$419.29 ,20081209
27604,Drain lower leg bursa,,,,$319.66 ,20090101
27604,Drain lower leg bursa,,,Y,$443.71 ,20081209
27605,Incision of achilles tendon,,,,$270.41 ,20090101
27605,Incision of achilles tendon,,,Y,$372.26 ,20081209
27606,Incision of achilles tendon,80,,,$43.56 ,20090101
27606,Incision of achilles tendon,81,,,$43.56 ,20090101
27606,Incision of achilles tendon,82,,,$43.56 ,20090101
27606,Incision of achilles tendon,AS,,,$43.56 ,20090101
27606,Incision of achilles tendon,,,,$217.82 ,20090101
27606,Incision of achilles tendon,,,Y,$375.91 ,20081209
27607,Treat lower leg bone lesion,,,,$438.46 ,20090101
27607,Treat lower leg bone lesion,,,Y,$443.71 ,20081209
27610,Explore/treat ankle joint,,,,$472.12 ,20090101
27610,Explore/treat ankle joint,,,Y,$509.30 ,20081209
27612,Exploration of ankle joint,80,,,$82.24 ,20090101
27612,Exploration of ankle joint,81,,,$82.24 ,20090101
27612,Exploration of ankle joint,82,,,$82.24 ,20090101
27612,Exploration of ankle joint,AS,,,$82.24 ,20090101
27612,Exploration of ankle joint,,,,$411.21 ,20090101
27612,Exploration of ankle joint,,,Y,$547.70 ,20081209
27613,Biopsy lower leg soft tissue,,,,$165.81 ,20090101
27613,Biopsy lower leg soft tissue,,,Y,$108.78 ,20081209
27614,Biopsy lower leg soft tissue,,,,$387.82 ,20090101
27614,Biopsy lower leg soft tissue,,,Y,$442.39 ,20081209
27615,"Remove tumor, lower leg",,,,$642.94 ,20090101
27615,"Remove tumor, lower leg",,,Y,$547.70 ,20081209
27618,Remove lower leg lesion,,,,$336.35 ,20090101
27618,Remove lower leg lesion,,,Y,$400.91 ,20081209
27619,Remove lower leg lesion,,,,$541.95 ,20090101
27619,Remove lower leg lesion,,,Y,$480.79 ,20081209
27620,Explore/treat ankle joint,80,,,$66.93 ,20090101
27620,Explore/treat ankle joint,81,,,$66.93 ,20090101
27620,Explore/treat ankle joint,82,,,$66.93 ,20090101
27620,Explore/treat ankle joint,AS,,,$66.93 ,20090101
27620,Explore/treat ankle joint,,,,$334.67 ,20090101
27620,Explore/treat ankle joint,,,Y,$619.70 ,20081209
27625,Remove ankle joint lining,80,,,$86.97 ,20090101
27625,Remove ankle joint lining,81,,,$86.97 ,20090101
27625,Remove ankle joint lining,82,,,$86.97 ,20090101
27625,Remove ankle joint lining,AS,,,$86.97 ,20090101
27625,Remove ankle joint lining,,,,$434.86 ,20090101
27625,Remove ankle joint lining,,,Y,$619.70 ,20081209
27626,Remove ankle joint lining,80,,,$93.53 ,20090101
27626,Remove ankle joint lining,81,,,$93.53 ,20090101
27626,Remove ankle joint lining,82,,,$93.53 ,20090101
27626,Remove ankle joint lining,AS,,,$93.53 ,20090101
27626,Remove ankle joint lining,,,,$467.66 ,20090101
27626,Remove ankle joint lining,,,Y,$619.70 ,20081209
27630,Removal of tendon lesion,,,,$371.69 ,20090101
27630,Removal of tendon lesion,,,Y,$482.11 ,20081209
27635,Remove lower leg bone lesion,80,,,$85.74 ,20090101
27635,Remove lower leg bone lesion,81,,,$85.74 ,20090101
27635,Remove lower leg bone lesion,82,,,$85.74 ,20090101
27635,Remove lower leg bone lesion,AS,,,$85.74 ,20090101
27635,Remove lower leg bone lesion,,,,$428.70 ,20090101
27635,Remove lower leg bone lesion,,,Y,$547.70 ,20081209
27637,Remove/graft leg bone lesion,80,,,$108.12 ,20090101
27637,Remove/graft leg bone lesion,81,,,$108.12 ,20090101
27637,Remove/graft leg bone lesion,82,,,$108.12 ,20090101
27637,Remove/graft leg bone lesion,AS,,,$108.12 ,20090101
27637,Remove/graft leg bone lesion,,,,$540.58 ,20090101
27637,Remove/graft leg bone lesion,,,Y,$547.70 ,20081209
27638,Remove/graft leg bone lesion,80,,,$113.46 ,20090101
27638,Remove/graft leg bone lesion,81,,,$113.46 ,20090101
27638,Remove/graft leg bone lesion,82,,,$113.46 ,20090101
27638,Remove/graft leg bone lesion,AS,,,$113.46 ,20090101
27638,Remove/graft leg bone lesion,,,,$567.28 ,20090101
27638,Remove/graft leg bone lesion,,,Y,$547.70 ,20081209
27640,Partial removal of tibia,80,,,$127.31 ,20090101
27640,Partial removal of tibia,81,,,$127.31 ,20090101
27640,Partial removal of tibia,82,,,$127.31 ,20090101
27640,Partial removal of tibia,AS,,,$127.31 ,20090101
27640,Partial removal of tibia,,,,$636.53 ,20090101
27640,Partial removal of tibia,,,Y,$623.53 ,20081209
27641,Partial removal of fibula,80,,,$102.43 ,20090101
27641,Partial removal of fibula,81,,,$102.43 ,20090101
27641,Partial removal of fibula,82,,,$102.43 ,20090101
27641,Partial removal of fibula,AS,,,$102.43 ,20090101
27641,Partial removal of fibula,,,,$512.17 ,20090101
27641,Partial removal of fibula,,,Y,$509.30 ,20081209
27645,Extensive lower leg surgery,80,,,$153.57 ,20090101
27645,Extensive lower leg surgery,81,,,$153.57 ,20090101
27645,Extensive lower leg surgery,82,,,$153.57 ,20090101
27645,Extensive lower leg surgery,AS,,,$153.57 ,20090101
27645,Extensive lower leg surgery,,,,$767.87 ,20090101
27646,Extensive lower leg surgery,80,,,$136.93 ,20090101
27646,Extensive lower leg surgery,81,,,$136.93 ,20090101
27646,Extensive lower leg surgery,82,,,$136.93 ,20090101
27646,Extensive lower leg surgery,AS,,,$136.93 ,20090101
27646,Extensive lower leg surgery,,,,$684.65 ,20090101
27647,Extensive ankle/heel surgery,80,,,$120.69 ,20090101
27647,Extensive ankle/heel surgery,81,,,$120.69 ,20090101
27647,Extensive ankle/heel surgery,82,,,$120.69 ,20090101
27647,Extensive ankle/heel surgery,AS,,,$120.69 ,20090101
27647,Extensive ankle/heel surgery,,,,$603.46 ,20090101
27647,Extensive ankle/heel surgery,,,Y,$661.93 ,20081209
27648,Injection for ankle x-ray,,,,$117.96 ,20090101
27650,Repair achilles tendon,80,,,$102.22 ,20090101
27650,Repair achilles tendon,81,,,$102.22 ,20090101
27650,Repair achilles tendon,82,,,$102.22 ,20090101
27650,Repair achilles tendon,AS,,,$102.22 ,20090101
27650,Repair achilles tendon,,,,$511.08 ,20090101
27650,Repair achilles tendon,,,Y,$661.93 ,20081209
27652,Repair/graft achilles tendon,80,,,$109.06 ,20090101
27652,Repair/graft achilles tendon,81,,,$109.06 ,20090101
27652,Repair/graft achilles tendon,82,,,$109.06 ,20090101
27652,Repair/graft achilles tendon,AS,,,$109.06 ,20090101
27652,Repair/graft achilles tendon,,,,$545.29 ,20090101
27652,Repair/graft achilles tendon,,,Y,$963.65 ,20081209
27654,Repair of achilles tendon,80,,,$102.77 ,20090101
27654,Repair of achilles tendon,81,,,$102.77 ,20090101
27654,Repair of achilles tendon,82,,,$102.77 ,20090101
27654,Repair of achilles tendon,AS,,,$102.77 ,20090101
27654,Repair of achilles tendon,,,,$513.83 ,20090101
27654,Repair of achilles tendon,,,Y,$661.93 ,20081209
27656,Repair leg fascia defect,80,,,$75.45 ,20090101
27656,Repair leg fascia defect,81,,,$75.45 ,20090101
27656,Repair leg fascia defect,82,,,$75.45 ,20090101
27656,Repair leg fascia defect,AS,,,$75.45 ,20090101
27656,Repair leg fascia defect,,,,$377.26 ,20090101
27656,Repair leg fascia defect,,,Y,$443.71 ,20081209
27658,"Repair of leg tendon, each",80,,,$55.87 ,20090101
27658,"Repair of leg tendon, each",81,,,$55.87 ,20090101
27658,"Repair of leg tendon, each",82,,,$55.87 ,20090101
27658,"Repair of leg tendon, each",AS,,,$55.87 ,20090101
27658,"Repair of leg tendon, each",,,,$279.35 ,20090101
27658,"Repair of leg tendon, each",,,Y,$375.91 ,20081209
27659,"Repair of leg tendon, each",80,,,$73.67 ,20090101
27659,"Repair of leg tendon, each",81,,,$73.67 ,20090101
27659,"Repair of leg tendon, each",82,,,$73.67 ,20090101
27659,"Repair of leg tendon, each",AS,,,$73.67 ,20090101
27659,"Repair of leg tendon, each",,,,$368.36 ,20090101
27659,"Repair of leg tendon, each",,,Y,$443.71 ,20081209
27664,"Repair of leg tendon, each",,,,$267.64 ,20090101
27664,"Repair of leg tendon, each",,,Y,$443.71 ,20081209
27665,"Repair of leg tendon, each",80,,,$61.21 ,20090101
27665,"Repair of leg tendon, each",81,,,$61.21 ,20090101
27665,"Repair of leg tendon, each",82,,,$61.21 ,20090101
27665,"Repair of leg tendon, each",AS,,,$61.21 ,20090101
27665,"Repair of leg tendon, each",,,,$306.05 ,20090101
27665,"Repair of leg tendon, each",,,Y,$509.30 ,20081209
27675,Repair lower leg tendons,80,,,$75.45 ,20090101
27675,Repair lower leg tendons,81,,,$75.45 ,20090101
27675,Repair lower leg tendons,82,,,$75.45 ,20090101
27675,Repair lower leg tendons,AS,,,$75.45 ,20090101
27675,Repair lower leg tendons,,,,$377.26 ,20090101
27675,Repair lower leg tendons,,,Y,$443.71 ,20081209
27676,Repair lower leg tendons,80,,,$90.25 ,20090101
27676,Repair lower leg tendons,81,,,$90.25 ,20090101
27676,Repair lower leg tendons,82,,,$90.25 ,20090101
27676,Repair lower leg tendons,AS,,,$90.25 ,20090101
27676,Repair lower leg tendons,,,,$451.26 ,20090101
27676,Repair lower leg tendons,,,Y,$547.70 ,20081209
27680,Release of lower leg tendon,80,,,$63.21 ,20090101
27680,Release of lower leg tendon,81,,,$63.21 ,20090101
27680,Release of lower leg tendon,82,,,$63.21 ,20090101
27680,Release of lower leg tendon,AS,,,$63.21 ,20090101
27680,Release of lower leg tendon,,,,$316.04 ,20090101
27680,Release of lower leg tendon,,,Y,$547.70 ,20081209
27681,Release of lower leg tendons,80,,,$75.67 ,20090101
27681,Release of lower leg tendons,81,,,$75.67 ,20090101
27681,Release of lower leg tendons,82,,,$75.67 ,20090101
27681,Release of lower leg tendons,AS,,,$75.67 ,20090101
27681,Release of lower leg tendons,,,,$378.34 ,20090101
27681,Release of lower leg tendons,,,Y,$509.30 ,20081209
27685,Revision of lower leg tendon,80,,,$86.69 ,20090101
27685,Revision of lower leg tendon,81,,,$86.69 ,20090101
27685,Revision of lower leg tendon,82,,,$86.69 ,20090101
27685,Revision of lower leg tendon,AS,,,$86.69 ,20090101
27685,Revision of lower leg tendon,,,,$433.46 ,20090101
27685,Revision of lower leg tendon,,,Y,$547.70 ,20081209
27686,Revise lower leg tendons,80,,,$82.18 ,20090101
27686,Revise lower leg tendons,81,,,$82.18 ,20090101
27686,Revise lower leg tendons,82,,,$82.18 ,20090101
27686,Revise lower leg tendons,AS,,,$82.18 ,20090101
27686,Revise lower leg tendons,,,,$410.90 ,20090101
27686,Revise lower leg tendons,,,Y,$547.70 ,20081209
27687,Revision of calf tendon,80,,,$67.89 ,20090101
27687,Revision of calf tendon,81,,,$67.89 ,20090101
27687,Revision of calf tendon,82,,,$67.89 ,20090101
27687,Revision of calf tendon,AS,,,$67.89 ,20090101
27687,Revision of calf tendon,,,,$339.43 ,20090101
27687,Revision of calf tendon,,,Y,$547.70 ,20081209
27690,Revise lower leg tendon,80,,,$89.86 ,20090101
27690,Revise lower leg tendon,81,,,$89.86 ,20090101
27690,Revise lower leg tendon,82,,,$89.86 ,20090101
27690,Revise lower leg tendon,AS,,,$89.86 ,20090101
27690,Revise lower leg tendon,,,,$449.29 ,20090101
27690,Revise lower leg tendon,,,Y,$733.93 ,20081209
27691,Revise lower leg tendon,80,,,$106.44 ,20090101
27691,Revise lower leg tendon,81,,,$106.44 ,20090101
27691,Revise lower leg tendon,82,,,$106.44 ,20090101
27691,Revise lower leg tendon,AS,,,$106.44 ,20090101
27691,Revise lower leg tendon,,,,$532.20 ,20090101
27691,Revise lower leg tendon,,,Y,$733.93 ,20081209
27692,Revise additional leg tendon,80,,,$16.75 ,20090101
27692,Revise additional leg tendon,81,,,$16.75 ,20090101
27692,Revise additional leg tendon,82,,,$16.75 ,20090101
27692,Revise additional leg tendon,AS,,,$16.75 ,20090101
27692,Revise additional leg tendon,,,,$83.73 ,20090101
27692,Revise additional leg tendon,,,Y,$661.93 ,20081209
27695,Repair of ankle ligament,80,,,$72.39 ,20090101
27695,Repair of ankle ligament,81,,,$72.39 ,20090101
27695,Repair of ankle ligament,82,,,$72.39 ,20090101
27695,Repair of ankle ligament,AS,,,$72.39 ,20090101
27695,Repair of ankle ligament,,,,$361.94 ,20090101
27695,Repair of ankle ligament,,,Y,$509.30 ,20081209
27696,Repair of ankle ligaments,80,,,$86.74 ,20090101
27696,Repair of ankle ligaments,81,,,$86.74 ,20090101
27696,Repair of ankle ligaments,82,,,$86.74 ,20090101
27696,Repair of ankle ligaments,AS,,,$86.74 ,20090101
27696,Repair of ankle ligaments,,,,$433.72 ,20090101
27696,Repair of ankle ligaments,,,Y,$509.30 ,20081209
27698,Repair of ankle ligament,80,,,$96.65 ,20090101
27698,Repair of ankle ligament,81,,,$96.65 ,20090101
27698,Repair of ankle ligament,82,,,$96.65 ,20090101
27698,Repair of ankle ligament,AS,,,$96.65 ,20090101
27698,Repair of ankle ligament,,,,$483.24 ,20090101
27698,Repair of ankle ligament,,,Y,$509.30 ,20081209
27700,Revision of ankle joint,80,,,$90.65 ,20090101
27700,Revision of ankle joint,81,,,$90.65 ,20090101
27700,Revision of ankle joint,82,,,$90.65 ,20090101
27700,Revision of ankle joint,AS,,,$90.65 ,20090101
27700,Revision of ankle joint,,,,$453.23 ,20090101
27700,Revision of ankle joint,,,Y,$727.50 ,20081209
27702,Reconstruct ankle joint,80,,,$145.89 ,20090101
27702,Reconstruct ankle joint,81,,,$145.89 ,20090101
27702,Reconstruct ankle joint,82,,,$145.89 ,20090101
27702,Reconstruct ankle joint,AS,,,$145.89 ,20090101
27702,Reconstruct ankle joint,,,,$729.47 ,20090101
27703,"Reconstruction, ankle joint",80,,,$167.32 ,20090101
27703,"Reconstruction, ankle joint",81,,,$167.32 ,20090101
27703,"Reconstruction, ankle joint",82,,,$167.32 ,20090101
27703,"Reconstruction, ankle joint",AS,,,$167.32 ,20090101
27703,"Reconstruction, ankle joint",,,,$836.59 ,20090101
27704,Removal of ankle implant,80,,,$81.07 ,20090101
27704,Removal of ankle implant,81,,,$81.07 ,20090101
27704,Removal of ankle implant,82,,,$81.07 ,20090101
27704,Removal of ankle implant,AS,,,$81.07 ,20090101
27704,Removal of ankle implant,,,,$405.36 ,20090101
27704,Removal of ankle implant,,,Y,$443.71 ,20081209
27705,Incision of tibia,80,,,$111.96 ,20090101
27705,Incision of tibia,81,,,$111.96 ,20090101
27705,Incision of tibia,82,,,$111.96 ,20090101
27705,Incision of tibia,AS,,,$111.96 ,20090101
27705,Incision of tibia,,,,$559.78 ,20090101
27705,Incision of tibia,,,Y,$623.53 ,20081209
27707,Incision of fibula,80,,,$56.42 ,20090101
27707,Incision of fibula,81,,,$56.42 ,20090101
27707,Incision of fibula,82,,,$56.42 ,20090101
27707,Incision of fibula,AS,,,$56.42 ,20090101
27707,Incision of fibula,,,,$282.09 ,20090101
27707,Incision of fibula,,,Y,$443.71 ,20081209
27709,Incision of tibia & fibula,80,,,$156.41 ,20090101
27709,Incision of tibia & fibula,81,,,$156.41 ,20090101
27709,Incision of tibia & fibula,82,,,$156.41 ,20090101
27709,Incision of tibia & fibula,AS,,,$156.41 ,20090101
27709,Incision of tibia & fibula,,,,$782.05 ,20090101
27709,Incision of tibia & fibula,,,Y,$509.30 ,20081209
27712,Realignment of lower leg,80,,,$157.19 ,20090101
27712,Realignment of lower leg,81,,,$157.19 ,20090101
27712,Realignment of lower leg,82,,,$157.19 ,20090101
27712,Realignment of lower leg,AS,,,$157.19 ,20090101
27712,Realignment of lower leg,,,,$785.93 ,20090101
27715,Revision of lower leg,80,,,$154.52 ,20090101
27715,Revision of lower leg,81,,,$154.52 ,20090101
27715,Revision of lower leg,82,,,$154.52 ,20090101
27715,Revision of lower leg,AS,,,$154.52 ,20090101
27715,Revision of lower leg,,,,$772.58 ,20090101
27720,Repair of tibia,80,,,$127.65 ,20090101
27720,Repair of tibia,81,,,$127.65 ,20090101
27720,Repair of tibia,82,,,$127.65 ,20090101
27720,Repair of tibia,AS,,,$127.65 ,20090101
27720,Repair of tibia,,,,$638.23 ,20090101
27722,Repair/graft of tibia,80,,,$127.31 ,20090101
27722,Repair/graft of tibia,81,,,$127.31 ,20090101
27722,Repair/graft of tibia,82,,,$127.31 ,20090101
27722,Repair/graft of tibia,AS,,,$127.31 ,20090101
27722,Repair/graft of tibia,,,,$636.53 ,20090101
27724,Repair/graft of tibia,80,,,$187.40 ,20090101
27724,Repair/graft of tibia,81,,,$187.40 ,20090101
27724,Repair/graft of tibia,82,,,$187.40 ,20090101
27724,Repair/graft of tibia,AS,,,$187.40 ,20090101
27724,Repair/graft of tibia,,,,$936.99 ,20090101
27725,Repair of lower leg,80,,,$173.16 ,20090101
27725,Repair of lower leg,81,,,$173.16 ,20090101
27725,Repair of lower leg,82,,,$173.16 ,20090101
27725,Repair of lower leg,AS,,,$173.16 ,20090101
27725,Repair of lower leg,,,,$865.78 ,20090101
27726,Repair fibula nonunion,,,,$129.70 ,20090101
27726,Repair fibula nonunion,,,Y,$129.70 ,20090101
27727,Repair of lower leg,80,,,$149.34 ,20090101
27727,Repair of lower leg,81,,,$149.34 ,20090101
27727,Repair of lower leg,82,,,$149.34 ,20090101
27727,Repair of lower leg,AS,,,$149.34 ,20090101
27727,Repair of lower leg,,,,$746.70 ,20090101
27730,Repair of tibia epiphysis,80,,,$84.52 ,20090101
27730,Repair of tibia epiphysis,81,,,$84.52 ,20090101
27730,Repair of tibia epiphysis,82,,,$84.52 ,20090101
27730,Repair of tibia epiphysis,AS,,,$84.52 ,20090101
27730,Repair of tibia epiphysis,,,,$422.59 ,20090101
27730,Repair of tibia epiphysis,,,Y,$509.30 ,20081209
27732,Repair of fibula epiphysis,80,,,$59.48 ,20090101
27732,Repair of fibula epiphysis,81,,,$59.48 ,20090101
27732,Repair of fibula epiphysis,82,,,$59.48 ,20090101
27732,Repair of fibula epiphysis,AS,,,$59.48 ,20090101
27732,Repair of fibula epiphysis,,,,$297.41 ,20090101
27732,Repair of fibula epiphysis,,,Y,$509.30 ,20081209
27734,Repair lower leg epiphyses,80,,,$90.70 ,20090101
27734,Repair lower leg epiphyses,81,,,$90.70 ,20090101
27734,Repair lower leg epiphyses,82,,,$90.70 ,20090101
27734,Repair lower leg epiphyses,AS,,,$90.70 ,20090101
27734,Repair lower leg epiphyses,,,,$453.49 ,20090101
27734,Repair lower leg epiphyses,,,Y,$509.30 ,20081209
27740,Repair of leg epiphyses,80,,,$102.43 ,20090101
27740,Repair of leg epiphyses,81,,,$102.43 ,20090101
27740,Repair of leg epiphyses,82,,,$102.43 ,20090101
27740,Repair of leg epiphyses,AS,,,$102.43 ,20090101
27740,Repair of leg epiphyses,,,,$512.17 ,20090101
27740,Repair of leg epiphyses,,,Y,$509.30 ,20081209
27742,Repair of leg epiphyses,80,,,$96.65 ,20090101
27742,Repair of leg epiphyses,81,,,$96.65 ,20090101
27742,Repair of leg epiphyses,82,,,$96.65 ,20090101
27742,Repair of leg epiphyses,AS,,,$96.65 ,20090101
27742,Repair of leg epiphyses,,,,$483.24 ,20090101
27742,Repair of leg epiphyses,,,Y,$623.53 ,20081209
27745,Reinforce tibia,80,,,$109.67 ,20090101
27745,Reinforce tibia,81,,,$109.67 ,20090101
27745,Reinforce tibia,82,,,$109.67 ,20090101
27745,Reinforce tibia,AS,,,$109.67 ,20090101
27745,Reinforce tibia,,,,$548.34 ,20090101
27745,Reinforce tibia,,,Y,$963.65 ,20081209
27750,Treatment of tibia fracture,,,,$232.31 ,20090101
27750,Treatment of tibia fracture,,,Y,$76.82 ,20081209
27752,Treatment of tibia fracture,,,,$374.46 ,20090101
27752,Treatment of tibia fracture,,,Y,$76.82 ,20081209
27756,Treatment of tibia fracture,80,,,$81.29 ,20090101
27756,Treatment of tibia fracture,81,,,$81.29 ,20090101
27756,Treatment of tibia fracture,82,,,$81.29 ,20090101
27756,Treatment of tibia fracture,AS,,,$81.29 ,20090101
27756,Treatment of tibia fracture,,,,$406.44 ,20090101
27756,Treatment of tibia fracture,,,Y,$522.61 ,20081209
27758,Treatment of tibia fracture,80,,,$128.26 ,20090101
27758,Treatment of tibia fracture,81,,,$128.26 ,20090101
27758,Treatment of tibia fracture,82,,,$128.26 ,20090101
27758,Treatment of tibia fracture,AS,,,$128.26 ,20090101
27758,Treatment of tibia fracture,,,,$641.29 ,20090101
27758,Treatment of tibia fracture,,,Y,$718.39 ,20081209
27759,Treatment of tibia fracture,80,,,$145.78 ,20090101
27759,Treatment of tibia fracture,81,,,$145.78 ,20090101
27759,Treatment of tibia fracture,82,,,$145.78 ,20090101
27759,Treatment of tibia fracture,AS,,,$145.78 ,20090101
27759,Treatment of tibia fracture,,,,$728.90 ,20090101
27759,Treatment of tibia fracture,,,Y,$868.38 ,20081209
27760,Cltx medial ankle fx,,,,$223.95 ,20090101
27760,Cltx medial ankle fx,,,Y,$76.82 ,20081209
27762,Cltx med ankle fx w/mnpj,,,,$336.35 ,20090101
27762,Cltx med ankle fx w/mnpj,,,Y,$76.82 ,20081209
27766,Optx medial ankle fx,80,,,$88.19 ,20090101
27766,Optx medial ankle fx,81,,,$88.19 ,20090101
27766,Optx medial ankle fx,82,,,$88.19 ,20090101
27766,Optx medial ankle fx,AS,,,$88.19 ,20090101
27766,Optx medial ankle fx,,,,$440.96 ,20090101
27766,Optx medial ankle fx,,,Y,$646.39 ,20081209
27767,Cltx post ankle fx,,,,$178.61 ,20090101
27767,Cltx post ankle fx,,,Y,$58.57 ,20081209
27768,Cltx post ankle fx w/mnpj,,,,$280.71 ,20090101
27768,Cltx post ankle fx w/mnpj,,,Y,$58.57 ,20081209
27769,Optx post ankle fx,,,,$487.70 ,20090101
27769,Optx post ankle fx,,,Y,"$1,361.57 ",20081209
27780,Treatment of fibula fracture,,,,$198.92 ,20090101
27780,Treatment of fibula fracture,,,Y,$76.82 ,20081209
27781,Treatment of fibula fracture,,,,$289.05 ,20090101
27781,Treatment of fibula fracture,,,Y,$76.82 ,20081209
27784,Treatment of fibula fracture,80,,,$96.81 ,20090101
27784,Treatment of fibula fracture,81,,,$96.81 ,20090101
27784,Treatment of fibula fracture,82,,,$96.81 ,20090101
27784,Treatment of fibula fracture,AS,,,$96.81 ,20090101
27784,Treatment of fibula fracture,,,,$484.07 ,20090101
27784,Treatment of fibula fracture,,,Y,$646.39 ,20081209
27786,Treatment of ankle fracture,,,,$212.27 ,20090101
27786,Treatment of ankle fracture,,,Y,$76.82 ,20081209
27788,Treatment of ankle fracture,,,,$294.06 ,20090101
27788,Treatment of ankle fracture,,,Y,$76.82 ,20081209
27792,Treatment of ankle fracture,80,,,$98.82 ,20090101
27792,Treatment of ankle fracture,81,,,$98.82 ,20090101
27792,Treatment of ankle fracture,82,,,$98.82 ,20090101
27792,Treatment of ankle fracture,AS,,,$98.82 ,20090101
27792,Treatment of ankle fracture,,,,$494.11 ,20090101
27792,Treatment of ankle fracture,,,Y,$646.39 ,20081209
27808,Treatment of ankle fracture,,,,$221.73 ,20090101
27808,Treatment of ankle fracture,,,Y,$76.82 ,20081209
27810,Treatment of ankle fracture,,,,$329.68 ,20090101
27810,Treatment of ankle fracture,,,Y,$76.82 ,20081209
27814,Treatment of ankle fracture,80,,,$112.50 ,20090101
27814,Treatment of ankle fracture,81,,,$112.50 ,20090101
27814,Treatment of ankle fracture,82,,,$112.50 ,20090101
27814,Treatment of ankle fracture,AS,,,$112.50 ,20090101
27814,Treatment of ankle fracture,,,,$562.52 ,20090101
27814,Treatment of ankle fracture,,,Y,$646.39 ,20081209
27816,Treatment of ankle fracture,,,,$210.88 ,20090101
27816,Treatment of ankle fracture,,,Y,$76.82 ,20081209
27818,Treatment of ankle fracture,,,,$341.64 ,20090101
27818,Treatment of ankle fracture,,,Y,$76.82 ,20081209
27822,Treatment of ankle fracture,80,,,$124.52 ,20090101
27822,Treatment of ankle fracture,81,,,$124.52 ,20090101
27822,Treatment of ankle fracture,82,,,$124.52 ,20090101
27822,Treatment of ankle fracture,AS,,,$124.52 ,20090101
27822,Treatment of ankle fracture,,,,$622.60 ,20090101
27822,Treatment of ankle fracture,,,Y,$646.39 ,20081209
27823,Treatment of ankle fracture,80,,,$141.61 ,20090101
27823,Treatment of ankle fracture,81,,,$141.61 ,20090101
27823,Treatment of ankle fracture,82,,,$141.61 ,20090101
27823,Treatment of ankle fracture,AS,,,$141.61 ,20090101
27823,Treatment of ankle fracture,,,,$708.04 ,20090101
27823,Treatment of ankle fracture,,,Y,$796.38 ,20081209
27824,Treat lower leg fracture,,,,$208.94 ,20090101
27824,Treat lower leg fracture,,,Y,$76.82 ,20081209
27825,Treat lower leg fracture,,,,$384.20 ,20090101
27825,Treat lower leg fracture,,,Y,$76.82 ,20081209
27826,Treat lower leg fracture,80,,,$116.34 ,20090101
27826,Treat lower leg fracture,81,,,$116.34 ,20090101
27826,Treat lower leg fracture,82,,,$116.34 ,20090101
27826,Treat lower leg fracture,AS,,,$116.34 ,20090101
27826,Treat lower leg fracture,,,,$581.72 ,20090101
27826,Treat lower leg fracture,,,Y,$646.39 ,20081209
27827,Treat lower leg fracture,80,,,$158.47 ,20090101
27827,Treat lower leg fracture,81,,,$158.47 ,20090101
27827,Treat lower leg fracture,82,,,$158.47 ,20090101
27827,Treat lower leg fracture,AS,,,$158.47 ,20090101
27827,Treat lower leg fracture,,,,$792.34 ,20090101
27827,Treat lower leg fracture,,,Y,$796.38 ,20081209
27828,Treat lower leg fracture,80,,,$187.96 ,20090101
27828,Treat lower leg fracture,81,,,$187.96 ,20090101
27828,Treat lower leg fracture,82,,,$187.96 ,20090101
27828,Treat lower leg fracture,AS,,,$187.96 ,20090101
27828,Treat lower leg fracture,,,,$939.78 ,20090101
27828,Treat lower leg fracture,,,Y,$868.38 ,20081209
27829,Treat lower leg joint,80,,,$91.64 ,20090101
27829,Treat lower leg joint,81,,,$91.64 ,20090101
27829,Treat lower leg joint,82,,,$91.64 ,20090101
27829,Treat lower leg joint,AS,,,$91.64 ,20090101
27829,Treat lower leg joint,,,,$458.19 ,20090101
27829,Treat lower leg joint,,,Y,$607.99 ,20081209
27830,Treat lower leg dislocation,,,,$240.09 ,20090101
27830,Treat lower leg dislocation,,,Y,$76.82 ,20081209
27831,Treat lower leg dislocation,,,,$267.36 ,20090101
27831,Treat lower leg dislocation,,,Y,$76.82 ,20081209
27832,Treat lower leg dislocation,80,,,$97.60 ,20090101
27832,Treat lower leg dislocation,81,,,$97.60 ,20090101
27832,Treat lower leg dislocation,82,,,$97.60 ,20090101
27832,Treat lower leg dislocation,AS,,,$97.60 ,20090101
27832,Treat lower leg dislocation,,,,$488.00 ,20090101
27832,Treat lower leg dislocation,,,Y,$607.99 ,20081209
27840,Treat ankle dislocation,,,,$245.38 ,20090101
27840,Treat ankle dislocation,,,Y,$76.82 ,20081209
27842,Treat ankle dislocation,,,,$342.75 ,20090101
27842,Treat ankle dislocation,,,Y,$322.06 ,20081209
27846,Treat ankle dislocation,80,,,$106.95 ,20090101
27846,Treat ankle dislocation,81,,,$106.95 ,20090101
27846,Treat ankle dislocation,82,,,$106.95 ,20090101
27846,Treat ankle dislocation,AS,,,$106.95 ,20090101
27846,Treat ankle dislocation,,,,$534.73 ,20090101
27846,Treat ankle dislocation,,,Y,$646.39 ,20081209
27848,Treat ankle dislocation,80,,,$122.58 ,20090101
27848,Treat ankle dislocation,81,,,$122.58 ,20090101
27848,Treat ankle dislocation,82,,,$122.58 ,20090101
27848,Treat ankle dislocation,AS,,,$122.58 ,20090101
27848,Treat ankle dislocation,,,,$612.88 ,20090101
27848,Treat ankle dislocation,,,Y,$646.39 ,20081209
27860,Fixation of ankle joint,,,,$127.70 ,20090101
27860,Fixation of ankle joint,,,Y,$322.06 ,20081209
27870,"Fusion of ankle joint, open",80,,,$152.40 ,20090101
27870,"Fusion of ankle joint, open",81,,,$152.40 ,20090101
27870,"Fusion of ankle joint, open",82,,,$152.40 ,20090101
27870,"Fusion of ankle joint, open",AS,,,$152.40 ,20090101
27870,"Fusion of ankle joint, open",,,,$762.02 ,20090101
27870,"Fusion of ankle joint, open",,,Y,"$1,035.65 ",20081209
27871,Fusion of tibiofibular joint,80,,,$100.54 ,20090101
27871,Fusion of tibiofibular joint,81,,,$100.54 ,20090101
27871,Fusion of tibiofibular joint,82,,,$100.54 ,20090101
27871,Fusion of tibiofibular joint,AS,,,$100.54 ,20090101
27871,Fusion of tibiofibular joint,,,,$502.70 ,20090101
27871,Fusion of tibiofibular joint,,,Y,"$1,035.65 ",20081209
27880,Amputation of lower leg,80,,,$132.93 ,20090101
27880,Amputation of lower leg,81,,,$132.93 ,20090101
27880,Amputation of lower leg,82,,,$132.93 ,20090101
27880,Amputation of lower leg,AS,,,$132.93 ,20090101
27880,Amputation of lower leg,,,,$664.63 ,20090101
27881,Amputation of lower leg,80,,,$130.37 ,20090101
27881,Amputation of lower leg,81,,,$130.37 ,20090101
27881,Amputation of lower leg,82,,,$130.37 ,20090101
27881,Amputation of lower leg,AS,,,$130.37 ,20090101
27881,Amputation of lower leg,,,,$651.84 ,20090101
27882,Amputation of lower leg,80,,,$92.69 ,20090101
27882,Amputation of lower leg,81,,,$92.69 ,20090101
27882,Amputation of lower leg,82,,,$92.69 ,20090101
27882,Amputation of lower leg,AS,,,$92.69 ,20090101
27882,Amputation of lower leg,,,,$463.47 ,20090101
27884,Amputation follow-up surgery,,,,$425.39 ,20090101
27884,Amputation follow-up surgery,,,Y,$482.11 ,20081209
27886,Amputation follow-up surgery,80,,,$96.60 ,20090101
27886,Amputation follow-up surgery,81,,,$96.60 ,20090101
27886,Amputation follow-up surgery,82,,,$96.60 ,20090101
27886,Amputation follow-up surgery,AS,,,$96.60 ,20090101
27886,Amputation follow-up surgery,,,,$482.98 ,20090101
27888,Amputation of foot at ankle,80,,,$102.94 ,20090101
27888,Amputation of foot at ankle,81,,,$102.94 ,20090101
27888,Amputation of foot at ankle,82,,,$102.94 ,20090101
27888,Amputation of foot at ankle,AS,,,$102.94 ,20090101
27888,Amputation of foot at ankle,,,,$514.71 ,20090101
27889,Amputation of foot at ankle,80,,,$100.93 ,20090101
27889,Amputation of foot at ankle,81,,,$100.93 ,20090101
27889,Amputation of foot at ankle,82,,,$100.93 ,20090101
27889,Amputation of foot at ankle,AS,,,$100.93 ,20090101
27889,Amputation of foot at ankle,,,,$504.67 ,20090101
27889,Amputation of foot at ankle,,,Y,$547.70 ,20081209
27892,Decompression of leg,,,,$397.01 ,20090101
27892,Decompression of leg,,,Y,$482.11 ,20081209
27893,Decompression of leg,,,,$394.50 ,20090101
27893,Decompression of leg,,,Y,$482.11 ,20081209
27894,Decompression of leg,80,,,$120.35 ,20090101
27894,Decompression of leg,81,,,$120.35 ,20090101
27894,Decompression of leg,82,,,$120.35 ,20090101
27894,Decompression of leg,AS,,,$120.35 ,20090101
27894,Decompression of leg,,,,$601.75 ,20090101
27894,Decompression of leg,,,Y,$482.11 ,20081209
28001,Drainage of bursa of foot,,,,$182.78 ,20090101
28002,Treatment of foot infection,,,,$339.97 ,20090101
28002,Treatment of foot infection,,,Y,$482.11 ,20081209
28003,Treatment of foot infection,,,,$475.18 ,20090101
28003,Treatment of foot infection,,,Y,$482.11 ,20081209
28005,Treat foot bone lesion,,,,$452.09 ,20090101
28005,Treat foot bone lesion,,,Y,$478.46 ,20081209
28008,Incision of foot fascia,,,,$290.17 ,20090101
28008,Incision of foot fascia,,,Y,$478.46 ,20081209
28010,Incision of toe tendon,,,,$163.31 ,20090101
28011,Incision of toe tendons,,,,$231.75 ,20090101
28011,Incision of toe tendons,,,Y,$478.46 ,20081209
28020,Exploration of foot joint,80,,,$69.39 ,20090101
28020,Exploration of foot joint,81,,,$69.39 ,20090101
28020,Exploration of foot joint,82,,,$69.39 ,20090101
28020,Exploration of foot joint,AS,,,$69.39 ,20090101
28020,Exploration of foot joint,,,,$346.93 ,20090101
28020,Exploration of foot joint,,,Y,$440.06 ,20081209
28022,Exploration of foot joint,,,,$317.16 ,20090101
28022,Exploration of foot joint,,,Y,$440.06 ,20081209
28024,Exploration of toe joint,,,,$303.24 ,20090101
28024,Exploration of toe joint,,,Y,$440.06 ,20081209
28035,Decompression of tibia nerve,80,,,$69.06 ,20090101
28035,Decompression of tibia nerve,81,,,$69.06 ,20090101
28035,Decompression of tibia nerve,82,,,$69.06 ,20090101
28035,Decompression of tibia nerve,AS,,,$69.06 ,20090101
28035,Decompression of tibia nerve,,,,$345.28 ,20090101
28035,Decompression of tibia nerve,,,Y,$527.47 ,20081209
28043,Excision of foot lesion,,,,$232.03 ,20090101
28043,Excision of foot lesion,,,Y,$442.39 ,20081209
28045,Excision of foot lesion,,,,$322.72 ,20090101
28045,Excision of foot lesion,,,Y,$478.46 ,20081209
28046,"Resection of tumor, foot",,,,$597.59 ,20090101
28046,"Resection of tumor, foot",,,Y,$478.46 ,20081209
28050,Biopsy of foot joint lining,80,,,$60.21 ,20090101
28050,Biopsy of foot joint lining,81,,,$60.21 ,20090101
28050,Biopsy of foot joint lining,82,,,$60.21 ,20090101
28050,Biopsy of foot joint lining,AS,,,$60.21 ,20090101
28050,Biopsy of foot joint lining,,,,$301.03 ,20090101
28050,Biopsy of foot joint lining,,,Y,$440.06 ,20081209
28052,Biopsy of foot joint lining,,,,$281.55 ,20090101
28052,Biopsy of foot joint lining,,,Y,$440.06 ,20081209
28054,Biopsy of toe joint lining,,,,$262.63 ,20090101
28054,Biopsy of toe joint lining,,,Y,$440.06 ,20081209
28055,"Neurectomy, foot",,,,$291.84 ,20090101
28055,"Neurectomy, foot",,,Y,$527.47 ,20081209
28060,"Partial removal, foot fascia",80,,,$68.27 ,20090101
28060,"Partial removal, foot fascia",81,,,$68.27 ,20090101
28060,"Partial removal, foot fascia",82,,,$68.27 ,20090101
28060,"Partial removal, foot fascia",AS,,,$68.27 ,20090101
28060,"Partial removal, foot fascia",,,,$341.34 ,20090101
28060,"Partial removal, foot fascia",,,Y,$440.06 ,20081209
28062,Removal of foot fascia,80,,,$81.12 ,20090101
28062,Removal of foot fascia,81,,,$81.12 ,20090101
28062,Removal of foot fascia,82,,,$81.12 ,20090101
28062,Removal of foot fascia,AS,,,$81.12 ,20090101
28062,Removal of foot fascia,,,,$405.62 ,20090101
28062,Removal of foot fascia,,,Y,$478.46 ,20081209
28070,Removal of foot joint lining,80,,,$67.72 ,20090101
28070,Removal of foot joint lining,81,,,$67.72 ,20090101
28070,Removal of foot joint lining,82,,,$67.72 ,20090101
28070,Removal of foot joint lining,AS,,,$67.72 ,20090101
28070,Removal of foot joint lining,,,,$338.60 ,20090101
28070,Removal of foot joint lining,,,Y,$478.46 ,20081209
28072,Removal of foot joint lining,80,,,$65.99 ,20090101
28072,Removal of foot joint lining,81,,,$65.99 ,20090101
28072,Removal of foot joint lining,82,,,$65.99 ,20090101
28072,Removal of foot joint lining,AS,,,$65.99 ,20090101
28072,Removal of foot joint lining,,,,$329.96 ,20090101
28072,Removal of foot joint lining,,,Y,$478.46 ,20081209
28080,Removal of foot lesion,,,,$320.22 ,20090101
28080,Removal of foot lesion,,,Y,$478.46 ,20081209
28086,Excise foot tendon sheath,80,,,$75.22 ,20090101
28086,Excise foot tendon sheath,81,,,$75.22 ,20090101
28086,Excise foot tendon sheath,82,,,$75.22 ,20090101
28086,Excise foot tendon sheath,AS,,,$75.22 ,20090101
28086,Excise foot tendon sheath,,,,$376.12 ,20090101
28086,Excise foot tendon sheath,,,Y,$440.06 ,20081209
28088,Excise foot tendon sheath,,,,$302.97 ,20090101
28088,Excise foot tendon sheath,,,Y,$440.06 ,20081209
28090,Removal of foot lesion,,,,$306.31 ,20090101
28090,Removal of foot lesion,,,Y,$478.46 ,20081209
28092,Removal of toe lesions,,,,$278.77 ,20090101
28092,Removal of toe lesions,,,Y,$478.46 ,20081209
28100,Removal of ankle/heel lesion,80,,,$81.07 ,20090101
28100,Removal of ankle/heel lesion,81,,,$81.07 ,20090101
28100,Removal of ankle/heel lesion,82,,,$81.07 ,20090101
28100,Removal of ankle/heel lesion,AS,,,$81.07 ,20090101
28100,Removal of ankle/heel lesion,,,,$405.36 ,20090101
28100,Removal of ankle/heel lesion,,,Y,$440.06 ,20081209
28102,Remove/graft foot lesion,80,,,$79.79 ,20090101
28102,Remove/graft foot lesion,81,,,$79.79 ,20090101
28102,Remove/graft foot lesion,82,,,$79.79 ,20090101
28102,Remove/graft foot lesion,AS,,,$79.79 ,20090101
28102,Remove/graft foot lesion,,,,$398.94 ,20090101
28102,Remove/graft foot lesion,,,Y,$672.55 ,20081209
28103,Remove/graft foot lesion,80,,,$65.60 ,20090101
28103,Remove/graft foot lesion,81,,,$65.60 ,20090101
28103,Remove/graft foot lesion,82,,,$65.60 ,20090101
28103,Remove/graft foot lesion,AS,,,$65.60 ,20090101
28103,Remove/graft foot lesion,,,,$327.99 ,20090101
28103,Remove/graft foot lesion,,,Y,$672.55 ,20081209
28104,Removal of foot lesion,80,,,$68.05 ,20090101
28104,Removal of foot lesion,81,,,$68.05 ,20090101
28104,Removal of foot lesion,82,,,$68.05 ,20090101
28104,Removal of foot lesion,AS,,,$68.05 ,20090101
28104,Removal of foot lesion,,,,$340.26 ,20090101
28104,Removal of foot lesion,,,Y,$440.06 ,20081209
28106,Remove/graft foot lesion,80,,,$69.72 ,20090101
28106,Remove/graft foot lesion,81,,,$69.72 ,20090101
28106,Remove/graft foot lesion,82,,,$69.72 ,20090101
28106,Remove/graft foot lesion,AS,,,$69.72 ,20090101
28106,Remove/graft foot lesion,,,,$348.59 ,20090101
28106,Remove/graft foot lesion,,,Y,$672.55 ,20081209
28107,Remove/graft foot lesion,80,,,$74.94 ,20090101
28107,Remove/graft foot lesion,81,,,$74.94 ,20090101
28107,Remove/graft foot lesion,82,,,$74.94 ,20090101
28107,Remove/graft foot lesion,AS,,,$74.94 ,20090101
28107,Remove/graft foot lesion,,,,$374.72 ,20090101
28107,Remove/graft foot lesion,,,Y,$672.55 ,20081209
28108,Removal of toe lesions,,,,$284.05 ,20090101
28110,Part removal of metatarsal,80,,,$59.76 ,20090101
28110,Part removal of metatarsal,81,,,$59.76 ,20090101
28110,Part removal of metatarsal,82,,,$59.76 ,20090101
28110,Part removal of metatarsal,AS,,,$59.76 ,20090101
28110,Part removal of metatarsal,,,,$298.80 ,20090101
28110,Part removal of metatarsal,,,Y,$478.46 ,20081209
28111,Part removal of metatarsal,80,,,$69.11 ,20090101
28111,Part removal of metatarsal,81,,,$69.11 ,20090101
28111,Part removal of metatarsal,82,,,$69.11 ,20090101
28111,Part removal of metatarsal,AS,,,$69.11 ,20090101
28111,Part removal of metatarsal,,,,$345.53 ,20090101
28111,Part removal of metatarsal,,,Y,$478.46 ,20081209
28112,Part removal of metatarsal,80,,,$64.82 ,20090101
28112,Part removal of metatarsal,81,,,$64.82 ,20090101
28112,Part removal of metatarsal,82,,,$64.82 ,20090101
28112,Part removal of metatarsal,AS,,,$64.82 ,20090101
28112,Part removal of metatarsal,,,,$324.11 ,20090101
28112,Part removal of metatarsal,,,Y,$478.46 ,20081209
28113,Part removal of metatarsal,,,,$381.70 ,20090101
28113,Part removal of metatarsal,,,Y,$478.46 ,20081209
28114,Removal of metatarsal heads,80,,,$142.11 ,20090101
28114,Removal of metatarsal heads,81,,,$142.11 ,20090101
28114,Removal of metatarsal heads,82,,,$142.11 ,20090101
28114,Removal of metatarsal heads,AS,,,$142.11 ,20090101
28114,Removal of metatarsal heads,,,,$710.53 ,20090101
28114,Removal of metatarsal heads,,,Y,$478.46 ,20081209
28116,Revision of foot,,,,$503.28 ,20090101
28116,Revision of foot,,,Y,$478.46 ,20081209
28118,Removal of heel bone,80,,,$77.63 ,20090101
28118,Removal of heel bone,81,,,$77.63 ,20090101
28118,Removal of heel bone,82,,,$77.63 ,20090101
28118,Removal of heel bone,AS,,,$77.63 ,20090101
28118,Removal of heel bone,,,,$388.13 ,20090101
28118,Removal of heel bone,,,Y,$550.46 ,20081209
28119,Removal of heel spur,80,,,$69.39 ,20090101
28119,Removal of heel spur,81,,,$69.39 ,20090101
28119,Removal of heel spur,82,,,$69.39 ,20090101
28119,Removal of heel spur,AS,,,$69.39 ,20090101
28119,Removal of heel spur,,,,$346.93 ,20090101
28119,Removal of heel spur,,,Y,$550.46 ,20081209
28120,Part removal of ankle/heel,,,,$392.28 ,20090101
28120,Part removal of ankle/heel,,,Y,$769.46 ,20081209
28122,Partial removal of foot bone,80,,,$90.09 ,20090101
28122,Partial removal of foot bone,81,,,$90.09 ,20090101
28122,Partial removal of foot bone,82,,,$90.09 ,20090101
28122,Partial removal of foot bone,AS,,,$90.09 ,20090101
28122,Partial removal of foot bone,,,,$450.43 ,20090101
28122,Partial removal of foot bone,,,Y,$478.46 ,20081209
28124,Partial removal of toe,,,,$316.05 ,20090101
28126,Partial removal of toe,,,,$253.17 ,20090101
28126,Partial removal of toe,,,Y,$478.46 ,20081209
28130,Removal of ankle bone,80,,,$94.59 ,20090101
28130,Removal of ankle bone,81,,,$94.59 ,20090101
28130,Removal of ankle bone,82,,,$94.59 ,20090101
28130,Removal of ankle bone,AS,,,$94.59 ,20090101
28130,Removal of ankle bone,,,,$472.94 ,20090101
28130,Removal of ankle bone,,,Y,$478.46 ,20081209
28140,Removal of metatarsal,,,,$430.38 ,20090101
28140,Removal of metatarsal,,,Y,$478.46 ,20081209
28150,Removal of toe,,,,$285.72 ,20090101
28150,Removal of toe,,,Y,$478.46 ,20081209
28153,Partial removal of toe,,,,$262.63 ,20090101
28153,Partial removal of toe,,,Y,$478.46 ,20081209
28160,Partial removal of toe,,,,$270.41 ,20090101
28160,Partial removal of toe,,,Y,$478.46 ,20081209
28171,Extensive foot surgery,80,,,$91.92 ,20090101
28171,Extensive foot surgery,81,,,$91.92 ,20090101
28171,Extensive foot surgery,82,,,$91.92 ,20090101
28171,Extensive foot surgery,AS,,,$91.92 ,20090101
28171,Extensive foot surgery,,,,$459.59 ,20090101
28171,Extensive foot surgery,,,Y,$478.46 ,20081209
28173,Extensive foot surgery,,,,$509.95 ,20090101
28173,Extensive foot surgery,,,Y,$478.46 ,20081209
28175,Extensive foot surgery,,,,$370.85 ,20090101
28175,Extensive foot surgery,,,Y,$478.46 ,20081209
28190,Removal of foot foreign body,,,,$164.14 ,20090101
28192,Removal of foot foreign body,,,,$317.16 ,20090101
28192,Removal of foot foreign body,,,Y,$400.91 ,20081209
28193,Removal of foot foreign body,,,,$361.39 ,20090101
28193,Removal of foot foreign body,,,Y,$323.01 ,20081209
28200,Repair of foot tendon,80,,,$62.60 ,20090101
28200,Repair of foot tendon,81,,,$62.60 ,20090101
28200,Repair of foot tendon,82,,,$62.60 ,20090101
28200,Repair of foot tendon,AS,,,$62.60 ,20090101
28200,Repair of foot tendon,,,,$312.98 ,20090101
28200,Repair of foot tendon,,,Y,$478.46 ,20081209
28202,Repair/graft of foot tendon,80,,,$85.47 ,20090101
28202,Repair/graft of foot tendon,81,,,$85.47 ,20090101
28202,Repair/graft of foot tendon,82,,,$85.47 ,20090101
28202,Repair/graft of foot tendon,AS,,,$85.47 ,20090101
28202,Repair/graft of foot tendon,,,,$427.35 ,20090101
28202,Repair/graft of foot tendon,,,Y,$478.46 ,20081209
28208,Repair of foot tendon,80,,,$59.81 ,20090101
28208,Repair of foot tendon,81,,,$59.81 ,20090101
28208,Repair of foot tendon,82,,,$59.81 ,20090101
28208,Repair of foot tendon,AS,,,$59.81 ,20090101
28208,Repair of foot tendon,,,,$299.06 ,20090101
28208,Repair of foot tendon,,,Y,$478.46 ,20081209
28210,Repair/graft of foot tendon,80,,,$78.68 ,20090101
28210,Repair/graft of foot tendon,81,,,$78.68 ,20090101
28210,Repair/graft of foot tendon,82,,,$78.68 ,20090101
28210,Repair/graft of foot tendon,AS,,,$78.68 ,20090101
28210,Repair/graft of foot tendon,,,,$393.40 ,20090101
28210,Repair/graft of foot tendon,,,Y,$672.55 ,20081209
28220,Release of foot tendon,,,,$297.41 ,20090101
28222,Release of foot tendons,,,,$346.37 ,20090101
28222,Release of foot tendons,,,Y,$372.26 ,20081209
28225,Release of foot tendon,,,,$259.01 ,20090101
28225,Release of foot tendon,,,Y,$372.26 ,20081209
28226,Release of foot tendons,,,,$306.03 ,20090101
28226,Release of foot tendons,,,Y,$372.26 ,20081209
28230,Incision of foot tendon(s),,,,$286.55 ,20090101
28232,Incision of toe tendon,,,,$253.17 ,20090101
28234,Incision of foot tendon,,,,$260.13 ,20090101
28234,Incision of foot tendon,,,Y,$440.06 ,20081209
28238,Revision of foot tendon,80,,,$93.09 ,20090101
28238,Revision of foot tendon,81,,,$93.09 ,20090101
28238,Revision of foot tendon,82,,,$93.09 ,20090101
28238,Revision of foot tendon,AS,,,$93.09 ,20090101
28238,Revision of foot tendon,,,,$465.44 ,20090101
28238,Revision of foot tendon,,,Y,$672.55 ,20081209
28240,Release of big toe,,,,$291.28 ,20090101
28240,Release of big toe,,,Y,$440.06 ,20081209
28250,Revision of foot fascia,80,,,$74.45 ,20090101
28250,Revision of foot fascia,81,,,$74.45 ,20090101
28250,Revision of foot fascia,82,,,$74.45 ,20090101
28250,Revision of foot fascia,AS,,,$74.45 ,20090101
28250,Revision of foot fascia,,,,$372.24 ,20090101
28250,Revision of foot fascia,,,Y,$478.46 ,20081209
28260,Release of midfoot joint,80,,,$92.43 ,20090101
28260,Release of midfoot joint,81,,,$92.43 ,20090101
28260,Release of midfoot joint,82,,,$92.43 ,20090101
28260,Release of midfoot joint,AS,,,$92.43 ,20090101
28260,Release of midfoot joint,,,,$462.13 ,20090101
28260,Release of midfoot joint,,,Y,$478.46 ,20081209
28261,Revision of foot tendon,,,,$671.04 ,20090101
28261,Revision of foot tendon,,,Y,$478.46 ,20081209
28262,Revision of foot and ankle,80,,,$190.07 ,20090101
28262,Revision of foot and ankle,81,,,$190.07 ,20090101
28262,Revision of foot and ankle,82,,,$190.07 ,20090101
28262,Revision of foot and ankle,AS,,,$190.07 ,20090101
28262,Revision of foot and ankle,,,,$950.34 ,20090101
28262,Revision of foot and ankle,,,Y,$550.46 ,20081209
28264,Release of midfoot joint,80,,,$117.40 ,20090101
28264,Release of midfoot joint,81,,,$117.40 ,20090101
28264,Release of midfoot joint,82,,,$117.40 ,20090101
28264,Release of midfoot joint,AS,,,$117.40 ,20090101
28264,Release of midfoot joint,,,,$587.00 ,20090101
28264,Release of midfoot joint,,,Y,$566.35 ,20081209
28270,Release of foot contracture,,,,$315.49 ,20090101
28270,Release of foot contracture,,,Y,$478.46 ,20081209
28272,"Release of toe joint, each",,,,$259.01 ,20090101
28280,Fusion of toes,,,,$354.44 ,20090101
28280,Fusion of toes,,,Y,$440.06 ,20081209
28285,Repair of hammertoe,80,,,$61.38 ,20090101
28285,Repair of hammertoe,81,,,$61.38 ,20090101
28285,Repair of hammertoe,82,,,$61.38 ,20090101
28285,Repair of hammertoe,AS,,,$61.38 ,20090101
28285,Repair of hammertoe,,,,$306.88 ,20090101
28285,Repair of hammertoe,,,Y,$478.46 ,20081209
28286,Repair of hammertoe,,,,$301.58 ,20090101
28286,Repair of hammertoe,,,Y,$550.46 ,20081209
28288,Partial removal of foot bone,,,,$381.98 ,20090101
28288,Partial removal of foot bone,,,Y,$478.46 ,20081209
28289,Repair hallux rigidus,80,,,$99.27 ,20090101
28289,Repair hallux rigidus,81,,,$99.27 ,20090101
28289,Repair hallux rigidus,82,,,$99.27 ,20090101
28289,Repair hallux rigidus,AS,,,$99.27 ,20090101
28289,Repair hallux rigidus,,,,$496.33 ,20090101
28289,Repair hallux rigidus,,,Y,$478.46 ,20081209
28290,Correction of bunion,,,,$382.82 ,20090101
28290,Correction of bunion,,,Y,$511.18 ,20081209
28293,Correction of bunion,,,,$691.07 ,20090101
28293,Correction of bunion,,,Y,$549.58 ,20081209
28294,Correction of bunion,80,,,$101.10 ,20090101
28294,Correction of bunion,81,,,$101.10 ,20090101
28294,Correction of bunion,82,,,$101.10 ,20090101
28294,Correction of bunion,AS,,,$101.10 ,20090101
28294,Correction of bunion,,,,$505.49 ,20090101
28294,Correction of bunion,,,Y,$549.58 ,20081209
28296,Correction of bunion,80,,,$107.77 ,20090101
28296,Correction of bunion,81,,,$107.77 ,20090101
28296,Correction of bunion,82,,,$107.77 ,20090101
28296,Correction of bunion,AS,,,$107.77 ,20090101
28296,Correction of bunion,,,,$538.87 ,20090101
28296,Correction of bunion,,,Y,$549.58 ,20081209
28297,Correction of bunion,80,,,$113.18 ,20090101
28297,Correction of bunion,81,,,$113.18 ,20090101
28297,Correction of bunion,82,,,$113.18 ,20090101
28297,Correction of bunion,AS,,,$113.18 ,20090101
28297,Correction of bunion,,,,$565.89 ,20090101
28297,Correction of bunion,,,Y,$549.58 ,20081209
28298,Correction of bunion,80,,,$96.37 ,20090101
28298,Correction of bunion,81,,,$96.37 ,20090101
28298,Correction of bunion,82,,,$96.37 ,20090101
28298,Correction of bunion,AS,,,$96.37 ,20090101
28298,Correction of bunion,,,,$481.84 ,20090101
28298,Correction of bunion,,,Y,$549.58 ,20081209
28299,Correction of bunion,80,,,$124.75 ,20090101
28299,Correction of bunion,81,,,$124.75 ,20090101
28299,Correction of bunion,82,,,$124.75 ,20090101
28299,Correction of bunion,AS,,,$124.75 ,20090101
28299,Correction of bunion,,,,$623.74 ,20090101
28299,Correction of bunion,,,Y,$673.78 ,20081209
28300,Incision of heel bone,80,,,$98.43 ,20090101
28300,Incision of heel bone,81,,,$98.43 ,20090101
28300,Incision of heel bone,82,,,$98.43 ,20090101
28300,Incision of heel bone,AS,,,$98.43 ,20090101
28300,Incision of heel bone,,,,$492.14 ,20090101
28300,Incision of heel bone,,,Y,$634.15 ,20081209
28302,Incision of ankle bone,80,,,$97.87 ,20090101
28302,Incision of ankle bone,81,,,$97.87 ,20090101
28302,Incision of ankle bone,82,,,$97.87 ,20090101
28302,Incision of ankle bone,AS,,,$97.87 ,20090101
28302,Incision of ankle bone,,,,$489.35 ,20090101
28302,Incision of ankle bone,,,Y,$440.06 ,20081209
28304,Incision of midfoot bones,80,,,$107.44 ,20090101
28304,Incision of midfoot bones,81,,,$107.44 ,20090101
28304,Incision of midfoot bones,82,,,$107.44 ,20090101
28304,Incision of midfoot bones,AS,,,$107.44 ,20090101
28304,Incision of midfoot bones,,,,$537.22 ,20090101
28304,Incision of midfoot bones,,,Y,$634.15 ,20081209
28305,Incise/graft midfoot bones,80,,,$101.05 ,20090101
28305,Incise/graft midfoot bones,81,,,$101.05 ,20090101
28305,Incise/graft midfoot bones,82,,,$101.05 ,20090101
28305,Incise/graft midfoot bones,AS,,,$101.05 ,20090101
28305,Incise/graft midfoot bones,,,,$505.24 ,20090101
28305,Incise/graft midfoot bones,,,Y,$672.55 ,20081209
28306,Incision of metatarsal,80,,,$80.02 ,20090101
28306,Incision of metatarsal,81,,,$80.02 ,20090101
28306,Incision of metatarsal,82,,,$80.02 ,20090101
28306,Incision of metatarsal,AS,,,$80.02 ,20090101
28306,Incision of metatarsal,,,,$400.08 ,20090101
28306,Incision of metatarsal,,,Y,$550.46 ,20081209
28307,Incision of metatarsal,,,,$485.20 ,20090101
28307,Incision of metatarsal,,,Y,$550.46 ,20081209
28308,Incision of metatarsal,80,,,$71.73 ,20090101
28308,Incision of metatarsal,81,,,$71.73 ,20090101
28308,Incision of metatarsal,82,,,$71.73 ,20090101
28308,Incision of metatarsal,AS,,,$71.73 ,20090101
28308,Incision of metatarsal,,,,$358.63 ,20090101
28308,Incision of metatarsal,,,Y,$440.06 ,20081209
28309,Incision of metatarsals,80,,,$132.59 ,20090101
28309,Incision of metatarsals,81,,,$132.59 ,20090101
28309,Incision of metatarsals,82,,,$132.59 ,20090101
28309,Incision of metatarsals,AS,,,$132.59 ,20090101
28309,Incision of metatarsals,,,,$662.97 ,20090101
28309,Incision of metatarsals,,,Y,$744.55 ,20081209
28310,Revision of big toe,80,,,$71.38 ,20090101
28310,Revision of big toe,81,,,$71.38 ,20090101
28310,Revision of big toe,82,,,$71.38 ,20090101
28310,Revision of big toe,AS,,,$71.38 ,20090101
28310,Revision of big toe,,,,$356.92 ,20090101
28310,Revision of big toe,,,Y,$478.46 ,20081209
28312,Revision of toe,80,,,$64.77 ,20090101
28312,Revision of toe,81,,,$64.77 ,20090101
28312,Revision of toe,82,,,$64.77 ,20090101
28312,Revision of toe,AS,,,$64.77 ,20090101
28312,Revision of toe,,,,$323.85 ,20090101
28312,Revision of toe,,,Y,$478.46 ,20081209
28313,Repair deformity of toe,,,,$335.80 ,20090101
28313,Repair deformity of toe,,,Y,$440.06 ,20081209
28315,Removal of sesamoid bone,80,,,$63.04 ,20090101
28315,Removal of sesamoid bone,81,,,$63.04 ,20090101
28315,Removal of sesamoid bone,82,,,$63.04 ,20090101
28315,Removal of sesamoid bone,AS,,,$63.04 ,20090101
28315,Removal of sesamoid bone,,,,$315.21 ,20090101
28315,Removal of sesamoid bone,,,Y,$550.46 ,20081209
28320,Repair of foot bones,80,,,$93.93 ,20090101
28320,Repair of foot bones,81,,,$93.93 ,20090101
28320,Repair of foot bones,82,,,$93.93 ,20090101
28320,Repair of foot bones,AS,,,$93.93 ,20090101
28320,Repair of foot bones,,,,$469.63 ,20090101
28320,Repair of foot bones,,,Y,$744.55 ,20081209
28322,Repair of metatarsals,80,,,$106.50 ,20090101
28322,Repair of metatarsals,81,,,$106.50 ,20090101
28322,Repair of metatarsals,82,,,$106.50 ,20090101
28322,Repair of metatarsals,AS,,,$106.50 ,20090101
28322,Repair of metatarsals,,,,$532.51 ,20090101
28322,Repair of metatarsals,,,Y,$744.55 ,20081209
28340,Resect enlarged toe tissue,80,,,$84.30 ,20090101
28340,Resect enlarged toe tissue,81,,,$84.30 ,20090101
28340,Resect enlarged toe tissue,82,,,$84.30 ,20090101
28340,Resect enlarged toe tissue,AS,,,$84.30 ,20090101
28340,Resect enlarged toe tissue,,,,$421.50 ,20090101
28340,Resect enlarged toe tissue,,,Y,$550.46 ,20081209
28341,Resect enlarged toe,80,,,$96.70 ,20090101
28341,Resect enlarged toe,81,,,$96.70 ,20090101
28341,Resect enlarged toe,82,,,$96.70 ,20090101
28341,Resect enlarged toe,AS,,,$96.70 ,20090101
28341,Resect enlarged toe,,,,$483.50 ,20090101
28341,Resect enlarged toe,,,Y,$550.46 ,20081209
28344,Repair extra toe(s),80,,,$60.65 ,20090101
28344,Repair extra toe(s),81,,,$60.65 ,20090101
28344,Repair extra toe(s),82,,,$60.65 ,20090101
28344,Repair extra toe(s),AS,,,$60.65 ,20090101
28344,Repair extra toe(s),,,,$303.26 ,20090101
28344,Repair extra toe(s),,,Y,$550.46 ,20081209
28345,Repair webbed toe(s),,,,$380.87 ,20090101
28345,Repair webbed toe(s),,,Y,$550.46 ,20081209
28360,Reconstruct cleft foot,80,,,$141.22 ,20090101
28360,Reconstruct cleft foot,81,,,$141.22 ,20090101
28360,Reconstruct cleft foot,82,,,$141.22 ,20090101
28360,Reconstruct cleft foot,AS,,,$141.22 ,20090101
28360,Reconstruct cleft foot,,,,$706.08 ,20090101
28400,Treatment of heel fracture,,,,$168.87 ,20090101
28400,Treatment of heel fracture,,,Y,$76.82 ,20081209
28405,Treatment of heel fracture,,,,$277.93 ,20090101
28405,Treatment of heel fracture,,,Y,$76.82 ,20081209
28406,Treatment of heel fracture,,,,$381.98 ,20090101
28406,Treatment of heel fracture,,,Y,$484.21 ,20081209
28415,Treat heel fracture,80,,,$169.15 ,20090101
28415,Treat heel fracture,81,,,$169.15 ,20090101
28415,Treat heel fracture,82,,,$169.15 ,20090101
28415,Treat heel fracture,AS,,,$169.15 ,20090101
28415,Treat heel fracture,,,,$845.75 ,20090101
28415,Treat heel fracture,,,Y,$796.38 ,20081209
28420,Treat/graft heel fracture,80,,,$176.38 ,20090101
28420,Treat/graft heel fracture,81,,,$176.38 ,20090101
28420,Treat/graft heel fracture,82,,,$176.38 ,20090101
28420,Treat/graft heel fracture,AS,,,$176.38 ,20090101
28420,Treat/graft heel fracture,,,,$881.92 ,20090101
28420,Treat/graft heel fracture,,,Y,$718.39 ,20081209
28430,Treatment of ankle fracture,,,,$158.85 ,20090101
28435,Treatment of ankle fracture,,,,$220.62 ,20090101
28435,Treatment of ankle fracture,,,Y,$76.82 ,20081209
28436,Treatment of ankle fracture,80,,,$60.76 ,20090101
28436,Treatment of ankle fracture,81,,,$60.76 ,20090101
28436,Treatment of ankle fracture,82,,,$60.76 ,20090101
28436,Treatment of ankle fracture,AS,,,$60.76 ,20090101
28436,Treatment of ankle fracture,,,,$303.82 ,20090101
28436,Treatment of ankle fracture,,,Y,$484.21 ,20081209
28445,Treat ankle fracture,80,,,$157.91 ,20090101
28445,Treat ankle fracture,81,,,$157.91 ,20090101
28445,Treat ankle fracture,82,,,$157.91 ,20090101
28445,Treat ankle fracture,AS,,,$157.91 ,20090101
28445,Treat ankle fracture,,,,$789.55 ,20090101
28445,Treat ankle fracture,,,Y,$646.39 ,20081209
28446,OSTEOCHONDRAL TALUS AUTOGRFT,,,Y,$129.92 ,20090101
28450,"Treat midfoot fracture, each",,,,$146.06 ,20090101
28455,"Treat midfoot fracture, each",,,,$199.48 ,20090101
28456,Treat midfoot fracture,80,,,$39.67 ,20090101
28456,Treat midfoot fracture,81,,,$39.67 ,20090101
28456,Treat midfoot fracture,82,,,$39.67 ,20090101
28456,Treat midfoot fracture,AS,,,$39.67 ,20090101
28456,Treat midfoot fracture,,,,$198.36 ,20090101
28456,Treat midfoot fracture,,,Y,$484.21 ,20081209
28465,"Treat midfoot fracture, each",,,,$443.19 ,20090101
28465,"Treat midfoot fracture, each",,,Y,$646.39 ,20081209
28470,Treat metatarsal fracture,,,,$146.06 ,20090101
28475,Treat metatarsal fracture,,,,$184.73 ,20090101
28476,Treat metatarsal fracture,,,,$240.65 ,20090101
28476,Treat metatarsal fracture,,,Y,$484.21 ,20081209
28485,Treat metatarsal fracture,80,,,$75.78 ,20090101
28485,Treat metatarsal fracture,81,,,$75.78 ,20090101
28485,Treat metatarsal fracture,82,,,$75.78 ,20090101
28485,Treat metatarsal fracture,AS,,,$75.78 ,20090101
28485,Treat metatarsal fracture,,,,$378.91 ,20090101
28485,Treat metatarsal fracture,,,Y,$718.39 ,20081209
28490,Treat big toe fracture,,,,$92.08 ,20090101
28495,Treat big toe fracture,,,,$115.17 ,20090101
28496,Treat big toe fracture,80,,,$58.87 ,20090101
28496,Treat big toe fracture,81,,,$58.87 ,20090101
28496,Treat big toe fracture,82,,,$58.87 ,20090101
28496,Treat big toe fracture,AS,,,$58.87 ,20090101
28496,Treat big toe fracture,,,,$294.35 ,20090101
28496,Treat big toe fracture,,,Y,$484.21 ,20081209
28505,Treat big toe fracture,,,,$448.48 ,20090101
28505,Treat big toe fracture,,,Y,$522.61 ,20081209
28510,Treatment of toe fracture,,,,$79.85 ,20090101
28515,Treatment of toe fracture,,,,$104.05 ,20090101
28525,Treat toe fracture,,,,$383.09 ,20090101
28525,Treat toe fracture,,,Y,$522.61 ,20081209
28530,Treat sesamoid bone fracture,,,,$76.51 ,20090101
28531,Treat sesamoid bone fracture,,,,$271.53 ,20090101
28531,Treat sesamoid bone fracture,,,Y,$522.61 ,20081209
28540,Treat foot dislocation,,,,$137.44 ,20090101
28545,Treat foot dislocation,,,,$160.53 ,20090101
28545,Treat foot dislocation,,,Y,$416.41 ,20081209
28546,Treat foot dislocation,,,,$314.10 ,20090101
28546,Treat foot dislocation,,,Y,$484.21 ,20081209
28555,Repair foot dislocation,80,,,$116.23 ,20090101
28555,Repair foot dislocation,81,,,$116.23 ,20090101
28555,Repair foot dislocation,82,,,$116.23 ,20090101
28555,Repair foot dislocation,AS,,,$116.23 ,20090101
28555,Repair foot dislocation,,,,$581.15 ,20090101
28555,Repair foot dislocation,,,Y,$607.99 ,20081209
28570,Treat foot dislocation,,,,$122.13 ,20090101
28575,Treat foot dislocation,,,,$222.85 ,20090101
28575,Treat foot dislocation,,,Y,$76.82 ,20081209
28576,Treat foot dislocation,,,,$258.46 ,20090101
28576,Treat foot dislocation,,,Y,$522.61 ,20081209
28585,Repair foot dislocation,80,,,$120.30 ,20090101
28585,Repair foot dislocation,81,,,$120.30 ,20090101
28585,Repair foot dislocation,82,,,$120.30 ,20090101
28585,Repair foot dislocation,AS,,,$120.30 ,20090101
28585,Repair foot dislocation,,,,$601.49 ,20090101
28585,Repair foot dislocation,,,Y,$522.61 ,20081209
28600,Treat foot dislocation,,,,$142.72 ,20090101
28605,Treat foot dislocation,,,,$186.12 ,20090101
28605,Treat foot dislocation,,,Y,$76.82 ,20081209
28606,Treat foot dislocation,,,,$283.50 ,20090101
28606,Treat foot dislocation,,,Y,$484.21 ,20081209
28615,Repair foot dislocation,80,,,$110.44 ,20090101
28615,Repair foot dislocation,81,,,$110.44 ,20090101
28615,Repair foot dislocation,82,,,$110.44 ,20090101
28615,Repair foot dislocation,AS,,,$110.44 ,20090101
28615,Repair foot dislocation,,,,$552.22 ,20090101
28615,Repair foot dislocation,,,Y,$646.39 ,20081209
28630,Treat toe dislocation,,,,$100.98 ,20090101
28635,Treat toe dislocation,,,,$120.74 ,20090101
28635,Treat toe dislocation,,,Y,$322.06 ,20081209
28636,Treat toe dislocation,,,,$203.93 ,20090101
28636,Treat toe dislocation,,,Y,$522.61 ,20081209
28645,Repair toe dislocation,80,,,$80.68 ,20090101
28645,Repair toe dislocation,81,,,$80.68 ,20090101
28645,Repair toe dislocation,82,,,$80.68 ,20090101
28645,Repair toe dislocation,AS,,,$80.68 ,20090101
28645,Repair toe dislocation,,,,$403.39 ,20090101
28645,Repair toe dislocation,,,Y,$522.61 ,20081209
28660,Treat toe dislocation,,,,$74.00 ,20090101
28665,Treat toe dislocation,,,,$106.55 ,20090101
28665,Treat toe dislocation,,,Y,$322.06 ,20081209
28666,Treat toe dislocation,,,,$147.45 ,20090101
28666,Treat toe dislocation,,,Y,$522.61 ,20081209
28675,Repair of toe dislocation,80,,,$75.67 ,20090101
28675,Repair of toe dislocation,81,,,$75.67 ,20090101
28675,Repair of toe dislocation,82,,,$75.67 ,20090101
28675,Repair of toe dislocation,AS,,,$75.67 ,20090101
28675,Repair of toe dislocation,,,,$378.34 ,20090101
28675,Repair of toe dislocation,,,Y,$522.61 ,20081209
28705,Fusion of foot bones,80,,,$193.41 ,20090101
28705,Fusion of foot bones,81,,,$193.41 ,20090101
28705,Fusion of foot bones,82,,,$193.41 ,20090101
28705,Fusion of foot bones,AS,,,$193.41 ,20090101
28705,Fusion of foot bones,,,,$967.05 ,20090101
28705,Fusion of foot bones,,,Y,$744.55 ,20081209
28715,Fusion of foot bones,80,,,$142.94 ,20090101
28715,Fusion of foot bones,81,,,$142.94 ,20090101
28715,Fusion of foot bones,82,,,$142.94 ,20090101
28715,Fusion of foot bones,AS,,,$142.94 ,20090101
28715,Fusion of foot bones,,,,$714.72 ,20090101
28715,Fusion of foot bones,,,Y,"$1,035.65 ",20081209
28725,Fusion of foot bones,80,,,$118.91 ,20090101
28725,Fusion of foot bones,81,,,$118.91 ,20090101
28725,Fusion of foot bones,82,,,$118.91 ,20090101
28725,Fusion of foot bones,AS,,,$118.91 ,20090101
28725,Fusion of foot bones,,,,$594.56 ,20090101
28725,Fusion of foot bones,,,Y,$744.55 ,20081209
28730,Fusion of foot bones,80,,,$122.64 ,20090101
28730,Fusion of foot bones,81,,,$122.64 ,20090101
28730,Fusion of foot bones,82,,,$122.64 ,20090101
28730,Fusion of foot bones,AS,,,$122.64 ,20090101
28730,Fusion of foot bones,,,,$613.19 ,20090101
28730,Fusion of foot bones,,,Y,$744.55 ,20081209
28735,Fusion of foot bones,80,,,$117.51 ,20090101
28735,Fusion of foot bones,81,,,$117.51 ,20090101
28735,Fusion of foot bones,82,,,$117.51 ,20090101
28735,Fusion of foot bones,AS,,,$117.51 ,20090101
28735,Fusion of foot bones,,,,$587.57 ,20090101
28735,Fusion of foot bones,,,Y,$744.55 ,20081209
28737,Revision of foot bones,80,,,$104.28 ,20090101
28737,Revision of foot bones,81,,,$104.28 ,20090101
28737,Revision of foot bones,82,,,$104.28 ,20090101
28737,Revision of foot bones,AS,,,$104.28 ,20090101
28737,Revision of foot bones,,,,$521.38 ,20090101
28737,Revision of foot bones,,,Y,$796.75 ,20081209
28740,Fusion of foot bones,80,,,$117.85 ,20090101
28740,Fusion of foot bones,81,,,$117.85 ,20090101
28740,Fusion of foot bones,82,,,$117.85 ,20090101
28740,Fusion of foot bones,AS,,,$117.85 ,20090101
28740,Fusion of foot bones,,,,$589.23 ,20090101
28740,Fusion of foot bones,,,Y,$744.55 ,20081209
28750,Fusion of big toe joint,,,,$579.79 ,20090101
28750,Fusion of big toe joint,,,Y,$744.55 ,20081209
28755,Fusion of big toe joint,80,,,$67.44 ,20090101
28755,Fusion of big toe joint,81,,,$67.44 ,20090101
28755,Fusion of big toe joint,82,,,$67.44 ,20090101
28755,Fusion of big toe joint,AS,,,$67.44 ,20090101
28755,Fusion of big toe joint,,,,$337.20 ,20090101
28755,Fusion of big toe joint,,,Y,$550.46 ,20081209
28760,Fusion of big toe joint,80,,,$105.22 ,20090101
28760,Fusion of big toe joint,81,,,$105.22 ,20090101
28760,Fusion of big toe joint,82,,,$105.22 ,20090101
28760,Fusion of big toe joint,AS,,,$105.22 ,20090101
28760,Fusion of big toe joint,,,,$526.09 ,20090101
28760,Fusion of big toe joint,,,Y,$744.55 ,20081209
28800,Amputation of midfoot,80,,,$84.58 ,20090101
28800,Amputation of midfoot,81,,,$84.58 ,20090101
28800,Amputation of midfoot,82,,,$84.58 ,20090101
28800,Amputation of midfoot,AS,,,$84.58 ,20090101
28800,Amputation of midfoot,,,,$422.90 ,20090101
28805,Amputation thru metatarsal,80,,,$108.50 ,20090101
28805,Amputation thru metatarsal,81,,,$108.50 ,20090101
28805,Amputation thru metatarsal,82,,,$108.50 ,20090101
28805,Amputation thru metatarsal,AS,,,$108.50 ,20090101
28805,Amputation thru metatarsal,,,,$542.50 ,20090101
28810,Amputation toe & metatarsal,,,,$324.11 ,20090101
28810,Amputation toe & metatarsal,,,Y,$440.06 ,20081209
28820,Amputation of toe,,,,$364.45 ,20090101
28820,Amputation of toe,,,Y,$440.06 ,20081209
28825,Partial amputation of toe,,,,$313.54 ,20090101
28825,Partial amputation of toe,,,Y,$440.06 ,20081209
29000,Application of body cast,,,,$171.10 ,20090101
29010,Application of body cast,,,,$176.38 ,20090101
29015,Application of body cast,,,,$166.37 ,20090101
29020,Application of body cast,,,,$163.86 ,20090101
29025,Application of body cast,,,,$178.89 ,20090101
29035,Application of body cast,,,,$158.85 ,20090101
29040,Application of body cast,,,,$151.63 ,20090101
29044,Application of body cast,,,,$173.60 ,20090101
29046,Application of body cast,,,,$186.12 ,20090101
29049,Application of figure eight,,,,$62.04 ,20090101
29055,Application of shoulder cast,,,,$138.55 ,20090101
29058,Application of shoulder cast,,,,$80.40 ,20090101
29065,Application of long arm cast,,,,$64.54 ,20090101
29075,Application of forearm cast,,,,$59.81 ,20090101
29085,Apply hand/wrist cast,,,,$63.44 ,20090101
29086,Apply finger cast,,,,$47.57 ,20090101
29105,Apply long arm splint,,,,$59.81 ,20090101
29125,Apply forearm splint,,,,$45.90 ,20090101
29126,Apply forearm splint,,,,$54.25 ,20090101
29130,Application of finger splint,,,,$28.10 ,20090101
29131,Application of finger splint,,,,$34.50 ,20090101
29200,Strapping of chest,,,,$37.56 ,20090101
29220,Strapping of low back,,,,$38.12 ,20090101
29240,Strapping of shoulder,,,,$42.57 ,20090101
29260,Strapping of elbow or wrist,,,,$36.44 ,20090101
29280,Strapping of hand or finger,,,,$35.33 ,20090101
29305,Application of hip cast,,,,$158.30 ,20090101
29325,Application of hip casts,,,,$171.10 ,20090101
29345,Application of long leg cast,,,,$93.48 ,20090101
29355,Application of long leg cast,,,,$95.99 ,20090101
29358,Apply long leg cast brace,,,,$103.49 ,20090101
29365,Application of long leg cast,,,,$83.46 ,20090101
29405,Apply short leg cast,,,,$61.48 ,20090101
29425,Apply short leg cast,,,,$66.49 ,20090101
29435,Apply short leg cast,,,,$81.24 ,20090101
29440,Addition of walker to cast,,,,$36.72 ,20090101
29445,Apply rigid leg cast,,,,$103.77 ,20090101
29450,Application of leg cast,,,,$107.94 ,20090101
29505,"Application, long leg splint",,,,$52.86 ,20090101
29515,Application lower leg splint,,,,$48.13 ,20090101
29520,Strapping of hip,,,,$36.72 ,20090101
29530,Strapping of knee,,,,$37.28 ,20090101
29540,Strapping of ankle and/or ft,,,,$29.21 ,20090101
29550,Strapping of toes,,,,$28.38 ,20090101
29580,Application of paste boot,,,,$36.16 ,20090101
29590,Application of foot splint,,,,$38.95 ,20090101
29700,Removal/revision of cast,,,,$43.68 ,20090101
29705,Removal/revision of cast,,,,$46.74 ,20090101
29710,Removal/revision of cast,,,,$82.62 ,20090101
29715,Removal/revision of cast,,,,$61.76 ,20090101
29720,Repair of body cast,,,,$54.52 ,20090101
29730,Windowing of cast,,,,$45.62 ,20090101
29740,Wedging of cast,,,,$66.49 ,20090101
29750,Wedging of clubfoot cast,,,,$70.39 ,20090101
29800,Jaw arthroscopy/surgery,,,,$376.14 ,20090101
29800,Jaw arthroscopy/surgery,,,Y,$544.30 ,20081209
29804,Jaw arthroscopy/surgery,80,,,$93.20 ,20090101
29804,Jaw arthroscopy/surgery,81,,,$93.20 ,20090101
29804,Jaw arthroscopy/surgery,82,,,$93.20 ,20090101
29804,Jaw arthroscopy/surgery,AS,,,$93.20 ,20090101
29804,Jaw arthroscopy/surgery,,,,$466.01 ,20090101
29804,Jaw arthroscopy/surgery,,,Y,$544.30 ,20081209
29805,"Shoulder arthroscopy, dx",,,,$338.02 ,20090101
29805,"Shoulder arthroscopy, dx",,,Y,$544.30 ,20081209
29806,Shoulder arthroscopy/surgery,,,,$770.91 ,20090101
29806,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29807,Shoulder arthroscopy/surgery,,,,$751.16 ,20090101
29807,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29819,Shoulder arthroscopy/surgery,80,,,$84.63 ,20090101
29819,Shoulder arthroscopy/surgery,81,,,$84.63 ,20090101
29819,Shoulder arthroscopy/surgery,82,,,$84.63 ,20090101
29819,Shoulder arthroscopy/surgery,AS,,,$84.63 ,20090101
29819,Shoulder arthroscopy/surgery,,,,$423.16 ,20090101
29819,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29820,Shoulder arthroscopy/surgery,80,,,$78.12 ,20090101
29820,Shoulder arthroscopy/surgery,81,,,$78.12 ,20090101
29820,Shoulder arthroscopy/surgery,82,,,$78.12 ,20090101
29820,Shoulder arthroscopy/surgery,AS,,,$78.12 ,20090101
29820,Shoulder arthroscopy/surgery,,,,$390.61 ,20090101
29820,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29821,Shoulder arthroscopy/surgery,80,,,$85.36 ,20090101
29821,Shoulder arthroscopy/surgery,81,,,$85.36 ,20090101
29821,Shoulder arthroscopy/surgery,82,,,$85.36 ,20090101
29821,Shoulder arthroscopy/surgery,AS,,,$85.36 ,20090101
29821,Shoulder arthroscopy/surgery,,,,$426.78 ,20090101
29821,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29822,Shoulder arthroscopy/surgery,80,,,$82.97 ,20090101
29822,Shoulder arthroscopy/surgery,81,,,$82.97 ,20090101
29822,Shoulder arthroscopy/surgery,82,,,$82.97 ,20090101
29822,Shoulder arthroscopy/surgery,AS,,,$82.97 ,20090101
29822,Shoulder arthroscopy/surgery,,,,$414.83 ,20090101
29822,Shoulder arthroscopy/surgery,,,Y,$544.30 ,20081209
29823,Shoulder arthroscopy/surgery,80,,,$90.65 ,20090101
29823,Shoulder arthroscopy/surgery,81,,,$90.65 ,20090101
29823,Shoulder arthroscopy/surgery,82,,,$90.65 ,20090101
29823,Shoulder arthroscopy/surgery,AS,,,$90.65 ,20090101
29823,Shoulder arthroscopy/surgery,,,,$453.23 ,20090101
29823,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29824,Shoulder arthroscopy/surgery,80,,,$96.09 ,20090101
29824,Shoulder arthroscopy/surgery,81,,,$96.09 ,20090101
29824,Shoulder arthroscopy/surgery,82,,,$96.09 ,20090101
29824,Shoulder arthroscopy/surgery,AS,,,$96.09 ,20090101
29824,Shoulder arthroscopy/surgery,,,,$480.45 ,20090101
29824,Shoulder arthroscopy/surgery,,,Y,$668.50 ,20081209
29825,Shoulder arthroscopy/surgery,80,,,$84.58 ,20090101
29825,Shoulder arthroscopy/surgery,81,,,$84.58 ,20090101
29825,Shoulder arthroscopy/surgery,82,,,$84.58 ,20090101
29825,Shoulder arthroscopy/surgery,AS,,,$84.58 ,20090101
29825,Shoulder arthroscopy/surgery,,,,$422.90 ,20090101
29825,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29826,Shoulder arthroscopy/surgery,80,,,$97.15 ,20090101
29826,Shoulder arthroscopy/surgery,81,,,$97.15 ,20090101
29826,Shoulder arthroscopy/surgery,82,,,$97.15 ,20090101
29826,Shoulder arthroscopy/surgery,AS,,,$97.15 ,20090101
29826,Shoulder arthroscopy/surgery,,,,$485.73 ,20090101
29826,Shoulder arthroscopy/surgery,,,Y,$684.46 ,20081209
29827,Arthroscop rotator cuff repr,80,,,$158.80 ,20090101
29827,Arthroscop rotator cuff repr,81,,,$158.80 ,20090101
29827,Arthroscop rotator cuff repr,82,,,$158.80 ,20090101
29827,Arthroscop rotator cuff repr,AS,,,$158.80 ,20090101
29827,Arthroscop rotator cuff repr,,,,$794.00 ,20090101
29827,Arthroscop rotator cuff repr,,,Y,$808.66 ,20081209
29828,Arthroscopy biceps tenodesis,,,,$129.92 ,20090101
29828,Arthroscopy biceps tenodesis,,,Y,$129.92 ,20090101
29830,Elbow arthroscopy,80,,,$65.15 ,20090101
29830,Elbow arthroscopy,81,,,$65.15 ,20090101
29830,Elbow arthroscopy,82,,,$65.15 ,20090101
29830,Elbow arthroscopy,AS,,,$65.15 ,20090101
29830,Elbow arthroscopy,,,,$325.77 ,20090101
29830,Elbow arthroscopy,,,Y,$544.30 ,20081209
29834,Elbow arthroscopy/surgery,80,,,$71.00 ,20090101
29834,Elbow arthroscopy/surgery,81,,,$71.00 ,20090101
29834,Elbow arthroscopy/surgery,82,,,$71.00 ,20090101
29834,Elbow arthroscopy/surgery,AS,,,$71.00 ,20090101
29834,Elbow arthroscopy/surgery,,,,$355.01 ,20090101
29834,Elbow arthroscopy/surgery,,,Y,$544.30 ,20081209
29835,Elbow arthroscopy/surgery,80,,,$72.83 ,20090101
29835,Elbow arthroscopy/surgery,81,,,$72.83 ,20090101
29835,Elbow arthroscopy/surgery,82,,,$72.83 ,20090101
29835,Elbow arthroscopy/surgery,AS,,,$72.83 ,20090101
29835,Elbow arthroscopy/surgery,,,,$364.16 ,20090101
29835,Elbow arthroscopy/surgery,,,Y,$544.30 ,20081209
29836,Elbow arthroscopy/surgery,80,,,$83.46 ,20090101
29836,Elbow arthroscopy/surgery,81,,,$83.46 ,20090101
29836,Elbow arthroscopy/surgery,82,,,$83.46 ,20090101
29836,Elbow arthroscopy/surgery,AS,,,$83.46 ,20090101
29836,Elbow arthroscopy/surgery,,,,$417.31 ,20090101
29836,Elbow arthroscopy/surgery,,,Y,$544.30 ,20081209
29837,Elbow arthroscopy/surgery,80,,,$76.28 ,20090101
29837,Elbow arthroscopy/surgery,81,,,$76.28 ,20090101
29837,Elbow arthroscopy/surgery,82,,,$76.28 ,20090101
29837,Elbow arthroscopy/surgery,AS,,,$76.28 ,20090101
29837,Elbow arthroscopy/surgery,,,,$381.40 ,20090101
29837,Elbow arthroscopy/surgery,,,Y,$544.30 ,20081209
29838,Elbow arthroscopy/surgery,,,,$427.05 ,20090101
29838,Elbow arthroscopy/surgery,,,Y,$544.30 ,20081209
29840,Wrist arthroscopy,,,,$317.43 ,20090101
29840,Wrist arthroscopy,,,Y,$544.30 ,20081209
29843,Wrist arthroscopy/surgery,,,,$339.42 ,20090101
29843,Wrist arthroscopy/surgery,,,Y,$544.30 ,20081209
29844,Wrist arthroscopy/surgery,,,,$356.38 ,20090101
29844,Wrist arthroscopy/surgery,,,Y,$544.30 ,20081209
29845,Wrist arthroscopy/surgery,,,,$406.47 ,20090101
29845,Wrist arthroscopy/surgery,,,Y,$544.30 ,20081209
29846,Wrist arthroscopy/surgery,,,,$374.46 ,20090101
29846,Wrist arthroscopy/surgery,,,Y,$544.30 ,20081209
29847,Wrist arthroscopy/surgery,80,,,$77.63 ,20090101
29847,Wrist arthroscopy/surgery,81,,,$77.63 ,20090101
29847,Wrist arthroscopy/surgery,82,,,$77.63 ,20090101
29847,Wrist arthroscopy/surgery,AS,,,$77.63 ,20090101
29847,Wrist arthroscopy/surgery,,,,$388.13 ,20090101
29847,Wrist arthroscopy/surgery,,,Y,$684.46 ,20081209
29848,Wrist endoscopy/surgery,,,,$348.88 ,20090101
29848,Wrist endoscopy/surgery,,,Y,"$1,041.70 ",20081209
29850,Knee arthroscopy/surgery,,,,$398.11 ,20090101
29850,Knee arthroscopy/surgery,,,Y,$616.30 ,20081209
29851,Knee arthroscopy/surgery,80,,,$135.99 ,20090101
29851,Knee arthroscopy/surgery,81,,,$135.99 ,20090101
29851,Knee arthroscopy/surgery,82,,,$135.99 ,20090101
29851,Knee arthroscopy/surgery,AS,,,$135.99 ,20090101
29851,Knee arthroscopy/surgery,,,,$679.94 ,20090101
29851,Knee arthroscopy/surgery,,,Y,$756.46 ,20081209
29855,Tibial arthroscopy/surgery,80,,,$113.95 ,20090101
29855,Tibial arthroscopy/surgery,81,,,$113.95 ,20090101
29855,Tibial arthroscopy/surgery,82,,,$113.95 ,20090101
29855,Tibial arthroscopy/surgery,AS,,,$113.95 ,20090101
29855,Tibial arthroscopy/surgery,,,,$569.77 ,20090101
29855,Tibial arthroscopy/surgery,,,Y,$756.46 ,20081209
29856,Tibial arthroscopy/surgery,80,,,$145.83 ,20090101
29856,Tibial arthroscopy/surgery,81,,,$145.83 ,20090101
29856,Tibial arthroscopy/surgery,82,,,$145.83 ,20090101
29856,Tibial arthroscopy/surgery,AS,,,$145.83 ,20090101
29856,Tibial arthroscopy/surgery,,,,$729.16 ,20090101
29856,Tibial arthroscopy/surgery,,,Y,$756.46 ,20081209
29860,"Hip arthroscopy, dx",,,,$467.66 ,20090101
29860,"Hip arthroscopy, dx",,,Y,$756.46 ,20081209
29861,Hip arthroscopy/surgery,80,,,$102.43 ,20090101
29861,Hip arthroscopy/surgery,81,,,$102.43 ,20090101
29861,Hip arthroscopy/surgery,82,,,$102.43 ,20090101
29861,Hip arthroscopy/surgery,AS,,,$102.43 ,20090101
29861,Hip arthroscopy/surgery,,,,$512.17 ,20090101
29861,Hip arthroscopy/surgery,,,Y,$756.46 ,20081209
29862,Hip arthroscopy/surgery,80,,,$114.96 ,20090101
29862,Hip arthroscopy/surgery,81,,,$114.96 ,20090101
29862,Hip arthroscopy/surgery,82,,,$114.96 ,20090101
29862,Hip arthroscopy/surgery,AS,,,$114.96 ,20090101
29862,Hip arthroscopy/surgery,,,,$574.79 ,20090101
29862,Hip arthroscopy/surgery,,,Y,"$1,181.86 ",20081209
29863,Hip arthroscopy/surgery,80,,,$113.46 ,20090101
29863,Hip arthroscopy/surgery,81,,,$113.46 ,20090101
29863,Hip arthroscopy/surgery,82,,,$113.46 ,20090101
29863,Hip arthroscopy/surgery,AS,,,$113.46 ,20090101
29863,Hip arthroscopy/surgery,,,,$567.28 ,20090101
29863,Hip arthroscopy/surgery,,,Y,$756.46 ,20081209
29870,"Knee arthroscopy, dx",,,,$291.84 ,20090101
29870,"Knee arthroscopy, dx",,,Y,$544.30 ,20081209
29871,Knee arthroscopy/drainage,,,,$367.51 ,20090101
29871,Knee arthroscopy/drainage,,,Y,$544.30 ,20081209
29873,Knee arthroscopy/surgery,,,,$367.79 ,20090101
29873,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29874,Knee arthroscopy/surgery,80,,,$76.73 ,20090101
29874,Knee arthroscopy/surgery,81,,,$76.73 ,20090101
29874,Knee arthroscopy/surgery,82,,,$76.73 ,20090101
29874,Knee arthroscopy/surgery,AS,,,$76.73 ,20090101
29874,Knee arthroscopy/surgery,,,,$383.67 ,20090101
29874,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29875,Knee arthroscopy/surgery,80,,,$71.33 ,20090101
29875,Knee arthroscopy/surgery,81,,,$71.33 ,20090101
29875,Knee arthroscopy/surgery,82,,,$71.33 ,20090101
29875,Knee arthroscopy/surgery,AS,,,$71.33 ,20090101
29875,Knee arthroscopy/surgery,,,,$356.66 ,20090101
29875,Knee arthroscopy/surgery,,,Y,$616.30 ,20081209
29876,Knee arthroscopy/surgery,80,,,$92.92 ,20090101
29876,Knee arthroscopy/surgery,81,,,$92.92 ,20090101
29876,Knee arthroscopy/surgery,82,,,$92.92 ,20090101
29876,Knee arthroscopy/surgery,AS,,,$92.92 ,20090101
29876,Knee arthroscopy/surgery,,,,$464.61 ,20090101
29876,Knee arthroscopy/surgery,,,Y,$616.30 ,20081209
29877,Knee arthroscopy/surgery,80,,,$87.86 ,20090101
29877,Knee arthroscopy/surgery,81,,,$87.86 ,20090101
29877,Knee arthroscopy/surgery,82,,,$87.86 ,20090101
29877,Knee arthroscopy/surgery,AS,,,$87.86 ,20090101
29877,Knee arthroscopy/surgery,,,,$439.31 ,20090101
29877,Knee arthroscopy/surgery,,,Y,$616.30 ,20081209
29879,Knee arthroscopy/surgery,80,,,$94.09 ,20090101
29879,Knee arthroscopy/surgery,81,,,$94.09 ,20090101
29879,Knee arthroscopy/surgery,82,,,$94.09 ,20090101
29879,Knee arthroscopy/surgery,AS,,,$94.09 ,20090101
29879,Knee arthroscopy/surgery,,,,$470.46 ,20090101
29879,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29880,Knee arthroscopy/surgery,80,,,$98.31 ,20090101
29880,Knee arthroscopy/surgery,81,,,$98.31 ,20090101
29880,Knee arthroscopy/surgery,82,,,$98.31 ,20090101
29880,Knee arthroscopy/surgery,AS,,,$98.31 ,20090101
29880,Knee arthroscopy/surgery,,,,$491.57 ,20090101
29880,Knee arthroscopy/surgery,,,Y,$616.30 ,20081209
29881,Knee arthroscopy/surgery,80,,,$91.54 ,20090101
29881,Knee arthroscopy/surgery,81,,,$91.54 ,20090101
29881,Knee arthroscopy/surgery,82,,,$91.54 ,20090101
29881,Knee arthroscopy/surgery,AS,,,$91.54 ,20090101
29881,Knee arthroscopy/surgery,,,,$457.68 ,20090101
29881,Knee arthroscopy/surgery,,,Y,$616.30 ,20081209
29882,Knee arthroscopy/surgery,80,,,$99.04 ,20090101
29882,Knee arthroscopy/surgery,81,,,$99.04 ,20090101
29882,Knee arthroscopy/surgery,82,,,$99.04 ,20090101
29882,Knee arthroscopy/surgery,AS,,,$99.04 ,20090101
29882,Knee arthroscopy/surgery,,,,$495.20 ,20090101
29882,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29883,Knee arthroscopy/surgery,80,,,$121.68 ,20090101
29883,Knee arthroscopy/surgery,81,,,$121.68 ,20090101
29883,Knee arthroscopy/surgery,82,,,$121.68 ,20090101
29883,Knee arthroscopy/surgery,AS,,,$121.68 ,20090101
29883,Knee arthroscopy/surgery,,,,$608.42 ,20090101
29883,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29884,Knee arthroscopy/surgery,80,,,$87.52 ,20090101
29884,Knee arthroscopy/surgery,81,,,$87.52 ,20090101
29884,Knee arthroscopy/surgery,82,,,$87.52 ,20090101
29884,Knee arthroscopy/surgery,AS,,,$87.52 ,20090101
29884,Knee arthroscopy/surgery,,,,$437.60 ,20090101
29884,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29885,Knee arthroscopy/surgery,80,,,$106.34 ,20090101
29885,Knee arthroscopy/surgery,81,,,$106.34 ,20090101
29885,Knee arthroscopy/surgery,82,,,$106.34 ,20090101
29885,Knee arthroscopy/surgery,AS,,,$106.34 ,20090101
29885,Knee arthroscopy/surgery,,,,$531.68 ,20090101
29885,Knee arthroscopy/surgery,,,Y,$684.46 ,20081209
29886,Knee arthroscopy/surgery,80,,,$89.53 ,20090101
29886,Knee arthroscopy/surgery,81,,,$89.53 ,20090101
29886,Knee arthroscopy/surgery,82,,,$89.53 ,20090101
29886,Knee arthroscopy/surgery,AS,,,$89.53 ,20090101
29886,Knee arthroscopy/surgery,,,,$447.64 ,20090101
29886,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29887,Knee arthroscopy/surgery,80,,,$105.71 ,20090101
29887,Knee arthroscopy/surgery,81,,,$105.71 ,20090101
29887,Knee arthroscopy/surgery,82,,,$105.71 ,20090101
29887,Knee arthroscopy/surgery,AS,,,$105.71 ,20090101
29887,Knee arthroscopy/surgery,,,,$528.57 ,20090101
29887,Knee arthroscopy/surgery,,,Y,$544.30 ,20081209
29888,Knee arthroscopy/surgery,80,,,$143.55 ,20090101
29888,Knee arthroscopy/surgery,81,,,$143.55 ,20090101
29888,Knee arthroscopy/surgery,82,,,$143.55 ,20090101
29888,Knee arthroscopy/surgery,AS,,,$143.55 ,20090101
29888,Knee arthroscopy/surgery,,,,$717.77 ,20090101
29888,Knee arthroscopy/surgery,,,Y,$684.46 ,20081209
29889,Knee arthroscopy/surgery,80,,,$175.10 ,20090101
29889,Knee arthroscopy/surgery,81,,,$175.10 ,20090101
29889,Knee arthroscopy/surgery,82,,,$175.10 ,20090101
29889,Knee arthroscopy/surgery,AS,,,$175.10 ,20090101
29889,Knee arthroscopy/surgery,,,,$875.51 ,20090101
29889,Knee arthroscopy/surgery,,,Y,$684.46 ,20081209
29891,Ankle arthroscopy/surgery,80,,,$99.83 ,20090101
29891,Ankle arthroscopy/surgery,81,,,$99.83 ,20090101
29891,Ankle arthroscopy/surgery,82,,,$99.83 ,20090101
29891,Ankle arthroscopy/surgery,AS,,,$99.83 ,20090101
29891,Ankle arthroscopy/surgery,,,,$499.13 ,20090101
29891,Ankle arthroscopy/surgery,,,Y,$684.46 ,20081209
29892,Ankle arthroscopy/surgery,80,,,$103.21 ,20090101
29892,Ankle arthroscopy/surgery,81,,,$103.21 ,20090101
29892,Ankle arthroscopy/surgery,82,,,$103.21 ,20090101
29892,Ankle arthroscopy/surgery,AS,,,$103.21 ,20090101
29892,Ankle arthroscopy/surgery,,,,$516.05 ,20090101
29892,Ankle arthroscopy/surgery,,,Y,$684.46 ,20081209
29893,"Scope, plantar fasciotomy",80,,,$79.41 ,20090101
29893,"Scope, plantar fasciotomy",81,,,$79.41 ,20090101
29893,"Scope, plantar fasciotomy",82,,,$79.41 ,20090101
29893,"Scope, plantar fasciotomy",AS,,,$79.41 ,20090101
29893,"Scope, plantar fasciotomy",,,,$397.03 ,20090101
29893,"Scope, plantar fasciotomy",,,Y,$925.80 ,20081209
29894,Ankle arthroscopy/surgery,80,,,$75.17 ,20090101
29894,Ankle arthroscopy/surgery,81,,,$75.17 ,20090101
29894,Ankle arthroscopy/surgery,82,,,$75.17 ,20090101
29894,Ankle arthroscopy/surgery,AS,,,$75.17 ,20090101
29894,Ankle arthroscopy/surgery,,,,$375.86 ,20090101
29894,Ankle arthroscopy/surgery,,,Y,$544.30 ,20081209
29895,Ankle arthroscopy/surgery,80,,,$73.16 ,20090101
29895,Ankle arthroscopy/surgery,81,,,$73.16 ,20090101
29895,Ankle arthroscopy/surgery,82,,,$73.16 ,20090101
29895,Ankle arthroscopy/surgery,AS,,,$73.16 ,20090101
29895,Ankle arthroscopy/surgery,,,,$365.82 ,20090101
29895,Ankle arthroscopy/surgery,,,Y,$544.30 ,20081209
29897,Ankle arthroscopy/surgery,80,,,$76.51 ,20090101
29897,Ankle arthroscopy/surgery,81,,,$76.51 ,20090101
29897,Ankle arthroscopy/surgery,82,,,$76.51 ,20090101
29897,Ankle arthroscopy/surgery,AS,,,$76.51 ,20090101
29897,Ankle arthroscopy/surgery,,,,$382.54 ,20090101
29897,Ankle arthroscopy/surgery,,,Y,$544.30 ,20081209
29898,Ankle arthroscopy/surgery,80,,,$85.57 ,20090101
29898,Ankle arthroscopy/surgery,81,,,$85.57 ,20090101
29898,Ankle arthroscopy/surgery,82,,,$85.57 ,20090101
29898,Ankle arthroscopy/surgery,AS,,,$85.57 ,20090101
29898,Ankle arthroscopy/surgery,,,,$427.87 ,20090101
29898,Ankle arthroscopy/surgery,,,Y,$544.30 ,20081209
29899,Ankle arthroscopy/surgery,80,,,$153.01 ,20090101
29899,Ankle arthroscopy/surgery,81,,,$153.01 ,20090101
29899,Ankle arthroscopy/surgery,82,,,$153.01 ,20090101
29899,Ankle arthroscopy/surgery,AS,,,$153.01 ,20090101
29899,Ankle arthroscopy/surgery,,,,$765.07 ,20090101
29899,Ankle arthroscopy/surgery,,,Y,$684.46 ,20081209
29900,"Mcp joint arthroscopy, dx",,,,$332.46 ,20090101
29900,"Mcp joint arthroscopy, dx",,,Y,$544.30 ,20081209
29901,"Mcp joint arthroscopy, surg",,,,$366.96 ,20090101
29901,"Mcp joint arthroscopy, surg",,,Y,$544.30 ,20081209
29902,"Mcp joint arthroscopy, surg",,,,$383.09 ,20090101
29902,"Mcp joint arthroscopy, surg",,,Y,$544.30 ,20081209
29904,Subtalar arthro w/fb rmvl,,,,$87.02 ,20090101
29904,Subtalar arthro w/fb rmvl,,,Y,$87.02 ,20090101
29905,Subtalar arthro w/exc,,,,$468.49 ,20090101
29905,Subtalar arthro w/exc,,,Y,$953.22 ,20081209
29906,Subtalar arthro w/deb,,,,$98.71 ,20090101
29906,Subtalar arthro w/deb,,,Y,$98.71 ,20090101
29907,Subtalar arthro w/fusion,,,,$121.13 ,20090101
29907,Subtalar arthro w/fusion,,,Y,$121.13 ,20090101
30000,Drainage of nose lesion,,,,$156.08 ,20090101
30020,Drainage of nose lesion,,,,$147.18 ,20090101
30100,Intranasal biopsy,,,,$91.54 ,20090101
30110,Removal of nose polyp(s),,,,$149.12 ,20090101
30115,Removal of nose polyp(s),,,,$296.85 ,20090101
30115,Removal of nose polyp(s),,,Y,$402.81 ,20081209
30117,Removal of intranasal lesion,,,,$531.94 ,20090101
30117,Removal of intranasal lesion,,,Y,$441.21 ,20081209
30118,Removal of intranasal lesion,80,,,$108.33 ,20090101
30118,Removal of intranasal lesion,81,,,$108.33 ,20090101
30118,Removal of intranasal lesion,82,,,$108.33 ,20090101
30118,Removal of intranasal lesion,AS,,,$108.33 ,20090101
30118,Removal of intranasal lesion,,,,$541.67 ,20090101
30118,Removal of intranasal lesion,,,Y,$504.53 ,20081209
30124,Removal of nose lesion,,,,$195.86 ,20090101
30124,Removal of nose lesion,,,Y,$246.66 ,20081209
30125,Removal of nose lesion,80,,,$87.42 ,20090101
30125,Removal of nose lesion,81,,,$87.42 ,20090101
30125,Removal of nose lesion,82,,,$87.42 ,20090101
30125,Removal of nose lesion,AS,,,$87.42 ,20090101
30125,Removal of nose lesion,,,,$437.08 ,20090101
30125,Removal of nose lesion,,,Y,$597.79 ,20081209
30130,Excise inferior turbinate,,,,$259.85 ,20090101
30130,Excise inferior turbinate,,,Y,$441.21 ,20081209
30140,Resect inferior turbinate,,,,$291.56 ,20090101
30140,Resect inferior turbinate,,,Y,$466.13 ,20081209
30150,Partial removal of nose,,,,$567.54 ,20090101
30150,Partial removal of nose,,,Y,$636.19 ,20081209
30160,Removal of nose,80,,,$113.01 ,20090101
30160,Removal of nose,81,,,$113.01 ,20090101
30160,Removal of nose,82,,,$113.01 ,20090101
30160,Removal of nose,AS,,,$113.01 ,20090101
30160,Removal of nose,,,,$565.06 ,20090101
30160,Removal of nose,,,Y,$708.19 ,20081209
30200,Injection treatment of nose,,,,$74.00 ,20090101
30210,Nasal sinus therapy,,,,$97.37 ,20090101
30220,Insert nasal septal button,,,,$186.67 ,20090101
30300,Remove nasal foreign body,,,,$155.80 ,20090101
30310,Remove nasal foreign body,,,,$143.28 ,20090101
30310,Remove nasal foreign body,,,Y,$335.01 ,20081209
30320,Remove nasal foreign body,,,,$324.11 ,20090101
30320,Remove nasal foreign body,,,Y,$402.81 ,20081209
30400,Reconstruction of nose,,,,$732.52 ,20090101
30400,Reconstruction of nose,,,Y,$708.19 ,20081209
30410,Reconstruction of nose,80,,,$178.05 ,20090101
30410,Reconstruction of nose,81,,,$178.05 ,20090101
30410,Reconstruction of nose,82,,,$178.05 ,20090101
30410,Reconstruction of nose,AS,,,$178.05 ,20090101
30410,Reconstruction of nose,,,,$890.26 ,20090101
30410,Reconstruction of nose,,,Y,$760.39 ,20081209
30420,Reconstruction of nose,,,,$972.61 ,20090101
30420,Reconstruction of nose,,,Y,$760.39 ,20081209
30430,Revision of nose,80,,,$130.04 ,20090101
30430,Revision of nose,81,,,$130.04 ,20090101
30430,Revision of nose,82,,,$130.04 ,20090101
30430,Revision of nose,AS,,,$130.04 ,20090101
30430,Revision of nose,,,,$650.19 ,20090101
30430,Revision of nose,,,Y,$504.53 ,20081209
30435,Revision of nose,80,,,$172.88 ,20090101
30435,Revision of nose,81,,,$172.88 ,20090101
30435,Revision of nose,82,,,$172.88 ,20090101
30435,Revision of nose,AS,,,$172.88 ,20090101
30435,Revision of nose,,,,$864.38 ,20090101
30435,Revision of nose,,,Y,$760.39 ,20081209
30450,Revision of nose,80,,,$226.74 ,20090101
30450,Revision of nose,81,,,$226.74 ,20090101
30450,Revision of nose,82,,,$226.74 ,20090101
30450,Revision of nose,AS,,,$226.74 ,20090101
30450,Revision of nose,,,,"$1,133.69 ",20090101
30450,Revision of nose,,,Y,$927.19 ,20081209
30460,Revision of nose,80,,,$111.23 ,20090101
30460,Revision of nose,81,,,$111.23 ,20090101
30460,Revision of nose,82,,,$111.23 ,20090101
30460,Revision of nose,AS,,,$111.23 ,20090101
30460,Revision of nose,,,,$556.16 ,20090101
30460,Revision of nose,,,Y,$927.19 ,20081209
30462,Revision of nose,80,,,$223.24 ,20090101
30462,Revision of nose,81,,,$223.24 ,20090101
30462,Revision of nose,82,,,$223.24 ,20090101
30462,Revision of nose,AS,,,$223.24 ,20090101
30462,Revision of nose,,,,"$1,116.20 ",20090101
30462,Revision of nose,,,Y,"$1,133.59 ",20081209
30465,Repair nasal stenosis,80,,,$137.93 ,20090101
30465,Repair nasal stenosis,81,,,$137.93 ,20090101
30465,Repair nasal stenosis,82,,,$137.93 ,20090101
30465,Repair nasal stenosis,AS,,,$137.93 ,20090101
30465,Repair nasal stenosis,,,,$689.67 ,20090101
30465,Repair nasal stenosis,,,Y,"$1,133.59 ",20081209
30520,Repair of nasal septum,,,,$408.13 ,20090101
30520,Repair of nasal septum,,,Y,$576.53 ,20081209
30540,Repair nasal defect,80,,,$96.81 ,20090101
30540,Repair nasal defect,81,,,$96.81 ,20090101
30540,Repair nasal defect,82,,,$96.81 ,20090101
30540,Repair nasal defect,AS,,,$96.81 ,20090101
30540,Repair nasal defect,,,,$484.07 ,20090101
30540,Repair nasal defect,,,Y,$760.39 ,20081209
30545,Repair nasal defect,80,,,$137.49 ,20090101
30545,Repair nasal defect,81,,,$137.49 ,20090101
30545,Repair nasal defect,82,,,$137.49 ,20090101
30545,Repair nasal defect,AS,,,$137.49 ,20090101
30545,Repair nasal defect,,,,$687.45 ,20090101
30545,Repair nasal defect,,,Y,$760.39 ,20081209
30560,Release of nasal adhesions,,,,$178.33 ,20090101
30560,Release of nasal adhesions,,,Y,$111.14 ,20081209
30580,Repair upper jaw fistula,,,,$434.29 ,20090101
30580,Repair upper jaw fistula,,,Y,$708.19 ,20081209
30600,Repair mouth/nose fistula,,,,$399.79 ,20090101
30600,Repair mouth/nose fistula,,,Y,$708.19 ,20081209
30620,Intranasal reconstruction,,,,$427.61 ,20090101
30620,Intranasal reconstruction,,,Y,$927.19 ,20081209
30630,Repair nasal septum defect,,,,$434.83 ,20090101
30630,Repair nasal septum defect,,,Y,$795.53 ,20081209
30801,"Ablate inf turbinate, superf",,,,$150.79 ,20090101
30801,"Ablate inf turbinate, superf",,,Y,$261.46 ,20081209
30802,"Cauterization, inner nose",,,,$194.75 ,20090101
30802,"Cauterization, inner nose",,,Y,$261.46 ,20081209
30901,Control of nosebleed,,,,$73.44 ,20090101
30903,Control of nosebleed,,,,$129.92 ,20090101
30903,Control of nosebleed,,,Y,$52.81 ,20081209
30905,Control of nosebleed,,,,$163.31 ,20090101
30905,Control of nosebleed,,,Y,$52.81 ,20081209
30906,Repeat control of nosebleed,,,,$187.51 ,20090101
30906,Repeat control of nosebleed,,,Y,$52.81 ,20081209
30915,"Ligation, nasal sinus artery",,,,$403.96 ,20090101
30915,"Ligation, nasal sinus artery",,,Y,$481.57 ,20081209
30920,"Ligation, upper jaw artery",,,,$578.67 ,20090101
30920,"Ligation, upper jaw artery",,,Y,$519.97 ,20081209
30930,"Ther fx, nasal inf turbinate",,,,$84.30 ,20090101
30930,"Ther fx, nasal inf turbinate",,,Y,$513.21 ,20081209
31000,"Irrigation, maxillary sinus",,,,$119.36 ,20090101
31002,"Irrigation, sphenoid sinus",,,,$140.49 ,20090101
31020,"Exploration, maxillary sinus",,,,$329.68 ,20090101
31020,"Exploration, maxillary sinus",,,Y,$466.13 ,20081209
31030,"Exploration, maxillary sinus",,,,$487.14 ,20090101
31030,"Exploration, maxillary sinus",,,Y,$636.19 ,20081209
31032,"Explore sinus, remove polyps",,,,$398.39 ,20090101
31032,"Explore sinus, remove polyps",,,Y,$708.19 ,20081209
31040,Exploration behind upper jaw,,,,$532.21 ,20090101
31050,"Exploration, sphenoid sinus",,,,$340.25 ,20090101
31050,"Exploration, sphenoid sinus",,,Y,$597.79 ,20081209
31051,Sphenoid sinus surgery,,,,$447.64 ,20090101
31051,Sphenoid sinus surgery,,,Y,$708.19 ,20081209
31070,Exploration of frontal sinus,,,,$299.35 ,20090101
31070,Exploration of frontal sinus,,,Y,$466.13 ,20081209
31075,Exploration of frontal sinus,80,,,$109.50 ,20090101
31075,Exploration of frontal sinus,81,,,$109.50 ,20090101
31075,Exploration of frontal sinus,82,,,$109.50 ,20090101
31075,Exploration of frontal sinus,AS,,,$109.50 ,20090101
31075,Exploration of frontal sinus,,,,$547.52 ,20090101
31075,Exploration of frontal sinus,,,Y,$708.19 ,20081209
31080,Removal of frontal sinus,80,,,$143.83 ,20090101
31080,Removal of frontal sinus,81,,,$143.83 ,20090101
31080,Removal of frontal sinus,82,,,$143.83 ,20090101
31080,Removal of frontal sinus,AS,,,$143.83 ,20090101
31080,Removal of frontal sinus,,,,$719.17 ,20090101
31080,Removal of frontal sinus,,,Y,$708.19 ,20081209
31081,Removal of frontal sinus,80,,,$173.32 ,20090101
31081,Removal of frontal sinus,81,,,$173.32 ,20090101
31081,Removal of frontal sinus,82,,,$173.32 ,20090101
31081,Removal of frontal sinus,AS,,,$173.32 ,20090101
31081,Removal of frontal sinus,,,,$866.61 ,20090101
31081,Removal of frontal sinus,,,Y,$708.19 ,20081209
31084,Removal of frontal sinus,80,,,$162.14 ,20090101
31084,Removal of frontal sinus,81,,,$162.14 ,20090101
31084,Removal of frontal sinus,82,,,$162.14 ,20090101
31084,Removal of frontal sinus,AS,,,$162.14 ,20090101
31084,Removal of frontal sinus,,,,$810.72 ,20090101
31084,Removal of frontal sinus,,,Y,$708.19 ,20081209
31085,Removal of frontal sinus,80,,,$174.55 ,20090101
31085,Removal of frontal sinus,81,,,$174.55 ,20090101
31085,Removal of frontal sinus,82,,,$174.55 ,20090101
31085,Removal of frontal sinus,AS,,,$174.55 ,20090101
31085,Removal of frontal sinus,,,,$872.76 ,20090101
31085,Removal of frontal sinus,,,Y,$708.19 ,20081209
31086,Removal of frontal sinus,80,,,$157.30 ,20090101
31086,Removal of frontal sinus,81,,,$157.30 ,20090101
31086,Removal of frontal sinus,82,,,$157.30 ,20090101
31086,Removal of frontal sinus,AS,,,$157.30 ,20090101
31086,Removal of frontal sinus,,,,$786.50 ,20090101
31086,Removal of frontal sinus,,,Y,$708.19 ,20081209
31087,Removal of frontal sinus,80,,,$155.41 ,20090101
31087,Removal of frontal sinus,81,,,$155.41 ,20090101
31087,Removal of frontal sinus,82,,,$155.41 ,20090101
31087,Removal of frontal sinus,AS,,,$155.41 ,20090101
31087,Removal of frontal sinus,,,,$777.03 ,20090101
31087,Removal of frontal sinus,,,Y,$708.19 ,20081209
31090,Exploration of sinuses,,,,$690.23 ,20090101
31090,Exploration of sinuses,,,Y,$760.39 ,20081209
31200,Removal of ethmoid sinus,,,,$379.75 ,20090101
31200,Removal of ethmoid sinus,,,Y,$597.79 ,20081209
31201,Removal of ethmoid sinus,,,,$511.90 ,20090101
31201,Removal of ethmoid sinus,,,Y,$760.39 ,20081209
31205,Removal of ethmoid sinus,80,,,$121.52 ,20090101
31205,Removal of ethmoid sinus,81,,,$121.52 ,20090101
31205,Removal of ethmoid sinus,82,,,$121.52 ,20090101
31205,Removal of ethmoid sinus,AS,,,$121.52 ,20090101
31205,Removal of ethmoid sinus,,,,$607.60 ,20090101
31205,Removal of ethmoid sinus,,,Y,$636.19 ,20081209
31225,Removal of upper jaw,80,,,$255.40 ,20090101
31225,Removal of upper jaw,81,,,$255.40 ,20090101
31225,Removal of upper jaw,82,,,$255.40 ,20090101
31225,Removal of upper jaw,AS,,,$255.40 ,20090101
31225,Removal of upper jaw,,,,"$1,276.98 ",20090101
31230,Removal of upper jaw,80,,,$288.11 ,20090101
31230,Removal of upper jaw,81,,,$288.11 ,20090101
31230,Removal of upper jaw,82,,,$288.11 ,20090101
31230,Removal of upper jaw,AS,,,$288.11 ,20090101
31230,Removal of upper jaw,,,,"$1,440.56 ",20090101
31231,"Nasal endoscopy, dx",,,,$130.20 ,20090101
31233,"Nasal/sinus endoscopy, dx",,,,$185.29 ,20090101
31233,"Nasal/sinus endoscopy, dx",,,Y,$65.18 ,20081209
31235,"Nasal/sinus endoscopy, dx",,,,$213.67 ,20090101
31235,"Nasal/sinus endoscopy, dx",,,Y,$340.70 ,20081209
31237,"Nasal/sinus endoscopy, surg",,,,$231.19 ,20090101
31237,"Nasal/sinus endoscopy, surg",,,Y,$408.50 ,20081209
31238,"Nasal/sinus endoscopy, surg",,,,$238.14 ,20090101
31238,"Nasal/sinus endoscopy, surg",,,Y,$340.70 ,20081209
31239,"Nasal/sinus endoscopy, surg",,,,$474.62 ,20090101
31239,"Nasal/sinus endoscopy, surg",,,Y,$566.12 ,20081209
31240,"Nasal/sinus endoscopy, surg",,,,$121.02 ,20090101
31240,"Nasal/sinus endoscopy, surg",,,Y,$408.50 ,20081209
31254,Revision of ethmoid sinus,,,,$208.10 ,20090101
31254,Revision of ethmoid sinus,,,Y,$494.12 ,20081209
31255,Removal of ethmoid sinus,,,,$308.25 ,20090101
31255,Removal of ethmoid sinus,,,Y,$618.32 ,20081209
31256,Exploration maxillary sinus,,,,$150.79 ,20090101
31256,Exploration maxillary sinus,,,Y,$494.12 ,20081209
31267,"Endoscopy, maxillary sinus",,,,$243.43 ,20090101
31267,"Endoscopy, maxillary sinus",,,Y,$494.12 ,20081209
31276,"Sinus endoscopy, surgical",,,,$388.65 ,20090101
31276,"Sinus endoscopy, surgical",,,Y,$494.12 ,20081209
31287,"Nasal/sinus endoscopy, surg",,,,$177.22 ,20090101
31287,"Nasal/sinus endoscopy, surg",,,Y,$494.12 ,20081209
31288,"Nasal/sinus endoscopy, surg",,,,$205.59 ,20090101
31288,"Nasal/sinus endoscopy, surg",,,Y,$494.12 ,20081209
31290,"Nasal/sinus endoscopy, surg",,,,$847.15 ,20090101
31291,"Nasal/sinus endoscopy, surg",,,,$894.44 ,20090101
31292,"Nasal/sinus endoscopy, surg",,,,$732.80 ,20090101
31293,"Nasal/sinus endoscopy, surg",,,,$797.90 ,20090101
31294,"Nasal/sinus endoscopy, surg",,,,$918.37 ,20090101
31300,Removal of larynx lesion,80,,,$176.22 ,20090101
31300,Removal of larynx lesion,81,,,$176.22 ,20090101
31300,Removal of larynx lesion,82,,,$176.22 ,20090101
31300,Removal of larynx lesion,AS,,,$176.22 ,20090101
31300,Removal of larynx lesion,,,,$881.10 ,20090101
31300,Removal of larynx lesion,,,Y,$628.73 ,20081209
31320,"Diagnostic incision, larynx",,,,$453.75 ,20090101
31320,"Diagnostic incision, larynx",,,Y,$597.79 ,20081209
31360,Removal of larynx,80,,,$274.65 ,20090101
31360,Removal of larynx,81,,,$274.65 ,20090101
31360,Removal of larynx,82,,,$274.65 ,20090101
31360,Removal of larynx,AS,,,$274.65 ,20090101
31360,Removal of larynx,,,,"$1,373.24 ",20090101
31365,Removal of larynx,80,,,$345.75 ,20090101
31365,Removal of larynx,81,,,$345.75 ,20090101
31365,Removal of larynx,82,,,$345.75 ,20090101
31365,Removal of larynx,AS,,,$345.75 ,20090101
31365,Removal of larynx,,,,"$1,728.76 ",20090101
31367,Partial removal of larynx,80,,,$301.74 ,20090101
31367,Partial removal of larynx,81,,,$301.74 ,20090101
31367,Partial removal of larynx,82,,,$301.74 ,20090101
31367,Partial removal of larynx,AS,,,$301.74 ,20090101
31367,Partial removal of larynx,,,,"$1,508.72 ",20090101
31368,Partial removal of larynx,80,,,$340.08 ,20090101
31368,Partial removal of larynx,81,,,$340.08 ,20090101
31368,Partial removal of larynx,82,,,$340.08 ,20090101
31368,Partial removal of larynx,AS,,,$340.08 ,20090101
31368,Partial removal of larynx,,,,"$1,700.40 ",20090101
31370,Partial removal of larynx,80,,,$284.88 ,20090101
31370,Partial removal of larynx,81,,,$284.88 ,20090101
31370,Partial removal of larynx,82,,,$284.88 ,20090101
31370,Partial removal of larynx,AS,,,$284.88 ,20090101
31370,Partial removal of larynx,,,,"$1,424.42 ",20090101
31375,Partial removal of larynx,80,,,$267.86 ,20090101
31375,Partial removal of larynx,81,,,$267.86 ,20090101
31375,Partial removal of larynx,82,,,$267.86 ,20090101
31375,Partial removal of larynx,AS,,,$267.86 ,20090101
31375,Partial removal of larynx,,,,"$1,339.29 ",20090101
31380,Partial removal of larynx,80,,,$265.14 ,20090101
31380,Partial removal of larynx,81,,,$265.14 ,20090101
31380,Partial removal of larynx,82,,,$265.14 ,20090101
31380,Partial removal of larynx,AS,,,$265.14 ,20090101
31380,Partial removal of larynx,,,,"$1,325.68 ",20090101
31382,Partial removal of larynx,80,,,$289.78 ,20090101
31382,Partial removal of larynx,81,,,$289.78 ,20090101
31382,Partial removal of larynx,82,,,$289.78 ,20090101
31382,Partial removal of larynx,AS,,,$289.78 ,20090101
31382,Partial removal of larynx,,,,"$1,448.90 ",20090101
31390,Removal of larynx & pharynx,80,,,$387.27 ,20090101
31390,Removal of larynx & pharynx,81,,,$387.27 ,20090101
31390,Removal of larynx & pharynx,82,,,$387.27 ,20090101
31390,Removal of larynx & pharynx,AS,,,$387.27 ,20090101
31390,Removal of larynx & pharynx,,,,"$1,936.33 ",20090101
31395,Reconstruct larynx & pharynx,80,,,$413.80 ,20090101
31395,Reconstruct larynx & pharynx,81,,,$413.80 ,20090101
31395,Reconstruct larynx & pharynx,82,,,$413.80 ,20090101
31395,Reconstruct larynx & pharynx,AS,,,$413.80 ,20090101
31395,Reconstruct larynx & pharynx,,,,"$2,069.02 ",20090101
31400,Revision of larynx,80,,,$141.61 ,20090101
31400,Revision of larynx,81,,,$141.61 ,20090101
31400,Revision of larynx,82,,,$141.61 ,20090101
31400,Revision of larynx,AS,,,$141.61 ,20090101
31400,Revision of larynx,,,,$708.04 ,20090101
31400,Revision of larynx,,,Y,$597.79 ,20081209
31420,Removal of epiglottis,80,,,$118.07 ,20090101
31420,Removal of epiglottis,81,,,$118.07 ,20090101
31420,Removal of epiglottis,82,,,$118.07 ,20090101
31420,Removal of epiglottis,AS,,,$118.07 ,20090101
31420,Removal of epiglottis,,,,$590.36 ,20090101
31420,Removal of epiglottis,,,Y,$597.79 ,20081209
31500,Insert emergency airway,,,,$82.90 ,20090101
31502,Change of windpipe airway,,,,$26.43 ,20090101
31505,Diagnostic laryngoscopy,,,,$58.43 ,20090101
31510,Laryngoscopy with biopsy,,,,$148.56 ,20090101
31510,Laryngoscopy with biopsy,,,Y,$408.50 ,20081209
31511,"Remove foreign body, larynx",,,,$149.67 ,20090101
31511,"Remove foreign body, larynx",,,Y,$65.18 ,20081209
31512,Removal of larynx lesion,,,,$148.56 ,20090101
31512,Removal of larynx lesion,,,Y,$408.50 ,20081209
31513,Injection into vocal cord,,,,$98.49 ,20090101
31513,Injection into vocal cord,,,Y,$65.18 ,20081209
31515,Laryngoscopy for aspiration,,,,$147.73 ,20090101
31515,Laryngoscopy for aspiration,,,Y,$340.70 ,20081209
31520,"Dx laryngoscopy, newborn",,,,$115.17 ,20090101
31525,Dx laryngoscopy excl nb,,,,$177.77 ,20090101
31525,Dx laryngoscopy excl nb,,,Y,$340.70 ,20081209
31526,Dx laryngoscopy w/oper scope,,,,$118.52 ,20090101
31526,Dx laryngoscopy w/oper scope,,,Y,$455.72 ,20081209
31527,Laryngoscopy for treatment,,,,$143.83 ,20090101
31527,Laryngoscopy for treatment,,,Y,$387.92 ,20081209
31528,Laryngoscopy and dilation,,,,$106.55 ,20090101
31528,Laryngoscopy and dilation,,,Y,$408.50 ,20081209
31529,Laryngoscopy and dilation,,,,$121.85 ,20090101
31529,Laryngoscopy and dilation,,,Y,$408.50 ,20081209
31530,Laryngoscopy w/fb removal,,,,$149.40 ,20090101
31530,Laryngoscopy w/fb removal,,,Y,$455.72 ,20081209
31531,Laryngoscopy w/fb & op scope,,,,$161.36 ,20090101
31531,Laryngoscopy w/fb & op scope,,,Y,$494.12 ,20081209
31535,Laryngoscopy w/biopsy,,,,$143.00 ,20090101
31535,Laryngoscopy w/biopsy,,,Y,$455.72 ,20081209
31536,Laryngoscopy w/bx & op scope,,,,$159.97 ,20090101
31536,Laryngoscopy w/bx & op scope,,,Y,$494.12 ,20081209
31540,Laryngoscopy w/exc of tumor,,,,$183.62 ,20090101
31540,Laryngoscopy w/exc of tumor,,,Y,$494.12 ,20081209
31541,Larynscop w/tumr exc + scope,,,,$201.14 ,20090101
31541,Larynscop w/tumr exc + scope,,,Y,$566.12 ,20081209
31545,Remove vc lesion w/scope,,,,$268.75 ,20090101
31546,Remove vc lesion scope/graft,,,,$409.24 ,20090101
31560,Laryngoscop w/arytenoidectom,,,,$237.32 ,20090101
31560,Laryngoscop w/arytenoidectom,,,Y,$618.32 ,20081209
31561,"Larynscop, remve cart + scop",,,,$259.57 ,20090101
31561,"Larynscop, remve cart + scop",,,Y,$618.32 ,20081209
31570,Laryngoscope w/vc inj,,,,$254.28 ,20090101
31570,Laryngoscope w/vc inj,,,Y,$408.50 ,20081209
31571,Laryngoscop w/vc inj + scope,,,,$189.74 ,20090101
31571,Laryngoscop w/vc inj + scope,,,Y,$455.72 ,20081209
31575,Diagnostic laryngoscopy,,,,$83.18 ,20090101
31576,Laryngoscopy with biopsy,,,,$158.58 ,20090101
31576,Laryngoscopy with biopsy,,,Y,$455.72 ,20081209
31577,"Remove foreign body, larynx",,,,$173.88 ,20090101
31577,"Remove foreign body, larynx",,,Y,$174.93 ,20081209
31578,Removal of larynx lesion,,,,$200.58 ,20090101
31578,Removal of larynx lesion,,,Y,$455.72 ,20081209
31579,Diagnostic laryngoscopy,,,,$160.25 ,20090101
31580,Revision of larynx,80,,,$168.82 ,20090101
31580,Revision of larynx,81,,,$168.82 ,20090101
31580,Revision of larynx,82,,,$168.82 ,20090101
31580,Revision of larynx,AS,,,$168.82 ,20090101
31580,Revision of larynx,,,,$844.09 ,20090101
31580,Revision of larynx,,,Y,$760.39 ,20081209
31582,Revision of larynx,,,,"$1,358.21 ",20090101
31582,Revision of larynx,,,Y,$760.39 ,20081209
31584,Treat larynx fracture,80,,,$215.84 ,20090101
31584,Treat larynx fracture,81,,,$215.84 ,20090101
31584,Treat larynx fracture,82,,,$215.84 ,20090101
31584,Treat larynx fracture,AS,,,$215.84 ,20090101
31584,Treat larynx fracture,,,,"$1,079.19 ",20090101
31587,Revision of larynx,80,,,$139.38 ,20090101
31587,Revision of larynx,81,,,$139.38 ,20090101
31587,Revision of larynx,82,,,$139.38 ,20090101
31587,Revision of larynx,AS,,,$139.38 ,20090101
31587,Revision of larynx,,,,$696.92 ,20090101
31588,Revision of larynx,80,,,$159.97 ,20090101
31588,Revision of larynx,81,,,$159.97 ,20090101
31588,Revision of larynx,82,,,$159.97 ,20090101
31588,Revision of larynx,AS,,,$159.97 ,20090101
31588,Revision of larynx,,,,$799.85 ,20090101
31588,Revision of larynx,,,Y,$760.39 ,20081209
31590,Reinnervate larynx,80,,,$125.97 ,20090101
31590,Reinnervate larynx,81,,,$125.97 ,20090101
31590,Reinnervate larynx,82,,,$125.97 ,20090101
31590,Reinnervate larynx,AS,,,$125.97 ,20090101
31590,Reinnervate larynx,,,,$629.85 ,20090101
31590,Reinnervate larynx,,,Y,$760.39 ,20081209
31595,Larynx nerve surgery,80,,,$108.66 ,20090101
31595,Larynx nerve surgery,81,,,$108.66 ,20090101
31595,Larynx nerve surgery,82,,,$108.66 ,20090101
31595,Larynx nerve surgery,AS,,,$108.66 ,20090101
31595,Larynx nerve surgery,,,,$543.32 ,20090101
31595,Larynx nerve surgery,,,Y,$597.79 ,20081209
31600,Incision of windpipe,,,,$297.96 ,20090101
31601,Incision of windpipe,80,,,$38.45 ,20090101
31601,Incision of windpipe,81,,,$38.45 ,20090101
31601,Incision of windpipe,82,,,$38.45 ,20090101
31601,Incision of windpipe,AS,,,$38.45 ,20090101
31601,Incision of windpipe,,,,$192.25 ,20090101
31603,Incision of windpipe,,,,$167.76 ,20090101
31605,Incision of windpipe,,,,$138.27 ,20090101
31610,Incision of windpipe,,,,$503.00 ,20090101
31611,Surgery/speech prosthesis,80,,,$74.84 ,20090101
31611,Surgery/speech prosthesis,81,,,$74.84 ,20090101
31611,Surgery/speech prosthesis,82,,,$74.84 ,20090101
31611,Surgery/speech prosthesis,AS,,,$74.84 ,20090101
31611,Surgery/speech prosthesis,,,,$374.20 ,20090101
31611,Surgery/speech prosthesis,,,Y,$504.53 ,20081209
31612,Puncture/clear windpipe,,,,$57.87 ,20090101
31612,Puncture/clear windpipe,,,Y,$398.33 ,20081209
31613,Repair windpipe opening,,,,$309.37 ,20090101
31613,Repair windpipe opening,,,Y,$466.13 ,20081209
31614,Repair windpipe opening,,,,$506.34 ,20090101
31614,Repair windpipe opening,,,Y,$597.79 ,20081209
31615,Visualization of windpipe,,,,$131.87 ,20090101
31615,Visualization of windpipe,,,Y,$282.25 ,20081209
31622,Dx bronchoscope/wash,,,,$233.97 ,20090101
31622,Dx bronchoscope/wash,,,Y,$282.25 ,20081209
31623,Dx bronchoscope/brush,,,,$256.22 ,20090101
31623,Dx bronchoscope/brush,,,Y,$350.05 ,20081209
31624,Dx bronchoscope/lavage,,,,$238.42 ,20090101
31624,Dx bronchoscope/lavage,,,Y,$350.05 ,20081209
31625,Bronchoscopy w/biopsy(s),,,,$255.68 ,20090101
31625,Bronchoscopy w/biopsy(s),,,Y,$350.05 ,20081209
31628,"Bronchoscopy/lung bx, each",,,,$305.19 ,20090101
31628,"Bronchoscopy/lung bx, each",,,Y,$350.05 ,20081209
31629,"Bronchoscopy/needle bx, each",,,,$483.80 ,20090101
31629,"Bronchoscopy/needle bx, each",,,Y,$350.05 ,20081209
31630,Bronchoscopy dilate/fx repr,,,,$156.36 ,20090101
31630,Bronchoscopy dilate/fx repr,,,Y,$466.86 ,20081209
31631,"Bronchoscopy, dilate w/stent",,,,$175.00 ,20090101
31631,"Bronchoscopy, dilate w/stent",,,Y,$466.86 ,20081209
31632,"Bronchoscopy/lung bx, add値",,,,$56.76 ,20090101
31633,Bronchoscopy/needle bx add値,,,,$67.61 ,20090101
31635,Bronchoscopy w/fb removal,,,,$266.24 ,20090101
31635,Bronchoscopy w/fb removal,,,Y,$350.05 ,20081209
31636,"Bronchoscopy, bronch stents",,,,$171.38 ,20090101
31637,"Bronchoscopy, stent add-on",,,,$60.93 ,20090101
31638,"Bronchoscopy, revise stent",,,,$190.85 ,20090101
31640,Bronchoscopy w/tumor excise,,,,$200.03 ,20090101
31640,Bronchoscopy w/tumor excise,,,Y,$466.86 ,20081209
31641,"Bronchoscopy, treat blockage",,,,$196.41 ,20090101
31641,"Bronchoscopy, treat blockage",,,Y,$466.86 ,20081209
31643,Diag bronchoscope/catheter,,,,$134.09 ,20090101
31643,Diag bronchoscope/catheter,,,Y,$350.05 ,20081209
31645,"Bronchoscopy, clear airways",,,,$229.52 ,20090101
31645,"Bronchoscopy, clear airways",,,Y,$282.25 ,20081209
31646,"Bronchoscopy, reclear airway",,,,$208.66 ,20090101
31646,"Bronchoscopy, reclear airway",,,Y,$282.25 ,20081209
31656,"Bronchoscopy, inj for x-ray",80,,,$17.14 ,20090101
31656,"Bronchoscopy, inj for x-ray",81,,,$17.14 ,20090101
31656,"Bronchoscopy, inj for x-ray",82,,,$17.14 ,20090101
31656,"Bronchoscopy, inj for x-ray",AS,,,$17.14 ,20090101
31656,"Bronchoscopy, inj for x-ray",,,,$85.70 ,20090101
31656,"Bronchoscopy, inj for x-ray",,,Y,$282.25 ,20081209
31715,Injection for bronchus x-ray,,,,$41.17 ,20090101
31717,Bronchial brush biopsy,,,,$259.01 ,20090101
31717,Bronchial brush biopsy,,,Y,$174.93 ,20081209
31720,Clearance of airways,,,,$39.79 ,20090101
31720,Clearance of airways,,,Y,$31.60 ,20081209
31725,Clearance of airways,,,,$72.06 ,20090101
31730,"Intro, windpipe wire/tube",,,,$473.79 ,20090101
31730,"Intro, windpipe wire/tube",,,Y,$174.93 ,20081209
31750,Repair of windpipe,80,,,$187.79 ,20090101
31750,Repair of windpipe,81,,,$187.79 ,20090101
31750,Repair of windpipe,82,,,$187.79 ,20090101
31750,Repair of windpipe,AS,,,$187.79 ,20090101
31750,Repair of windpipe,,,,$938.95 ,20090101
31750,Repair of windpipe,,,Y,$760.39 ,20081209
31755,Repair of windpipe,80,,,$237.86 ,20090101
31755,Repair of windpipe,81,,,$237.86 ,20090101
31755,Repair of windpipe,82,,,$237.86 ,20090101
31755,Repair of windpipe,AS,,,$237.86 ,20090101
31755,Repair of windpipe,,,,"$1,189.32 ",20090101
31755,Repair of windpipe,,,Y,$597.79 ,20081209
31760,Repair of windpipe,80,,,$203.43 ,20090101
31760,Repair of windpipe,81,,,$203.43 ,20090101
31760,Repair of windpipe,82,,,$203.43 ,20090101
31760,Repair of windpipe,AS,,,$203.43 ,20090101
31760,Repair of windpipe,,,,"$1,017.15 ",20090101
31766,Reconstruction of windpipe,80,,,$271.48 ,20090101
31766,Reconstruction of windpipe,81,,,$271.48 ,20090101
31766,Reconstruction of windpipe,82,,,$271.48 ,20090101
31766,Reconstruction of windpipe,AS,,,$271.48 ,20090101
31766,Reconstruction of windpipe,,,,"$1,357.40 ",20090101
31770,Repair/graft of bronchus,80,,,$198.70 ,20090101
31770,Repair/graft of bronchus,81,,,$198.70 ,20090101
31770,Repair/graft of bronchus,82,,,$198.70 ,20090101
31770,Repair/graft of bronchus,AS,,,$198.70 ,20090101
31770,Repair/graft of bronchus,,,,$993.50 ,20090101
31775,Reconstruct bronchus,80,,,$212.50 ,20090101
31775,Reconstruct bronchus,81,,,$212.50 ,20090101
31775,Reconstruct bronchus,82,,,$212.50 ,20090101
31775,Reconstruct bronchus,AS,,,$212.50 ,20090101
31775,Reconstruct bronchus,,,,"$1,062.48 ",20090101
31780,Reconstruct windpipe,80,,,$174.05 ,20090101
31780,Reconstruct windpipe,81,,,$174.05 ,20090101
31780,Reconstruct windpipe,82,,,$174.05 ,20090101
31780,Reconstruct windpipe,AS,,,$174.05 ,20090101
31780,Reconstruct windpipe,,,,$870.23 ,20090101
31781,Reconstruct windpipe,80,,,$211.00 ,20090101
31781,Reconstruct windpipe,81,,,$211.00 ,20090101
31781,Reconstruct windpipe,82,,,$211.00 ,20090101
31781,Reconstruct windpipe,AS,,,$211.00 ,20090101
31781,Reconstruct windpipe,,,,"$1,054.98 ",20090101
31785,Remove windpipe lesion,80,,,$160.30 ,20090101
31785,Remove windpipe lesion,81,,,$160.30 ,20090101
31785,Remove windpipe lesion,82,,,$160.30 ,20090101
31785,Remove windpipe lesion,AS,,,$160.30 ,20090101
31785,Remove windpipe lesion,,,,$801.50 ,20090101
31786,Remove windpipe lesion,80,,,$222.57 ,20090101
31786,Remove windpipe lesion,81,,,$222.57 ,20090101
31786,Remove windpipe lesion,82,,,$222.57 ,20090101
31786,Remove windpipe lesion,AS,,,$222.57 ,20090101
31786,Remove windpipe lesion,,,,"$1,112.83 ",20090101
31800,Repair of windpipe injury,,,,$496.88 ,20090101
31805,Repair of windpipe injury,80,,,$121.80 ,20090101
31805,Repair of windpipe injury,81,,,$121.80 ,20090101
31805,Repair of windpipe injury,82,,,$121.80 ,20090101
31805,Repair of windpipe injury,AS,,,$121.80 ,20090101
31805,Repair of windpipe injury,,,,$608.99 ,20090101
31820,Closure of windpipe lesion,,,,$298.24 ,20090101
31820,Closure of windpipe lesion,,,Y,$335.01 ,20081209
31825,Repair of windpipe defect,,,,$419.26 ,20090101
31825,Repair of windpipe defect,,,Y,$466.13 ,20081209
31830,Revise windpipe scar,,,,$301.30 ,20090101
31830,Revise windpipe scar,,,Y,$466.13 ,20081209
32035,Exploration of chest,80,,,$102.55 ,20090101
32035,Exploration of chest,81,,,$102.55 ,20090101
32035,Exploration of chest,82,,,$102.55 ,20090101
32035,Exploration of chest,AS,,,$102.55 ,20090101
32035,Exploration of chest,,,,$512.74 ,20090101
32036,Exploration of chest,80,,,$111.33 ,20090101
32036,Exploration of chest,81,,,$111.33 ,20090101
32036,Exploration of chest,82,,,$111.33 ,20090101
32036,Exploration of chest,AS,,,$111.33 ,20090101
32036,Exploration of chest,,,,$556.67 ,20090101
32095,Biopsy through chest wall,80,,,$91.92 ,20090101
32095,Biopsy through chest wall,81,,,$91.92 ,20090101
32095,Biopsy through chest wall,82,,,$91.92 ,20090101
32095,Biopsy through chest wall,AS,,,$91.92 ,20090101
32095,Biopsy through chest wall,,,,$459.59 ,20090101
32100,Exploration/biopsy of chest,80,,,$143.22 ,20090101
32100,Exploration/biopsy of chest,81,,,$143.22 ,20090101
32100,Exploration/biopsy of chest,82,,,$143.22 ,20090101
32100,Exploration/biopsy of chest,AS,,,$143.22 ,20090101
32100,Exploration/biopsy of chest,,,,$716.12 ,20090101
32110,Explore/repair chest,80,,,$215.22 ,20090101
32110,Explore/repair chest,81,,,$215.22 ,20090101
32110,Explore/repair chest,82,,,$215.22 ,20090101
32110,Explore/repair chest,AS,,,$215.22 ,20090101
32110,Explore/repair chest,,,,"$1,076.09 ",20090101
32120,Re-exploration of chest,80,,,$127.03 ,20090101
32120,Re-exploration of chest,81,,,$127.03 ,20090101
32120,Re-exploration of chest,82,,,$127.03 ,20090101
32120,Re-exploration of chest,AS,,,$127.03 ,20090101
32120,Re-exploration of chest,,,,$635.13 ,20090101
32124,Explore chest free adhesions,80,,,$135.32 ,20090101
32124,Explore chest free adhesions,81,,,$135.32 ,20090101
32124,Explore chest free adhesions,82,,,$135.32 ,20090101
32124,Explore chest free adhesions,AS,,,$135.32 ,20090101
32124,Explore chest free adhesions,,,,$676.58 ,20090101
32140,Removal of lung lesion(s),80,,,$144.94 ,20090101
32140,Removal of lung lesion(s),81,,,$144.94 ,20090101
32140,Removal of lung lesion(s),82,,,$144.94 ,20090101
32140,Removal of lung lesion(s),AS,,,$144.94 ,20090101
32140,Removal of lung lesion(s),,,,$724.71 ,20090101
32141,Remove/treat lung lesions,80,,,$211.33 ,20090101
32141,Remove/treat lung lesions,81,,,$211.33 ,20090101
32141,Remove/treat lung lesions,82,,,$211.33 ,20090101
32141,Remove/treat lung lesions,AS,,,$211.33 ,20090101
32141,Remove/treat lung lesions,,,,"$1,056.63 ",20090101
32150,Removal of lung lesion(s),80,,,$146.17 ,20090101
32150,Removal of lung lesion(s),81,,,$146.17 ,20090101
32150,Removal of lung lesion(s),82,,,$146.17 ,20090101
32150,Removal of lung lesion(s),AS,,,$146.17 ,20090101
32150,Removal of lung lesion(s),,,,$730.87 ,20090101
32151,Remove lung foreign body,80,,,$149.23 ,20090101
32151,Remove lung foreign body,81,,,$149.23 ,20090101
32151,Remove lung foreign body,82,,,$149.23 ,20090101
32151,Remove lung foreign body,AS,,,$149.23 ,20090101
32151,Remove lung foreign body,,,,$746.13 ,20090101
32160,Open chest heart massage,80,,,$110.67 ,20090101
32160,Open chest heart massage,81,,,$110.67 ,20090101
32160,Open chest heart massage,82,,,$110.67 ,20090101
32160,Open chest heart massage,AS,,,$110.67 ,20090101
32160,Open chest heart massage,,,,$553.36 ,20090101
32200,"Drain, open, lung lesion",80,,,$163.08 ,20090101
32200,"Drain, open, lung lesion",81,,,$163.08 ,20090101
32200,"Drain, open, lung lesion",82,,,$163.08 ,20090101
32200,"Drain, open, lung lesion",AS,,,$163.08 ,20090101
32200,"Drain, open, lung lesion",,,,$815.42 ,20090101
32201,"Drain, percut, lung lesion",80,,,$136.43 ,20090101
32201,"Drain, percut, lung lesion",81,,,$136.43 ,20090101
32201,"Drain, percut, lung lesion",82,,,$136.43 ,20090101
32201,"Drain, percut, lung lesion",AS,,,$136.43 ,20090101
32201,"Drain, percut, lung lesion",,,,$682.17 ,20090101
32215,Treat chest lining,80,,,$117.91 ,20090101
32215,Treat chest lining,81,,,$117.91 ,20090101
32215,Treat chest lining,82,,,$117.91 ,20090101
32215,Treat chest lining,AS,,,$117.91 ,20090101
32215,Treat chest lining,,,,$589.54 ,20090101
32220,Release of lung,80,,,$236.03 ,20090101
32220,Release of lung,81,,,$236.03 ,20090101
32220,Release of lung,82,,,$236.03 ,20090101
32220,Release of lung,AS,,,$236.03 ,20090101
32220,Release of lung,,,,"$1,180.16 ",20090101
32225,Partial release of lung,80,,,$146.11 ,20090101
32225,Partial release of lung,81,,,$146.11 ,20090101
32225,Partial release of lung,82,,,$146.11 ,20090101
32225,Partial release of lung,AS,,,$146.11 ,20090101
32225,Partial release of lung,,,,$730.55 ,20090101
32310,Removal of chest lining,80,,,$135.32 ,20090101
32310,Removal of chest lining,81,,,$135.32 ,20090101
32310,Removal of chest lining,82,,,$135.32 ,20090101
32310,Removal of chest lining,AS,,,$135.32 ,20090101
32310,Removal of chest lining,,,,$676.58 ,20090101
32320,Free/remove chest lining,80,,,$235.75 ,20090101
32320,Free/remove chest lining,81,,,$235.75 ,20090101
32320,Free/remove chest lining,82,,,$235.75 ,20090101
32320,Free/remove chest lining,AS,,,$235.75 ,20090101
32320,Free/remove chest lining,,,,"$1,178.76 ",20090101
32400,Needle biopsy chest lining,,,,$111.28 ,20090101
32400,Needle biopsy chest lining,,,Y,$277.10 ,20081209
32402,Open biopsy chest lining,80,,,$82.69 ,20090101
32402,Open biopsy chest lining,81,,,$82.69 ,20090101
32402,Open biopsy chest lining,82,,,$82.69 ,20090101
32402,Open biopsy chest lining,AS,,,$82.69 ,20090101
32402,Open biopsy chest lining,,,,$413.43 ,20090101
32405,"Biopsy, lung or mediastinum",,,,$75.67 ,20090101
32405,"Biopsy, lung or mediastinum",,,Y,$277.10 ,20081209
32420,Puncture/clear lung,,,,$83.46 ,20090101
32420,Puncture/clear lung,,,Y,$176.74 ,20081209
32421,Thoracentesis for aspiration,,,,$121.02 ,20090101
32421,Thoracentesis for aspiration,,,Y,$176.74 ,20081209
32440,Removal of lung,80,,,$237.98 ,20090101
32440,Removal of lung,81,,,$237.98 ,20090101
32440,Removal of lung,82,,,$237.98 ,20090101
32440,Removal of lung,AS,,,$237.98 ,20090101
32440,Removal of lung,,,,"$1,189.89 ",20090101
32442,Sleeve pneumonectomy,80,,,$428.27 ,20090101
32442,Sleeve pneumonectomy,81,,,$428.27 ,20090101
32442,Sleeve pneumonectomy,82,,,$428.27 ,20090101
32442,Sleeve pneumonectomy,AS,,,$428.27 ,20090101
32442,Sleeve pneumonectomy,,,,"$2,141.36 ",20090101
32445,Removal of lung,80,,,$477.12 ,20090101
32445,Removal of lung,81,,,$477.12 ,20090101
32445,Removal of lung,82,,,$477.12 ,20090101
32445,Removal of lung,AS,,,$477.12 ,20090101
32445,Removal of lung,,,,"$2,385.62 ",20090101
32480,Partial removal of lung,80,,,$224.46 ,20090101
32480,Partial removal of lung,81,,,$224.46 ,20090101
32480,Partial removal of lung,82,,,$224.46 ,20090101
32480,Partial removal of lung,AS,,,$224.46 ,20090101
32480,Partial removal of lung,,,,"$1,122.30 ",20090101
32482,Bilobectomy,80,,,$239.03 ,20090101
32482,Bilobectomy,81,,,$239.03 ,20090101
32482,Bilobectomy,82,,,$239.03 ,20090101
32482,Bilobectomy,AS,,,$239.03 ,20090101
32482,Bilobectomy,,,,"$1,195.17 ",20090101
32484,Segmentectomy,80,,,$216.00 ,20090101
32484,Segmentectomy,81,,,$216.00 ,20090101
32484,Segmentectomy,82,,,$216.00 ,20090101
32484,Segmentectomy,AS,,,$216.00 ,20090101
32484,Segmentectomy,,,,"$1,080.02 ",20090101
32486,Sleeve lobectomy,80,,,$335.30 ,20090101
32486,Sleeve lobectomy,81,,,$335.30 ,20090101
32486,Sleeve lobectomy,82,,,$335.30 ,20090101
32486,Sleeve lobectomy,AS,,,$335.30 ,20090101
32486,Sleeve lobectomy,,,,"$1,676.49 ",20090101
32488,Completion pneumonectomy,80,,,$341.20 ,20090101
32488,Completion pneumonectomy,81,,,$341.20 ,20090101
32488,Completion pneumonectomy,82,,,$341.20 ,20090101
32488,Completion pneumonectomy,AS,,,$341.20 ,20090101
32488,Completion pneumonectomy,,,,"$1,705.99 ",20090101
32500,Partial removal of lung,80,,,$217.34 ,20090101
32500,Partial removal of lung,81,,,$217.34 ,20090101
32500,Partial removal of lung,82,,,$217.34 ,20090101
32500,Partial removal of lung,AS,,,$217.34 ,20090101
32500,Partial removal of lung,,,,"$1,086.70 ",20090101
32501,Repair bronchus add-on,80,,,$37.67 ,20090101
32501,Repair bronchus add-on,81,,,$37.67 ,20090101
32501,Repair bronchus add-on,82,,,$37.67 ,20090101
32501,Repair bronchus add-on,AS,,,$37.67 ,20090101
32501,Repair bronchus add-on,,,,$188.37 ,20090101
32503,Resect apical lung tumor,80,,,$275.82 ,20090101
32503,Resect apical lung tumor,81,,,$275.82 ,20090101
32503,Resect apical lung tumor,82,,,$275.82 ,20090101
32503,Resect apical lung tumor,AS,,,$275.82 ,20090101
32503,Resect apical lung tumor,,,,"$1,379.08 ",20090101
32504,Resect apical lung tum/chest,80,,,$314.82 ,20090101
32504,Resect apical lung tum/chest,81,,,$314.82 ,20090101
32504,Resect apical lung tum/chest,82,,,$314.82 ,20090101
32504,Resect apical lung tum/chest,AS,,,$314.82 ,20090101
32504,Resect apical lung tum/chest,,,,"$1,574.10 ",20090101
32540,Removal of lung lesion,80,,,$238.48 ,20090101
32540,Removal of lung lesion,81,,,$238.48 ,20090101
32540,Removal of lung lesion,82,,,$238.48 ,20090101
32540,Removal of lung lesion,AS,,,$238.48 ,20090101
32540,Removal of lung lesion,,,,"$1,192.42 ",20090101
32550,Insert pleural cath,,,,$613.72 ,20090101
32550,Insert pleural cath,,,Y,"$1,017.13 ",20081209
32551,Insertion of chest tube,,,,$135.76 ,20090101
32560,Treat lung lining chemically,,,,$227.58 ,20090101
32601,"Thoracoscopy, diagnostic",,,,$235.36 ,20090101
32602,"Thoracoscopy, diagnostic",,,,$255.68 ,20090101
32603,"Thoracoscopy, diagnostic",,,,$329.12 ,20090101
32604,"Thoracoscopy, diagnostic",,,,$369.18 ,20090101
32605,"Thoracoscopy, diagnostic",,,,$296.57 ,20090101
32606,"Thoracoscopy, diagnostic",,,,$354.99 ,20090101
32650,"Thoracoscopy, surgical",80,,,$102.10 ,20090101
32650,"Thoracoscopy, surgical",81,,,$102.10 ,20090101
32650,"Thoracoscopy, surgical",82,,,$102.10 ,20090101
32650,"Thoracoscopy, surgical",AS,,,$102.10 ,20090101
32650,"Thoracoscopy, surgical",,,,$510.51 ,20090101
32651,"Thoracoscopy, surgical",80,,,$156.02 ,20090101
32651,"Thoracoscopy, surgical",81,,,$156.02 ,20090101
32651,"Thoracoscopy, surgical",82,,,$156.02 ,20090101
32651,"Thoracoscopy, surgical",AS,,,$156.02 ,20090101
32651,"Thoracoscopy, surgical",,,,$780.08 ,20090101
32652,"Thoracoscopy, surgical",80,,,$235.75 ,20090101
32652,"Thoracoscopy, surgical",81,,,$235.75 ,20090101
32652,"Thoracoscopy, surgical",82,,,$235.75 ,20090101
32652,"Thoracoscopy, surgical",AS,,,$235.75 ,20090101
32652,"Thoracoscopy, surgical",,,,"$1,178.76 ",20090101
32653,"Thoracoscopy, surgical",80,,,$151.35 ,20090101
32653,"Thoracoscopy, surgical",81,,,$151.35 ,20090101
32653,"Thoracoscopy, surgical",82,,,$151.35 ,20090101
32653,"Thoracoscopy, surgical",AS,,,$151.35 ,20090101
32653,"Thoracoscopy, surgical",,,,$756.74 ,20090101
32654,"Thoracoscopy, surgical",80,,,$165.92 ,20090101
32654,"Thoracoscopy, surgical",81,,,$165.92 ,20090101
32654,"Thoracoscopy, surgical",82,,,$165.92 ,20090101
32654,"Thoracoscopy, surgical",AS,,,$165.92 ,20090101
32654,"Thoracoscopy, surgical",,,,$829.60 ,20090101
32655,"Thoracoscopy, surgical",80,,,$139.38 ,20090101
32655,"Thoracoscopy, surgical",81,,,$139.38 ,20090101
32655,"Thoracoscopy, surgical",82,,,$139.38 ,20090101
32655,"Thoracoscopy, surgical",AS,,,$139.38 ,20090101
32655,"Thoracoscopy, surgical",,,,$696.92 ,20090101
32656,"Thoracoscopy, surgical",80,,,$122.58 ,20090101
32656,"Thoracoscopy, surgical",81,,,$122.58 ,20090101
32656,"Thoracoscopy, surgical",82,,,$122.58 ,20090101
32656,"Thoracoscopy, surgical",AS,,,$122.58 ,20090101
32656,"Thoracoscopy, surgical",,,,$612.88 ,20090101
32657,"Thoracoscopy, surgical",80,,,$120.63 ,20090101
32657,"Thoracoscopy, surgical",81,,,$120.63 ,20090101
32657,"Thoracoscopy, surgical",82,,,$120.63 ,20090101
32657,"Thoracoscopy, surgical",AS,,,$120.63 ,20090101
32657,"Thoracoscopy, surgical",,,,$603.15 ,20090101
32658,"Thoracoscopy, surgical",80,,,$110.06 ,20090101
32658,"Thoracoscopy, surgical",81,,,$110.06 ,20090101
32658,"Thoracoscopy, surgical",82,,,$110.06 ,20090101
32658,"Thoracoscopy, surgical",AS,,,$110.06 ,20090101
32658,"Thoracoscopy, surgical",,,,$550.31 ,20090101
32659,"Thoracoscopy, surgical",80,,,$111.89 ,20090101
32659,"Thoracoscopy, surgical",81,,,$111.89 ,20090101
32659,"Thoracoscopy, surgical",82,,,$111.89 ,20090101
32659,"Thoracoscopy, surgical",AS,,,$111.89 ,20090101
32659,"Thoracoscopy, surgical",,,,$559.47 ,20090101
32660,"Thoracoscopy, surgical",80,,,$157.58 ,20090101
32660,"Thoracoscopy, surgical",81,,,$157.58 ,20090101
32660,"Thoracoscopy, surgical",82,,,$157.58 ,20090101
32660,"Thoracoscopy, surgical",AS,,,$157.58 ,20090101
32660,"Thoracoscopy, surgical",,,,$787.89 ,20090101
32661,"Thoracoscopy, surgical",80,,,$123.08 ,20090101
32661,"Thoracoscopy, surgical",81,,,$123.08 ,20090101
32661,"Thoracoscopy, surgical",82,,,$123.08 ,20090101
32661,"Thoracoscopy, surgical",AS,,,$123.08 ,20090101
32661,"Thoracoscopy, surgical",,,,$615.41 ,20090101
32662,"Thoracoscopy, surgical",80,,,$138.16 ,20090101
32662,"Thoracoscopy, surgical",81,,,$138.16 ,20090101
32662,"Thoracoscopy, surgical",82,,,$138.16 ,20090101
32662,"Thoracoscopy, surgical",AS,,,$138.16 ,20090101
32662,"Thoracoscopy, surgical",,,,$690.81 ,20090101
32663,"Thoracoscopy, surgical",80,,,$207.93 ,20090101
32663,"Thoracoscopy, surgical",81,,,$207.93 ,20090101
32663,"Thoracoscopy, surgical",82,,,$207.93 ,20090101
32663,"Thoracoscopy, surgical",AS,,,$207.93 ,20090101
32663,"Thoracoscopy, surgical",,,,"$1,039.66 ",20090101
32664,"Thoracoscopy, surgical",80,,,$128.92 ,20090101
32664,"Thoracoscopy, surgical",81,,,$128.92 ,20090101
32664,"Thoracoscopy, surgical",82,,,$128.92 ,20090101
32664,"Thoracoscopy, surgical",AS,,,$128.92 ,20090101
32664,"Thoracoscopy, surgical",,,,$644.60 ,20090101
32665,"Thoracoscopy, surgical",80,,,$177.83 ,20090101
32665,"Thoracoscopy, surgical",81,,,$177.83 ,20090101
32665,"Thoracoscopy, surgical",82,,,$177.83 ,20090101
32665,"Thoracoscopy, surgical",AS,,,$177.83 ,20090101
32665,"Thoracoscopy, surgical",,,,$889.17 ,20090101
32800,Repair lung hernia,80,,,$137.72 ,20090101
32800,Repair lung hernia,81,,,$137.72 ,20090101
32800,Repair lung hernia,82,,,$137.72 ,20090101
32800,Repair lung hernia,AS,,,$137.72 ,20090101
32800,Repair lung hernia,,,,$688.59 ,20090101
32810,Close chest after drainage,80,,,$133.65 ,20090101
32810,Close chest after drainage,81,,,$133.65 ,20090101
32810,Close chest after drainage,82,,,$133.65 ,20090101
32810,Close chest after drainage,AS,,,$133.65 ,20090101
32810,Close chest after drainage,,,,$668.25 ,20090101
32815,Close bronchial fistula,80,,,$377.59 ,20090101
32815,Close bronchial fistula,81,,,$377.59 ,20090101
32815,Close bronchial fistula,82,,,$377.59 ,20090101
32815,Close bronchial fistula,AS,,,$377.59 ,20090101
32815,Close bronchial fistula,,,,"$1,887.94 ",20090101
32820,Reconstruct injured chest,80,,,$201.59 ,20090101
32820,Reconstruct injured chest,81,,,$201.59 ,20090101
32820,Reconstruct injured chest,82,,,$201.59 ,20090101
32820,Reconstruct injured chest,AS,,,$201.59 ,20090101
32820,Reconstruct injured chest,,,,"$1,007.94 ",20090101
32851,"Lung transplant, single",80,,,$392.05 ,20090101
32851,"Lung transplant, single",81,,,$392.05 ,20090101
32851,"Lung transplant, single",82,,,$392.05 ,20090101
32851,"Lung transplant, single",AS,,,$392.05 ,20090101
32851,"Lung transplant, single",,,,"$1,960.24 ",20090101
32852,Lung transplant with bypass,80,,,$437.06 ,20090101
32852,Lung transplant with bypass,81,,,$437.06 ,20090101
32852,Lung transplant with bypass,82,,,$437.06 ,20090101
32852,Lung transplant with bypass,AS,,,$437.06 ,20090101
32852,Lung transplant with bypass,,,,"$2,185.30 ",20090101
32853,"Lung transplant, double",80,,,$470.00 ,20090101
32853,"Lung transplant, double",81,,,$470.00 ,20090101
32853,"Lung transplant, double",82,,,$470.00 ,20090101
32853,"Lung transplant, double",AS,,,$470.00 ,20090101
32853,"Lung transplant, double",,,,"$2,350.02 ",20090101
32854,Lung transplant with bypass,80,,,$508.40 ,20090101
32854,Lung transplant with bypass,81,,,$508.40 ,20090101
32854,Lung transplant with bypass,82,,,$508.40 ,20090101
32854,Lung transplant with bypass,AS,,,$508.40 ,20090101
32854,Lung transplant with bypass,,,,"$2,542.01 ",20090101
32900,Removal of rib(s),80,,,$202.31 ,20090101
32900,Removal of rib(s),81,,,$202.31 ,20090101
32900,Removal of rib(s),82,,,$202.31 ,20090101
32900,Removal of rib(s),AS,,,$202.31 ,20090101
32900,Removal of rib(s),,,,"$1,011.56 ",20090101
32905,Revise & repair chest wall,80,,,$201.26 ,20090101
32905,Revise & repair chest wall,81,,,$201.26 ,20090101
32905,Revise & repair chest wall,82,,,$201.26 ,20090101
32905,Revise & repair chest wall,AS,,,$201.26 ,20090101
32905,Revise & repair chest wall,,,,"$1,006.28 ",20090101
32906,Revise & repair chest wall,80,,,$248.77 ,20090101
32906,Revise & repair chest wall,81,,,$248.77 ,20090101
32906,Revise & repair chest wall,82,,,$248.77 ,20090101
32906,Revise & repair chest wall,AS,,,$248.77 ,20090101
32906,Revise & repair chest wall,,,,"$1,243.86 ",20090101
32940,Revision of lung,80,,,$184.18 ,20090101
32940,Revision of lung,81,,,$184.18 ,20090101
32940,Revision of lung,82,,,$184.18 ,20090101
32940,Revision of lung,AS,,,$184.18 ,20090101
32940,Revision of lung,,,,$920.89 ,20090101
32960,Therapeutic pneumothorax,,,,$102.38 ,20090101
32997,Total lung lavage,,,,$270.97 ,20090101
33010,Drainage of heart sac,,,,$91.54 ,20090101
33010,Drainage of heart sac,,,Y,$176.74 ,20081209
33011,Repeat drainage of heart sac,,,,$93.48 ,20090101
33011,Repeat drainage of heart sac,,,Y,$176.74 ,20081209
33015,Incision of heart sac,,,,$393.38 ,20090101
33020,Incision of heart sac,80,,,$129.36 ,20090101
33020,Incision of heart sac,81,,,$129.36 ,20090101
33020,Incision of heart sac,82,,,$129.36 ,20090101
33020,Incision of heart sac,AS,,,$129.36 ,20090101
33020,Incision of heart sac,,,,$646.82 ,20090101
33025,Incision of heart sac,80,,,$119.97 ,20090101
33025,Incision of heart sac,81,,,$119.97 ,20090101
33025,Incision of heart sac,82,,,$119.97 ,20090101
33025,Incision of heart sac,AS,,,$119.97 ,20090101
33025,Incision of heart sac,,,,$599.83 ,20090101
33030,Partial removal of heart sac,80,,,$191.63 ,20090101
33030,Partial removal of heart sac,81,,,$191.63 ,20090101
33030,Partial removal of heart sac,82,,,$191.63 ,20090101
33030,Partial removal of heart sac,AS,,,$191.63 ,20090101
33030,Partial removal of heart sac,,,,$958.15 ,20090101
33031,Partial removal of heart sac,80,,,$212.83 ,20090101
33031,Partial removal of heart sac,81,,,$212.83 ,20090101
33031,Partial removal of heart sac,82,,,$212.83 ,20090101
33031,Partial removal of heart sac,AS,,,$212.83 ,20090101
33031,Partial removal of heart sac,,,,"$1,064.14 ",20090101
33050,Removal of heart sac lesion,80,,,$148.07 ,20090101
33050,Removal of heart sac lesion,81,,,$148.07 ,20090101
33050,Removal of heart sac lesion,82,,,$148.07 ,20090101
33050,Removal of heart sac lesion,AS,,,$148.07 ,20090101
33050,Removal of heart sac lesion,,,,$740.34 ,20090101
33120,Removal of heart lesion,80,,,$234.30 ,20090101
33120,Removal of heart lesion,81,,,$234.30 ,20090101
33120,Removal of heart lesion,82,,,$234.30 ,20090101
33120,Removal of heart lesion,AS,,,$234.30 ,20090101
33120,Removal of heart lesion,,,,"$1,171.52 ",20090101
33130,Removal of heart lesion,80,,,$204.82 ,20090101
33130,Removal of heart lesion,81,,,$204.82 ,20090101
33130,Removal of heart lesion,82,,,$204.82 ,20090101
33130,Removal of heart lesion,AS,,,$204.82 ,20090101
33130,Removal of heart lesion,,,,"$1,024.08 ",20090101
33140,Heart revascularize (tmr),,,,"$1,160.68 ",20090101
33141,Heart tmr w/other procedure,80,,,$24.54 ,20090101
33141,Heart tmr w/other procedure,81,,,$24.54 ,20090101
33141,Heart tmr w/other procedure,82,,,$24.54 ,20090101
33141,Heart tmr w/other procedure,AS,,,$24.54 ,20090101
33141,Heart tmr w/other procedure,,,,$122.70 ,20090101
33202,"Insert epicard eltrd, open",,,,$582.57 ,20090101
33203,"Insert epicard eltrd, endo",,,,$596.48 ,20090101
33206,Insertion of heart pacemaker,,,,$351.10 ,20090101
33207,Insertion of heart pacemaker,,,,$376.42 ,20090101
33208,Insertion of heart pacemaker,,,,$403.12 ,20090101
33210,Insertion of heart electrode,,,,$137.44 ,20090101
33211,Insertion of heart electrode,,,,$140.49 ,20090101
33212,Insertion of pulse generator,,,,$263.46 ,20090101
33213,Insertion of pulse generator,,,,$299.91 ,20090101
33214,Upgrade of pacemaker system,,,,$375.30 ,20090101
33215,Reposition pacing-defib lead,,,,$238.98 ,20090101
33216,"Insert lead pace-defib, one",,,,$293.24 ,20090101
33217,"Insert lead pace-defib, dual",,,,$292.12 ,20090101
33218,"Repair lead pace-defib, one",,,,$303.24 ,20090101
33220,"Repair lead pace-defib, dual",,,,$304.64 ,20090101
33222,"Revise pocket, pacemaker",,,,$270.69 ,20090101
33222,"Revise pocket, pacemaker",,,Y,$392.18 ,20081209
33223,"Revise pocket, pacing-defib",,,,$324.95 ,20090101
33224,Insert pacing lead & connect,,,,$390.33 ,20090101
33225,L ventric pacing lead add-on,,,,$349.99 ,20090101
33226,Reposition l ventric lead,,,,$376.97 ,20090101
33233,Removal of pacemaker system,,,,$189.74 ,20090101
33234,Removal of pacemaker system,,,,$378.64 ,20090101
33235,Removal pacemaker electrode,,,,$492.15 ,20090101
33236,Remove electrode/thoracotomy,,,,$590.91 ,20090101
33237,Remove electrode/thoracotomy,,,,$646.55 ,20090101
33238,Remove electrode/thoracotomy,80,,,$141.56 ,20090101
33238,Remove electrode/thoracotomy,81,,,$141.56 ,20090101
33238,Remove electrode/thoracotomy,82,,,$141.56 ,20090101
33238,Remove electrode/thoracotomy,AS,,,$141.56 ,20090101
33238,Remove electrode/thoracotomy,,,,$707.79 ,20090101
33240,Insert pulse generator,,,,$360.00 ,20090101
33241,Remove pulse generator,,,,$178.61 ,20090101
33243,Remove eltrd/thoracotomy,80,,,$204.32 ,20090101
33243,Remove eltrd/thoracotomy,81,,,$204.32 ,20090101
33243,Remove eltrd/thoracotomy,82,,,$204.32 ,20090101
33243,Remove eltrd/thoracotomy,AS,,,$204.32 ,20090101
33243,Remove eltrd/thoracotomy,,,,"$1,021.60 ",20090101
33244,"Remove eltrd, transven",,,,$667.70 ,20090101
33249,Eltrd/insert pace-defib,,,,$696.91 ,20090101
33250,Ablate heart dysrhythm focus,80,,,$222.17 ,20090101
33250,Ablate heart dysrhythm focus,81,,,$222.17 ,20090101
33250,Ablate heart dysrhythm focus,82,,,$222.17 ,20090101
33250,Ablate heart dysrhythm focus,AS,,,$222.17 ,20090101
33250,Ablate heart dysrhythm focus,,,,"$1,110.87 ",20090101
33251,Ablate heart dysrhythm focus,80,,,$243.27 ,20090101
33251,Ablate heart dysrhythm focus,81,,,$243.27 ,20090101
33251,Ablate heart dysrhythm focus,82,,,$243.27 ,20090101
33251,Ablate heart dysrhythm focus,AS,,,$243.27 ,20090101
33251,Ablate heart dysrhythm focus,,,,"$1,216.33 ",20090101
33254,"Ablate atria, lmtd",80,,,$204.21 ,20090101
33254,"Ablate atria, lmtd",81,,,$204.21 ,20090101
33254,"Ablate atria, lmtd",82,,,$204.21 ,20090101
33254,"Ablate atria, lmtd",AS,,,$204.21 ,20090101
33254,"Ablate atria, lmtd",,,,"$1,021.03 ",20090101
33255,"Ablate atria w/o bypass, ext",80,,,$246.05 ,20090101
33255,"Ablate atria w/o bypass, ext",81,,,$246.05 ,20090101
33255,"Ablate atria w/o bypass, ext",82,,,$246.05 ,20090101
33255,"Ablate atria w/o bypass, ext",AS,,,$246.05 ,20090101
33255,"Ablate atria w/o bypass, ext",,,,"$1,230.23 ",20090101
33256,"Ablate atria w/bypass, exten",80,,,$294.01 ,20090101
33256,"Ablate atria w/bypass, exten",81,,,$294.01 ,20090101
33256,"Ablate atria w/bypass, exten",82,,,$294.01 ,20090101
33256,"Ablate atria w/bypass, exten",AS,,,$294.01 ,20090101
33256,"Ablate atria w/bypass, exten",,,,"$1,470.05 ",20090101
33257,"Ablate atria, lmtd, add-on",,,,$88.97 ,20090101
33258,"Ablate atria, x10sv, add-on",,,,$483.18 ,20090101
33259,Ablate atria w/bypass add-on,,,,$131.98 ,20090101
33261,Ablate heart dysrhythm focus,80,,,$244.77 ,20090101
33261,Ablate heart dysrhythm focus,81,,,$244.77 ,20090101
33261,Ablate heart dysrhythm focus,82,,,$244.77 ,20090101
33261,Ablate heart dysrhythm focus,AS,,,$244.77 ,20090101
33261,Ablate heart dysrhythm focus,,,,"$1,223.84 ",20090101
33265,"Ablate atria,  lmtd,  endo",80,,,$204.21 ,20090101
33265,"Ablate atria,  lmtd,  endo",81,,,$204.21 ,20090101
33265,"Ablate atria,  lmtd,  endo",82,,,$204.21 ,20090101
33265,"Ablate atria,  lmtd,  endo",AS,,,$204.21 ,20090101
33265,"Ablate atria,  lmtd,  endo",,,,"$1,021.03 ",20090101
33266,"Ablate atria, x10sv, endo",80,,,$279.77 ,20090101
33266,"Ablate atria, x10sv, endo",81,,,$279.77 ,20090101
33266,"Ablate atria, x10sv, endo",82,,,$279.77 ,20090101
33266,"Ablate atria, x10sv, endo",AS,,,$279.77 ,20090101
33266,"Ablate atria, x10sv, endo",,,,"$1,398.83 ",20090101
33282,Implant pat-active ht record,,,,$252.05 ,20090101
33284,Remove pat-active ht record,,,,$184.45 ,20090101
33300,Repair of heart wound,80,,,$332.18 ,20090101
33300,Repair of heart wound,81,,,$332.18 ,20090101
33300,Repair of heart wound,82,,,$332.18 ,20090101
33300,Repair of heart wound,AS,,,$332.18 ,20090101
33300,Repair of heart wound,,,,"$1,660.92 ",20090101
33305,Repair of heart wound,80,,,$544.51 ,20090101
33305,Repair of heart wound,81,,,$544.51 ,20090101
33305,Repair of heart wound,82,,,$544.51 ,20090101
33305,Repair of heart wound,AS,,,$544.51 ,20090101
33305,Repair of heart wound,,,,"$2,722.57 ",20090101
33310,Exploratory heart surgery,80,,,$176.83 ,20090101
33310,Exploratory heart surgery,81,,,$176.83 ,20090101
33310,Exploratory heart surgery,82,,,$176.83 ,20090101
33310,Exploratory heart surgery,AS,,,$176.83 ,20090101
33310,Exploratory heart surgery,,,,$884.15 ,20090101
33315,Exploratory heart surgery,80,,,$222.29 ,20090101
33315,Exploratory heart surgery,81,,,$222.29 ,20090101
33315,Exploratory heart surgery,82,,,$222.29 ,20090101
33315,Exploratory heart surgery,AS,,,$222.29 ,20090101
33315,Exploratory heart surgery,,,,"$1,111.43 ",20090101
33320,Repair major blood vessel(s),80,,,$159.41 ,20090101
33320,Repair major blood vessel(s),81,,,$159.41 ,20090101
33320,Repair major blood vessel(s),82,,,$159.41 ,20090101
33320,Repair major blood vessel(s),AS,,,$159.41 ,20090101
33320,Repair major blood vessel(s),,,,$797.05 ,20090101
33321,Repair major vessel,80,,,$181.95 ,20090101
33321,Repair major vessel,81,,,$181.95 ,20090101
33321,Repair major vessel,82,,,$181.95 ,20090101
33321,Repair major vessel,AS,,,$181.95 ,20090101
33321,Repair major vessel,,,,$909.77 ,20090101
33322,Repair major blood vessel(s),80,,,$206.54 ,20090101
33322,Repair major blood vessel(s),81,,,$206.54 ,20090101
33322,Repair major blood vessel(s),82,,,$206.54 ,20090101
33322,Repair major blood vessel(s),AS,,,$206.54 ,20090101
33322,Repair major blood vessel(s),,,,"$1,032.72 ",20090101
33330,Insert major vessel graft,80,,,$210.77 ,20090101
33330,Insert major vessel graft,81,,,$210.77 ,20090101
33330,Insert major vessel graft,82,,,$210.77 ,20090101
33330,Insert major vessel graft,AS,,,$210.77 ,20090101
33330,Insert major vessel graft,,,,"$1,053.84 ",20090101
33332,Insert major vessel graft,80,,,$208.54 ,20090101
33332,Insert major vessel graft,81,,,$208.54 ,20090101
33332,Insert major vessel graft,82,,,$208.54 ,20090101
33332,Insert major vessel graft,AS,,,$208.54 ,20090101
33332,Insert major vessel graft,,,,"$1,042.71 ",20090101
33335,Insert major vessel graft,80,,,$283.71 ,20090101
33335,Insert major vessel graft,81,,,$283.71 ,20090101
33335,Insert major vessel graft,82,,,$283.71 ,20090101
33335,Insert major vessel graft,AS,,,$283.71 ,20090101
33335,Insert major vessel graft,,,,"$1,418.57 ",20090101
33400,Repair of aortic valve,80,,,$337.24 ,20090101
33400,Repair of aortic valve,81,,,$337.24 ,20090101
33400,Repair of aortic valve,82,,,$337.24 ,20090101
33400,Repair of aortic valve,AS,,,$337.24 ,20090101
33400,Repair of aortic valve,,,,"$1,686.22 ",20090101
33401,"Valvuloplasty, open",80,,,$221.84 ,20090101
33401,"Valvuloplasty, open",81,,,$221.84 ,20090101
33401,"Valvuloplasty, open",82,,,$221.84 ,20090101
33401,"Valvuloplasty, open",AS,,,$221.84 ,20090101
33401,"Valvuloplasty, open",,,,"$1,109.21 ",20090101
33403,"Valvuloplasty, w/cp bypass",80,,,$235.70 ,20090101
33403,"Valvuloplasty, w/cp bypass",81,,,$235.70 ,20090101
33403,"Valvuloplasty, w/cp bypass",82,,,$235.70 ,20090101
33403,"Valvuloplasty, w/cp bypass",AS,,,$235.70 ,20090101
33403,"Valvuloplasty, w/cp bypass",,,,"$1,178.50 ",20090101
33404,Prepare heart-aorta conduit,80,,,$271.86 ,20090101
33404,Prepare heart-aorta conduit,81,,,$271.86 ,20090101
33404,Prepare heart-aorta conduit,82,,,$271.86 ,20090101
33404,Prepare heart-aorta conduit,AS,,,$271.86 ,20090101
33404,Prepare heart-aorta conduit,,,,"$1,359.32 ",20090101
33405,Replacement of aortic valve,80,,,$351.82 ,20090101
33405,Replacement of aortic valve,81,,,$351.82 ,20090101
33405,Replacement of aortic valve,82,,,$351.82 ,20090101
33405,Replacement of aortic valve,AS,,,$351.82 ,20090101
33405,Replacement of aortic valve,,,,"$1,759.09 ",20090101
33406,Replacement of aortic valve,80,,,$427.10 ,20090101
33406,Replacement of aortic valve,81,,,$427.10 ,20090101
33406,Replacement of aortic valve,82,,,$427.10 ,20090101
33406,Replacement of aortic valve,AS,,,$427.10 ,20090101
33406,Replacement of aortic valve,,,,"$2,135.52 ",20090101
33410,Replacement of aortic valve,80,,,$375.75 ,20090101
33410,Replacement of aortic valve,81,,,$375.75 ,20090101
33410,Replacement of aortic valve,82,,,$375.75 ,20090101
33410,Replacement of aortic valve,AS,,,$375.75 ,20090101
33410,Replacement of aortic valve,,,,"$1,878.73 ",20090101
33411,Replacement of aortic valve,80,,,$486.03 ,20090101
33411,Replacement of aortic valve,81,,,$486.03 ,20090101
33411,Replacement of aortic valve,82,,,$486.03 ,20090101
33411,Replacement of aortic valve,AS,,,$486.03 ,20090101
33411,Replacement of aortic valve,,,,"$2,430.13 ",20090101
33412,Replacement of aortic valve,80,,,$381.04 ,20090101
33412,Replacement of aortic valve,81,,,$381.04 ,20090101
33412,Replacement of aortic valve,82,,,$381.04 ,20090101
33412,Replacement of aortic valve,AS,,,$381.04 ,20090101
33412,Replacement of aortic valve,,,,"$1,905.18 ",20090101
33413,Replacement of aortic valve,80,,,$492.20 ,20090101
33413,Replacement of aortic valve,81,,,$492.20 ,20090101
33413,Replacement of aortic valve,82,,,$492.20 ,20090101
33413,Replacement of aortic valve,AS,,,$492.20 ,20090101
33413,Replacement of aortic valve,,,,"$2,461.02 ",20090101
33414,Repair of aortic valve,80,,,$323.11 ,20090101
33414,Repair of aortic valve,81,,,$323.11 ,20090101
33414,Repair of aortic valve,82,,,$323.11 ,20090101
33414,Repair of aortic valve,AS,,,$323.11 ,20090101
33414,Repair of aortic valve,,,,"$1,615.53 ",20090101
33415,"Revision, subvalvular tissue",80,,,$300.02 ,20090101
33415,"Revision, subvalvular tissue",81,,,$300.02 ,20090101
33415,"Revision, subvalvular tissue",82,,,$300.02 ,20090101
33415,"Revision, subvalvular tissue",AS,,,$300.02 ,20090101
33415,"Revision, subvalvular tissue",,,,"$1,500.08 ",20090101
33416,Revise ventricle muscle,80,,,$302.58 ,20090101
33416,Revise ventricle muscle,81,,,$302.58 ,20090101
33416,Revise ventricle muscle,82,,,$302.58 ,20090101
33416,Revise ventricle muscle,AS,,,$302.58 ,20090101
33416,Revise ventricle muscle,,,,"$1,512.91 ",20090101
33417,Repair of aortic valve,80,,,$255.56 ,20090101
33417,Repair of aortic valve,81,,,$255.56 ,20090101
33417,Repair of aortic valve,82,,,$255.56 ,20090101
33417,Repair of aortic valve,AS,,,$255.56 ,20090101
33417,Repair of aortic valve,,,,"$1,277.81 ",20090101
33420,Revision of mitral valve,80,,,$205.99 ,20090101
33420,Revision of mitral valve,81,,,$205.99 ,20090101
33420,Revision of mitral valve,82,,,$205.99 ,20090101
33420,Revision of mitral valve,AS,,,$205.99 ,20090101
33420,Revision of mitral valve,,,,"$1,029.93 ",20090101
33422,Revision of mitral valve,80,,,$256.29 ,20090101
33422,Revision of mitral valve,81,,,$256.29 ,20090101
33422,Revision of mitral valve,82,,,$256.29 ,20090101
33422,Revision of mitral valve,AS,,,$256.29 ,20090101
33422,Revision of mitral valve,,,,"$1,281.43 ",20090101
33425,Repair of mitral valve,80,,,$385.26 ,20090101
33425,Repair of mitral valve,81,,,$385.26 ,20090101
33425,Repair of mitral valve,82,,,$385.26 ,20090101
33425,Repair of mitral valve,AS,,,$385.26 ,20090101
33425,Repair of mitral valve,,,,"$1,926.29 ",20090101
33426,Repair of mitral valve,80,,,$359.61 ,20090101
33426,Repair of mitral valve,81,,,$359.61 ,20090101
33426,Repair of mitral valve,82,,,$359.61 ,20090101
33426,Repair of mitral valve,AS,,,$359.61 ,20090101
33426,Repair of mitral valve,,,,"$1,798.05 ",20090101
33427,Repair of mitral valve,80,,,$380.20 ,20090101
33427,Repair of mitral valve,81,,,$380.20 ,20090101
33427,Repair of mitral valve,82,,,$380.20 ,20090101
33427,Repair of mitral valve,AS,,,$380.20 ,20090101
33427,Repair of mitral valve,,,,"$1,900.98 ",20090101
33430,Replacement of mitral valve,80,,,$410.52 ,20090101
33430,Replacement of mitral valve,81,,,$410.52 ,20090101
33430,Replacement of mitral valve,82,,,$410.52 ,20090101
33430,Replacement of mitral valve,AS,,,$410.52 ,20090101
33430,Replacement of mitral valve,,,,"$2,052.61 ",20090101
33460,Revision of tricuspid valve,80,,,$339.86 ,20090101
33460,Revision of tricuspid valve,81,,,$339.86 ,20090101
33460,Revision of tricuspid valve,82,,,$339.86 ,20090101
33460,Revision of tricuspid valve,AS,,,$339.86 ,20090101
33460,Revision of tricuspid valve,,,,"$1,699.31 ",20090101
33463,"Valvuloplasty, tricuspid",80,,,$429.28 ,20090101
33463,"Valvuloplasty, tricuspid",81,,,$429.28 ,20090101
33463,"Valvuloplasty, tricuspid",82,,,$429.28 ,20090101
33463,"Valvuloplasty, tricuspid",AS,,,$429.28 ,20090101
33463,"Valvuloplasty, tricuspid",,,,"$2,146.38 ",20090101
33464,"Valvuloplasty, tricuspid",80,,,$352.38 ,20090101
33464,"Valvuloplasty, tricuspid",81,,,$352.38 ,20090101
33464,"Valvuloplasty, tricuspid",82,,,$352.38 ,20090101
33464,"Valvuloplasty, tricuspid",AS,,,$352.38 ,20090101
33464,"Valvuloplasty, tricuspid",,,,"$1,761.88 ",20090101
33465,Replace tricuspid valve,80,,,$391.11 ,20090101
33465,Replace tricuspid valve,81,,,$391.11 ,20090101
33465,Replace tricuspid valve,82,,,$391.11 ,20090101
33465,Replace tricuspid valve,AS,,,$391.11 ,20090101
33465,Replace tricuspid valve,,,,"$1,955.53 ",20090101
33468,Revision of tricuspid valve,80,,,$285.66 ,20090101
33468,Revision of tricuspid valve,81,,,$285.66 ,20090101
33468,Revision of tricuspid valve,82,,,$285.66 ,20090101
33468,Revision of tricuspid valve,AS,,,$285.66 ,20090101
33468,Revision of tricuspid valve,,,,"$1,428.30 ",20090101
33470,Revision of pulmonary valve,80,,,$176.16 ,20090101
33470,Revision of pulmonary valve,81,,,$176.16 ,20090101
33470,Revision of pulmonary valve,82,,,$176.16 ,20090101
33470,Revision of pulmonary valve,AS,,,$176.16 ,20090101
33470,Revision of pulmonary valve,,,,$880.79 ,20090101
33471,"Valvotomy, pulmonary valve",80,,,$205.31 ,20090101
33471,"Valvotomy, pulmonary valve",81,,,$205.31 ,20090101
33471,"Valvotomy, pulmonary valve",82,,,$205.31 ,20090101
33471,"Valvotomy, pulmonary valve",AS,,,$205.31 ,20090101
33471,"Valvotomy, pulmonary valve",,,,"$1,026.57 ",20090101
33472,Revision of pulmonary valve,80,,,$204.65 ,20090101
33472,Revision of pulmonary valve,81,,,$204.65 ,20090101
33472,Revision of pulmonary valve,82,,,$204.65 ,20090101
33472,Revision of pulmonary valve,AS,,,$204.65 ,20090101
33472,Revision of pulmonary valve,,,,"$1,023.25 ",20090101
33474,Revision of pulmonary valve,80,,,$302.75 ,20090101
33474,Revision of pulmonary valve,81,,,$302.75 ,20090101
33474,Revision of pulmonary valve,82,,,$302.75 ,20090101
33474,Revision of pulmonary valve,AS,,,$302.75 ,20090101
33474,Revision of pulmonary valve,,,,"$1,513.74 ",20090101
33475,"Replacement, pulmonary valve",80,,,$347.31 ,20090101
33475,"Replacement, pulmonary valve",81,,,$347.31 ,20090101
33475,"Replacement, pulmonary valve",82,,,$347.31 ,20090101
33475,"Replacement, pulmonary valve",AS,,,$347.31 ,20090101
33475,"Replacement, pulmonary valve",,,,"$1,736.57 ",20090101
33476,Revision of heart chamber,80,,,$222.57 ,20090101
33476,Revision of heart chamber,81,,,$222.57 ,20090101
33476,Revision of heart chamber,82,,,$222.57 ,20090101
33476,Revision of heart chamber,AS,,,$222.57 ,20090101
33476,Revision of heart chamber,,,,"$1,112.83 ",20090101
33478,Revision of heart chamber,80,,,$240.98 ,20090101
33478,Revision of heart chamber,81,,,$240.98 ,20090101
33478,Revision of heart chamber,82,,,$240.98 ,20090101
33478,Revision of heart chamber,AS,,,$240.98 ,20090101
33478,Revision of heart chamber,,,,"$1,204.90 ",20090101
33496,"Repair, prosth valve clot",80,,,$254.67 ,20090101
33496,"Repair, prosth valve clot",81,,,$254.67 ,20090101
33496,"Repair, prosth valve clot",82,,,$254.67 ,20090101
33496,"Repair, prosth valve clot",AS,,,$254.67 ,20090101
33496,"Repair, prosth valve clot",,,,"$1,273.36 ",20090101
33500,Repair heart vessel fistula,80,,,$238.93 ,20090101
33500,Repair heart vessel fistula,81,,,$238.93 ,20090101
33500,Repair heart vessel fistula,82,,,$238.93 ,20090101
33500,Repair heart vessel fistula,AS,,,$238.93 ,20090101
33500,Repair heart vessel fistula,,,,"$1,194.65 ",20090101
33501,Repair heart vessel fistula,80,,,$164.03 ,20090101
33501,Repair heart vessel fistula,81,,,$164.03 ,20090101
33501,Repair heart vessel fistula,82,,,$164.03 ,20090101
33501,Repair heart vessel fistula,AS,,,$164.03 ,20090101
33501,Repair heart vessel fistula,,,,$820.13 ,20090101
33502,Coronary artery correction,80,,,$194.19 ,20090101
33502,Coronary artery correction,81,,,$194.19 ,20090101
33502,Coronary artery correction,82,,,$194.19 ,20090101
33502,Coronary artery correction,AS,,,$194.19 ,20090101
33502,Coronary artery correction,,,,$970.93 ,20090101
33503,Coronary artery graft,80,,,$195.30 ,20090101
33503,Coronary artery graft,81,,,$195.30 ,20090101
33503,Coronary artery graft,82,,,$195.30 ,20090101
33503,Coronary artery graft,AS,,,$195.30 ,20090101
33503,Coronary artery graft,,,,$976.52 ,20090101
33504,Coronary artery graft,80,,,$221.79 ,20090101
33504,Coronary artery graft,81,,,$221.79 ,20090101
33504,Coronary artery graft,82,,,$221.79 ,20090101
33504,Coronary artery graft,AS,,,$221.79 ,20090101
33504,Coronary artery graft,,,,"$1,108.95 ",20090101
33505,Repair artery w/tunnel,80,,,$303.64 ,20090101
33505,Repair artery w/tunnel,81,,,$303.64 ,20090101
33505,Repair artery w/tunnel,82,,,$303.64 ,20090101
33505,Repair artery w/tunnel,AS,,,$303.64 ,20090101
33505,Repair artery w/tunnel,,,,"$1,518.19 ",20090101
33506,"Repair artery, translocation",80,,,$312.15 ,20090101
33506,"Repair artery, translocation",81,,,$312.15 ,20090101
33506,"Repair artery, translocation",82,,,$312.15 ,20090101
33506,"Repair artery, translocation",AS,,,$312.15 ,20090101
33506,"Repair artery, translocation",,,,"$1,560.73 ",20090101
33507,"Repair art, intramural",80,,,$265.86 ,20090101
33507,"Repair art, intramural",81,,,$265.86 ,20090101
33507,"Repair art, intramural",82,,,$265.86 ,20090101
33507,"Repair art, intramural",AS,,,$265.86 ,20090101
33507,"Repair art, intramural",,,,"$1,329.28 ",20090101
33508,Endoscopic vein harvest,80,,,$2.50 ,20090101
33508,Endoscopic vein harvest,81,,,$2.50 ,20090101
33508,Endoscopic vein harvest,82,,,$2.50 ,20090101
33508,Endoscopic vein harvest,AS,,,$2.50 ,20090101
33508,Endoscopic vein harvest,,,,$12.52 ,20090101
33510,"CABG, vein, single",80,,,$299.96 ,20090101
33510,"CABG, vein, single",81,,,$299.96 ,20090101
33510,"CABG, vein, single",82,,,$299.96 ,20090101
33510,"CABG, vein, single",AS,,,$299.96 ,20090101
33510,"CABG, vein, single",,,,"$1,499.82 ",20090101
33511,"CABG, vein, two",80,,,$325.61 ,20090101
33511,"CABG, vein, two",81,,,$325.61 ,20090101
33511,"CABG, vein, two",82,,,$325.61 ,20090101
33511,"CABG, vein, two",AS,,,$325.61 ,20090101
33511,"CABG, vein, two",,,,"$1,628.06 ",20090101
33512,"CABG, vein, three",80,,,$363.45 ,20090101
33512,"CABG, vein, three",81,,,$363.45 ,20090101
33512,"CABG, vein, three",82,,,$363.45 ,20090101
33512,"CABG, vein, three",AS,,,$363.45 ,20090101
33512,"CABG, vein, three",,,,"$1,817.25 ",20090101
33513,"CABG, vein, four",80,,,$374.08 ,20090101
33513,"CABG, vein, four",81,,,$374.08 ,20090101
33513,"CABG, vein, four",82,,,$374.08 ,20090101
33513,"CABG, vein, four",AS,,,$374.08 ,20090101
33513,"CABG, vein, four",,,,"$1,870.40 ",20090101
33514,"CABG, vein, five",80,,,$392.00 ,20090101
33514,"CABG, vein, five",81,,,$392.00 ,20090101
33514,"CABG, vein, five",82,,,$392.00 ,20090101
33514,"CABG, vein, five",AS,,,$392.00 ,20090101
33514,"CABG, vein, five",,,,"$1,959.98 ",20090101
33516,"Cabg, vein, six or more",80,,,$407.13 ,20090101
33516,"Cabg, vein, six or more",81,,,$407.13 ,20090101
33516,"Cabg, vein, six or more",82,,,$407.13 ,20090101
33516,"Cabg, vein, six or more",AS,,,$407.13 ,20090101
33516,"Cabg, vein, six or more",,,,"$2,035.64 ",20090101
33517,"CABG, artery-vein, single",80,,,$27.59 ,20090101
33517,"CABG, artery-vein, single",81,,,$27.59 ,20090101
33517,"CABG, artery-vein, single",82,,,$27.59 ,20090101
33517,"CABG, artery-vein, single",AS,,,$27.59 ,20090101
33517,"CABG, artery-vein, single",,,,$137.97 ,20090101
33518,"CABG, artery-vein, two",80,,,$59.15 ,20090101
33518,"CABG, artery-vein, two",81,,,$59.15 ,20090101
33518,"CABG, artery-vein, two",82,,,$59.15 ,20090101
33518,"CABG, artery-vein, two",AS,,,$59.15 ,20090101
33518,"CABG, artery-vein, two",,,,$295.75 ,20090101
33519,"CABG, artery-vein, three",80,,,$79.34 ,20090101
33519,"CABG, artery-vein, three",81,,,$79.34 ,20090101
33519,"CABG, artery-vein, three",82,,,$79.34 ,20090101
33519,"CABG, artery-vein, three",AS,,,$79.34 ,20090101
33519,"CABG, artery-vein, three",,,,$396.72 ,20090101
33521,"CABG, artery-vein, four",80,,,$96.70 ,20090101
33521,"CABG, artery-vein, four",81,,,$96.70 ,20090101
33521,"CABG, artery-vein, four",82,,,$96.70 ,20090101
33521,"CABG, artery-vein, four",AS,,,$96.70 ,20090101
33521,"CABG, artery-vein, four",,,,$483.50 ,20090101
33522,"CABG, artery-vein, five",80,,,$110.95 ,20090101
33522,"CABG, artery-vein, five",81,,,$110.95 ,20090101
33522,"CABG, artery-vein, five",82,,,$110.95 ,20090101
33522,"CABG, artery-vein, five",AS,,,$110.95 ,20090101
33522,"CABG, artery-vein, five",,,,$554.76 ,20090101
33523,"Cabg, art-vein, six or more",80,,,$127.25 ,20090101
33523,"Cabg, art-vein, six or more",81,,,$127.25 ,20090101
33523,"Cabg, art-vein, six or more",82,,,$127.25 ,20090101
33523,"Cabg, art-vein, six or more",AS,,,$127.25 ,20090101
33523,"Cabg, art-vein, six or more",,,,$636.27 ,20090101
33530,"Coronary artery, bypass/reop",80,,,$74.78 ,20090101
33530,"Coronary artery, bypass/reop",81,,,$74.78 ,20090101
33530,"Coronary artery, bypass/reop",82,,,$74.78 ,20090101
33530,"Coronary artery, bypass/reop",AS,,,$74.78 ,20090101
33530,"Coronary artery, bypass/reop",,,,$373.89 ,20090101
33533,"CABG, arterial, single",80,,,$293.34 ,20090101
33533,"CABG, arterial, single",81,,,$293.34 ,20090101
33533,"CABG, arterial, single",82,,,$293.34 ,20090101
33533,"CABG, arterial, single",AS,,,$293.34 ,20090101
33533,"CABG, arterial, single",,,,"$1,466.70 ",20090101
33534,"CABG, arterial, two",80,,,$337.80 ,20090101
33534,"CABG, arterial, two",81,,,$337.80 ,20090101
33534,"CABG, arterial, two",82,,,$337.80 ,20090101
33534,"CABG, arterial, two",AS,,,$337.80 ,20090101
33534,"CABG, arterial, two",,,,"$1,689.02 ",20090101
33535,"CABG, arterial, three",80,,,$372.19 ,20090101
33535,"CABG, arterial, three",81,,,$372.19 ,20090101
33535,"CABG, arterial, three",82,,,$372.19 ,20090101
33535,"CABG, arterial, three",AS,,,$372.19 ,20090101
33535,"CABG, arterial, three",,,,"$1,860.93 ",20090101
33536,"Cabg, arterial, four or more",80,,,$398.28 ,20090101
33536,"Cabg, arterial, four or more",81,,,$398.28 ,20090101
33536,"Cabg, arterial, four or more",82,,,$398.28 ,20090101
33536,"Cabg, arterial, four or more",AS,,,$398.28 ,20090101
33536,"Cabg, arterial, four or more",,,,"$1,991.39 ",20090101
33542,Removal of heart lesion,80,,,$375.08 ,20090101
33542,Removal of heart lesion,81,,,$375.08 ,20090101
33542,Removal of heart lesion,82,,,$375.08 ,20090101
33542,Removal of heart lesion,AS,,,$375.08 ,20090101
33542,Removal of heart lesion,,,,"$1,875.42 ",20090101
33545,Repair of heart damage,80,,,$445.36 ,20090101
33545,Repair of heart damage,81,,,$445.36 ,20090101
33545,Repair of heart damage,82,,,$445.36 ,20090101
33545,Repair of heart damage,AS,,,$445.36 ,20090101
33545,Repair of heart damage,,,,"$2,226.80 ",20090101
33548,"Restore/remodel, ventricle",80,,,$438.57 ,20090101
33548,"Restore/remodel, ventricle",81,,,$438.57 ,20090101
33548,"Restore/remodel, ventricle",82,,,$438.57 ,20090101
33548,"Restore/remodel, ventricle",AS,,,$438.57 ,20090101
33548,"Restore/remodel, ventricle",,,,"$2,192.83 ",20090101
33572,Open coronary endarterectomy,80,,,$36.00 ,20090101
33572,Open coronary endarterectomy,81,,,$36.00 ,20090101
33572,Open coronary endarterectomy,82,,,$36.00 ,20090101
33572,Open coronary endarterectomy,AS,,,$36.00 ,20090101
33572,Open coronary endarterectomy,,,,$179.99 ,20090101
33600,Closure of valve,80,,,$261.02 ,20090101
33600,Closure of valve,81,,,$261.02 ,20090101
33600,Closure of valve,82,,,$261.02 ,20090101
33600,Closure of valve,AS,,,$261.02 ,20090101
33600,Closure of valve,,,,"$1,305.08 ",20090101
33602,Closure of valve,80,,,$249.33 ,20090101
33602,Closure of valve,81,,,$249.33 ,20090101
33602,Closure of valve,82,,,$249.33 ,20090101
33602,Closure of valve,AS,,,$249.33 ,20090101
33602,Closure of valve,,,,"$1,246.66 ",20090101
33606,Anastomosis/artery-aorta,80,,,$270.31 ,20090101
33606,Anastomosis/artery-aorta,81,,,$270.31 ,20090101
33606,Anastomosis/artery-aorta,82,,,$270.31 ,20090101
33606,Anastomosis/artery-aorta,AS,,,$270.31 ,20090101
33606,Anastomosis/artery-aorta,,,,"$1,351.55 ",20090101
33608,Repair anomaly w/conduit,80,,,$277.93 ,20090101
33608,Repair anomaly w/conduit,81,,,$277.93 ,20090101
33608,Repair anomaly w/conduit,82,,,$277.93 ,20090101
33608,Repair anomaly w/conduit,AS,,,$277.93 ,20090101
33608,Repair anomaly w/conduit,,,,"$1,389.64 ",20090101
33610,Repair by enlargement,80,,,$274.76 ,20090101
33610,Repair by enlargement,81,,,$274.76 ,20090101
33610,Repair by enlargement,82,,,$274.76 ,20090101
33610,Repair by enlargement,AS,,,$274.76 ,20090101
33610,Repair by enlargement,,,,"$1,373.81 ",20090101
33611,Repair double ventricle,80,,,$295.56 ,20090101
33611,Repair double ventricle,81,,,$295.56 ,20090101
33611,Repair double ventricle,82,,,$295.56 ,20090101
33611,Repair double ventricle,AS,,,$295.56 ,20090101
33611,Repair double ventricle,,,,"$1,477.82 ",20090101
33612,Repair double ventricle,80,,,$314.55 ,20090101
33612,Repair double ventricle,81,,,$314.55 ,20090101
33612,Repair double ventricle,82,,,$314.55 ,20090101
33612,Repair double ventricle,AS,,,$314.55 ,20090101
33612,Repair double ventricle,,,,"$1,572.73 ",20090101
33615,"Repair, modified fontan",80,,,$298.02 ,20090101
33615,"Repair, modified fontan",81,,,$298.02 ,20090101
33615,"Repair, modified fontan",82,,,$298.02 ,20090101
33615,"Repair, modified fontan",AS,,,$298.02 ,20090101
33615,"Repair, modified fontan",,,,"$1,490.09 ",20090101
33617,Repair single ventricle,80,,,$331.62 ,20090101
33617,Repair single ventricle,81,,,$331.62 ,20090101
33617,Repair single ventricle,82,,,$331.62 ,20090101
33617,Repair single ventricle,AS,,,$331.62 ,20090101
33617,Repair single ventricle,,,,"$1,658.12 ",20090101
33619,Repair single ventricle,80,,,$414.31 ,20090101
33619,Repair single ventricle,81,,,$414.31 ,20090101
33619,Repair single ventricle,82,,,$414.31 ,20090101
33619,Repair single ventricle,AS,,,$414.31 ,20090101
33619,Repair single ventricle,,,,"$2,071.55 ",20090101
33641,Repair heart septum defect,80,,,$239.10 ,20090101
33641,Repair heart septum defect,81,,,$239.10 ,20090101
33641,Repair heart septum defect,82,,,$239.10 ,20090101
33641,Repair heart septum defect,AS,,,$239.10 ,20090101
33641,Repair heart septum defect,,,,"$1,195.48 ",20090101
33645,Revision of heart veins,80,,,$239.26 ,20090101
33645,Revision of heart veins,81,,,$239.26 ,20090101
33645,Revision of heart veins,82,,,$239.26 ,20090101
33645,Revision of heart veins,AS,,,$239.26 ,20090101
33645,Revision of heart veins,,,,"$1,196.30 ",20090101
33647,Repair heart septum defects,80,,,$255.61 ,20090101
33647,Repair heart septum defects,81,,,$255.61 ,20090101
33647,Repair heart septum defects,82,,,$255.61 ,20090101
33647,Repair heart septum defects,AS,,,$255.61 ,20090101
33647,Repair heart septum defects,,,,"$1,278.07 ",20090101
33660,Repair of heart defects,80,,,$272.09 ,20090101
33660,Repair of heart defects,81,,,$272.09 ,20090101
33660,Repair of heart defects,82,,,$272.09 ,20090101
33660,Repair of heart defects,AS,,,$272.09 ,20090101
33660,Repair of heart defects,,,,"$1,360.46 ",20090101
33665,Repair of heart defects,80,,,$288.11 ,20090101
33665,Repair of heart defects,81,,,$288.11 ,20090101
33665,Repair of heart defects,82,,,$288.11 ,20090101
33665,Repair of heart defects,AS,,,$288.11 ,20090101
33665,Repair of heart defects,,,,"$1,440.56 ",20090101
33670,Repair of heart chambers,80,,,$309.59 ,20090101
33670,Repair of heart chambers,81,,,$309.59 ,20090101
33670,Repair of heart chambers,82,,,$309.59 ,20090101
33670,Repair of heart chambers,AS,,,$309.59 ,20090101
33670,Repair of heart chambers,,,,"$1,547.95 ",20090101
33675,Close mult vsd,80,,,$314.82 ,20090101
33675,Close mult vsd,81,,,$314.82 ,20090101
33675,Close mult vsd,82,,,$314.82 ,20090101
33675,Close mult vsd,AS,,,$314.82 ,20090101
33675,Close mult vsd,,,,"$1,574.10 ",20090101
33676,Close mult vsd w/resection,80,,,$324.78 ,20090101
33676,Close mult vsd w/resection,81,,,$324.78 ,20090101
33676,Close mult vsd w/resection,82,,,$324.78 ,20090101
33676,Close mult vsd w/resection,AS,,,$324.78 ,20090101
33676,Close mult vsd w/resection,,,,"$1,623.90 ",20090101
33677,Cl mult vsd w/rem pul band,80,,,$337.63 ,20090101
33677,Cl mult vsd w/rem pul band,81,,,$337.63 ,20090101
33677,Cl mult vsd w/rem pul band,82,,,$337.63 ,20090101
33677,Cl mult vsd w/rem pul band,AS,,,$337.63 ,20090101
33677,Cl mult vsd w/rem pul band,,,,"$1,688.17 ",20090101
33681,Repair heart septum defect,80,,,$280.43 ,20090101
33681,Repair heart septum defect,81,,,$280.43 ,20090101
33681,Repair heart septum defect,82,,,$280.43 ,20090101
33681,Repair heart septum defect,AS,,,$280.43 ,20090101
33681,Repair heart septum defect,,,,"$1,402.17 ",20090101
33684,Repair heart septum defect,80,,,$284.55 ,20090101
33684,Repair heart septum defect,81,,,$284.55 ,20090101
33684,Repair heart septum defect,82,,,$284.55 ,20090101
33684,Repair heart septum defect,AS,,,$284.55 ,20090101
33684,Repair heart septum defect,,,,"$1,422.76 ",20090101
33688,Repair heart septum defect,80,,,$280.71 ,20090101
33688,Repair heart septum defect,81,,,$280.71 ,20090101
33688,Repair heart septum defect,82,,,$280.71 ,20090101
33688,Repair heart septum defect,AS,,,$280.71 ,20090101
33688,Repair heart septum defect,,,,"$1,403.56 ",20090101
33690,Reinforce pulmonary artery,80,,,$175.66 ,20090101
33690,Reinforce pulmonary artery,81,,,$175.66 ,20090101
33690,Reinforce pulmonary artery,82,,,$175.66 ,20090101
33690,Reinforce pulmonary artery,AS,,,$175.66 ,20090101
33690,Reinforce pulmonary artery,,,,$878.30 ,20090101
33692,Repair of heart defects,80,,,$293.34 ,20090101
33692,Repair of heart defects,81,,,$293.34 ,20090101
33692,Repair of heart defects,82,,,$293.34 ,20090101
33692,Repair of heart defects,AS,,,$293.34 ,20090101
33692,Repair of heart defects,,,,"$1,466.70 ",20090101
33694,Repair of heart defects,80,,,$294.40 ,20090101
33694,Repair of heart defects,81,,,$294.40 ,20090101
33694,Repair of heart defects,82,,,$294.40 ,20090101
33694,Repair of heart defects,AS,,,$294.40 ,20090101
33694,Repair of heart defects,,,,"$1,471.98 ",20090101
33697,Repair of heart defects,80,,,$319.89 ,20090101
33697,Repair of heart defects,81,,,$319.89 ,20090101
33697,Repair of heart defects,82,,,$319.89 ,20090101
33697,Repair of heart defects,AS,,,$319.89 ,20090101
33697,Repair of heart defects,,,,"$1,599.44 ",20090101
33702,Repair of heart defects,80,,,$235.59 ,20090101
33702,Repair of heart defects,81,,,$235.59 ,20090101
33702,Repair of heart defects,82,,,$235.59 ,20090101
33702,Repair of heart defects,AS,,,$235.59 ,20090101
33702,Repair of heart defects,,,,"$1,177.93 ",20090101
33710,Repair of heart defects,80,,,$263.36 ,20090101
33710,Repair of heart defects,81,,,$263.36 ,20090101
33710,Repair of heart defects,82,,,$263.36 ,20090101
33710,Repair of heart defects,AS,,,$263.36 ,20090101
33710,Repair of heart defects,,,,"$1,316.78 ",20090101
33720,Repair of heart defect,80,,,$236.25 ,20090101
33720,Repair of heart defect,81,,,$236.25 ,20090101
33720,Repair of heart defect,82,,,$236.25 ,20090101
33720,Repair of heart defect,AS,,,$236.25 ,20090101
33720,Repair of heart defect,,,,"$1,181.25 ",20090101
33722,Repair of heart defect,80,,,$236.97 ,20090101
33722,Repair of heart defect,81,,,$236.97 ,20090101
33722,Repair of heart defect,82,,,$236.97 ,20090101
33722,Repair of heart defect,AS,,,$236.97 ,20090101
33722,Repair of heart defect,,,,"$1,184.87 ",20090101
33724,Repair venous anomaly,80,,,$233.31 ,20090101
33724,Repair venous anomaly,81,,,$233.31 ,20090101
33724,Repair venous anomaly,82,,,$233.31 ,20090101
33724,Repair venous anomaly,AS,,,$233.31 ,20090101
33724,Repair venous anomaly,,,,"$1,166.53 ",20090101
33726,Repair pul venous stenosis,80,,,$307.70 ,20090101
33726,Repair pul venous stenosis,81,,,$307.70 ,20090101
33726,Repair pul venous stenosis,82,,,$307.70 ,20090101
33726,Repair pul venous stenosis,AS,,,$307.70 ,20090101
33726,Repair pul venous stenosis,,,,"$1,538.49 ",20090101
33730,Repair heart-vein defect(s),80,,,$303.47 ,20090101
33730,Repair heart-vein defect(s),81,,,$303.47 ,20090101
33730,Repair heart-vein defect(s),82,,,$303.47 ,20090101
33730,Repair heart-vein defect(s),AS,,,$303.47 ,20090101
33730,Repair heart-vein defect(s),,,,"$1,517.36 ",20090101
33732,Repair heart-vein defect,80,,,$253.22 ,20090101
33732,Repair heart-vein defect,81,,,$253.22 ,20090101
33732,Repair heart-vein defect,82,,,$253.22 ,20090101
33732,Repair heart-vein defect,AS,,,$253.22 ,20090101
33732,Repair heart-vein defect,,,,"$1,266.12 ",20090101
33735,Revision of heart chamber,80,,,$188.96 ,20090101
33735,Revision of heart chamber,81,,,$188.96 ,20090101
33735,Revision of heart chamber,82,,,$188.96 ,20090101
33735,Revision of heart chamber,AS,,,$188.96 ,20090101
33735,Revision of heart chamber,,,,$944.80 ,20090101
33736,Revision of heart chamber,80,,,$218.17 ,20090101
33736,Revision of heart chamber,81,,,$218.17 ,20090101
33736,Revision of heart chamber,82,,,$218.17 ,20090101
33736,Revision of heart chamber,AS,,,$218.17 ,20090101
33736,Revision of heart chamber,,,,"$1,090.84 ",20090101
33737,Revision of heart chamber,80,,,$198.19 ,20090101
33737,Revision of heart chamber,81,,,$198.19 ,20090101
33737,Revision of heart chamber,82,,,$198.19 ,20090101
33737,Revision of heart chamber,AS,,,$198.19 ,20090101
33737,Revision of heart chamber,,,,$990.96 ,20090101
33750,Major vessel shunt,80,,,$183.84 ,20090101
33750,Major vessel shunt,81,,,$183.84 ,20090101
33750,Major vessel shunt,82,,,$183.84 ,20090101
33750,Major vessel shunt,AS,,,$183.84 ,20090101
33750,Major vessel shunt,,,,$919.18 ,20090101
33755,Major vessel shunt,80,,,$189.18 ,20090101
33755,Major vessel shunt,81,,,$189.18 ,20090101
33755,Major vessel shunt,82,,,$189.18 ,20090101
33755,Major vessel shunt,AS,,,$189.18 ,20090101
33755,Major vessel shunt,,,,$945.89 ,20090101
33762,Major vessel shunt,80,,,$194.80 ,20090101
33762,Major vessel shunt,81,,,$194.80 ,20090101
33762,Major vessel shunt,82,,,$194.80 ,20090101
33762,Major vessel shunt,AS,,,$194.80 ,20090101
33762,Major vessel shunt,,,,$973.99 ,20090101
33764,Major vessel shunt & graft,80,,,$194.97 ,20090101
33764,Major vessel shunt & graft,81,,,$194.97 ,20090101
33764,Major vessel shunt & graft,82,,,$194.97 ,20090101
33764,Major vessel shunt & graft,AS,,,$194.97 ,20090101
33764,Major vessel shunt & graft,,,,$974.87 ,20090101
33766,Major vessel shunt,80,,,$206.93 ,20090101
33766,Major vessel shunt,81,,,$206.93 ,20090101
33766,Major vessel shunt,82,,,$206.93 ,20090101
33766,Major vessel shunt,AS,,,$206.93 ,20090101
33766,Major vessel shunt,,,,"$1,034.64 ",20090101
33767,Major vessel shunt,80,,,$217.44 ,20090101
33767,Major vessel shunt,81,,,$217.44 ,20090101
33767,Major vessel shunt,82,,,$217.44 ,20090101
33767,Major vessel shunt,AS,,,$217.44 ,20090101
33767,Major vessel shunt,,,,"$1,087.22 ",20090101
33768,Cavopulmonary shunting,80,,,$63.65 ,20090101
33768,Cavopulmonary shunting,81,,,$63.65 ,20090101
33768,Cavopulmonary shunting,82,,,$63.65 ,20090101
33768,Cavopulmonary shunting,AS,,,$63.65 ,20090101
33768,Cavopulmonary shunting,,,,$318.27 ,20090101
33770,Repair great vessels defect,80,,,$323.05 ,20090101
33770,Repair great vessels defect,81,,,$323.05 ,20090101
33770,Repair great vessels defect,82,,,$323.05 ,20090101
33770,Repair great vessels defect,AS,,,$323.05 ,20090101
33770,Repair great vessels defect,,,,"$1,615.27 ",20090101
33771,Repair great vessels defect,80,,,$328.28 ,20090101
33771,Repair great vessels defect,81,,,$328.28 ,20090101
33771,Repair great vessels defect,82,,,$328.28 ,20090101
33771,Repair great vessels defect,AS,,,$328.28 ,20090101
33771,Repair great vessels defect,,,,"$1,641.41 ",20090101
33774,Repair great vessels defect,80,,,$277.04 ,20090101
33774,Repair great vessels defect,81,,,$277.04 ,20090101
33774,Repair great vessels defect,82,,,$277.04 ,20090101
33774,Repair great vessels defect,AS,,,$277.04 ,20090101
33774,Repair great vessels defect,,,,"$1,385.19 ",20090101
33775,Repair great vessels defect,80,,,$280.27 ,20090101
33775,Repair great vessels defect,81,,,$280.27 ,20090101
33775,Repair great vessels defect,82,,,$280.27 ,20090101
33775,Repair great vessels defect,AS,,,$280.27 ,20090101
33775,Repair great vessels defect,,,,"$1,401.34 ",20090101
33776,Repair great vessels defect,80,,,$292.96 ,20090101
33776,Repair great vessels defect,81,,,$292.96 ,20090101
33776,Repair great vessels defect,82,,,$292.96 ,20090101
33776,Repair great vessels defect,AS,,,$292.96 ,20090101
33776,Repair great vessels defect,,,,"$1,464.78 ",20090101
33777,Repair great vessels defect,80,,,$290.56 ,20090101
33777,Repair great vessels defect,81,,,$290.56 ,20090101
33777,Repair great vessels defect,82,,,$290.56 ,20090101
33777,Repair great vessels defect,AS,,,$290.56 ,20090101
33777,Repair great vessels defect,,,,"$1,452.78 ",20090101
33778,Repair great vessels defect,80,,,$360.22 ,20090101
33778,Repair great vessels defect,81,,,$360.22 ,20090101
33778,Repair great vessels defect,82,,,$360.22 ,20090101
33778,Repair great vessels defect,AS,,,$360.22 ,20090101
33778,Repair great vessels defect,,,,"$1,801.11 ",20090101
33779,Repair great vessels defect,80,,,$333.80 ,20090101
33779,Repair great vessels defect,81,,,$333.80 ,20090101
33779,Repair great vessels defect,82,,,$333.80 ,20090101
33779,Repair great vessels defect,AS,,,$333.80 ,20090101
33779,Repair great vessels defect,,,,"$1,668.99 ",20090101
33780,Repair great vessels defect,80,,,$354.16 ,20090101
33780,Repair great vessels defect,81,,,$354.16 ,20090101
33780,Repair great vessels defect,82,,,$354.16 ,20090101
33780,Repair great vessels defect,AS,,,$354.16 ,20090101
33780,Repair great vessels defect,,,,"$1,770.78 ",20090101
33781,Repair great vessels defect,80,,,$341.42 ,20090101
33781,Repair great vessels defect,81,,,$341.42 ,20090101
33781,Repair great vessels defect,82,,,$341.42 ,20090101
33781,Repair great vessels defect,AS,,,$341.42 ,20090101
33781,Repair great vessels defect,,,,"$1,707.08 ",20090101
33786,Repair arterial trunk,80,,,$349.77 ,20090101
33786,Repair arterial trunk,81,,,$349.77 ,20090101
33786,Repair arterial trunk,82,,,$349.77 ,20090101
33786,Repair arterial trunk,AS,,,$349.77 ,20090101
33786,Repair arterial trunk,,,,"$1,748.84 ",20090101
33788,Revision of pulmonary artery,80,,,$230.30 ,20090101
33788,Revision of pulmonary artery,81,,,$230.30 ,20090101
33788,Revision of pulmonary artery,82,,,$230.30 ,20090101
33788,Revision of pulmonary artery,AS,,,$230.30 ,20090101
33788,Revision of pulmonary artery,,,,"$1,151.49 ",20090101
33800,Aortic suspension,80,,,$151.12 ,20090101
33800,Aortic suspension,81,,,$151.12 ,20090101
33800,Aortic suspension,82,,,$151.12 ,20090101
33800,Aortic suspension,AS,,,$151.12 ,20090101
33800,Aortic suspension,,,,$755.60 ,20090101
33802,Repair vessel defect,80,,,$161.92 ,20090101
33802,Repair vessel defect,81,,,$161.92 ,20090101
33802,Repair vessel defect,82,,,$161.92 ,20090101
33802,Repair vessel defect,AS,,,$161.92 ,20090101
33802,Repair vessel defect,,,,$809.58 ,20090101
33803,Repair vessel defect,80,,,$175.05 ,20090101
33803,Repair vessel defect,81,,,$175.05 ,20090101
33803,Repair vessel defect,82,,,$175.05 ,20090101
33803,Repair vessel defect,AS,,,$175.05 ,20090101
33803,Repair vessel defect,,,,$875.25 ,20090101
33813,Repair septal defect,80,,,$190.46 ,20090101
33813,Repair septal defect,81,,,$190.46 ,20090101
33813,Repair septal defect,82,,,$190.46 ,20090101
33813,Repair septal defect,AS,,,$190.46 ,20090101
33813,Repair septal defect,,,,$952.30 ,20090101
33814,Repair septal defect,80,,,$232.52 ,20090101
33814,Repair septal defect,81,,,$232.52 ,20090101
33814,Repair septal defect,82,,,$232.52 ,20090101
33814,Repair septal defect,AS,,,$232.52 ,20090101
33814,Repair septal defect,,,,"$1,162.62 ",20090101
33820,Revise major vessel,80,,,$148.12 ,20090101
33820,Revise major vessel,81,,,$148.12 ,20090101
33820,Revise major vessel,82,,,$148.12 ,20090101
33820,Revise major vessel,AS,,,$148.12 ,20090101
33820,Revise major vessel,,,,$740.59 ,20090101
33822,Revise major vessel,80,,,$154.46 ,20090101
33822,Revise major vessel,81,,,$154.46 ,20090101
33822,Revise major vessel,82,,,$154.46 ,20090101
33822,Revise major vessel,AS,,,$154.46 ,20090101
33822,Revise major vessel,,,,$772.32 ,20090101
33824,Revise major vessel,80,,,$179.22 ,20090101
33824,Revise major vessel,81,,,$179.22 ,20090101
33824,Revise major vessel,82,,,$179.22 ,20090101
33824,Revise major vessel,AS,,,$179.22 ,20090101
33824,Revise major vessel,,,,$896.10 ,20090101
33840,Remove aorta constriction,80,,,$184.68 ,20090101
33840,Remove aorta constriction,81,,,$184.68 ,20090101
33840,Remove aorta constriction,82,,,$184.68 ,20090101
33840,Remove aorta constriction,AS,,,$184.68 ,20090101
33840,Remove aorta constriction,,,,$923.38 ,20090101
33845,Remove aorta constriction,80,,,$202.31 ,20090101
33845,Remove aorta constriction,81,,,$202.31 ,20090101
33845,Remove aorta constriction,82,,,$202.31 ,20090101
33845,Remove aorta constriction,AS,,,$202.31 ,20090101
33845,Remove aorta constriction,,,,"$1,011.56 ",20090101
33851,Remove aorta constriction,80,,,$193.69 ,20090101
33851,Remove aorta constriction,81,,,$193.69 ,20090101
33851,Remove aorta constriction,82,,,$193.69 ,20090101
33851,Remove aorta constriction,AS,,,$193.69 ,20090101
33851,Remove aorta constriction,,,,$968.45 ,20090101
33852,Repair septal defect,80,,,$219.84 ,20090101
33852,Repair septal defect,81,,,$219.84 ,20090101
33852,Repair septal defect,82,,,$219.84 ,20090101
33852,Repair septal defect,AS,,,$219.84 ,20090101
33852,Repair septal defect,,,,"$1,099.22 ",20090101
33853,Repair septal defect,80,,,$280.27 ,20090101
33853,Repair septal defect,81,,,$280.27 ,20090101
33853,Repair septal defect,82,,,$280.27 ,20090101
33853,Repair septal defect,AS,,,$280.27 ,20090101
33853,Repair septal defect,,,,"$1,401.34 ",20090101
33860,Ascending aortic graft,80,,,$464.22 ,20090101
33860,Ascending aortic graft,81,,,$464.22 ,20090101
33860,Ascending aortic graft,82,,,$464.22 ,20090101
33860,Ascending aortic graft,AS,,,$464.22 ,20090101
33860,Ascending aortic graft,,,,"$2,321.09 ",20090101
33861,Ascending aortic graft,80,,,$372.91 ,20090101
33861,Ascending aortic graft,81,,,$372.91 ,20090101
33861,Ascending aortic graft,82,,,$372.91 ,20090101
33861,Ascending aortic graft,AS,,,$372.91 ,20090101
33861,Ascending aortic graft,,,,"$1,864.55 ",20090101
33863,Ascending aortic graft,80,,,$469.89 ,20090101
33863,Ascending aortic graft,81,,,$469.89 ,20090101
33863,Ascending aortic graft,82,,,$469.89 ,20090101
33863,Ascending aortic graft,AS,,,$469.89 ,20090101
33863,Ascending aortic graft,,,,"$2,349.45 ",20090101
33864,Ascending aortic graft,,,,$196.74 ,20090101
33870,Transverse aortic arch graft,80,,,$388.88 ,20090101
33870,Transverse aortic arch graft,81,,,$388.88 ,20090101
33870,Transverse aortic arch graft,82,,,$388.88 ,20090101
33870,Transverse aortic arch graft,AS,,,$388.88 ,20090101
33870,Transverse aortic arch graft,,,,"$1,944.40 ",20090101
33875,Thoracic aortic graft,80,,,$300.91 ,20090101
33875,Thoracic aortic graft,81,,,$300.91 ,20090101
33875,Thoracic aortic graft,82,,,$300.91 ,20090101
33875,Thoracic aortic graft,AS,,,$300.91 ,20090101
33875,Thoracic aortic graft,,,,"$1,504.53 ",20090101
33877,Thoracoabdominal graft,80,,,$520.08 ,20090101
33877,Thoracoabdominal graft,81,,,$520.08 ,20090101
33877,Thoracoabdominal graft,82,,,$520.08 ,20090101
33877,Thoracoabdominal graft,AS,,,$520.08 ,20090101
33877,Thoracoabdominal graft,,,,"$2,600.39 ",20090101
33880,Endovasc taa repr incl subcl,80,,,$275.04 ,20090101
33880,Endovasc taa repr incl subcl,81,,,$275.04 ,20090101
33880,Endovasc taa repr incl subcl,82,,,$275.04 ,20090101
33880,Endovasc taa repr incl subcl,AS,,,$275.04 ,20090101
33880,Endovasc taa repr incl subcl,,,,"$1,375.18 ",20090101
33881,Endovasc taa repr w/o subcl,80,,,$237.20 ,20090101
33881,Endovasc taa repr w/o subcl,81,,,$237.20 ,20090101
33881,Endovasc taa repr w/o subcl,82,,,$237.20 ,20090101
33881,Endovasc taa repr w/o subcl,AS,,,$237.20 ,20090101
33881,Endovasc taa repr w/o subcl,,,,"$1,186.00 ",20090101
33883,"Insert endovasc prosth, taa",80,,,$174.21 ,20090101
33883,"Insert endovasc prosth, taa",81,,,$174.21 ,20090101
33883,"Insert endovasc prosth, taa",82,,,$174.21 ,20090101
33883,"Insert endovasc prosth, taa",AS,,,$174.21 ,20090101
33883,"Insert endovasc prosth, taa",,,,$871.07 ,20090101
33884,"Endovasc prosth, taa, add-on",80,,,$63.38 ,20090101
33884,"Endovasc prosth, taa, add-on",81,,,$63.38 ,20090101
33884,"Endovasc prosth, taa, add-on",82,,,$63.38 ,20090101
33884,"Endovasc prosth, taa, add-on",AS,,,$63.38 ,20090101
33884,"Endovasc prosth, taa, add-on",,,,$316.88 ,20090101
33886,"Endovasc prosth, delayed",80,,,$150.68 ,20090101
33886,"Endovasc prosth, delayed",81,,,$150.68 ,20090101
33886,"Endovasc prosth, delayed",82,,,$150.68 ,20090101
33886,"Endovasc prosth, delayed",AS,,,$150.68 ,20090101
33886,"Endovasc prosth, delayed",,,,$753.39 ,20090101
33889,Artery transpose/endovas taa,80,,,$126.20 ,20090101
33889,Artery transpose/endovas taa,81,,,$126.20 ,20090101
33889,Artery transpose/endovas taa,82,,,$126.20 ,20090101
33889,Artery transpose/endovas taa,AS,,,$126.20 ,20090101
33889,Artery transpose/endovas taa,,,,$630.98 ,20090101
33891,Car-car bp grft/endovas taa,80,,,$162.03 ,20090101
33891,Car-car bp grft/endovas taa,81,,,$162.03 ,20090101
33891,Car-car bp grft/endovas taa,82,,,$162.03 ,20090101
33891,Car-car bp grft/endovas taa,AS,,,$162.03 ,20090101
33891,Car-car bp grft/endovas taa,,,,$810.15 ,20090101
33910,Remove lung artery emboli,80,,,$248.61 ,20090101
33910,Remove lung artery emboli,81,,,$248.61 ,20090101
33910,Remove lung artery emboli,82,,,$248.61 ,20090101
33910,Remove lung artery emboli,AS,,,$248.61 ,20090101
33910,Remove lung artery emboli,,,,"$1,243.04 ",20090101
33915,Remove lung artery emboli,80,,,$198.36 ,20090101
33915,Remove lung artery emboli,81,,,$198.36 ,20090101
33915,Remove lung artery emboli,82,,,$198.36 ,20090101
33915,Remove lung artery emboli,AS,,,$198.36 ,20090101
33915,Remove lung artery emboli,,,,$991.79 ,20090101
33916,Surgery of great vessel,80,,,$239.59 ,20090101
33916,Surgery of great vessel,81,,,$239.59 ,20090101
33916,Surgery of great vessel,82,,,$239.59 ,20090101
33916,Surgery of great vessel,AS,,,$239.59 ,20090101
33916,Surgery of great vessel,,,,"$1,197.96 ",20090101
33917,Repair pulmonary artery,80,,,$222.34 ,20090101
33917,Repair pulmonary artery,81,,,$222.34 ,20090101
33917,Repair pulmonary artery,82,,,$222.34 ,20090101
33917,Repair pulmonary artery,AS,,,$222.34 ,20090101
33917,Repair pulmonary artery,,,,"$1,111.69 ",20090101
33920,Repair pulmonary atresia,80,,,$270.48 ,20090101
33920,Repair pulmonary atresia,81,,,$270.48 ,20090101
33920,Repair pulmonary atresia,82,,,$270.48 ,20090101
33920,Repair pulmonary atresia,AS,,,$270.48 ,20090101
33920,Repair pulmonary atresia,,,,"$1,352.38 ",20090101
33922,Transect pulmonary artery,80,,,$210.16 ,20090101
33922,Transect pulmonary artery,81,,,$210.16 ,20090101
33922,Transect pulmonary artery,82,,,$210.16 ,20090101
33922,Transect pulmonary artery,AS,,,$210.16 ,20090101
33922,Transect pulmonary artery,,,,"$1,050.78 ",20090101
33924,Remove pulmonary shunt,80,,,$44.68 ,20090101
33924,Remove pulmonary shunt,81,,,$44.68 ,20090101
33924,Remove pulmonary shunt,82,,,$44.68 ,20090101
33924,Remove pulmonary shunt,AS,,,$44.68 ,20090101
33924,Remove pulmonary shunt,,,,$223.40 ,20090101
33925,Rpr pul art unifocal w/o cpb,80,,,$286.11 ,20090101
33925,Rpr pul art unifocal w/o cpb,81,,,$286.11 ,20090101
33925,Rpr pul art unifocal w/o cpb,82,,,$286.11 ,20090101
33925,Rpr pul art unifocal w/o cpb,AS,,,$286.11 ,20090101
33925,Rpr pul art unifocal w/o cpb,,,,"$1,430.55 ",20090101
33926,"Repr pul art, unifocal w/cpb",80,,,$373.63 ,20090101
33926,"Repr pul art, unifocal w/cpb",81,,,$373.63 ,20090101
33926,"Repr pul art, unifocal w/cpb",82,,,$373.63 ,20090101
33926,"Repr pul art, unifocal w/cpb",AS,,,$373.63 ,20090101
33926,"Repr pul art, unifocal w/cpb",,,,"$1,868.16 ",20090101
33935,"Transplantation, heart/lung",80,,,$537.56 ,20090101
33935,"Transplantation, heart/lung",81,,,$537.56 ,20090101
33935,"Transplantation, heart/lung",82,,,$537.56 ,20090101
33935,"Transplantation, heart/lung",AS,,,$537.56 ,20090101
33935,"Transplantation, heart/lung",,,,"$2,687.79 ",20090101
33944,Prepare donor heart,80,,,$120.36 ,20090101
33944,Prepare donor heart,81,,,$120.36 ,20090101
33944,Prepare donor heart,82,,,$120.36 ,20090101
33944,Prepare donor heart,AS,,,$120.36 ,20090101
33944,Prepare donor heart,,,,$601.80 ,20090101
33945,Transplantation of heart,80,,,$674.60 ,20090101
33945,Transplantation of heart,81,,,$674.60 ,20090101
33945,Transplantation of heart,82,,,$674.60 ,20090101
33945,Transplantation of heart,AS,,,$674.60 ,20090101
33945,Transplantation of heart,,,,"$3,373.01 ",20090101
33960,External circulation assist,,,,$753.39 ,20090101
33961,External circulation assist,,,,$419.82 ,20090101
33967,Insert ia percut device,,,,$203.65 ,20090101
33968,Remove aortic assist device,80,,,$5.29 ,20090101
33968,Remove aortic assist device,81,,,$5.29 ,20090101
33968,Remove aortic assist device,82,,,$5.29 ,20090101
33968,Remove aortic assist device,AS,,,$5.29 ,20090101
33968,Remove aortic assist device,,,,$26.44 ,20090101
33970,Aortic circulation assist,80,,,$55.48 ,20090101
33970,Aortic circulation assist,81,,,$55.48 ,20090101
33970,Aortic circulation assist,82,,,$55.48 ,20090101
33970,Aortic circulation assist,AS,,,$55.48 ,20090101
33970,Aortic circulation assist,,,,$277.38 ,20090101
33971,Aortic circulation assist,,,,$533.33 ,20090101
33973,Insert balloon device,80,,,$81.45 ,20090101
33973,Insert balloon device,81,,,$81.45 ,20090101
33973,Insert balloon device,82,,,$81.45 ,20090101
33973,Insert balloon device,AS,,,$81.45 ,20090101
33973,Insert balloon device,,,,$407.27 ,20090101
33974,Remove intra-aortic balloon,,,,$681.05 ,20090101
33975,Implant ventricular device,80,,,$168.76 ,20090101
33975,Implant ventricular device,81,,,$168.76 ,20090101
33975,Implant ventricular device,82,,,$168.76 ,20090101
33975,Implant ventricular device,AS,,,$168.76 ,20090101
33975,Implant ventricular device,,,,$843.78 ,20090101
33976,Implant ventricular device,80,,,$188.29 ,20090101
33976,Implant ventricular device,81,,,$188.29 ,20090101
33976,Implant ventricular device,82,,,$188.29 ,20090101
33976,Implant ventricular device,AS,,,$188.29 ,20090101
33976,Implant ventricular device,,,,$941.44 ,20090101
33977,Remove ventricular device,80,,,$184.34 ,20090101
33977,Remove ventricular device,81,,,$184.34 ,20090101
33977,Remove ventricular device,82,,,$184.34 ,20090101
33977,Remove ventricular device,AS,,,$184.34 ,20090101
33977,Remove ventricular device,,,,$921.72 ,20090101
33978,Remove ventricular device,80,,,$205.38 ,20090101
33978,Remove ventricular device,81,,,$205.38 ,20090101
33978,Remove ventricular device,82,,,$205.38 ,20090101
33978,Remove ventricular device,AS,,,$205.38 ,20090101
33978,Remove ventricular device,,,,"$1,026.88 ",20090101
33979,Insert intracorporeal device,,,,"$1,864.27 ",20090101
33980,Remove intracorporeal device,,,,"$2,715.87 ",20090101
34001,Removal of artery clot,80,,,$145.61 ,20090101
34001,Removal of artery clot,81,,,$145.61 ,20090101
34001,Removal of artery clot,82,,,$145.61 ,20090101
34001,Removal of artery clot,AS,,,$145.61 ,20090101
34001,Removal of artery clot,,,,$728.07 ,20090101
34051,Removal of artery clot,80,,,$148.73 ,20090101
34051,Removal of artery clot,81,,,$148.73 ,20090101
34051,Removal of artery clot,82,,,$148.73 ,20090101
34051,Removal of artery clot,AS,,,$148.73 ,20090101
34051,Removal of artery clot,,,,$743.65 ,20090101
34101,Removal of artery clot,80,,,$95.10 ,20090101
34101,Removal of artery clot,81,,,$95.10 ,20090101
34101,Removal of artery clot,82,,,$95.10 ,20090101
34101,Removal of artery clot,AS,,,$95.10 ,20090101
34101,Removal of artery clot,,,,$475.48 ,20090101
34111,Removal of arm artery clot,80,,,$94.98 ,20090101
34111,Removal of arm artery clot,81,,,$94.98 ,20090101
34111,Removal of arm artery clot,82,,,$94.98 ,20090101
34111,Removal of arm artery clot,AS,,,$94.98 ,20090101
34111,Removal of arm artery clot,,,,$474.91 ,20090101
34151,Removal of artery clot,80,,,$219.78 ,20090101
34151,Removal of artery clot,81,,,$219.78 ,20090101
34151,Removal of artery clot,82,,,$219.78 ,20090101
34151,Removal of artery clot,AS,,,$219.78 ,20090101
34151,Removal of artery clot,,,,"$1,098.91 ",20090101
34201,Removal of artery clot,80,,,$149.17 ,20090101
34201,Removal of artery clot,81,,,$149.17 ,20090101
34201,Removal of artery clot,82,,,$149.17 ,20090101
34201,Removal of artery clot,AS,,,$149.17 ,20090101
34201,Removal of artery clot,,,,$745.87 ,20090101
34203,Removal of leg artery clot,80,,,$151.96 ,20090101
34203,Removal of leg artery clot,81,,,$151.96 ,20090101
34203,Removal of leg artery clot,82,,,$151.96 ,20090101
34203,Removal of leg artery clot,AS,,,$151.96 ,20090101
34203,Removal of leg artery clot,,,,$759.79 ,20090101
34401,Removal of vein clot,80,,,$219.67 ,20090101
34401,Removal of vein clot,81,,,$219.67 ,20090101
34401,Removal of vein clot,82,,,$219.67 ,20090101
34401,Removal of vein clot,AS,,,$219.67 ,20090101
34401,Removal of vein clot,,,,"$1,098.34 ",20090101
34421,Removal of vein clot,80,,,$114.56 ,20090101
34421,Removal of vein clot,81,,,$114.56 ,20090101
34421,Removal of vein clot,82,,,$114.56 ,20090101
34421,Removal of vein clot,AS,,,$114.56 ,20090101
34421,Removal of vein clot,,,,$572.82 ,20090101
34451,Removal of vein clot,80,,,$237.42 ,20090101
34451,Removal of vein clot,81,,,$237.42 ,20090101
34451,Removal of vein clot,82,,,$237.42 ,20090101
34451,Removal of vein clot,AS,,,$237.42 ,20090101
34451,Removal of vein clot,,,,"$1,187.09 ",20090101
34471,Removal of vein clot,80,,,$160.08 ,20090101
34471,Removal of vein clot,81,,,$160.08 ,20090101
34471,Removal of vein clot,82,,,$160.08 ,20090101
34471,Removal of vein clot,AS,,,$160.08 ,20090101
34471,Removal of vein clot,,,,$800.42 ,20090101
34490,Removal of vein clot,80,,,$95.31 ,20090101
34490,Removal of vein clot,81,,,$95.31 ,20090101
34490,Removal of vein clot,82,,,$95.31 ,20090101
34490,Removal of vein clot,AS,,,$95.31 ,20090101
34490,Removal of vein clot,,,,$476.57 ,20090101
34501,"Repair valve, femoral vein",80,,,$147.73 ,20090101
34501,"Repair valve, femoral vein",81,,,$147.73 ,20090101
34501,"Repair valve, femoral vein",82,,,$147.73 ,20090101
34501,"Repair valve, femoral vein",AS,,,$147.73 ,20090101
34501,"Repair valve, femoral vein",,,,$738.63 ,20090101
34502,Reconstruct vena cava,80,,,$238.59 ,20090101
34502,Reconstruct vena cava,81,,,$238.59 ,20090101
34502,Reconstruct vena cava,82,,,$238.59 ,20090101
34502,Reconstruct vena cava,AS,,,$238.59 ,20090101
34502,Reconstruct vena cava,,,,"$1,192.94 ",20090101
34510,Transposition of vein valve,80,,,$170.27 ,20090101
34510,Transposition of vein valve,81,,,$170.27 ,20090101
34510,Transposition of vein valve,82,,,$170.27 ,20090101
34510,Transposition of vein valve,AS,,,$170.27 ,20090101
34510,Transposition of vein valve,,,,$851.34 ,20090101
34520,Cross-over vein graft,80,,,$161.80 ,20090101
34520,Cross-over vein graft,81,,,$161.80 ,20090101
34520,Cross-over vein graft,82,,,$161.80 ,20090101
34520,Cross-over vein graft,AS,,,$161.80 ,20090101
34520,Cross-over vein graft,,,,$809.01 ,20090101
34530,Leg vein fusion,80,,,$151.35 ,20090101
34530,Leg vein fusion,81,,,$151.35 ,20090101
34530,Leg vein fusion,82,,,$151.35 ,20090101
34530,Leg vein fusion,AS,,,$151.35 ,20090101
34530,Leg vein fusion,,,,$756.74 ,20090101
34800,Endovas aaa repr w/sm tube,80,,,$178.78 ,20090101
34800,Endovas aaa repr w/sm tube,81,,,$178.78 ,20090101
34800,Endovas aaa repr w/sm tube,82,,,$178.78 ,20090101
34800,Endovas aaa repr w/sm tube,AS,,,$178.78 ,20090101
34800,Endovas aaa repr w/sm tube,,,,$893.88 ,20090101
34802,Endovas aaa repr w/2-p part,80,,,$194.91 ,20090101
34802,Endovas aaa repr w/2-p part,81,,,$194.91 ,20090101
34802,Endovas aaa repr w/2-p part,82,,,$194.91 ,20090101
34802,Endovas aaa repr w/2-p part,AS,,,$194.91 ,20090101
34802,Endovas aaa repr w/2-p part,,,,$974.56 ,20090101
34803,Endovas aaa repr w/3-p part,80,,,$199.59 ,20090101
34803,Endovas aaa repr w/3-p part,81,,,$199.59 ,20090101
34803,Endovas aaa repr w/3-p part,82,,,$199.59 ,20090101
34803,Endovas aaa repr w/3-p part,AS,,,$199.59 ,20090101
34803,Endovas aaa repr w/3-p part,,,,$997.95 ,20090101
34804,Endovas aaa repr w/1-p part,80,,,$194.47 ,20090101
34804,Endovas aaa repr w/1-p part,81,,,$194.47 ,20090101
34804,Endovas aaa repr w/1-p part,82,,,$194.47 ,20090101
34804,Endovas aaa repr w/1-p part,AS,,,$194.47 ,20090101
34804,Endovas aaa repr w/1-p part,,,,$972.33 ,20090101
34805,Endovas aaa repr w/long tube,80,,,$183.95 ,20090101
34805,Endovas aaa repr w/long tube,81,,,$183.95 ,20090101
34805,Endovas aaa repr w/long tube,82,,,$183.95 ,20090101
34805,Endovas aaa repr w/long tube,AS,,,$183.95 ,20090101
34805,Endovas aaa repr w/long tube,,,,$919.75 ,20090101
34806,Aneurysm press sensor add-on,,,,$79.85 ,20090101
34808,Endovas iliac a device addon,80,,,$32.94 ,20090101
34808,Endovas iliac a device addon,81,,,$32.94 ,20090101
34808,Endovas iliac a device addon,82,,,$32.94 ,20090101
34808,Endovas iliac a device addon,AS,,,$32.94 ,20090101
34808,Endovas iliac a device addon,,,,$164.72 ,20090101
34812,"Xpose for endoprosth, femorl",80,,,$54.92 ,20090101
34812,"Xpose for endoprosth, femorl",81,,,$54.92 ,20090101
34812,"Xpose for endoprosth, femorl",82,,,$54.92 ,20090101
34812,"Xpose for endoprosth, femorl",AS,,,$54.92 ,20090101
34812,"Xpose for endoprosth, femorl",,,,$274.59 ,20090101
34813,Femoral endovas graft add-on,80,,,$37.94 ,20090101
34813,Femoral endovas graft add-on,81,,,$37.94 ,20090101
34813,Femoral endovas graft add-on,82,,,$37.94 ,20090101
34813,Femoral endovas graft add-on,AS,,,$37.94 ,20090101
34813,Femoral endovas graft add-on,,,,$189.72 ,20090101
34820,"Xpose for endoprosth, iliac",80,,,$78.34 ,20090101
34820,"Xpose for endoprosth, iliac",81,,,$78.34 ,20090101
34820,"Xpose for endoprosth, iliac",82,,,$78.34 ,20090101
34820,"Xpose for endoprosth, iliac",AS,,,$78.34 ,20090101
34820,"Xpose for endoprosth, iliac",,,,$391.70 ,20090101
34825,"Endovasc extend prosth, init",80,,,$109.34 ,20090101
34825,"Endovasc extend prosth, init",81,,,$109.34 ,20090101
34825,"Endovasc extend prosth, init",82,,,$109.34 ,20090101
34825,"Endovasc extend prosth, init",AS,,,$109.34 ,20090101
34825,"Endovasc extend prosth, init",,,,$546.69 ,20090101
34826,"Endovasc exten prosth, add値",80,,,$32.32 ,20090101
34826,"Endovasc exten prosth, add値",81,,,$32.32 ,20090101
34826,"Endovasc exten prosth, add値",82,,,$32.32 ,20090101
34826,"Endovasc exten prosth, add値",AS,,,$32.32 ,20090101
34826,"Endovasc exten prosth, add値",,,,$161.62 ,20090101
34830,Open aortic tube prosth repr,80,,,$287.50 ,20090101
34830,Open aortic tube prosth repr,81,,,$287.50 ,20090101
34830,Open aortic tube prosth repr,82,,,$287.50 ,20090101
34830,Open aortic tube prosth repr,AS,,,$287.50 ,20090101
34830,Open aortic tube prosth repr,,,,"$1,437.51 ",20090101
34831,Open aortoiliac prosth repr,80,,,$301.86 ,20090101
34831,Open aortoiliac prosth repr,81,,,$301.86 ,20090101
34831,Open aortoiliac prosth repr,82,,,$301.86 ,20090101
34831,Open aortoiliac prosth repr,AS,,,$301.86 ,20090101
34831,Open aortoiliac prosth repr,,,,"$1,509.29 ",20090101
34832,Open aortofemor prosth repr,80,,,$311.15 ,20090101
34832,Open aortofemor prosth repr,81,,,$311.15 ,20090101
34832,Open aortofemor prosth repr,82,,,$311.15 ,20090101
34832,Open aortofemor prosth repr,AS,,,$311.15 ,20090101
34832,Open aortofemor prosth repr,,,,"$1,555.76 ",20090101
34833,"Xpose for endoprosth, iliac",80,,,$97.60 ,20090101
34833,"Xpose for endoprosth, iliac",81,,,$97.60 ,20090101
34833,"Xpose for endoprosth, iliac",82,,,$97.60 ,20090101
34833,"Xpose for endoprosth, iliac",AS,,,$97.60 ,20090101
34833,"Xpose for endoprosth, iliac",,,,$488.00 ,20090101
34834,"Xpose, endoprosth, brachial",80,,,$44.40 ,20090101
34834,"Xpose, endoprosth, brachial",81,,,$44.40 ,20090101
34834,"Xpose, endoprosth, brachial",82,,,$44.40 ,20090101
34834,"Xpose, endoprosth, brachial",AS,,,$44.40 ,20090101
34834,"Xpose, endoprosth, brachial",,,,$222.01 ,20090101
34900,Endovasc iliac repr w/graft,80,,,$142.38 ,20090101
34900,Endovasc iliac repr w/graft,81,,,$142.38 ,20090101
34900,Endovasc iliac repr w/graft,82,,,$142.38 ,20090101
34900,Endovasc iliac repr w/graft,AS,,,$142.38 ,20090101
34900,Endovasc iliac repr w/graft,,,,$711.92 ,20090101
35001,Repair defect of artery,80,,,$178.83 ,20090101
35001,Repair defect of artery,81,,,$178.83 ,20090101
35001,Repair defect of artery,82,,,$178.83 ,20090101
35001,Repair defect of artery,AS,,,$178.83 ,20090101
35001,Repair defect of artery,,,,$894.14 ,20090101
35002,"Repair artery rupture, neck",80,,,$187.68 ,20090101
35002,"Repair artery rupture, neck",81,,,$187.68 ,20090101
35002,"Repair artery rupture, neck",82,,,$187.68 ,20090101
35002,"Repair artery rupture, neck",AS,,,$187.68 ,20090101
35002,"Repair artery rupture, neck",,,,$938.38 ,20090101
35005,Repair defect of artery,80,,,$164.92 ,20090101
35005,Repair defect of artery,81,,,$164.92 ,20090101
35005,Repair defect of artery,82,,,$164.92 ,20090101
35005,Repair defect of artery,AS,,,$164.92 ,20090101
35005,Repair defect of artery,,,,$824.58 ,20090101
35011,Repair defect of artery,80,,,$156.85 ,20090101
35011,Repair defect of artery,81,,,$156.85 ,20090101
35011,Repair defect of artery,82,,,$156.85 ,20090101
35011,Repair defect of artery,AS,,,$156.85 ,20090101
35011,Repair defect of artery,,,,$784.27 ,20090101
35013,"Repair artery rupture, arm",80,,,$194.30 ,20090101
35013,"Repair artery rupture, arm",81,,,$194.30 ,20090101
35013,"Repair artery rupture, arm",82,,,$194.30 ,20090101
35013,"Repair artery rupture, arm",AS,,,$194.30 ,20090101
35013,"Repair artery rupture, arm",,,,$971.50 ,20090101
35021,Repair defect of artery,80,,,$188.63 ,20090101
35021,Repair defect of artery,81,,,$188.63 ,20090101
35021,Repair defect of artery,82,,,$188.63 ,20090101
35021,Repair defect of artery,AS,,,$188.63 ,20090101
35021,Repair defect of artery,,,,$943.14 ,20090101
35022,"Repair artery rupture, chest",80,,,$217.06 ,20090101
35022,"Repair artery rupture, chest",81,,,$217.06 ,20090101
35022,"Repair artery rupture, chest",82,,,$217.06 ,20090101
35022,"Repair artery rupture, chest",AS,,,$217.06 ,20090101
35022,"Repair artery rupture, chest",,,,"$1,085.30 ",20090101
35045,Repair defect of arm artery,80,,,$151.79 ,20090101
35045,Repair defect of arm artery,81,,,$151.79 ,20090101
35045,Repair defect of arm artery,82,,,$151.79 ,20090101
35045,Repair defect of arm artery,AS,,,$151.79 ,20090101
35045,Repair defect of arm artery,,,,$758.97 ,20090101
35081,Repair defect of artery,80,,,$269.69 ,20090101
35081,Repair defect of artery,81,,,$269.69 ,20090101
35081,Repair defect of artery,82,,,$269.69 ,20090101
35081,Repair defect of artery,AS,,,$269.69 ,20090101
35081,Repair defect of artery,,,,"$1,348.45 ",20090101
35082,"Repair artery rupture, aorta",80,,,$341.69 ,20090101
35082,"Repair artery rupture, aorta",81,,,$341.69 ,20090101
35082,"Repair artery rupture, aorta",82,,,$341.69 ,20090101
35082,"Repair artery rupture, aorta",AS,,,$341.69 ,20090101
35082,"Repair artery rupture, aorta",,,,"$1,708.47 ",20090101
35091,Repair defect of artery,80,,,$290.90 ,20090101
35091,Repair defect of artery,81,,,$290.90 ,20090101
35091,Repair defect of artery,82,,,$290.90 ,20090101
35091,Repair defect of artery,AS,,,$290.90 ,20090101
35091,Repair defect of artery,,,,"$1,454.49 ",20090101
35092,"Repair artery rupture, aorta",80,,,$407.80 ,20090101
35092,"Repair artery rupture, aorta",81,,,$407.80 ,20090101
35092,"Repair artery rupture, aorta",82,,,$407.80 ,20090101
35092,"Repair artery rupture, aorta",AS,,,$407.80 ,20090101
35092,"Repair artery rupture, aorta",,,,"$2,039.00 ",20090101
35102,Repair defect of artery,80,,,$293.12 ,20090101
35102,Repair defect of artery,81,,,$293.12 ,20090101
35102,Repair defect of artery,82,,,$293.12 ,20090101
35102,Repair defect of artery,AS,,,$293.12 ,20090101
35102,Repair defect of artery,,,,"$1,465.61 ",20090101
35103,"Repair artery rupture, groin",80,,,$353.33 ,20090101
35103,"Repair artery rupture, groin",81,,,$353.33 ,20090101
35103,"Repair artery rupture, groin",82,,,$353.33 ,20090101
35103,"Repair artery rupture, groin",AS,,,$353.33 ,20090101
35103,"Repair artery rupture, groin",,,,"$1,766.64 ",20090101
35111,Repair defect of artery,80,,,$217.72 ,20090101
35111,Repair defect of artery,81,,,$217.72 ,20090101
35111,Repair defect of artery,82,,,$217.72 ,20090101
35111,Repair defect of artery,AS,,,$217.72 ,20090101
35111,Repair defect of artery,,,,"$1,088.61 ",20090101
35112,"Repair artery rupture,spleen",80,,,$264.53 ,20090101
35112,"Repair artery rupture,spleen",81,,,$264.53 ,20090101
35112,"Repair artery rupture,spleen",82,,,$264.53 ,20090101
35112,"Repair artery rupture,spleen",AS,,,$264.53 ,20090101
35112,"Repair artery rupture,spleen",,,,"$1,322.63 ",20090101
35121,Repair defect of artery,80,,,$260.85 ,20090101
35121,Repair defect of artery,81,,,$260.85 ,20090101
35121,Repair defect of artery,82,,,$260.85 ,20090101
35121,Repair defect of artery,AS,,,$260.85 ,20090101
35121,Repair defect of artery,,,,"$1,304.26 ",20090101
35122,"Repair artery rupture, belly",80,,,$306.97 ,20090101
35122,"Repair artery rupture, belly",81,,,$306.97 ,20090101
35122,"Repair artery rupture, belly",82,,,$306.97 ,20090101
35122,"Repair artery rupture, belly",AS,,,$306.97 ,20090101
35122,"Repair artery rupture, belly",,,,"$1,534.85 ",20090101
35131,Repair defect of artery,80,,,$221.35 ,20090101
35131,Repair defect of artery,81,,,$221.35 ,20090101
35131,Repair defect of artery,82,,,$221.35 ,20090101
35131,Repair defect of artery,AS,,,$221.35 ,20090101
35131,Repair defect of artery,,,,"$1,106.73 ",20090101
35132,"Repair artery rupture, groin",80,,,$267.53 ,20090101
35132,"Repair artery rupture, groin",81,,,$267.53 ,20090101
35132,"Repair artery rupture, groin",82,,,$267.53 ,20090101
35132,"Repair artery rupture, groin",AS,,,$267.53 ,20090101
35132,"Repair artery rupture, groin",,,,"$1,337.63 ",20090101
35141,Repair defect of artery,80,,,$176.16 ,20090101
35141,Repair defect of artery,81,,,$176.16 ,20090101
35141,Repair defect of artery,82,,,$176.16 ,20090101
35141,Repair defect of artery,AS,,,$176.16 ,20090101
35141,Repair defect of artery,,,,$880.79 ,20090101
35142,"Repair artery rupture, thigh",80,,,$209.77 ,20090101
35142,"Repair artery rupture, thigh",81,,,$209.77 ,20090101
35142,"Repair artery rupture, thigh",82,,,$209.77 ,20090101
35142,"Repair artery rupture, thigh",AS,,,$209.77 ,20090101
35142,"Repair artery rupture, thigh",,,,"$1,048.87 ",20090101
35151,Repair defect of artery,80,,,$198.47 ,20090101
35151,Repair defect of artery,81,,,$198.47 ,20090101
35151,Repair defect of artery,82,,,$198.47 ,20090101
35151,Repair defect of artery,AS,,,$198.47 ,20090101
35151,Repair defect of artery,,,,$992.36 ,20090101
35152,"Repair artery rupture, knee",80,,,$230.30 ,20090101
35152,"Repair artery rupture, knee",81,,,$230.30 ,20090101
35152,"Repair artery rupture, knee",82,,,$230.30 ,20090101
35152,"Repair artery rupture, knee",AS,,,$230.30 ,20090101
35152,"Repair artery rupture, knee",,,,"$1,151.49 ",20090101
35180,Repair blood vessel lesion,80,,,$125.80 ,20090101
35180,Repair blood vessel lesion,81,,,$125.80 ,20090101
35180,Repair blood vessel lesion,82,,,$125.80 ,20090101
35180,Repair blood vessel lesion,AS,,,$125.80 ,20090101
35180,Repair blood vessel lesion,,,,$629.02 ,20090101
35182,Repair blood vessel lesion,80,,,$265.75 ,20090101
35182,Repair blood vessel lesion,81,,,$265.75 ,20090101
35182,Repair blood vessel lesion,82,,,$265.75 ,20090101
35182,Repair blood vessel lesion,AS,,,$265.75 ,20090101
35182,Repair blood vessel lesion,,,,"$1,328.73 ",20090101
35184,Repair blood vessel lesion,80,,,$159.41 ,20090101
35184,Repair blood vessel lesion,81,,,$159.41 ,20090101
35184,Repair blood vessel lesion,82,,,$159.41 ,20090101
35184,Repair blood vessel lesion,AS,,,$159.41 ,20090101
35184,Repair blood vessel lesion,,,,$797.05 ,20090101
35188,Repair blood vessel lesion,80,,,$134.49 ,20090101
35188,Repair blood vessel lesion,81,,,$134.49 ,20090101
35188,Repair blood vessel lesion,82,,,$134.49 ,20090101
35188,Repair blood vessel lesion,AS,,,$134.49 ,20090101
35188,Repair blood vessel lesion,,,,$672.44 ,20090101
35188,Repair blood vessel lesion,,,Y,$699.00 ,20081209
35189,Repair blood vessel lesion,80,,,$251.39 ,20090101
35189,Repair blood vessel lesion,81,,,$251.39 ,20090101
35189,Repair blood vessel lesion,82,,,$251.39 ,20090101
35189,Repair blood vessel lesion,AS,,,$251.39 ,20090101
35189,Repair blood vessel lesion,,,,"$1,256.96 ",20090101
35190,Repair blood vessel lesion,80,,,$116.79 ,20090101
35190,Repair blood vessel lesion,81,,,$116.79 ,20090101
35190,Repair blood vessel lesion,82,,,$116.79 ,20090101
35190,Repair blood vessel lesion,AS,,,$116.79 ,20090101
35190,Repair blood vessel lesion,,,,$583.95 ,20090101
35201,Repair blood vessel lesion,80,,,$146.56 ,20090101
35201,Repair blood vessel lesion,81,,,$146.56 ,20090101
35201,Repair blood vessel lesion,82,,,$146.56 ,20090101
35201,Repair blood vessel lesion,AS,,,$146.56 ,20090101
35201,Repair blood vessel lesion,,,,$732.78 ,20090101
35206,Repair blood vessel lesion,80,,,$119.97 ,20090101
35206,Repair blood vessel lesion,81,,,$119.97 ,20090101
35206,Repair blood vessel lesion,82,,,$119.97 ,20090101
35206,Repair blood vessel lesion,AS,,,$119.97 ,20090101
35206,Repair blood vessel lesion,,,,$599.83 ,20090101
35207,Repair blood vessel lesion,80,,,$107.56 ,20090101
35207,Repair blood vessel lesion,81,,,$107.56 ,20090101
35207,Repair blood vessel lesion,82,,,$107.56 ,20090101
35207,Repair blood vessel lesion,AS,,,$107.56 ,20090101
35207,Repair blood vessel lesion,,,,$537.79 ,20090101
35207,Repair blood vessel lesion,,,Y,$699.00 ,20081209
35211,Repair blood vessel lesion,80,,,$210.72 ,20090101
35211,Repair blood vessel lesion,81,,,$210.72 ,20090101
35211,Repair blood vessel lesion,82,,,$210.72 ,20090101
35211,Repair blood vessel lesion,AS,,,$210.72 ,20090101
35211,Repair blood vessel lesion,,,,"$1,053.58 ",20090101
35216,Repair blood vessel lesion,80,,,$280.43 ,20090101
35216,Repair blood vessel lesion,81,,,$280.43 ,20090101
35216,Repair blood vessel lesion,82,,,$280.43 ,20090101
35216,Repair blood vessel lesion,AS,,,$280.43 ,20090101
35216,Repair blood vessel lesion,,,,"$1,402.17 ",20090101
35221,Repair blood vessel lesion,80,,,$217.28 ,20090101
35221,Repair blood vessel lesion,81,,,$217.28 ,20090101
35221,Repair blood vessel lesion,82,,,$217.28 ,20090101
35221,Repair blood vessel lesion,AS,,,$217.28 ,20090101
35221,Repair blood vessel lesion,,,,"$1,086.39 ",20090101
35226,Repair blood vessel lesion,80,,,$132.76 ,20090101
35226,Repair blood vessel lesion,81,,,$132.76 ,20090101
35226,Repair blood vessel lesion,82,,,$132.76 ,20090101
35226,Repair blood vessel lesion,AS,,,$132.76 ,20090101
35226,Repair blood vessel lesion,,,,$663.80 ,20090101
35231,Repair blood vessel lesion,80,,,$182.06 ,20090101
35231,Repair blood vessel lesion,81,,,$182.06 ,20090101
35231,Repair blood vessel lesion,82,,,$182.06 ,20090101
35231,Repair blood vessel lesion,AS,,,$182.06 ,20090101
35231,Repair blood vessel lesion,,,,$910.28 ,20090101
35236,Repair blood vessel lesion,80,,,$152.79 ,20090101
35236,Repair blood vessel lesion,81,,,$152.79 ,20090101
35236,Repair blood vessel lesion,82,,,$152.79 ,20090101
35236,Repair blood vessel lesion,AS,,,$152.79 ,20090101
35236,Repair blood vessel lesion,,,,$763.93 ,20090101
35241,Repair blood vessel lesion,80,,,$220.39 ,20090101
35241,Repair blood vessel lesion,81,,,$220.39 ,20090101
35241,Repair blood vessel lesion,82,,,$220.39 ,20090101
35241,Repair blood vessel lesion,AS,,,$220.39 ,20090101
35241,Repair blood vessel lesion,,,,"$1,101.96 ",20090101
35246,Repair blood vessel lesion,80,,,$238.04 ,20090101
35246,Repair blood vessel lesion,81,,,$238.04 ,20090101
35246,Repair blood vessel lesion,82,,,$238.04 ,20090101
35246,Repair blood vessel lesion,AS,,,$238.04 ,20090101
35246,Repair blood vessel lesion,,,,"$1,190.20 ",20090101
35251,Repair blood vessel lesion,80,,,$259.24 ,20090101
35251,Repair blood vessel lesion,81,,,$259.24 ,20090101
35251,Repair blood vessel lesion,82,,,$259.24 ,20090101
35251,Repair blood vessel lesion,AS,,,$259.24 ,20090101
35251,Repair blood vessel lesion,,,,"$1,296.18 ",20090101
35256,Repair blood vessel lesion,80,,,$161.19 ,20090101
35256,Repair blood vessel lesion,81,,,$161.19 ,20090101
35256,Repair blood vessel lesion,82,,,$161.19 ,20090101
35256,Repair blood vessel lesion,AS,,,$161.19 ,20090101
35256,Repair blood vessel lesion,,,,$805.95 ,20090101
35261,Repair blood vessel lesion,80,,,$161.30 ,20090101
35261,Repair blood vessel lesion,81,,,$161.30 ,20090101
35261,Repair blood vessel lesion,82,,,$161.30 ,20090101
35261,Repair blood vessel lesion,AS,,,$161.30 ,20090101
35261,Repair blood vessel lesion,,,,$806.52 ,20090101
35266,Repair blood vessel lesion,80,,,$134.04 ,20090101
35266,Repair blood vessel lesion,81,,,$134.04 ,20090101
35266,Repair blood vessel lesion,82,,,$134.04 ,20090101
35266,Repair blood vessel lesion,AS,,,$134.04 ,20090101
35266,Repair blood vessel lesion,,,,$670.21 ,20090101
35271,Repair blood vessel lesion,80,,,$210.11 ,20090101
35271,Repair blood vessel lesion,81,,,$210.11 ,20090101
35271,Repair blood vessel lesion,82,,,$210.11 ,20090101
35271,Repair blood vessel lesion,AS,,,$210.11 ,20090101
35271,Repair blood vessel lesion,,,,"$1,050.53 ",20090101
35276,Repair blood vessel lesion,80,,,$220.95 ,20090101
35276,Repair blood vessel lesion,81,,,$220.95 ,20090101
35276,Repair blood vessel lesion,82,,,$220.95 ,20090101
35276,Repair blood vessel lesion,AS,,,$220.95 ,20090101
35276,Repair blood vessel lesion,,,,"$1,104.76 ",20090101
35281,Repair blood vessel lesion,80,,,$247.04 ,20090101
35281,Repair blood vessel lesion,81,,,$247.04 ,20090101
35281,Repair blood vessel lesion,82,,,$247.04 ,20090101
35281,Repair blood vessel lesion,AS,,,$247.04 ,20090101
35281,Repair blood vessel lesion,,,,"$1,235.22 ",20090101
35286,Repair blood vessel lesion,80,,,$147.95 ,20090101
35286,Repair blood vessel lesion,81,,,$147.95 ,20090101
35286,Repair blood vessel lesion,82,,,$147.95 ,20090101
35286,Repair blood vessel lesion,AS,,,$147.95 ,20090101
35286,Repair blood vessel lesion,,,,$739.77 ,20090101
35301,Rechanneling of artery,80,,,$165.64 ,20090101
35301,Rechanneling of artery,81,,,$165.64 ,20090101
35301,Rechanneling of artery,82,,,$165.64 ,20090101
35301,Rechanneling of artery,AS,,,$165.64 ,20090101
35301,Rechanneling of artery,,,,$828.21 ,20090101
35302,Rechanneling of artery,80,,,$173.38 ,20090101
35302,Rechanneling of artery,81,,,$173.38 ,20090101
35302,Rechanneling of artery,82,,,$173.38 ,20090101
35302,Rechanneling of artery,AS,,,$173.38 ,20090101
35302,Rechanneling of artery,,,,$866.90 ,20090101
35303,Rechanneling of artery,80,,,$190.52 ,20090101
35303,Rechanneling of artery,81,,,$190.52 ,20090101
35303,Rechanneling of artery,82,,,$190.52 ,20090101
35303,Rechanneling of artery,AS,,,$190.52 ,20090101
35303,Rechanneling of artery,,,,$952.58 ,20090101
35304,Rechanneling of artery,80,,,$198.31 ,20090101
35304,Rechanneling of artery,81,,,$198.31 ,20090101
35304,Rechanneling of artery,82,,,$198.31 ,20090101
35304,Rechanneling of artery,AS,,,$198.31 ,20090101
35304,Rechanneling of artery,,,,$991.53 ,20090101
35305,Rechanneling of artery,80,,,$190.52 ,20090101
35305,Rechanneling of artery,81,,,$190.52 ,20090101
35305,Rechanneling of artery,82,,,$190.52 ,20090101
35305,Rechanneling of artery,AS,,,$190.52 ,20090101
35305,Rechanneling of artery,,,,$952.58 ,20090101
35306,Rechanneling of artery,80,,,$71.61 ,20090101
35306,Rechanneling of artery,81,,,$71.61 ,20090101
35306,Rechanneling of artery,82,,,$71.61 ,20090101
35306,Rechanneling of artery,AS,,,$71.61 ,20090101
35306,Rechanneling of artery,,,,$358.06 ,20090101
35311,Rechanneling of artery,80,,,$237.20 ,20090101
35311,Rechanneling of artery,81,,,$237.20 ,20090101
35311,Rechanneling of artery,82,,,$237.20 ,20090101
35311,Rechanneling of artery,AS,,,$237.20 ,20090101
35311,Rechanneling of artery,,,,"$1,186.01 ",20090101
35321,Rechanneling of artery,80,,,$141.00 ,20090101
35321,Rechanneling of artery,81,,,$141.00 ,20090101
35321,Rechanneling of artery,82,,,$141.00 ,20090101
35321,Rechanneling of artery,AS,,,$141.00 ,20090101
35321,Rechanneling of artery,,,,$704.99 ,20090101
35331,Rechanneling of artery,80,,,$230.74 ,20090101
35331,Rechanneling of artery,81,,,$230.74 ,20090101
35331,Rechanneling of artery,82,,,$230.74 ,20090101
35331,Rechanneling of artery,AS,,,$230.74 ,20090101
35331,Rechanneling of artery,,,,"$1,153.71 ",20090101
35341,Rechanneling of artery,80,,,$219.45 ,20090101
35341,Rechanneling of artery,81,,,$219.45 ,20090101
35341,Rechanneling of artery,82,,,$219.45 ,20090101
35341,Rechanneling of artery,AS,,,$219.45 ,20090101
35341,Rechanneling of artery,,,,"$1,097.26 ",20090101
35351,Rechanneling of artery,80,,,$203.09 ,20090101
35351,Rechanneling of artery,81,,,$203.09 ,20090101
35351,Rechanneling of artery,82,,,$203.09 ,20090101
35351,Rechanneling of artery,AS,,,$203.09 ,20090101
35351,Rechanneling of artery,,,,"$1,015.44 ",20090101
35355,Rechanneling of artery,80,,,$165.09 ,20090101
35355,Rechanneling of artery,81,,,$165.09 ,20090101
35355,Rechanneling of artery,82,,,$165.09 ,20090101
35355,Rechanneling of artery,AS,,,$165.09 ,20090101
35355,Rechanneling of artery,,,,$825.46 ,20090101
35361,Rechanneling of artery,80,,,$249.89 ,20090101
35361,Rechanneling of artery,81,,,$249.89 ,20090101
35361,Rechanneling of artery,82,,,$249.89 ,20090101
35361,Rechanneling of artery,AS,,,$249.89 ,20090101
35361,Rechanneling of artery,,,,"$1,249.45 ",20090101
35363,Rechanneling of artery,80,,,$267.46 ,20090101
35363,Rechanneling of artery,81,,,$267.46 ,20090101
35363,Rechanneling of artery,82,,,$267.46 ,20090101
35363,Rechanneling of artery,AS,,,$267.46 ,20090101
35363,Rechanneling of artery,,,,"$1,337.32 ",20090101
35371,Rechanneling of artery,80,,,$130.81 ,20090101
35371,Rechanneling of artery,81,,,$130.81 ,20090101
35371,Rechanneling of artery,82,,,$130.81 ,20090101
35371,Rechanneling of artery,AS,,,$130.81 ,20090101
35371,Rechanneling of artery,,,,$654.07 ,20090101
35372,Rechanneling of artery,80,,,$157.02 ,20090101
35372,Rechanneling of artery,81,,,$157.02 ,20090101
35372,Rechanneling of artery,82,,,$157.02 ,20090101
35372,Rechanneling of artery,AS,,,$157.02 ,20090101
35372,Rechanneling of artery,,,,$785.10 ,20090101
35390,"Reoperation, carotid add-on",80,,,$25.54 ,20090101
35390,"Reoperation, carotid add-on",81,,,$25.54 ,20090101
35390,"Reoperation, carotid add-on",82,,,$25.54 ,20090101
35390,"Reoperation, carotid add-on",AS,,,$25.54 ,20090101
35390,"Reoperation, carotid add-on",,,,$127.72 ,20090101
35400,Angioscopy,,,,$120.74 ,20090101
35450,Repair arterial blockage,80,,,$81.07 ,20090101
35450,Repair arterial blockage,81,,,$81.07 ,20090101
35450,Repair arterial blockage,82,,,$81.07 ,20090101
35450,Repair arterial blockage,AS,,,$81.07 ,20090101
35450,Repair arterial blockage,,,,$405.36 ,20090101
35452,Repair arterial blockage,80,,,$56.58 ,20090101
35452,Repair arterial blockage,81,,,$56.58 ,20090101
35452,Repair arterial blockage,82,,,$56.58 ,20090101
35452,Repair arterial blockage,AS,,,$56.58 ,20090101
35452,Repair arterial blockage,,,,$282.92 ,20090101
35454,Repair arterial blockage,80,,,$49.74 ,20090101
35454,Repair arterial blockage,81,,,$49.74 ,20090101
35454,Repair arterial blockage,82,,,$49.74 ,20090101
35454,Repair arterial blockage,AS,,,$49.74 ,20090101
35454,Repair arterial blockage,,,,$248.71 ,20090101
35456,Repair arterial blockage,80,,,$60.21 ,20090101
35456,Repair arterial blockage,81,,,$60.21 ,20090101
35456,Repair arterial blockage,82,,,$60.21 ,20090101
35456,Repair arterial blockage,AS,,,$60.21 ,20090101
35456,Repair arterial blockage,,,,$301.03 ,20090101
35458,Repair arterial blockage,80,,,$77.23 ,20090101
35458,Repair arterial blockage,81,,,$77.23 ,20090101
35458,Repair arterial blockage,82,,,$77.23 ,20090101
35458,Repair arterial blockage,AS,,,$77.23 ,20090101
35458,Repair arterial blockage,,,,$386.16 ,20090101
35459,Repair arterial blockage,80,,,$70.89 ,20090101
35459,Repair arterial blockage,81,,,$70.89 ,20090101
35459,Repair arterial blockage,82,,,$70.89 ,20090101
35459,Repair arterial blockage,AS,,,$70.89 ,20090101
35459,Repair arterial blockage,,,,$354.44 ,20090101
35460,Repair venous blockage,80,,,$49.36 ,20090101
35460,Repair venous blockage,81,,,$49.36 ,20090101
35460,Repair venous blockage,82,,,$49.36 ,20090101
35460,Repair venous blockage,AS,,,$49.36 ,20090101
35460,Repair venous blockage,,,,$246.80 ,20090101
35470,Repair arterial blockage,80,,,$469.44 ,20090101
35470,Repair arterial blockage,81,,,$469.44 ,20090101
35470,Repair arterial blockage,82,,,$469.44 ,20090101
35470,Repair arterial blockage,AS,,,$469.44 ,20090101
35470,Repair arterial blockage,,,,"$2,347.22 ",20090101
35471,Repair arterial blockage,80,,,$522.53 ,20090101
35471,Repair arterial blockage,81,,,$522.53 ,20090101
35471,Repair arterial blockage,82,,,$522.53 ,20090101
35471,Repair arterial blockage,AS,,,$522.53 ,20090101
35471,Repair arterial blockage,,,,"$2,612.65 ",20090101
35472,Repair arterial blockage,80,,,$353.05 ,20090101
35472,Repair arterial blockage,81,,,$353.05 ,20090101
35472,Repair arterial blockage,82,,,$353.05 ,20090101
35472,Repair arterial blockage,AS,,,$353.05 ,20090101
35472,Repair arterial blockage,,,,"$1,765.24 ",20090101
35473,Repair arterial blockage,80,,,$332.51 ,20090101
35473,Repair arterial blockage,81,,,$332.51 ,20090101
35473,Repair arterial blockage,82,,,$332.51 ,20090101
35473,Repair arterial blockage,AS,,,$332.51 ,20090101
35473,Repair arterial blockage,,,,"$1,662.57 ",20090101
35474,Repair arterial blockage,80,,,$456.42 ,20090101
35474,Repair arterial blockage,81,,,$456.42 ,20090101
35474,Repair arterial blockage,82,,,$456.42 ,20090101
35474,Repair arterial blockage,AS,,,$456.42 ,20090101
35474,Repair arterial blockage,,,,"$2,282.12 ",20090101
35475,Repair arterial blockage,80,,,$347.81 ,20090101
35475,Repair arterial blockage,81,,,$347.81 ,20090101
35475,Repair arterial blockage,82,,,$347.81 ,20090101
35475,Repair arterial blockage,AS,,,$347.81 ,20090101
35475,Repair arterial blockage,,,,"$1,739.06 ",20090101
35476,Repair venous blockage,80,,,$263.36 ,20090101
35476,Repair venous blockage,81,,,$263.36 ,20090101
35476,Repair venous blockage,82,,,$263.36 ,20090101
35476,Repair venous blockage,AS,,,$263.36 ,20090101
35476,Repair venous blockage,,,,"$1,316.78 ",20090101
35480,"Atherectomy, open",80,,,$91.14 ,20090101
35480,"Atherectomy, open",81,,,$91.14 ,20090101
35480,"Atherectomy, open",82,,,$91.14 ,20090101
35480,"Atherectomy, open",AS,,,$91.14 ,20090101
35480,"Atherectomy, open",,,,$455.71 ,20090101
35481,"Atherectomy, open",80,,,$63.71 ,20090101
35481,"Atherectomy, open",81,,,$63.71 ,20090101
35481,"Atherectomy, open",82,,,$63.71 ,20090101
35481,"Atherectomy, open",AS,,,$63.71 ,20090101
35481,"Atherectomy, open",,,,$318.57 ,20090101
35482,"Atherectomy, open",80,,,$54.64 ,20090101
35482,"Atherectomy, open",81,,,$54.64 ,20090101
35482,"Atherectomy, open",82,,,$54.64 ,20090101
35482,"Atherectomy, open",AS,,,$54.64 ,20090101
35482,"Atherectomy, open",,,,$273.19 ,20090101
35483,"Atherectomy, open",80,,,$66.93 ,20090101
35483,"Atherectomy, open",81,,,$66.93 ,20090101
35483,"Atherectomy, open",82,,,$66.93 ,20090101
35483,"Atherectomy, open",AS,,,$66.93 ,20090101
35483,"Atherectomy, open",,,,$334.67 ,20090101
35484,"Atherectomy, open",80,,,$83.63 ,20090101
35484,"Atherectomy, open",81,,,$83.63 ,20090101
35484,"Atherectomy, open",82,,,$83.63 ,20090101
35484,"Atherectomy, open",AS,,,$83.63 ,20090101
35484,"Atherectomy, open",,,,$418.14 ,20090101
35485,"Atherectomy, open",80,,,$78.07 ,20090101
35485,"Atherectomy, open",81,,,$78.07 ,20090101
35485,"Atherectomy, open",82,,,$78.07 ,20090101
35485,"Atherectomy, open",AS,,,$78.07 ,20090101
35485,"Atherectomy, open",,,,$390.35 ,20090101
35490,"Atherectomy, percutaneous",,,,$464.88 ,20090101
35491,"Atherectomy, percutaneous",,,,$331.34 ,20090101
35492,"Atherectomy, percutaneous",,,,$289.61 ,20090101
35493,"Atherectomy, percutaneous",,,,$348.60 ,20090101
35494,"Atherectomy, percutaneous",,,,$440.12 ,20090101
35495,"Atherectomy, percutaneous",,,,$405.91 ,20090101
35500,Harvest vein for bypass,80,,,$51.08 ,20090101
35500,Harvest vein for bypass,81,,,$51.08 ,20090101
35500,Harvest vein for bypass,82,,,$51.08 ,20090101
35500,Harvest vein for bypass,AS,,,$51.08 ,20090101
35500,Harvest vein for bypass,,,,$255.39 ,20090101
35501,Artery bypass graft,80,,,$238.48 ,20090101
35501,Artery bypass graft,81,,,$238.48 ,20090101
35501,Artery bypass graft,82,,,$238.48 ,20090101
35501,Artery bypass graft,AS,,,$238.48 ,20090101
35501,Artery bypass graft,,,,"$1,192.42 ",20090101
35506,Artery bypass graft,80,,,$205.82 ,20090101
35506,Artery bypass graft,81,,,$205.82 ,20090101
35506,Artery bypass graft,82,,,$205.82 ,20090101
35506,Artery bypass graft,AS,,,$205.82 ,20090101
35506,Artery bypass graft,,,,"$1,029.10 ",20090101
35508,Artery bypass graft,80,,,$210.77 ,20090101
35508,Artery bypass graft,81,,,$210.77 ,20090101
35508,Artery bypass graft,82,,,$210.77 ,20090101
35508,Artery bypass graft,AS,,,$210.77 ,20090101
35508,Artery bypass graft,,,,"$1,053.84 ",20090101
35509,Artery bypass graft,80,,,$231.97 ,20090101
35509,Artery bypass graft,81,,,$231.97 ,20090101
35509,Artery bypass graft,82,,,$231.97 ,20090101
35509,Artery bypass graft,AS,,,$231.97 ,20090101
35509,Artery bypass graft,,,,"$1,159.87 ",20090101
35510,Artery bypass graft,80,,,$196.69 ,20090101
35510,Artery bypass graft,81,,,$196.69 ,20090101
35510,Artery bypass graft,82,,,$196.69 ,20090101
35510,Artery bypass graft,AS,,,$196.69 ,20090101
35510,Artery bypass graft,,,,$983.46 ,20090101
35511,Artery bypass graft,80,,,$186.62 ,20090101
35511,Artery bypass graft,81,,,$186.62 ,20090101
35511,Artery bypass graft,82,,,$186.62 ,20090101
35511,Artery bypass graft,AS,,,$186.62 ,20090101
35511,Artery bypass graft,,,,$933.10 ,20090101
35512,Artery bypass graft,80,,,$192.80 ,20090101
35512,Artery bypass graft,81,,,$192.80 ,20090101
35512,Artery bypass graft,82,,,$192.80 ,20090101
35512,Artery bypass graft,AS,,,$192.80 ,20090101
35512,Artery bypass graft,,,,$964.00 ,20090101
35515,Artery bypass graft,80,,,$211.21 ,20090101
35515,Artery bypass graft,81,,,$211.21 ,20090101
35515,Artery bypass graft,82,,,$211.21 ,20090101
35515,Artery bypass graft,AS,,,$211.21 ,20090101
35515,Artery bypass graft,,,,"$1,056.06 ",20090101
35516,Artery bypass graft,80,,,$186.85 ,20090101
35516,Artery bypass graft,81,,,$186.85 ,20090101
35516,Artery bypass graft,82,,,$186.85 ,20090101
35516,Artery bypass graft,AS,,,$186.85 ,20090101
35516,Artery bypass graft,,,,$934.24 ,20090101
35518,Artery bypass graft,80,,,$187.79 ,20090101
35518,Artery bypass graft,81,,,$187.79 ,20090101
35518,Artery bypass graft,82,,,$187.79 ,20090101
35518,Artery bypass graft,AS,,,$18