Top 40 services provided by CENTRAL MAINE MEDICAL CENTER
Services CPT Price Est. Cash Price
Fine needle aspiration of first lesion 10021 $210.00 $42.00
Acne surgery 10040 $184.00 $36.80
Drainage of abscess 10060 $380.00 $76.00
Drainage of multiple abscess 10061 $521.00 $104.20
Drainage of tailbone cyst 10080 $273.00 $54.60
Drainage of tailbone cyst 10081 $835.00 $167.00
Removal of foreign body from tissue, accessed beneath the skin 10120 $283.00 $56.60
Removal of foreign body from tissue, accessed beneath the skin 10121 $575.00 $115.00
Drainage of blood or fluid accumulation 10140 $890.00 $178.00
Aspiration of abscess, blood accumulation, blister, or cyst 10160 $213.00 $42.60
Drainage of wound infection after surgery 10180 $1,768.00 $353.60
Removal of inflamed or infected skin, up to 10% of body surface 11000 $194.00 $38.80
Removal of inflamed or infected skin 11001 $75.00 $15.00
Removal of infected skin, tissue or muscle of genitals 11004 $2,277.00 $455.40
Removal of infected skin, tissue or muscle of abdomen 11005 $2,656.00 $531.20
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen 11006 $2,352.00 $470.40
Removal of infected artificial material or mesh from abdomen 11008 $1,166.00 $233.20
Removal of foreign material from skin and tissue at open fracture and/or dislocation 11010 $983.00 $196.60
Removal of foreign material from skin, tissue, and muscle at open fracture and/or dislocation 11011 $676.00 $135.20
Removal of foreign material from skin, tissue, muscle, and bone at open fracture and/or dislocation 11012 $1,093.00 $218.60
Removal of skin and tissue first 20 sq cm or less 11042 $287.00 $57.40
Removal of skin and/or muscle first 20 sq cm or less 11043 $711.00 $142.20
Removal of skin and bone first 20 sq cm or less 11044 $1,023.00 $204.60
Removal of skin and tissue 11045 $240.00 $48.00
Removal of skin and/or muscle 11046 $308.00 $61.60
Removal of skin and bone 11047 $318.00 $63.60
Removal of single thickened skin growth 11055 $130.00 $26.00
Removal of 2 to 4 thickened skin growths 11056 $144.00 $28.80
Removal of more than 4 thickened skin growths 11057 $111.00 $22.20
Removal of up to and including 15 skin tags 11200 $128.00 $25.60
Removal of skin tags 11201 $80.00 $16.00
Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs 11300 $160.00 $32.00
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs 11301 $182.00 $36.40
Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs 11302 $208.00 $41.60
Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs 11303 $376.00 $75.20
Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals 11305 $204.00 $40.80
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals 11306 $228.00 $45.60
Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals 11307 $358.00 $71.60
Shaving of over 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals 11308 $397.00 $79.40
Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth 11310 $217.00 $43.40
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 11311 $252.00 $50.40
Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 11312 $439.00 $87.80
Shaving of over 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth 11313 $458.00 $91.60
Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 11400 $782.00 $156.40
Removal of growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 11401 $603.00 $120.60
Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11402 $806.00 $161.20
Removal of growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 11403 $1,167.00 $233.40
Removal of growth (3.1 to 4.0 centimeters) of the trunk, arms, or legs 11404 $1,417.00 $283.40
Removal of growth (4.0 centimeters) of the trunk, arms, or legs 11406 $711.00 $142.20
Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 11420 $785.00 $157.00
Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals 11421 $387.00 $77.40
Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11422 $451.00 $90.20
Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 11423 $516.00 $103.20
Removal of growth (3.1 to 4.0 centimeters) of the scalp, neck, hands, feet, or genitals 11424 $588.00 $117.60
Removal of growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals 11426 $843.00 $168.60
Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth 11440 $516.00 $103.20
Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 11441 $434.00 $86.80
Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 11442 $479.00 $95.80
Removal of growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth 11443 $574.00 $114.80
Removal (3.1 to 4.0 centimeters) growth of face, ears, eyelids, nose, lips, or mouth 11444 $714.00 $142.80
Removal (over 4.0 centimeters) growth of the face, ears, eyelids, nose, lips, or mouth 11446 $976.00 $195.20
Removal of skin and tissue beneath the skin of underarms for excessive sweating 11450 $953.00 $190.60
Removal of skin and tissue beneath the skin of underarms for excessive sweating 11451 $1,080.00 $216.00
Removal of skin and tissue beneath the skin of groin for excessive sweating 11462 $988.00 $197.60
Removal of skin and tissue beneath the skin of groin for excessive sweating 11463 $1,146.00 $229.20
Removal of skin and tissue beneath the skin of anus or navel for excessive sweating 11470 $1,186.00 $237.20
Removal of skin and tissue beneath the skin of anus or navel for excessive sweating 11471 $1,485.00 $297.00
Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs 11600 $471.00 $94.20
Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs 11601 $586.00 $117.20
Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11602 $645.00 $129.00
Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs 11603 $736.00 $147.20
Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs 11604 $807.00 $161.40
Removal of malignant growth (over 4.0 centimeters) of the trunk, arms, or legs 11606 $1,329.00 $265.80
Removal of malignant growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 11620 $481.00 $96.20
Removal of malignant growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals 11621 $592.00 $118.40
Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11622 $669.00 $133.80
Removal of malignant growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 11623 $782.00 $156.40
Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals 11624 $1,008.00 $201.60
Removal of malignant growth (over 4.0 centimeters) of the scalp, neck, hands, feet, or genitals 11626 $1,223.00 $244.60
Removal of malignant growth (0.5 centimeters or less) of the face, ears, eyelids, nose, or lips 11640 $434.00 $86.80
Removal of malignant growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, or lips 11641 $655.00 $131.00
Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips 11642 $808.00 $161.60
Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips 11643 $868.00 $173.60
Removal of malignant growth (3.1 to 4.0 centimeters) of the face, ears, eyelids, nose, or lips 11644 $974.00 $194.80
Removal of malignant growth (over 4.0 centimeters) of the face, ears, eyelids, nose, or lips 11646 $1,250.00 $250.00
Trimming of fingernails or toenails 11719 $48.00 $9.60
Removal of tissue from 1 to 5 finger or toe nails 11720 $101.00 $20.20
Removal of tissue from 6 or more finger or toe nails 11721 $121.00 $24.20
Separation of nail plate from nail bed 11730 $179.00 $35.80
Separation of nail plate from nail bed 11732 $90.00 $18.00
Removal of blood accumulation between nail and nail bed 11740 $93.00 $18.60
Removal of nail 11750 $764.00 $152.80
Biopsy of finger or toe nail 11755 $315.00 $63.00
Repair of finger or toe nail bed 11760 $386.00 $77.20
Removal of skin of finger or toe nail 11765 $209.00 $41.80
Removal of tailbone cyst 11770 $703.00 $140.60
Removal of tailbone cyst 11771 $1,394.00 $278.80
Removal of tailbone cyst 11772 $2,050.00 $410.00
Injection of up to 7 skin growths 11900 $95.00 $19.00
Injection of more than 7 skin growths 11901 $181.00 $36.20
Introduction of pigment into skin (6.0 sq cm or less) to correct color defect 11920 $424.00 $84.80
Introduction of pigment into skin (6.1 to 20.0 sq cm) to correct color defect 11921 $485.00 $97.00
Introduction of pigment into skin to correct color defect 11922 $115.00 $23.00
Injection of 1 cc or less filling material into tissue 11950 $251.00 $50.20
Injection of 1.1 to 5.0 cc filling material, beneath the skin 11951 $276.00 $55.20
Injection of over 10.0 cc filling material, beneath the skin 11954 $543.00 $108.60
Insertion of tissue expanders 11960 $2,861.00 $572.20
Replacement of tissue expander with permanent prosthesis 11970 $3,021.00 $604.20
Removal of tissue expanders 11971 $1,649.00 $329.80
Removal of implantable contraceptive capsules 11976 $425.00 $85.00
Insertion of hormone pellets beneath the skin 11980 $223.00 $44.60
Insertion of drug delivery implant into tissue 11981 $297.00 $59.40
Removal of drug delivery implant from tissue 11982 $362.00 $72.40
Removal with reinsertion of drug delivery implant into tissue 11983 $546.00 $109.20
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 12001 $221.00 $44.20
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $252.00 $50.40
Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12004 $272.00 $54.40
Repair of wound (12.6 to 20.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12005 $341.00 $68.20
Repair of wound (20.1 to 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12006 $423.00 $84.60
Repair of wound (over 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12007 $764.00 $152.80
Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12011 $235.00 $47.00
Repair of wound (2.6 to 5.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12013 $254.00 $50.80
Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12014 $293.00 $58.60
Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12015 $365.00 $73.00
Repair of wound (12.6 to 20.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12016 $456.00 $91.20
Repair of wound (20.1 to 30.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12017 $661.00 $132.20
Repair of separation of wound closure 12020 $935.00 $187.00
Repair of separation of wound closure with insertion of packing 12021 $345.00 $69.00
Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs 12031 $627.00 $125.40
Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12032 $919.00 $183.80
Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12034 $757.00 $151.40
Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12035 $858.00 $171.60
Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12036 $1,127.00 $225.40
Repair of wound (over 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12037 $1,257.00 $251.40
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $652.00 $130.40
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $737.00 $147.40
Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals 12044 $806.00 $161.20
Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals 12045 $1,056.00 $211.20
Repair of wound (20.1 to 30.0 centimeters) of neck, hands, feet, and/or genitals 12046 $1,001.00 $200.20
Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth 12051 $682.00 $136.40
Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12052 $787.00 $157.40
Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12053 $814.00 $162.80
Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12054 $850.00 $170.00
Repair of wound (12.6 to 20.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12055 $1,172.00 $234.40
Repair of wound (20.1 to 30.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12056 $1,175.00 $235.00
Repair of wound (over 30.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12057 $1,333.00 $266.60
Repair of wound (1.1 to 2.5 centimeters) of trunk 13100 $962.00 $192.40
Repair of wound (2.6 to 7.5 centimeters) of trunk 13101 $1,247.00 $249.40
Repair of wound of trunk 13102 $322.00 $64.40
Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs 13120 $1,025.00 $205.00
Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs 13121 $1,285.00 $257.00
Repair of wound of scalp, arms, and/or legs 13122 $549.00 $109.80
Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13131 $1,112.00 $222.40
Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13132 $1,664.00 $332.80
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13133 $683.00 $136.60
Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips 13151 $1,314.00 $262.80
Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips 13152 $1,652.00 $330.40
Repair of wound of eyelids, nose, ears, and/or lips 13153 $710.00 $142.00
Second repair of surgical wound 13160 $3,379.00 $675.80
Tissue transfer repair of wound (10 sq centimeters or less) of the trunk 14000 $793.00 $158.60
Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the trunk 14001 $2,541.00 $508.20
Tissue transfer repair of wound (10 sq centimeters or less) of the scalp, arms, and/or legs 14020 $2,146.00 $429.20
Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs 14021 $1,680.00 $336.00
Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 14040 $2,340.00 $468.00
Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 14041 $3,222.00 $644.40
Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips 14060 $2,940.00 $588.00
Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips 14061 $3,121.00 $624.20
Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) 14301 $3,325.00 $665.00
Tissue transfer repair of wound (30.0 sq centimeters) 14302 $746.00 $149.20
Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) 15002 $557.00 $111.40
Preparation of graft site at trunk, arms, or legs 15003 $157.00 $31.40
Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15004 $946.00 $189.20
Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15005 $314.00 $62.80
Relocation of skin (100 sq cm or less) for tissue cultured graft 15040 $437.00 $87.40
Skin graft (2 centimeters) to tip of finger or toe 15050 $1,654.00 $330.80
Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children) 15100 $2,676.00 $535.20
Skin graft at trunk, arms, or legs 15101 $901.00 $180.20
Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children) 15110 $2,575.00 $515.00
Skin graft at trunk, arms, or legs 15111 $394.00 $78.80
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) 15115 $2,667.00 $533.40
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) 15120 $2,032.00 $406.40
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15121 $539.00 $107.80
Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children) 15130 $1,899.00 $379.80
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) 15135 $2,299.00 $459.80
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15136 $285.00 $57.00
Relocation of patient skin (20 sq centimeters or less) to trunk 15200 $2,543.00 $508.60
Relocation of patient skin to trunk 15201 $303.00 $60.60
Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs 15220 $2,299.00 $459.80
Relocation of patient skin to scalp, arms, and/or legs 15221 $307.00 $61.40
Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) 15240 $3,298.00 $659.60
Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 15241 $423.00 $84.60
Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less) 15260 $3,119.00 $623.80
Relocation of patient skin to nose, ears, eyelids, and/or lips 15261 $523.00 $104.60
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) 15271 $532.00 $106.40
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs 15272 $154.00 $30.80
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children) 15273 $695.00 $139.00
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs 15274 $147.00 $29.40
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) 15275 $490.00 $98.00
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15276 $253.00 $50.60
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15277 $717.00 $143.40
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15278 $182.00 $36.40
Creation of flap graft to trunk 15570 $2,599.00 $519.80
Creation of flap graft to scalp, arms, or legs 15572 $2,600.00 $520.00
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet 15574 $2,745.00 $549.00
Creation of flap graft to eyelids, nose, ears, lips, or mouth 15576 $1,585.00 $317.00
Transfer of skin flap to trunk 15600 $888.00 $177.60
Transfer of skin flap to scalp, arms, or legs 15610 $853.00 $170.60
Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet 15620 $1,318.00 $263.60
Transfer of skin flap to eyelids, nose, ears, or lips 15630 $1,370.00 $274.00
Transfer of skin flap 15650 $1,237.00 $247.40
Creation of flap graft to nose, forehead, temple, or scalp 15731 $3,418.00 $683.60
Creation of flap graft to head and/or neck 15733 $3,258.00 $651.60
Muscle flap wound repair at trunk 15734 $4,525.00 $905.00
Muscle flap wound repair of arm 15736 $3,790.00 $758.00
Muscle flap wound repair of leg 15738 $4,118.00 $823.60
Creation of skin and tissue graft 15740 $2,885.00 $577.00
Creation of muscle and blood vessel skin graft 15756 $7,223.00 $1,444.60
Creation of muscle and blood vessel skin graft 15757 $8,591.00 $1,718.20
Creation of muscle and blood vessel skin graft 15758 $7,389.00 $1,477.80
Creation of multiple tissue skin graft 15760 $2,325.00 $465.00
Implantation of biologic implant to soft tissue 15777 $888.00 $177.60
Scraping of skin of face 15780 $2,290.00 $458.00
Scraping of skin of face 15781 $1,549.00 $309.80
Scraping of skin 15782 $1,468.00 $293.60
Scraping of skin 15783 $1,382.00 $276.40
Scraping of skin growth 15786 $488.00 $97.60
Scraping of multiple skin growths 15787 $67.00 $13.40
Chemical peel of skin of face 15788 $851.00 $170.20
Chemical peel of skin of face 15789 $1,560.00 $312.00
Chemical peel of skin of face 15792 $1,334.00 $266.80
Removal of excessive skin of neck 15819 $2,649.00 $529.80
Removal of excessive skin of lower eyelid 15820 $2,279.00 $455.80
Removal of excessive skin of upper eyelid 15822 $1,584.00 $316.80
Removal of excessive skin and fat of upper eyelid 15823 $2,097.00 $419.40
Incision, stretching, and suture of forehead skin 15824 $2,689.00 $537.80
Incision, stretching, and suture of neck skin 15825 $2,826.00 $565.20
Incision, stretching, and suture of skin between eyebrows 15826 $1,000.00 $200.00
Removal of excessive skin at cheek, chin, or neck 15829 $7,800.00 $1,560.00
Removal of excessive skin and tissue beneath the skin of abdomen 15830 $3,956.00 $791.20
Removal of excessive skin and tissue beneath the skin of thigh 15832 $1,692.00 $338.40
Removal of excessive skin and tissue beneath the skin of leg 15833 $3,004.00 $600.80
Removal of excessive skin and tissue beneath the skin of hip 15834 $2,788.00 $557.60
Removal of excessive skin and tissue beneath the skin of buttock 15835 $2,901.00 $580.20
Removal of excessive skin and tissue beneath the skin of arm 15836 $3,651.00 $730.20
Removal of excessive skin and tissue beneath the skin 15839 $2,639.00 $527.80
Graft to relieve or reactivate facial paralysis 15840 $3,534.00 $706.80
Removal of additional excessive skin and tissue beneath the skin of abdomen 15847 $4,465.00 $893.00
Removal of sutures under anesthesia by same surgeon 15850 $165.00 $33.00
Removal of sutures under anesthesia by other surgeon 15851 $162.00 $32.40
Dressing change under anesthesia 15852 $291.00 $58.20
Suction assisted removal of fat from head and neck 15876 $1,177.00 $235.40
Suction assisted removal of fat from trunk 15877 $4,570.00 $914.00
Suction assisted removal of fat from arm 15878 $2,150.00 $430.00
Suction assisted removal of fat from leg 15879 $1,960.00 $392.00
Removal of pressure sore of sacrum 15931 $2,298.00 $459.60
Removal of pressure sore and bone at sacrum 15933 $2,010.00 $402.00
Removal of pressure sore at sacrum with skin graft 15934 $3,067.00 $613.40
Removal of pressure sore at sacrum in preparation of muscle flap or skin graft 15936 $3,407.00 $681.40
Removal of pressure sore and bone at sacrum in preparation of muscle flap or skin graft 15937 $3,966.00 $793.20
Removal of pressure sore at lower pelvic bone 15940 $2,361.00 $472.20
Removal of pressure sore and lower pelvic bone 15941 $3,076.00 $615.20
Removal of pressure sore with skin graft at lower pelvic bone 15944 $2,912.00 $582.40
Removal of pressure sore and lower pelvic bone with skin graft 15945 $3,396.00 $679.20
Removal of pressure sore and lower pelvic bone in preparation of muscle flap or skin graft closure 15946 $5,986.00 $1,197.20
Removal of pressure sore at hip bone 15950 $1,975.00 $395.00
Removal of pressure sore at hip bone with skin graft 15952 $3,140.00 $628.00
Removal of pressure sore and bone at hip bone with skin graft 15953 $3,229.00 $645.80
Removal of pressure sore at hip bone in preparation of muscle flap or skin graft 15956 $5,188.00 $1,037.60
First degree burn treatment 16000 $171.00 $34.20
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $193.00 $38.60
Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 $298.00 $59.60
Dressing change and/or removal of burn tissue (greater than 10% total body surface) 16030 $1,555.00 $311.00
Incision of burn tissue 16035 $707.00 $141.40
Incision of burn tissue 16036 $318.00 $63.60
Destruction of skin growth 17000 $224.00 $44.80
Destruction of 2-14 skin growths 17003 $20.00 $4.00
Destruction of 15 or more skin growths 17004 $320.00 $64.00
Destruction of skin growth (less than 10 sq centimeters) 17106 $1,050.00 $210.00
Destruction of up to 14 skin growths 17110 $262.00 $52.40
Destruction of 15 or more skin growths 17111 $305.00 $61.00
Application of chemical agent to excessive wound tissue 17250 $231.00 $46.20
Destruction of malignant growth (0.5 centimeters or less) of trunk, arms, or legs 17260 $184.00 $36.80
Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs 17261 $225.00 $45.00
Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs 17262 $409.00 $81.80
Destruction of malignant growth (2.1 to 3.0 centimeters) of trunk, arms, or legs 17263 $639.00 $127.80
Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals 17270 $365.00 $73.00
Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals 17271 $410.00 $82.00
Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals 17272 $473.00 $94.60
Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth 17280 $261.00 $52.20
Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth 17281 $322.00 $64.40
Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth 17282 $454.00 $90.80
Chemical treatment of acne 17340 $149.00 $29.80
Skin, mucus membrane and beneath the skin procedure 17999 $3,474.00 $694.80
Aspiration of breast cyst 19000 $816.00 $163.20
Puncture aspiration of breast cyst 19001 $481.00 $96.20
Drainage of breast abscess 19020 $500.00 $100.00
Injection for X-ray imaging of breast duct 19030 $479.00 $95.80
Biopsy of breast accessed through the skin with stereotactic guidance 19081 $2,232.00 $446.40
Biopsy of breast accessed through the skin with stereotactic guidance 19082 $1,112.00 $222.40
Biopsy of breast accessed through the skin with ultrasound guidance 19083 $2,813.00 $562.60
Biopsy of breast accessed through the skin with ultrasound guidance 19084 $1,316.00 $263.20
Biopsy of breast accessed through the skin with MRI guidance 19085 $6,180.00 $1,236.00
Biopsy of breast accessed through the skin with MRI guidance 19086 $6,180.00 $1,236.00
Needle biopsy of breast 19100 $818.00 $163.60
Biopsy of breast, open procedure 19101 $1,344.00 $268.80
Exploration of breast nipple 19110 $1,223.00 $244.60
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $1,784.00 $356.80
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $1,784.00 $1,427.20
Removal of breast growth, open procedure 19125 $1,183.00 $236.60
Removal of growth of chest wall and ribs, open procedure 19126 $587.00 $117.40
Removal of growth of chest wall and ribs 19260 $3,917.00 $783.40
Removal of growth of chest wall and ribs 19271 $4,022.00 $804.40
Removal of growth and lymph nodes of chest wall and ribs 19272 $6,033.00 $1,206.60
Placement of breast localization devices accessed through the skin with mammographic guidance 19281 $436.00 $87.20
Placement of breast localization devices accessed through the skin with mammographic guidance 19282 $218.00 $43.60
Placement of breast localization devices accessed through the skin with stereotactic guidance 19283 $436.00 $87.20
Placement of breast localization devices accessed through the skin with stereotactic guidance 19284 $218.00 $43.60
Placement of breast localization devices accessed through the skin with ultrasound guidance 19285 $544.00 $108.80
Placement of breast localization devices accessed through the skin with ultrasound guidance 19286 $182.00 $36.40
Placement of breast localization devices accessed through the skin with MRI guidance 19287 $2,695.00 $539.00
Placement of breast localization devices accessed through the skin with MRI guidance 19288 $2,695.00 $539.00
Removal of extra breast tissue 19300 $1,602.00 $320.40
Partial removal of breast 19301 $1,718.00 $343.60
Partial removal of breast and underarm lymph nodes 19302 $2,881.00 $576.20
Total removal of breast 19303 $3,935.00 $787.00
Removal of tumor and breast tissue, accessed beneath the skin 19304 $2,727.00 $545.40
Removal of breast, lymph nodes, and muscle 19305 $5,407.00 $1,081.40
Removal of breast, skin, lymph nodes, and chest muscles 19306 $3,768.00 $753.60
Removal of breast and underarm lymph nodes 19307 $5,711.00 $1,142.20
Enlargement of breast 19316 $3,858.00 $771.60
Repositioning of breast on chest 19318 $5,645.00 $1,129.00
Enlargement of breast with insertion of prosthetic implant 19325 $3,186.00 $637.20
Removal of intact breast implant 19328 $2,077.00 $415.40
Removal of mammary implant material 19330 $2,865.00 $573.00
Insertion of breast prosthesis at time of breast repositioning, removal or reconstruction 19340 $4,232.00 $846.40
Insertion of breast prosthesis following breast repositioning, removal or reconstruction 19342 $3,826.00 $765.20
Reconstruction of nipple or area around nipple 19350 $3,103.00 $620.60
Correction of inverted nipples of breast 19355 $2,314.00 $462.80
Insertion of tissue expander in breast 19357 $6,503.00 $1,300.60
Plastic surgery to reconstruct breast 19361 $5,728.00 $1,145.60
Plastic surgery to reconstruct breast with muscle flap 19364 $11,685.00 $2,337.00
Plastic surgery to reconstruct breast 19366 $2,914.00 $582.80
Plastic surgery to reconstruct breast with abdominal muscle flap 19367 $6,121.00 $1,224.20
Plastic surgery to reconstruct breast with muscle and blood vessel flap 19368 $7,606.00 $1,521.20
Incision of capsule surrounding breast with freeing of scar tissue, open procedure 19370 $3,360.00 $672.00
Removal of capsule surrounding breast 19371 $3,866.00 $773.20
Revision of reconstructed breast 19380 $3,377.00 $675.40
Breast procedure 19499 $2,707.00 $541.40
Exploration of penetrating wound of chest 20101 $2,033.00 $406.60
Exploration of penetrating wound of abdomen, flank, or back 20102 $1,873.00 $374.60
Exploration of penetrating wound of arm or leg 20103 $1,314.00 $262.80
Biopsy of muscle 20200 $422.00 $84.40
Deep biopsy of muscle 20205 $720.00 $144.00
Needle biopsy of muscle, accessed through the skin 20206 $787.00 $157.40
Biopsy of bone using needle or trocar 20220 $1,127.00 $225.40
Deep biopsy of bone using needle or trocar 20225 $1,029.00 $205.80
Biopsy of bone, open procedure 20240 $948.00 $189.60
Biopsy of bone, open procedure 20245 $2,380.00 $476.00
Biopsy of spine bone at upper or lower spinal column, open procedure 20251 $811.00 $162.20
Injection for repair of abnormal muscle drainage tract 20500 $1,631.00 $326.20
Removal of foreign body in muscle or tendon 20520 $414.00 $82.80
Removal of deep foreign body in muscle or tendon 20525 $716.00 $143.20
Injection of carpal tunnel 20526 $182.00 $36.40
Injection of enzyme in palm tissue 20527 $280.00 $56.00
Injections of tendon sheath, ligament, or muscle membrane 20550 $219.00 $43.80
Injections of tendon attachment to bone 20551 $127.00 $25.40
Injections of trigger points in 1 or 2 muscles 20552 $356.00 $71.20
Injections of trigger points in 3 or more muscles 20553 $333.00 $66.60
Aspiration and/or injection of small joint or joint capsule 20600 $345.00 $69.00
Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance 20604 $294.00 $58.80
Aspiration and/or injection of medium joint or joint capsule 20605 $327.00 $65.40
Aspiration and/or injection of intermediate joint or joint capsule with recording and reporting using ultrasound guidance 20606 $324.00 $64.80
Aspiration and/or injection of large joint or joint capsule 20610 $360.00 $72.00
Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 20611 $372.00 $74.40
Aspiration and/or injection of cysts 20612 $317.00 $63.40
Application of cranial tongs (stabilization device for skull) 20660 $473.00 $94.60
Application of cranial halo device (stabilization device for skull) 20661 $1,451.00 $290.20
Removal of bone implant 20670 $788.00 $157.60
Removal of deep bone implant 20680 $1,534.00 $306.80
Adjustment or revision of external bone fixation system under anesthesia 20693 $1,438.00 $287.60
Replantation of amputated thumb 20827 $4,792.00 $958.40
Small bone graft harvest 20900 $1,541.00 $308.20
Bone graft harvest 20902 $1,998.00 $399.60
Nasal cartilage graft 20912 $1,724.00 $344.80
Incision of deep thigh tissue for graft 20922 $1,322.00 $264.40
Tissue graft 20926 $1,274.00 $254.80
Donor bone graft for spine surgery 20930 $612.00 $122.40
Donor bone graft for spine surgery 20931 $559.00 $111.80
Harvest of bone from same spine incision for graft 20936 $634.00 $126.80
Harvest of bone fragments for spine surgery graft 20937 $555.00 $111.00
Harvest of bone for spine surgery graft 20938 $1,569.00 $313.80
Insertion of device to monitor muscle compartment fluid pressure 20950 $545.00 $109.00
Bone graft at lower leg with microvascular connection 20955 $8,518.00 $1,703.60
Bone graft of pelvic bone with microvascular connection 20956 $8,870.00 $1,774.00
Placement of skin and bone flap with microvascular connection 20969 $9,497.00 $1,899.40
Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) 20979 $143.00 $28.60
Destruction of 1 or more bone growths accessed through the skin 20982 $7,336.00 $1,467.20
Muscle and bone procedure 20999 $322.00 $64.40
Removal of (less than 2 centimeter) tissue growth beneath the skin of face and scalp 21011 $797.00 $159.40
Removal of (2 centimeters or greater) tissue growth beneath the skin of face and scalp 21012 $1,152.00 $230.40
Removal of (less than 2 centimeters) muscle growth of face and scalp 21013 $1,303.00 $260.60
Removal of (2 centimeters or greater) muscle growth of face and scalp 21014 $1,717.00 $343.40
Removal of (less than 2 centimeters) soft tissue growth of face or scalp 21015 $1,416.00 $283.20
Removal of (2 centimeters or greater) soft tissue growth of face or scalp 21016 $3,523.00 $704.60
Removal of lower jaw bone 21025 $2,523.00 $504.60
Removal of facial bones 21026 $1,680.00 $336.00
Removal of facial bone growth 21029 $2,101.00 $420.20
Removal or scraping of upper jaw or cheek bone growth or cyst 21030 $1,393.00 $278.60
Removal of bony growth of jaw bone inside mouth 21031 $994.00 $198.80
Removal of malignant growth of jaw bone 21045 $4,148.00 $829.60
Oral removal of lower jaw bone growth or cyst 21046 $3,649.00 $729.80
Application and removal of dental fixation device 21110 $2,417.00 $483.40
Injection for X-ray imaging of hinged joint of upper and lower jaw bones 21116 $160.00 $32.00
Implantation of graft to enlarge chin bone 21120 $1,874.00 $374.80
Insertion of sliding bone graft to enlarge chin bone 21121 $2,132.00 $426.40
Reconstruction of midface bones 21141 $4,396.00 $879.20
Repair of bony defect of forehead and eye bones 21172 $6,291.00 $1,258.20
Repair of bony defect of lower forehead and/or both upper portions of eye bones 21179 $5,334.00 $1,066.80
Reconstruction of midface with bone graft 21181 $2,229.00 $445.80
Reconstruction of jaw bone 21193 $4,067.00 $813.40
Incision of lower jaw bone 21198 $3,652.00 $730.40
Incision of lower jaw bone with advancement of tongue muscle 21199 $3,295.00 $659.00
Incision and repair of bony defect of cheek bone including bony segment reduction 21209 $2,112.00 $422.40
Repair of nasal or cheek bone with bone graft 21210 $2,892.00 $578.40
Repair of lower jaw bone with bone graft 21215 $2,846.00 $569.20
Obtaining ear cartilage for grafting 21235 $1,843.00 $368.60
Reattachment of nasal and eye socket ligament 21282 $1,066.00 $213.20
Closed treatment of broken nasal bone 21310 $603.00 $120.60
Closed treatment of broken nasal bone 21315 $823.00 $164.60
Closed treatment of broken nasal bone with stabilization 21320 $614.00 $122.80
Open treatment of broken nasal bone 21325 $1,479.00 $295.80
Open treatment of broken nasal bone and/or insertion of hardware 21330 $1,997.00 $399.40
Open treatment of broken nasal bone and nasal cartilage 21335 $2,538.00 $507.60
Open treatment of tissue dividing nasal passages 21336 $2,075.00 $415.00
Closed treatment of nasal cartilage dividing nasal passages 21337 $1,024.00 $204.80
Open treatment of broken nasal and eye bones 21338 $2,512.00 $502.40
Open treatment of frontal sinus fracture 21343 $3,730.00 $746.00
Open treatment of depressed frontal sinus fracture 21344 $4,905.00 $981.00
Closed treatment of broken nasal and cheek bones with wiring or splinting of teeth 21345 $2,175.00 $435.00
Open treatment of broken nasal and cheek bones with wiring of teeth and/or insertion of hardware 21346 $2,855.00 $571.00
Open treatment of broken nasal and cheek bones 21347 $3,535.00 $707.00
Treatment of broken lower and upper cheek bones with manipulation, accessed through the skin 21355 $1,087.00 $217.40
Open treatment of broken cheek bone 21356 $1,207.00 $241.40
Open treatment of broken cheek bone 21360 $1,903.00 $380.60
Open treatment of broken cheek bones with insertion of internal hardware 21365 $2,139.00 $427.80
Open treatment of broken eye socket bone 21385 $2,350.00 $470.00
Open treatment of broken eye socket bone 21386 $2,149.00 $429.80
Open treatment of broken eye socket bone 21387 $2,547.00 $509.40
Open treatment of broken eye socket bone with implant 21390 $3,158.00 $631.60
Closed treatment of broken eye socket bone 21400 $530.00 $106.00
Open treatment of broken eye socket bone 21406 $1,743.00 $348.60
Open treatment of broken eye socket bone with implant 21407 $1,170.00 $234.00
Open treatment of broken eye socket bone with bone graft 21408 $2,928.00 $585.60
Closed treatment of fracture at roof of mouth or cheek bone with insertion of hardware or oral splint 21421 $2,161.00 $432.20
Open treatment of fracture at roof of mouth or cheek bone 21422 $2,176.00 $435.20
Open treatment of fracture of roof of mouth or cheek bone 21423 $2,863.00 $572.60
Open treatment of broken bones of face and head and/or insertion of hardware 21432 $2,221.00 $444.20
Open treatment of broken bones of face and head 21433 $5,473.00 $1,094.60
Open treatment of broken bones of face and head and/or insertion of hardware 21435 $4,321.00 $864.20
Closed treatment of broken jaw or cheek bone 21440 $1,446.00 $289.20
Open treatment of broken jaw or cheek bone 21445 $2,042.00 $408.40
Closed treatment of broken jaw bone 21450 $1,672.00 $334.40
Closed treatment of broken jaw bone with manipulation 21451 $2,284.00 $456.80
Treatment of broken jaw bone with placement of external hardware, accessed through the skin 21452 $1,189.00 $237.80
Closed treatment of broken jaw bone with insertion of hardware or oral splint 21453 $2,908.00 $581.60
Open treatment of broken jaw bone with placement of external hardware 21454 $1,942.00 $388.40
Open treatment of broken jaw bone 21461 $2,998.00 $599.60
Open treatment of broken jaw bone with insertion of hardware or oral splint 21462 $3,337.00 $667.40
Open treatment of hinge of jaw bone fracture 21465 $3,009.00 $601.80
Open treatment for broken jaw bone with insertion of hardware and/or oral splint 21470 $3,824.00 $764.80
Closed treatment of jaw temporomandibular joint (TMJ) dislocation 21480 $208.00 $41.60
Wiring of jaw or oral splint to teeth 21497 $1,892.00 $378.40
Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest 21501 $1,316.00 $263.20
Incision and drainage of abscess or blood accumulation in soft tissues of neck or chest with removal of rib 21502 $1,703.00 $340.60
Biopsy of soft tissue of neck or chest 21550 $728.00 $145.60
Removal of (3 centimeters or greater) tissue growth beneath the skin of neck or front of chest 21552 $1,547.00 $309.40
Removal of (5 centimeters or greater) muscle growth of neck or front of chest 21554 $2,443.00 $488.60
Removal of (less than 3 centimeters) tissue growth beneath the skin of neck or front of chest 21555 $1,116.00 $223.20
Removal of (less than 5 centimeters) muscle growth of neck or front of chest 21556 $1,452.00 $290.40
Removal of (less than 5 centimeters) growth of neck or front of chest 21557 $1,845.00 $369.00
Removal of (5 centimeters or greater) growth of neck or front of chest 21558 $4,546.00 $909.20
Removal of rib 21600 $1,827.00 $365.40
Removal of joint joining rib and spine bone 21610 $4,051.00 $810.20
Removal of first and/or extra rib at neck 21615 $2,165.00 $433.00
Partial removal of chest bone 21620 $1,290.00 $258.00
Debridement of chest bone 21627 $690.00 $138.00
Removal of neck muscle and extra rib at neck with release of nerves 21705 $1,430.00 $286.00
Repair of depression of breast bone, open procedure 21740 $3,341.00 $668.20
Repair of separation of chest bone 21750 $1,581.00 $316.20
Open treatment of broken ribs with insertion of hardware 21811 $1,841.00 $368.20
Open treatment of broken ribs with insertion of hardware 21812 $2,192.00 $438.40
Open treatment of broken ribs with insertion of hardware 21813 $2,959.00 $591.80
Closed treatment of broken chest bone 21820 $315.00 $63.00
Open treatment of broken chest bone 21825 $1,798.00 $359.60
Neck or chest procedure 21899 $1,581.00 $316.20
Biopsy of tissue of back or flank 21920 $738.00 $147.60
Biopsy of tissue of back or flank 21925 $1,117.00 $223.40
Removal (less than 3 centimeters) tissue growth beneath the skin of back or flank 21930 $1,160.00 $232.00
Removal (3 centimeters or greater) tissue growth beneath the skin of back or flank 21931 $1,267.00 $253.40
Removal (less than 5 centimeters) muscle growth of back or flank 21932 $2,266.00 $453.20
Removal (5 centimeters or greater) muscle growth of back or flank 21933 $2,414.00 $482.80
Removal (less than 5 centimeters) tissue growth of back or flank 21935 $3,396.00 $679.20
Removal (5 centimeters or greater) tissue growth of back or flank 21936 $4,701.00 $940.20
Drainage of abscess of upper or middle spine, open chest procedure 22010 $3,220.00 $644.00
Drainage of abscess of lower spine or sacrum, open procedure 22015 $3,194.00 $638.80
Partial removal of spine bone and growth at upper spinal column 22100 $1,287.00 $257.40
Partial removal of spine bone and growth at upper spinal column 22110 $3,626.00 $725.20
Partial removal of spine bone and growth in spinal column 22116 $471.00 $94.20
Incision of spine bone to correct spinal deformity of spinal column 22216 $1,189.00 $237.80
Closed treatment of broken and/or dislocated spine bones with casting and/or bracing with manipulation 22315 $1,270.00 $254.00
Open treatment of broken and/or dislocated upper spine bones 22318 $5,384.00 $1,076.80
Open treatment of broken and/or dislocated lower spine bones 22325 $4,946.00 $989.20
Open treatment of broken and/or dislocated upper spine bones 22326 $5,001.00 $1,000.20
Open treatment of broken and/or dislocated middle spine bones 22327 $4,999.00 $999.80
Open treatment of broken and/or dislocated spine bones 22328 $943.00 $188.60
Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance 22510 $8,539.00 $1,707.80
Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance 22511 $8,508.00 $1,701.60
Injection of bone cement into body of middle or lower spine accessed through the skin using imaging guidance 22512 $2,320.00 $464.00
Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance 22513 $20,111.00 $4,022.20
Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance 22514 $20,074.00 $4,014.80
Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance 22515 $2,330.00 $466.00
Fusion of spine bones with removal of disc at upper spinal column, anterior approach 22551 $5,779.00 $1,155.80
Fusion of spine bones with removal of disc at upper spinal column, anterior approach 22554 $5,444.00 $1,088.80
Fusion of middle spine bones with removal of disc, anterior approach 22556 $5,590.00 $1,118.00
Fusion of spine bones with removal of disc at lower spinal column, anterior approach 22558 $5,597.00 $1,119.40
Fusion of spine bones with removal of disc, anterior approach 22585 $1,069.00 $213.80
Fusion of first two upper spine bones of spinal column, posterior approach 22590 $4,926.00 $985.20
Fusion of spine bones at skull base, posterior approach 22595 $5,064.00 $1,012.80
Fusion of upper spine bones, posterior or posterolateral approach 22600 $4,014.00 $802.80
Fusion of middle spine bones, posterior or posterolateral approach 22610 $4,250.00 $850.00
Fusion of lower spine bones, posterior or posterolateral approach 22612 $5,262.00 $1,052.40
Fusion of spine bones, posterior or posterolateral approach 22614 $1,282.00 $256.40
Fusion of lower spine bones with removal of disc, posterior approach 22630 $5,193.00 $1,038.60
Fusion of lower spine bones with removal of disc, posterior approach 22632 $571.00 $114.20
Fusion of lower spine bones with removal of disc, posterior or posterolateral approach 22633 $6,349.00 $1,269.80
Fusion of lower spine bones with removal of disc, posterior or posterolateral approach 22634 $1,710.00 $342.00
Fusion of spine bones for correction of deformity, posterior approach, up to 6 vertebral segments 22800 $4,564.00 $912.80
Fusion of spine bones for correction of deformity, posterior approach, 7 to 12 vertebral segments 22802 $3,466.00 $693.20
Fusion of spine bones for correction of deformity, anterior approach, 2 to 3 vertebral segments 22808 $6,046.00 $1,209.20
Fusion of spine bones for correction of deformity, anterior approach, 4 to 7 vertebral segments 22810 $3,504.00 $700.80
Exploration of spinal fusion 22830 $2,559.00 $511.80
Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace 22840 $2,997.00 $599.40
Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments 22842 $3,159.00 $631.80
Insertion of posterior spinal instrumentation for spinal stabilization, 7 to 12 vertebral segments 22843 $2,680.00 $536.00
Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments 22845 $6,759.00 $1,351.80
Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments 22846 $2,437.00 $487.40
Insertion of instrumentation to pelvic bones 22848 $1,183.00 $236.60
Reinsertion of spinal fixation device 22849 $4,141.00 $828.20
Removal of posterior spinal instrumentation 22850 $2,420.00 $484.00
Removal of posterior spinal instrumentation 22852 $2,310.00 $462.00
Insertion of device into intervertebral disc space of spine and fusion of vertebrae 22853 $859.00 $171.80
Insertion of device into gap left by removal of part of vertebra and fusion of vertebrae 22854 $1,112.00 $222.40
Removal of anterior spinal instrumentation 22855 $3,783.00 $756.60
Insertion of artificial upper spine disc, anterior approach 22856 $5,443.00 $1,088.60
Insertion of artificial upper spine disc anterior approach 22858 $1,646.00 $329.20
Spine procedure 22899 $369.00 $73.80
Removal (less than 5 centimeters) muscle growth in abdominal wall 22900 $754.00 $150.80
Removal (5 centimeters or greater) muscle growth in abdominal wall 22901 $2,226.00 $445.20
Removal (less than 3 centimeters) tissue growth beneath the skin in abdominal wall 22902 $1,269.00 $253.80
Removal (3 centimeters or greater) tissue growth beneath the skin in abdominal wall 22903 $1,568.00 $313.60
Removal (5 centimeters or greater) tissue growth in abdominal wall 22905 $4,488.00 $897.60
Drainage of abscess or blood accumulation in shoulder 23030 $3,109.00 $621.80
Incision of to repair shoulder joint area 23044 $1,908.00 $381.60
Removal (3 centimeters or greater) tissue growth beneath the skin of shoulder area 23071 $1,354.00 $270.80
Removal (5 centimeters or greater) muscle growth of shoulder area 23073 $2,243.00 $448.60
Removal (less than 3 centimeters) tissue growth beneath the skin of shoulder area 23075 $1,023.00 $204.60
Removal (less than 5 centimeters) muscle growth of shoulder area 23076 $1,700.00 $340.00
Removal (less than 5 centimeters) tissue growth of shoulder area 23077 $3,813.00 $762.60
Removal (5 centimeters or greater) tissue growth of shoulder area 23078 $4,679.00 $935.80
Partial removal of collar bone 23120 $1,843.00 $368.60
Partial removal of collar bone 23180 $2,226.00 $445.20
Removal of foreign body of shoulder joint, accessed beneath the skin 23330 $545.00 $109.00
Injection of dye for X-ray imaging of shoulder joint 23350 $642.00 $128.40
Closed treatment of collar bone fracture 23500 $463.00 $92.60
Closed treatment of collar bone broken with manipulation 23505 $211.00 $42.20
Closed treatment of dislocation joint between collar and chest bones 23520 $445.00 $89.00
Closed treatment of dislocation of joint between collar and chest bones with manipulation 23525 $198.00 $39.60
Closed treatment of collar bone and shoulder joint dislocation 23540 $443.00 $88.60
Closed treatment of collar bone and shoulder joint dislocation with manipulation 23545 $192.00 $38.40
Closed treatment of shoulder blade fracture 23570 $762.00 $152.40
Closed treatment of upper arm fracture 23600 $988.00 $197.60
Closed treatment of broken upper arm bone with manipulation 23605 $1,106.00 $221.20
Closed treatment of fracture of upper arm bone at shoulder joint 23620 $832.00 $166.40
Closed treatment of broken upper arm bone at shoulder joint with manipulation 23625 $923.00 $184.60
Closed treatment of shoulder dislocation with manipulation 23650 $566.00 $113.20
Closed treatment of shoulder dislocation with manipulation under anesthesia 23655 $938.00 $187.60
Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation 23665 $323.00 $64.60
Closed treatment of shoulder dislocation and broken upper arm bone with manipulation 23675 $1,202.00 $240.40
Removal of tendons, ligaments, and muscles of shoulder 23920 $3,640.00 $728.00
Shoulder procedure 23929 $1,301.00 $260.20
Drainage of abscess or blood accumulation at upper arm or elbow 23930 $2,750.00 $550.00
Drainage of fluid-filled sac (bursa) of upper arm or elbow 23931 $507.00 $101.40
Incision of elbow with exploration, drainage, or removal of foreign body 24000 $1,590.00 $318.00
Biopsy of soft tissue of upper arm or elbow 24065 $718.00 $143.60
Removal (3 centimeters or greater) tissue growth beneath the skin of upper arm or elbow 24071 $1,335.00 $267.00
Removal (5 centimeters or greater) muscle growth of upper arm or elbow 24073 $2,749.00 $549.80
Removal (less than 3 centimeters) tissue growth beneath the skin of upper arm or elbow 24075 $1,274.00 $254.80
Removal (less than 5 centimeters) muscle growth of upper arm or elbow 24076 $1,827.00 $365.40
Removal (less than 5 centimeters) tissue growth of upper arm or elbow 24077 $2,599.00 $519.80
Removal of fluid-filled sac of elbow 24105 $1,097.00 $219.40
Removal of foreign body of upper arm or elbow area, accessed beneath the skin 24200 $523.00 $104.60
Removal of foreign body, upper arm or elbow area 24201 $1,388.00 $277.60
Injection of dye for X-ray imaging of elbow joint 24220 $642.00 $128.40
Repair of tendon or muscle of upper arm or elbow 24341 $2,633.00 $526.60
Incision of tendon to repair elbow joint, accessed through the skin 24357 $1,301.00 $260.20
Incision of tissue of forearm muscle compartment with exploration of artery 24495 $2,128.00 $425.60
Closed treatment of upper arm fracture 24500 $665.00 $133.00
Closed treatment of broken upper arm bone with manipulation 24505 $807.00 $161.40
Closed treatment of growth plate or broken upper arm bone at elbow 24530 $957.00 $191.40
Closed treatment of broken upper arm bone at shoulder with manipulation 24565 $1,071.00 $214.20
Closed treatment of broken upper arm bone at shoulder joint 24576 $985.00 $197.00
Treatment of elbow dislocation 24600 $688.00 $137.60
Treatment of dislocated elbow under anesthesia 24605 $787.00 $157.40
Closed treatment of broken and dislocated forearm bones at elbow with manipulation 24620 $3,839.00 $767.80
Closed treatment of dislocated forearm bone of elbow, child 24640 $261.00 $52.20
Closed treatment of broken forearm bone at elbow 24650 $480.00 $96.00
Closed treatment of broken forearm bone at elbow with manipulation 24655 $265.00 $53.00
Closed treatment of broke forearm bone at elbow 24670 $542.00 $108.40
Closed treatment of broken forearm bone at elbow with manipulation 24675 $334.00 $66.80
Amputation at upper arm bone, open procedure 24920 $2,289.00 $457.80
Incision to repair tendon covering at wrist 25000 $1,048.00 $209.60
Incision of tissue of forearm and/or wrist muscle compartment 25020 $1,792.00 $358.40
Incision of tissue of forearm and/or wrist muscle compartment with removal of muscle and/or nerve 25023 $3,392.00 $678.40
Drainage of abscess or blood accumulation at forearm and/or wrist 25028 $892.00 $178.40
Biopsy of tissue of forearm and/or wrist 25065 $1,231.00 $246.20
Removal (3 centimeters or greater) tissue growth beneath the skin at forearm and/or wrist 25071 $1,376.00 $275.20
Removal (3 centimeters or greater) muscle growth at forearm and/or wrist 25073 $1,719.00 $343.80
Removal (less than 3 centimeters) tissue growth beneath the skin at forearm and/or wrist 25075 $1,486.00 $297.20
Removal (less than 3 centimeters) muscle growth at forearm and/or wrist 25076 $2,221.00 $444.20
Removal (3 centimeters or greater) tissue growth at forearm and/or wrist 25078 $3,843.00 $768.60
Removal of cyst at wrist 25111 $719.00 $143.80
Removal of lining of tendon covering of wrist 25118 $1,280.00 $256.00
Removal of wrist bone cyst or growth 25130 $1,422.00 $284.40
Removal of foreign body of forearm or wrist 25248 $2,358.00 $471.60
Repair of tendon or muscle of forearm and/or wrist 25260 $4,586.00 $917.20
Repair of tendon or muscle of forearm and/or wrist 25263 $2,146.00 $429.20
Repair of forearm and/or wrist tendon or muscle 25270 $643.00 $128.60
Closed treatment of broken forearm bone 25500 $495.00 $99.00
Closed treatment of broken forearm bone with manipulation 25505 $388.00 $77.60
Closed treatment of broken forearm bone 25530 $473.00 $94.60
Closed treatment of broken forearm bone with manipulation 25535 $291.00 $58.20
Closed treatment of broken forearm bones 25560 $502.00 $100.40
Closed treatment of broken forearm bones with manipulation 25565 $328.00 $65.60
Closed treatment of broken forearm bones 25600 $558.00 $111.60
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation 25605 $1,642.00 $328.40
Insertion of hardware to lower forearm bone broken or growth plate separation, accessed through the skin 25606 $7,225.00 $1,445.00
Closed treatment of broken wrist bone 25622 $545.00 $109.00
Closed treatment of broken wrist bone with manipulation 25624 $674.00 $134.80
Closed treatment of broken wrist bone 25630 $919.00 $183.80
Closed treatment of broken forearm at wrist bone 25650 $860.00 $172.00
Closed treatment of dislocated wrist with manipulation 25675 $1,029.00 $205.80
Closed treatment of dislocated wrist bone with manipulation 25690 $3,339.00 $667.80
Amputation through both bones of forearm 25900 $2,193.00 $438.60
Removal of tendons, ligaments, and muscles of wrist 25920 $2,321.00 $464.20
Drainage of finger abscess 26010 $382.00 $76.40
Drainage of finger abscess 26011 $1,920.00 $384.00
Drainage of tendon of finger and/or palm 26020 $826.00 $165.20
Incision of bone of hand or finger 26034 $1,738.00 $347.60
Incision of tissues of hand 26037 $1,788.00 $357.60
Partial release of tissues of palm, open procedure 26045 $1,519.00 $303.80
Incision of tendon covering 26055 $1,339.00 $267.80
Removal (1.5 centimeters or greater) tissue beneath the skin growth of hand or finger 26111 $1,069.00 $213.80
Removal (less than 1.5 centimeters) tissue beneath the skin growth of hand or finger 26115 $1,044.00 $208.80
Removal (less than 3 centimeters) tissue growth of hand or finger 26117 $2,317.00 $463.40
Removal (3 centimeters or greater) tissue growth of hand or finger 26118 $3,275.00 $655.00
Removal of tissue of palm 26121 $1,869.00 $373.80
Removal of tissue of palm 26123 $2,575.00 $515.00
Removal of tissue of palm 26125 $920.00 $184.00
Removal of growth of tendon finger or hand 26160 $1,330.00 $266.00
Removal of tendon of finger 26180 $1,408.00 $281.60
Removal or scraping of finger bone cyst or growth 26210 $1,476.00 $295.20
Partial removal of finger bone 26236 $2,926.00 $585.20
Removal of growth of finger joint 26260 $2,681.00 $536.20
Repair of finger tendon 26350 $2,392.00 $478.40
Repair of finger tendon 26370 $2,329.00 $465.80
Repair of hand tendon 26410 $1,909.00 $381.80
Repair of finger tendon 26418 $1,180.00 $236.00
Repair of finger tendon with graft 26420 $2,187.00 $437.40
Removal of scar tissue to release tendon of palm or finger 26440 $1,966.00 $393.20
Removal of scar tissue to release tendon of palm or finger 26445 $1,905.00 $381.00
Repair of joint capsule, hand and finger 26525 $1,967.00 $393.40
Repair of finger joint 26536 $2,316.00 $463.20
Repair of ligament of hand or finger joint 26540 $2,220.00 $444.00
Repair of webbed finger 26560 $1,766.00 $353.20
Repair of webbed finger 26561 $2,892.00 $578.40
Repair of webbed finger 26562 $4,323.00 $864.60
Incision of bone of hand 26565 $2,094.00 $418.80
Incision of finger 26567 $2,217.00 $443.40
Closed treatment of fracture hand bone 26600 $534.00 $106.80
Closed treatment of fracture of bone of hand with manipulation 26605 $209.00 $41.80
Closed treatment of thumb dislocation with manipulation 26641 $236.00 $47.20
Closed treatment of dislocated hand bone with manipulation 26670 $239.00 $47.80
Closed treatment of dislocated hand bone under anesthesia 26675 $800.00 $160.00
Closed treatment of dislocated hand joint with manipulation 26700 $433.00 $86.60
Closed treatment of dislocated hand joint with manipulation under anesthesia 26705 $946.00 $189.20
Closed treatment of broken finger or thumb 26720 $580.00 $116.00
Closed treatment of broken finger or thumb with manipulation 26725 $523.00 $104.60
Insertion of hardware to broken finger or thumb with manipulation, accessed through the skin 26727 $1,652.00 $330.40
Open treatment of broken finger 26735 $2,098.00 $419.60
Closed treatment of broken hand or finger 26740 $689.00 $137.80
Closed treatment of broken hand or finger with manipulation 26742 $883.00 $176.60
Closed treatment of broken finger or thumb 26750 $397.00 $79.40
Closed treatment of broken finger or thumb with manipulation 26755 $242.00 $48.40
Insertion of hardware to broken finger or thumb, accessed through the skin 26756 $1,438.00 $287.60
Open treatment of broken finger or thumb 26765 $1,395.00 $279.00
Closed treatment of dislocated finger joint with manipulation 26770 $507.00 $101.40
Closed treatment of dislocated finger joint with manipulation under anesthesia 26775 $932.00 $186.40
Amputation of hand bone, finger, or thumb 26910 $2,393.00 $478.60
Amputation of finger or thumb 26951 $2,887.00 $577.40
Amputation of finger or thumb 26952 $2,175.00 $435.00
Drainage of abscess or blood accumulation in pelvis or hip joint 26990 $1,782.00 $356.40
Incision of tissues of hip or thigh 27025 $2,987.00 $597.40
Incision of hip joint with drainage 27030 $2,980.00 $596.00
Biopsy of tissue of pelvis and hip 27040 $683.00 $136.60
Removal (3 centimeters or greater) tissue growth beneath the skin of pelvis or hip 27043 $1,571.00 $314.20
Removal (5 centimeters or greater) muscle growth of pelvis or hip 27045 $2,506.00 $501.20
Removal (less than 3 centimeters) tissue growth of pelvis or hip 27047 $1,356.00 $271.20
Removal (less than 5 centimeters) muscle growth of pelvis or hip 27048 $1,746.00 $349.20
Removal of tailbone 27080 $1,615.00 $323.00
Removal of foreign body in tissue or muscle of pelvis or hip 27087 $1,356.00 $271.20
Injection of dye for X-ray imaging of hip joint 27093 $642.00 $128.40
Injection procedure into sacroiliac joint for anesthetic or steroid 27096 $204.00 $40.80
Open treatment of broken bones on one side of pelvis 27215 $1,260.00 $252.00
Closed treatment of hip socket fractures 27220 $1,782.00 $356.40
Closed treatment of hip socket fractures with manipulation 27222 $1,948.00 $389.60
Treatment of hip dislocation 27250 $1,422.00 $284.40
Closed treatment of hip dislocation under anesthesia 27252 $3,215.00 $643.00
Closed treatment of dislocated hip prosthesis 27265 $276.00 $55.20
Closed treatment of dislocated hip prosthesis under anesthesia 27266 $3,207.00 $641.40
Closed treatment of broken thigh bone 27267 $2,407.00 $481.40
Closed treatment of fracture of upper portion and head of thigh bone with manipulation 27268 $2,974.00 $594.80
Fusion sacroiliac joint through the skin or minimally invasive using image guidance 27279 $2,339.00 $467.80
Drainage of abscess or blood collection at thigh or knee region 27301 $3,112.00 $622.40
Biopsy of thigh or knee region tissue 27323 $744.00 $148.80
Biopsy of thigh or knee region tissue 27324 $719.00 $143.80
Removal (less than 3 centimeters) tissue growth beneath the skin of thigh or knee 27327 $1,215.00 $243.00
Removal (less than 5 centimeters) muscle growth of thigh or knee 27328 $1,443.00 $288.60
Removal (3 centimeters or greater) tissue growth beneath the skin of thigh or knee 27337 $1,357.00 $271.40
Removal (5 centimeters or greater) muscle growth of thigh or knee 27339 $2,689.00 $537.80
Removal of growth of knee cartilage or capsule 27347 $1,476.00 $295.20
Partial removal of bone of thigh and/or lower leg bones 27360 $3,096.00 $619.20
Removal (5 centimeters or greater) tissue growth of thigh or knee 27364 $4,187.00 $837.40
Suture of tendon below knee 27380 $2,006.00 $401.20
Suture of ruptured muscle of thigh 27385 $2,075.00 $415.00
Reconstruction of knee joint ligaments, open procedure 27428 $3,744.00 $748.80
Incision of tissue of thigh and/or knee muscle compartment 27496 $1,129.00 $225.80
Incision of tissue of multiple thigh and/or knee muscle compartments 27498 $2,707.00 $541.40
Closed treatment of thigh bone fracture 27500 $1,650.00 $330.00
Closed treatment of broken thigh bone 27501 $1,557.00 $311.40
Closed treatment of broken thigh bone 27508 $1,682.00 $336.40
Closed treatment of broken thigh bone with manipulation 27510 $2,154.00 $430.80
Closed treatment of growth plate separation at end of thigh bone 27516 $1,567.00 $313.40
Closed treatment of knee cap fracture 27520 $960.00 $192.00
Closed treatment of fracture of shin bone 27530 $1,232.00 $246.40
Closed treatment of fracture of shin bone with traction 27532 $1,358.00 $271.60
Closed treatment of broken shin bones 27538 $1,485.00 $297.00
Closed treatment of knee dislocation 27550 $265.00 $53.00
Closed treatment of knee dislocation under anesthesia 27552 $3,211.00 $642.20
Closed treatment of dislocation of knee cap 27560 $686.00 $137.20
Alignment of knee joint under anesthesia 27570 $506.00 $101.20
Amputation of thigh through thigh bone 27590 $3,284.00 $656.80
Amputation of thigh through thigh bone, open procedure 27592 $2,925.00 $585.00
Amputation of thigh through thigh bone 27594 $1,570.00 $314.00
Re-amputation of thigh through thigh bone 27596 $1,603.00 $320.60
Thigh or knee procedure 27599 $2,505.00 $501.00
Incision of tissue of front and/or lateral muscle compartments of lower leg 27600 $2,851.00 $570.20
Incision of tissue of rear muscle compartments of lower leg 27601 $1,337.00 $267.40
Incision of tissue of front and/or lateral and rear muscle compartments of lower leg 27602 $2,371.00 $474.20
Drainage of abscess or blood collection at lower leg or ankle 27603 $1,368.00 $273.60
Incision of Achilles tendon, accessed through the skin using local anesthetic 27605 $1,101.00 $220.20
Incision of Achilles tendon, accessed through the skin requiring general anesthesia 27606 $963.00 $192.60
Biopsy of soft tissue of leg or ankle 27613 $587.00 $117.40
Biopsy of tissue or muscle of lower leg or ankle 27614 $3,248.00 $649.60
Removal (5 centimeters or greater) tissue growth of leg or ankle 27616 $4,254.00 $850.80
Removal (less than 3 centimeters) tissue growth beneath the skin of leg or ankle 27618 $1,198.00 $239.60
Removal of (less than 5 centimeters) muscle growth of leg or ankle 27619 $1,358.00 $271.60
Removal of growth of leg and/or ankle tendon lining or capsule 27630 $1,229.00 $245.80
Removal (3 centimeters or greater) tissue growth beneath the skin of leg or ankle 27632 $1,368.00 $273.60
Removal (5 centimeters or greater) muscle growth of leg or ankle 27634 $2,184.00 $436.80
Removal or scraping of cyst or growth of either bone of lower leg 27635 $1,971.00 $394.20
Removal or scraping of cyst or growth of either bone of lower leg with donor bone graft 27638 $2,563.00 $512.60
Partial removal of shin bone 27640 $2,826.00 $565.20
Injection for X-ray imaging of ankle 27648 $642.00 $128.40
Repair of ruptured Achilles tendon, open or through skin procedure 27650 $2,207.00 $441.40
Repair of ruptured Achilles tendon with graft, open or through skin procedure 27652 $2,105.00 $421.00
Repair of ruptured Achilles tendon 27654 $1,060.00 $212.00
Repair of leg tendon 27658 $2,908.00 $581.60
Repair of leg tendon 27659 $716.00 $143.20
Release of leg and/or ankle tendon 27680 $1,433.00 $286.60
Lengthening or shortening of tendon of leg or ankle 27685 $1,558.00 $311.60
Transplant of deep tendon with muscle rerouting at lower leg or ankle 27691 $2,515.00 $503.00
Repair of disrupted collateral ligament of ankle 27695 $1,604.00 $320.80
Repair of disrupted collateral ligament of ankle 27698 $977.00 $195.40
Removal of ankle implant 27704 $1,935.00 $387.00
Closed treatment of broken shin bone 27750 $951.00 $190.20
Closed treatment of broken shin bone with manipulation 27752 $3,111.00 $622.20
Closed treatment of broken ankle 27760 $1,003.00 $200.60
Closed treatment of broken ankle with manipulation 27762 $1,044.00 $208.80
Closed treatment of broken ankle 27767 $942.00 $188.40
Closed treatment of broken ankle 27780 $894.00 $178.80
Closed treatment of broken ankle with manipulation 27781 $990.00 $198.00
Closed treatment of broken ankle 27786 $942.00 $188.40
Closed treatment of broken ankle with manipulation 27788 $300.00 $60.00
Closed treatment of broken ankle 27808 $980.00 $196.00
Closed treatment of broken ankle with manipulation 27810 $337.00 $67.40
Closed treatment of broken ankle 27816 $595.00 $119.00
Closed treatment of broken ankle with manipulation 27818 $363.00 $72.60
Closed treatment of fracture of lower weight bearing joint of shin bone 27824 $784.00 $156.80
Closed treatment of fracture of lower weight bearing joint of shin bone with traction and/or manipulation 27825 $1,101.00 $220.20
Closed treatment of knee joint dislocation 27830 $958.00 $191.60
Closed treatment of knee joint dislocation under anesthesia 27831 $1,331.00 $266.20
Closed treatment of ankle dislocation 27840 $733.00 $146.60
Closed treatment of ankle dislocation under anesthesia 27842 $896.00 $179.20
Open treatment of ankle dislocation 27846 $2,343.00 $468.60
Amputation of both lower leg bones 27880 $3,921.00 $784.20
Amputation of leg 27881 $2,916.00 $583.20
Amputation of leg, open procedure 27882 $2,064.00 $412.80
Amputation of leg 27884 $1,781.00 $356.20
Re-amputation of leg 27886 $2,058.00 $411.60
Amputation of foot at ankle 27889 $2,210.00 $442.00
Incision of tissue of front and/or lateral muscle compartments of lower leg with removal of muscle and/or nerve 27892 $1,826.00 $365.20
Incision of tissue of rear muscle compartments of lower leg with removal of muscle and/or nerve 27893 $1,800.00 $360.00
Incision of tissue of front and/or lateral and rear muscle compartments of lower leg with removal of muscle and/or nerve 27894 $3,460.00 $692.00
Drainage of fluid-filled sac (bursa) of foot 28001 $1,081.00 $216.20
Drainage of fluid-filled sac (bursa) of foot 28002 $1,275.00 $255.00
Drainage of multiple fluid-filled sacs (bursa) of foot 28003 $1,972.00 $394.40
Incision of foot bone 28005 $917.00 $183.40
Incision of tissues of muscle compartment of foot and/or toe 28008 $1,048.00 $209.60
Repair of toe tendon, accessed through the skin 28010 $909.00 $181.80
Repair of multiple toe tendons, accessed through the skin 28011 $720.00 $144.00
Exploration, drainage, or removal of foreign body of foot 28022 $707.00 $141.40
Exploration, drainage, or removal of foreign body of toe joint 28024 $1,016.00 $203.20
Release of nerve between tissue and bone of foot 28035 $768.00 $153.60
Removal (1.5 centimeters or greater) tissue growth beneath the skin of foot or toe 28039 $767.00 $153.40
Removal (1.5 centimeters or greater) muscle growth of foot or toe 28041 $1,545.00 $309.00
Removal (less than 1.5 centimeters) tissue growth beneath the skin of foot or toe 28043 $963.00 $192.60
Removal (less than 1.5 centimeters) muscle growth of foot or toe 28045 $1,168.00 $233.60
Removal of nerve of foot muscle 28055 $604.00 $120.80
Partial removal of tissue at sole of foot 28060 $761.00 $152.20
Removal of tissue at sole of foot 28062 $923.00 $184.60
Removal of fibrous nerve growth from between toes 28080 $676.00 $135.20
Removal of foot tendon 28088 $949.00 $189.80
Removal of growth of tendon covering or joint capsule of foot 28090 $999.00 $199.80
Removal of growth of tendon covering or joint capsule of toes 28092 $1,009.00 $201.80
Removal or scraping of bone cyst or growth of heel bone with donor bone graft 28103 $1,284.00 $256.80
Removal or scraping of bone cyst or growth of ankle bone 28104 $599.00 $119.80
Removal or scraping of bone cyst or growth of ankle bone with graft from hip or other bone 28106 $1,329.00 $265.80
Removal or scraping of bone cyst or growth of toes 28108 $762.00 $152.40
Removal of bunion at fifth toe joint 28110 $657.00 $131.40
Removal of bone at fifth toe joint 28111 $770.00 $154.00
Removal of bones at second, third, or fourth toe joints 28112 $709.00 $141.80
Removal of foot bone at fifth toe joint 28113 $1,430.00 $286.00
Removal of heel bone 28118 $867.00 $173.40
Removal of heel bone spur 28119 $788.00 $157.60
Partial removal of foot or heel bone 28120 $1,000.00 $200.00
Partial removal of foot or heel bone 28122 $645.00 $129.00
Partial removal of toe bone 28124 $3,421.00 $684.20
Removal of toe 28150 $1,119.00 $223.80
Partial removal of toe bone joints 28153 $577.00 $115.40
Partial removal of toe joint 28160 $3,352.00 $670.40
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $1,004.00 $200.80
Removal of foreign body of foot tissue 28192 $944.00 $188.80
Removal of foreign body of foot tissue 28193 $942.00 $188.40
Repair of foot tendon 28200 $703.00 $140.60
Repair of foot tendon 28208 $1,500.00 $300.00
Incision to lengthen toe tendon, open procedure 28232 $543.00 $108.60
Incision to release foot tendon, open procedure 28234 $884.00 $176.80
Advancement of ankle tendon with removal of ankle joint bone 28238 $1,080.00 $216.00
Incision to release foot muscle tendon 28240 $658.00 $131.60
Incision of joint capsule of foot and toe 28270 $712.00 $142.40
Incision of toe joint capsule 28272 $854.00 $170.80
Creation of web space between toes 28280 $1,168.00 $233.60
Correction of toe joint deformity 28285 $772.00 $154.40
Removal of foot bone spur 28288 $830.00 $166.00
Correction of rigid deformity of first joint of big toe 28289 $1,102.00 $220.40
Correction of rigid deformity of first joint of big toe using implant 28291 $1,557.00 $311.40
Correction of bunion 28292 $1,143.00 $228.60
Correction of bunion 28295 $1,660.00 $332.00
Correction of bunion 28296 $1,105.00 $221.00
Correction of bunion 28297 $1,305.00 $261.00
Correction of bunion 28298 $1,137.00 $227.40
Correction of bunion 28299 $2,261.00 $452.20
Incision to repair ankle joint bone 28302 $2,401.00 $480.20
Incision to straighten big toe bone 28306 $1,357.00 $271.40
Incision to straighten toe bone 28308 $800.00 $160.00
Incision to straighten toe bone 28312 $727.00 $145.40
Removal of small bone underlying long bone of foot at toe joint 28315 $719.00 $143.80
Repair of non-healed foot bone 28322 $1,953.00 $390.60
Removal of congenital web space deformity of toes 28345 $1,131.00 $226.20
Closed treatment of broken heel bone 28400 $479.00 $95.80
Closed treatment of broken heel bone with manipulation 28405 $287.00 $57.40
Closed treatment of broken ankle joint bone 28430 $443.00 $88.60
Closed treatment of broken ankle joint bone with manipulation 28435 $830.00 $166.00
Open treatment of broken heel bone 28445 $3,572.00 $714.40
Treatment of broken foot bone 28450 $414.00 $82.80
Treatment of broken foot bone 28455 $216.00 $43.20
Closed treatment of broken foot bone 28470 $427.00 $85.40
Closed treatment of fracture of foot with manipulation 28475 $211.00 $42.20
Open treatment of broken foot bone 28485 $1,763.00 $352.60
Closed treatment of broken great toe 28490 $282.00 $56.40
Closed treatment of broken great toe with manipulation 28495 $137.00 $27.40
Open treatment of broken great toe 28505 $1,467.00 $293.40
Closed treatment of broken toe 28510 $276.00 $55.20
Closed treatment of broken toe with manipulation 28515 $277.00 $55.40
Closed treatment of broken foot bone 28530 $355.00 $71.00
Closed treatment of dislocated foot joint 28570 $609.00 $121.80
Closed treatment of dislocated foot joint 28600 $405.00 $81.00
Closed treatment of dislocated foot joint under anesthesia 28605 $738.00 $147.60
Closed treatment of dislocated foot bone 28630 $216.00 $43.20
Closed treatment of dislocated foot bone under anesthesia 28635 $693.00 $138.60
Closed treatment of dislocation of toe joint 28660 $236.00 $47.20
Closed treatment of dislocation of toe joint under anesthesia 28665 $377.00 $75.40
Fusion of foot joint 28725 $1,139.00 $227.80
Fusion of multiple foot joints 28730 $2,288.00 $457.60
Fusion of foot joint 28740 $1,278.00 $255.60
Fusion of great toe 28750 $1,204.00 $240.80
Fusion of great toe 28755 $737.00 $147.40
Amputation of foot 28800 $2,012.00 $402.40
Amputation of foot 28805 $2,610.00 $522.00
Amputation of foot 28810 $2,554.00 $510.80
Amputation of foot 28820 $2,942.00 $588.40
Amputation of foot 28825 $2,268.00 $453.60
Application of figure-of-eight cast 29049 $236.00 $47.20
Application of cast, shoulder to hand (long arm) 29065 $230.00 $46.00
Application of cast, elbow to finger (short arm) 29075 $340.00 $68.00
Application of cast to hand and lower forearm 29085 $166.00 $33.20
Application of cast to finger 29086 $170.00 $34.00
Application of long arm splint (shoulder to hand) 29105 $210.00 $42.00
Application of non-moveable, short arm splint (forearm to hand) 29125 $172.00 $34.40
Application of moveable, hinged short arm splint (forearm to hand) 29126 $271.00 $54.20
Application of non-moveable, hinged finger splint 29130 $154.00 $30.80
Application of moveable, hinged finger splint 29131 $121.00 $24.20
Strapping of shoulder 29240 $156.00 $31.20
Strapping of elbow or wrist 29260 $142.00 $28.40
Strapping of hand or finger 29280 $103.00 $20.60
Application of long leg cast (thigh to toes) 29345 $304.00 $60.80
Application of long leg cast (thigh to toes), walker or ambulatory type 29355 $381.00 $76.20
Application of short leg cast (below knee to toes) 29405 $207.00 $41.40
Application of short leg cast (below knee to toes), walking or ambulatory type 29425 $191.00 $38.20
Application of knee cap tendon bearing cast 29435 $121.00 $24.20
Adding walker to previously applied cast 29440 $170.00 $34.00
Application of rigid total contact leg cast 29445 $236.00 $47.20
Application of long leg splint (thigh to ankle or toes) 29505 $248.00 $49.60
Application of short leg splint (calf to foot) 29515 $152.00 $30.40
Strapping of knee 29530 $138.00 $27.60
Strapping of ankle and/or foot 29540 $119.00 $23.80
Strapping of toes 29550 $115.00 $23.00
Strapping, Unna boot 29580 $292.00 $58.40
Application of vein wound compression system lower leg below knee including ankle and foot 29581 $291.00 $58.20
Removal or bivalving of gauntlet, boot, or body cast 29700 $130.00 $26.00
Removal or bivalving of full arm or leg cast 29705 $120.00 $24.00
Exposure of skin surface by creation of an opening in cast 29730 $121.00 $24.20
Wedging of cast 29740 $121.00 $24.20
Casting or strapping procedure 29799 $162.00 $32.40
Release of wrist ligament using an endoscope 29848 $2,441.00 $488.20
Repair of fibrous tissue of foot using an endoscope 29893 $866.00 $173.20
Removal of dead or infected ankle joint tissue using an endoscope 29898 $1,892.00 $378.40
Fusion of foot joint using an endoscope 29907 $1,286.00 $257.20
Drainage of abscess or blood accumulation in nose 30000 $636.00 $127.20
Drainage of abscess or blood accumulation in nasal cartilage 30020 $562.00 $112.40
Biopsy of lining of nose 30100 $362.00 $72.40
Removal of polyps in nose 30110 $454.00 $90.80
Removal of polyps in nose 30115 $2,243.00 $448.60
Removal or destruction of growth in nose 30117 $2,059.00 $411.80
Removal or destruction of growth in nose 30118 $2,662.00 $532.40
Removal or scraping of skin on nose 30120 $1,493.00 $298.60
Removal of growth of skin and tissue on nose 30124 $979.00 $195.80
Removal of nasal air passage 30130 $1,967.00 $393.40
Removal of nasal air passage 30140 $2,266.00 $453.20
Partial removal of the nose 30150 $2,508.00 $501.60
Removal of the nose 30160 $2,645.00 $529.00
Removal of foreign body in nose 30300 $209.00 $41.80
Removal of foreign body in nose under anesthesia 30310 $744.00 $148.80
Reshaping of tip of nose 30400 $3,627.00 $725.40
Reshaping of bone, cartilage, or tip of nose 30410 $4,229.00 $845.80
Reshaping of bony cartilage dividing nasal passages 30420 $4,787.00 $957.40
Revision to reshape nasal bones after previous repair 30435 $4,000.00 $800.00
Repair of congenital nasal defect to lengthen tip of nose 30460 $2,686.00 $537.20
Repair of congenital nasal defect with lengthening of tip of nose 30462 $5,128.00 $1,025.60
Widening of nasal passage 30465 $3,292.00 $658.40
Reshaping of nasal cartilage 30520 $2,110.00 $422.00
Reconstruction to create nasal passages 30540 $2,050.00 $410.00
Release of nasal scar tissue 30560 $669.00 $133.80
Repair of abnormal drainage tract between two nasal sinuses 30580 $1,721.00 $344.20
Repair of openings in nasal cartilage 30630 $2,097.00 $419.40
Destruction of soft tissue of nasal passages 30801 $474.00 $94.80
Destruction of soft tissue in nasal passages 30802 $653.00 $130.60
Simple control of nose bleed 30901 $345.00 $69.00
Complex control of nose bleed 30903 $434.00 $86.80
Control of nose bleed and insertion of packing 30905 $525.00 $105.00
Control of nosebleed and insertion of packing 30906 $584.00 $116.80
Tying of artery for control of nose bleed 30915 $2,006.00 $401.20
Tying of artery for control of nose bleed 30920 $2,912.00 $582.40
Therapeutic fracture of nasal passages 30930 $526.00 $105.20
Nasal procedure 30999 $246.00 $49.20
Irrigation of nasal sinus 31000 $498.00 $99.60
Irrigation of nasal sinus 31002 $690.00 $138.00
Incision of nasal sinus 31020 $1,517.00 $303.40
Incision of nasal sinus 31030 $2,742.00 $548.40
Removal of nasal sinus growths 31032 $1,992.00 $398.40
Removal of nasal polyps 31051 $2,017.00 $403.40
Incision of nasal sinus 31070 $1,492.00 $298.40
Insertion of material to stop growth of nasal sinus lining 31080 $2,898.00 $579.60
Insertion of material to stop growth of nasal sinus lining 31085 $4,469.00 $893.80
Removal of diseased tissue or growths in multiple nasal sinuses on one side of face 31090 $3,194.00 $638.80
Partial removal of nasal sinus 31200 $2,318.00 $463.60
Removal of nasal sinus 31201 $2,559.00 $511.80
Removal of nasal sinus 31205 $3,008.00 $601.60
Removal of nasal sinus 31225 $6,256.00 $1,251.20
Removal of nasal sinus and eye bone 31230 $6,331.00 $1,266.20
Diagnostic examination of nasal passages using an endoscope 31231 $346.00 $69.20
Examination of nasal passage and sinus using an endoscope 31233 $481.00 $96.20
Examination of nasal passages and sinus using an endoscope via sinus puncture 31235 $573.00 $114.60
Biopsy or removal of nasal polyp or tissue using an endoscope 31237 $1,167.00 $233.40
Control of nasal bleeding using an endoscope 31238 $1,862.00 $372.40
Removal of nasal breathing passages using an endoscope 31240 $826.00 $165.20
Complete examination of nose and sinuses using an endoscope 31253 $1,975.00 $395.00
Partial removal of nasal sinus using an endoscope 31254 $1,448.00 $289.60
Complete removal of nasal sinus using an endoscope 31255 $2,143.00 $428.60
Incision of nasal sinus using an endoscope 31256 $1,051.00 $210.20
Complete examination of nose and sinuses and removal of nasal sinus using an endoscope 31257 $1,761.00 $352.20
Removal of tissue from sphenoid sinus using an endoscope 31259 $1,865.00 $373.00
Removal of nasal sinus tissue using an endoscope 31267 $1,410.00 $282.00
Exploration of nasal sinus using an endoscope 31276 $2,638.00 $527.60
Incision of nasal sinus using an endoscope 31287 $1,235.00 $247.00
Removal of nasal sinus tissue using an endoscope 31288 $1,431.00 $286.20
Repair of spinal fluid leak into nasal sinus using an endoscope 31290 $3,740.00 $748.00
Repair of spinal fluid leak into nasal sinus using an endoscope 31291 $3,916.00 $783.20
Dilation of nasal sinus using an endoscope 31295 $5,064.00 $1,012.80
Dilation of nasal sinus using an endoscope 31296 $5,132.00 $1,026.40
Dilation of nasal sinus using an endoscope 31297 $4,991.00 $998.20
Removal of voice box 31360 $6,501.00 $1,300.20
Removal of voice box, muscle, lymph nodes, and glands 31365 $8,077.00 $1,615.40
Removal of voice box, muscle, lymph nodes, and glands 31368 $8,098.00 $1,619.60
Partial removal of voice box 31382 $7,200.00 $1,440.00
Removal of voice box and throat, muscle, lymph nodes, and glands with reconstruction of defect 31395 $10,065.00 $2,013.00
Removal of cartilage attaching the tongue 31420 $2,650.00 $530.00
Emergent insertion of breathing tube into windpipe cartilage using an endoscope 31500 $415.00 $83.00
Change of breathing tube of windpipe in neck 31502 $176.00 $35.20
Diagnostic examination of voice box using an endoscope 31505 $242.00 $48.40
Biopsy of voice box using an endoscope 31510 $198.00 $39.60
Removal of foreign body from voice box using an endoscope 31511 $239.00 $47.80
Removal of growth of voice box using an endoscope 31512 $582.00 $116.40
Aspiration of voice box using an endoscope 31515 $931.00 $186.20
Diagnostic examination of voice box using an endoscope 31525 $653.00 $130.60
Diagnostic examination of voice box using an endoscope with operating microscope or telescope 31526 $553.00 $110.60
Dilation of the voice box using an endoscope 31528 $238.00 $47.60
Removal of foreign body from voice box using an endoscope 31530 $706.00 $141.20
Removal of foreign body from voice box using an endoscope with operating microscope or telescope 31531 $749.00 $149.80
Biopsy of voice box using an endoscope 31535 $667.00 $133.40
Biopsy of voice box using an endoscope with operating microscope or telescope 31536 $744.00 $148.80
Removal of growth of tongue and/or vocal cord stripping using an endoscope 31540 $854.00 $170.80
Removal of growth of tongue and/or vocal cord stripping using an endoscope with operating microscope or telescope 31541 $932.00 $186.40
Removal of vocal cord growths with tissue flap repair using an endoscope with operating microscope or telescope 31545 $1,178.00 $235.60
Removal of cartilage attaching voice box using an endoscope with operating microscope or telescope 31561 $1,210.00 $242.00
Injection of vocal cords using an endoscope 31570 $803.00 $160.60
Injection of vocal cords using an endoscope with operating microscope or telescope 31571 $882.00 $176.40
Diagnostic examination of voice box using flexible endoscope 31575 $329.00 $65.80
Biopsy of voice box using a flexible endoscope 31576 $625.00 $125.00
Removal of foreign body from voice box using a flexible endoscope 31577 $506.00 $101.20
Removal of growth from voice box using a flexible endoscope 31578 $604.00 $120.80
Examination to assess movement of vocal cord flaps using an endoscope 31579 $577.00 $115.40
Incision of voice box to repair thyroid cartilage fracture 31584 $2,598.00 $519.60
Opening of windpipe through neck for insertion of breathing tube 31600 $3,313.00 $662.60
Emergent surgical opening of windpipe through neck for insertion of breathing tube 31603 $1,658.00 $331.60
Emergent surgical opening of windpipe for insertion of breathing tube 31605 $1,519.00 $303.80
Creation of permanent opening of windpipe for breathing 31610 $2,279.00 $455.80
Creation of opening of windpipe and with insertion of speech prosthesis 31611 $1,779.00 $355.80
Puncture of neck and windpipe cartilage for aspiration and/or injection, accessed through the skin 31612 $161.00 $32.20
Revision of permanent opening of windpipe for breathing 31613 $997.00 $199.40
Revision of permanent opening of windpipe for breathing 31614 $2,463.00 $492.60
Examination of windpipe and lung airways through permanent skin opening to windpipe using an endoscope 31615 $1,168.00 $233.60
Diagnostic examination of lung airways using an endoscope 31622 $1,634.00 $326.80
Examination of lung airways using an endoscope 31623 $539.00 $107.80
Irrigation and suction of lung airways to obtain cells using an endoscope 31624 $545.00 $109.00
Biopsy of lung airways using an endoscope 31625 $567.00 $113.40
Biopsy of one lobe of lung using an endoscope 31628 $629.00 $125.80
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629 $528.00 $105.60
Treatment of windpipe cartilage fracture or dilation of windpipe cartilage using an endoscope 31630 $428.00 $85.60
Insertion of stents into windpipe using an endoscope 31631 $639.00 $127.80
Biopsy of lung using an endoscope 31632 $104.00 $20.80
Needle biopsy of lung using an endoscope 31633 $133.00 $26.60
Removal of foreign body in lung airways using an endoscope 31635 $718.00 $143.60
Insertion of stents in lung airways using an endoscope 31636 $885.00 $177.00
Insertion of stent in lung airways using an endoscope 31637 $144.00 $28.80
Revision of previously inserted stent in lung airways using an endoscope 31638 $840.00 $168.00
Removal of growth in lung airways using an endoscope 31640 $986.00 $197.20
Destruction of growth or narrowing of lung airway using an endoscope 31641 $806.00 $161.20
Aspiration of lung secretions from lung airways using an endoscope 31645 $913.00 $182.60
Aspiration of lung secretions from lung airways using an endoscope 31646 $549.00 $109.80
Examination of lung airways using an endoscope with imaging guidance and ultrasound 31652 $788.00 $157.60
Examination of lung airways using an endoscope with imaging guidance and ultrasound 31653 $870.00 $174.00
Examination of lung airways using an endoscope with imaging guidance and ultrasound 31654 $227.00 $45.40
Thermal repair of lung airways using an endoscope 31660 $753.00 $150.60
Thermal repair of lung airways using an endoscope 31661 $796.00 $159.20
Insertion into windpipe of needle wire, dilator, stent, or tube for oxygen delivery 31730 $391.00 $78.20
Suture of wound or injury to windpipe cartilage 31800 $2,221.00 $444.20
Closure of permanent windpipe opening or abnormal drainage tract 31820 $993.00 $198.60
Plastic repair and closure of permanent windpipe opening or abnormal drainage tract 31825 $1,839.00 $367.80
Revision of permanent windpipe opening scar 31830 $1,116.00 $223.20
Windpipe or lung airway procedure 31899 $268.00 $53.60
Opening in chest with biopsy of fluid collection in one lung 32096 $2,746.00 $549.20
Opening in chest with biopsy of growths in one lung 32097 $2,055.00 $411.00
Opening in chest with biopsy of lung lining 32098 $1,934.00 $386.80
Incision and exploration of chest cavity 32100 $2,517.00 $503.40
Repair of traumatic tear in lung and/or control of bleeding 32110 $4,880.00 $976.00
Incision of chest cavity for complication after surgery 32120 $3,711.00 $742.20
Opening in chest with release of lung lining 32124 $3,218.00 $643.60
Removal of air sac of lung 32141 $1,256.00 $251.20
Removal of foreign body or clot protein deposit in lung lining 32150 $3,424.00 $684.80
Removal of foreign body in lung 32151 $3,301.00 $660.20
Massage of heart muscle through chest cavity 32160 $3,266.00 $653.20
Drainage of infected lung material or cyst, open procedure 32200 $2,845.00 $569.00
Creation of scarring on surface of lung 32215 $2,008.00 $401.60
Removal of lung lining for lung expansion 32220 $5,334.00 $1,066.80
Partial removal of lung lining for lung expansion 32225 $1,687.00 $337.40
Removal of chest cavity lining 32310 $2,346.00 $469.20
Removal of chest cavity and lung lining 32320 $4,167.00 $833.40
Needle biopsy of lining of lung, accessed through the skin 32400 $582.00 $116.40
Needle biopsy of lung or chest tissue, accessed through the skin 32405 $1,359.00 $271.80
Removal of lung 32440 $5,088.00 $1,017.60
Removal of one lobe of lung 32480 $4,802.00 $960.40
Removal of two lobes of lung 32482 $5,126.00 $1,025.20
Removal of a segment of lung tissue 32484 $1,677.00 $335.40
Removal of remaining lung after prior lung surgery 32488 $6,066.00 $1,213.20
Repair of lung airway with lung segment removal 32501 $633.00 $126.60
Removal of lung growth and chest wall 32503 $4,647.00 $929.40
Removal of lung growth and repair of chest wall 32504 $5,211.00 $1,042.20
Opening in chest with partial removal of lung tissue 32505 $2,371.00 $474.20
Opening in chest with partial removal of lung tissue 32506 $533.00 $106.60
Partial removal of lung tissue for diagnostic examination 32507 $400.00 $80.00
Insertion of permanent catheter for drainage of lung fluid 32550 $789.00 $157.80
Removal of fluid from between lung and chest cavity, open procedure 32551 $886.00 $177.20
Removal of tunneled catheter in lung lining 32552 $974.00 $194.80
Removal of fluid from chest cavity 32554 $1,671.00 $334.20
Removal of fluid from chest cavity with imaging guidance 32555 $1,182.00 $236.40
Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 32556 $1,317.00 $263.40
Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin 32557 $1,251.00 $250.20
Catheter instillation of agent onto lung surface 32560 $412.00 $82.40
Catheter instillations of agent onto lung lining to break up scar tissue 32561 $232.00 $46.40
Catheter instillations of agent onto lung lining to break up scar tissue 32562 $210.00 $42.00
Diagnostic examination of lungs, heart sac, mid-chest cavity, or lung lining using an endoscope 32601 $679.00 $135.80
Biopsy of sac that covers the heart using an endoscope 32604 $1,807.00 $361.40
Biopsy of tissue in mid-chest using an endoscope 32606 $658.00 $131.60
Biopsy of fluid collection in one lung using an endoscope 32607 $1,050.00 $210.00
Biopsy of growths in one lung using an endoscope 32608 $1,289.00 $257.80
Biopsy of lung lining using an endoscope 32609 $668.00 $133.60
Adhesion of the lung linings using an endoscope 32650 $1,298.00 $259.60
Partial removal of chest cavity lining and lung using an endoscope 32651 $3,940.00 $788.00
Complete removal of inside lining of chest cavity and lung using an endoscope 32652 $5,581.00 $1,116.20
Removal of foreign body from lining of chest cavity using an endoscope 32653 $2,813.00 $562.60
Control of bleeding in chest using an endoscope 32654 $4,121.00 $824.20
Removal of air sac of lung using an endoscope 32655 $1,494.00 $298.80
Removal of lining of lung using an endoscope 32656 $2,157.00 $431.40
Creation of opening or partial removal of sac that covers the heart using an endoscope 32659 $1,390.00 $278.00
Removal of cyst or growth from sac that covers the heart using an endoscope 32661 $2,032.00 $406.40
Removal of cyst or growth from mid-chest cavity using an endoscope 32662 $2,101.00 $420.20
Examination of lung with removal of lung lobe using an endoscope 32663 $4,572.00 $914.40
Repair of esophagus using an endoscope 32665 $1,747.00 $349.40
Partial removal of tissue of one lung using an endoscope 32666 $2,956.00 $591.20
Partial removal of lung tissue using an endoscope 32667 $533.00 $106.60
Partial removal of lung tissue using an endoscope 32668 $536.00 $107.20
Removal of two lobes of lung using an endoscope 32670 $5,225.00 $1,045.00
Removal of thymus gland using an endoscope 32673 $3,792.00 $758.40
Removal of lymph nodes of mid-chest cavity using an endoscope 32674 $548.00 $109.60
Closure of abnormal drainage tract from chest cavity to lung airway, open procedure 32815 $9,512.00 $1,902.40
Reconstruction of the chest wall after injury 32820 $4,359.00 $871.80
Removal of ribs 32900 $3,475.00 $695.00
Removal of infected area in chest cavity and closure of abnormal drainage tract 32906 $4,359.00 $871.80
Injection of air into chest cavity to collapse lung 32960 $340.00 $68.00
Lung and lung lining procedure 32999 $679.00 $135.80
Aspiration of fluid from sac that covers the heart 33010 $818.00 $163.60
Aspiration of fluid from sac that covers the heart 33011 $737.00 $147.40
Insertion of catheter for drainage into sac that covers the heart 33015 $1,320.00 $264.00
Removal of blood clot or foreign body from sac that covers the heart 33020 $7,715.00 $1,543.00
Creation of opening or partial removal of sac that covers the heart 33025 $3,511.00 $702.20
Removal of sac that covers the heart 33030 $6,767.00 $1,353.40
Removal of sac that covers the heart on heart-lung machine 33031 $3,692.00 $738.40
Removal of growth in heart on heart-lung machine 33120 $4,196.00 $839.20
Insertion of electrodes to outer layer of heart, open procedure 33202 $2,086.00 $417.20
Insertion of electrodes to outer layer of heart using an endoscope 33203 $1,424.00 $284.80
Insertion or replacement of permanent pacemaker and upper chamber electrodes 33206 $12,563.00 $2,512.60
Insertion or replacement of permanent pacemaker and lower chamber electrodes 33207 $13,543.00 $2,708.60
Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes 33208 $15,740.00 $3,148.00
Placement of temporary pacemaker leads 33210 $7,020.00 $1,404.00
Placement of temporary pacemaker leads 33211 $5,401.00 $1,080.20
Insertion of pacemaker pulse generator with existing single lead 33212 $10,823.00 $2,164.60
Insertion of pacemaker pulse generator with existing dual leads 33213 $11,901.00 $2,380.20
Conversion to two chamber pacemaker system 33214 $15,383.00 $3,076.60
Repositioning of implanted pacemaker or defibrillator device 33215 $2,651.00 $530.20
Insertion of electrode for permanent pacemaker or pacing defibrillator device 33216 $5,477.00 $1,095.40
Insertion of electrodes for permanent pacemaker or pacing defibrillator device 33217 $5,799.00 $1,159.80
Repair of electrode for permanent pacemaker or defibrillator device 33218 $2,719.00 $543.80
Repair of 2 electrodes for permanent pacemaker or defibrillator device 33220 $3,127.00 $625.40
Insertion of pacemaker pulse generator with existing multiple leads 33221 $11,766.00 $2,353.20
Relocation of pacemaker generator skin pocket 33222 $2,295.00 $459.00
Relocation of defibrillator device skin pocket 33223 $2,691.00 $538.20
Insertion of left heart electrode with attachment to pacemaker or pacing defibrillator device 33224 $15,361.00 $3,072.20
Insertion of left heart electrode for pacing defibrillator device 33225 $15,306.00 $3,061.20
Repositioning of implanted left heart electrode 33226 $3,149.00 $629.80
Removal and replacement of single lead permanent pacemaker pulse generator 33227 $10,752.00 $2,150.40
Removal and replacement of dual lead permanent pacemaker pulse generator 33228 $11,763.00 $2,352.60
Removal and replacement of multiple lead permanent pacemaker pulse generator 33229 $11,787.00 $2,357.40
Insertion of pacing defibrillator pulse generator with existing dual leads 33230 $37,566.00 $7,513.20
Insertion of pacing defibrillator pulse generator with existing multiple leads 33231 $37,591.00 $7,518.20
Removal of permanent pacemaker pulse generator 33233 $2,796.00 $559.20
Removal of electrode from right heart 33234 $3,367.00 $673.40
Removal of electrodes from right heart 33235 $3,528.00 $705.60
Removal of permanent right heart electrodes and pacemaker 33237 $3,016.00 $603.20
Removal of permanent pacemaker venous electrodes 33238 $2,404.00 $480.80
Insertion of pacing defibrillator pulse generator with existing single lead 33240 $37,427.00 $7,485.40
Removal of defibrillator pulse generator 33241 $2,704.00 $540.80
Removal of defibrillator electrodes 33244 $4,339.00 $867.80
Insertion or replacement of single or dual chamber pacing defibrillator leads 33249 $44,037.00 $8,807.40
Destruction and reconstruction of right upper heart 33257 $1,648.00 $329.60
Destruction and reconstruction of right upper heart 33258 $1,863.00 $372.60
Destruction of tissue and reconstruction of right upper heart on heart-lung machine 33259 $2,445.00 $489.00
Removal and replacement of defibrillator pulse generator 33262 $37,543.00 $7,508.60
Removal and replacement of defibrillator pulse generator 33263 $37,567.00 $7,513.40
Removal and replacement of defibrillator pulse generator 33264 $37,592.00 $7,518.40
Insertion or replacement of defibrillator with electrode 33270 $22,841.00 $4,568.20
Insertion of defibrillator electrode 33271 $8,520.00 $1,704.00
Removal of defibrillator electrode 33272 $3,489.00 $697.80
Repositioning of previously implanted defibrillator electrode 33273 $3,419.00 $683.80
Repair of wound to heart 33300 $8,460.00 $1,692.00
Repair of wound to heart on heart-lung machine 33305 $9,623.00 $1,924.60
Incision, exploration, and removal of foreign body of upper or lower heart chamber on heart-lung machine 33315 $5,968.00 $1,193.60
Suture repair of great vessels of heart and chest 33320 $1,017.00 $203.40
Insertion of great vessel graft on heart-lung machine 33335 $6,516.00 $1,303.20
Replacement of aortic valve with prosthetic valve, accessed through the skin 33361 $8,418.00 $1,683.60
Replacement of aortic valve with prosthetic valve, open procedure 33362 $8,634.00 $1,726.80
Replacement of aortic valve with prosthetic valve, open procedure 33363 $5,319.00 $1,063.80
Replacement of aortic valve with prosthetic valve, open procedure 33364 $8,859.00 $1,771.80
Replacement of aortic valve with prosthetic valve 33365 $6,070.00 $1,214.00
Replacement of aortic valve with prosthetic valve 33366 $6,570.00 $1,314.00
Replacement of aortic valve with prosthetic valve on heart-lung machine 33367 $7,166.00 $1,433.20
Replacement of aortic valve with prosthetic valve on heart-lung machine, open procedure 33368 $7,380.00 $1,476.00
Replacement of aortic valve with prosthetic valve on heart-lung machine 33369 $3,374.00 $674.80
Simple repair of aortic valve by open procedure on heart-lung machine 33390 $6,229.00 $1,245.80
Complex repair of aortic valve by open procedure on heart-lung machine 33391 $7,382.00 $1,476.40
Replacement of aortic valve using artificial valve on heart-lung machine, open procedure 33405 $7,844.00 $1,568.80
Replacement and enlargement of left lower heart valve 33411 $4,204.00 $840.80
Replacement of left lower heart chamber valve with enlargement of tissue ring at base of valve 33412 $10,842.00 $2,168.40
Repair and enlargement of blood outflow tract of left lower heart chamber 33414 $7,070.00 $1,414.00
Incision or removal of tissue below left lower heart valve 33415 $5,462.00 $1,092.40
Removal of thickened heart muscle at left lower heart chamber 33416 $5,750.00 $1,150.00
Repair of aorta at heart 33417 $5,695.00 $1,139.00
Replacement of aortic valve with prosthetic valve accessed through the skin 33418 $9,156.00 $1,831.20
Replacement of aortic valve with prosthetic valve accessed through the skin 33419 $12,204.00 $2,440.80
Repair of valve between left heart chambers on heart-lung machine 33425 $10,077.00 $2,015.40
Insertion of artificial valve between left heart chambers on heart-lung machine 33426 $6,154.00 $1,230.80
Repair of valve flaps between left heart chambers on heart-lung machine 33427 $3,396.00 $679.20
Replacement of valve between left upper and lower chambers on heart-lung machine 33430 $2,915.00 $583.00
Repair of valve between right upper and lower heart chambers 33463 $2,358.00 $471.60
Repair of heart valve between right chambers with insertion of prosthetic valve ring 33464 $2,498.00 $499.60
Replacement of valve between right heart chambers on heart-lung machine 33465 $9,010.00 $1,802.00
Repair of artificial heart valve on heart-lung machine 33496 $5,464.00 $1,092.80
Repair of drainage of heart artery and vein on heart-lung machine 33500 $5,356.00 $1,071.20
Repair of abnormal heart artery with diversion of blood flow to aorta 33506 $7,027.00 $1,405.40
Harvest of veins for coronary artery bypass procedure using an endoscope 33508 $83.00 $16.60
Heart artery bypass to repair one artery 33510 $2,573.00 $514.60
Heart artery bypass to repair multiple arteries 33511 $3,568.00 $713.60
Heart artery bypass to repair multiple arteries 33512 $2,822.00 $564.40
Heart artery bypass to repair multiple arteries 33513 $2,858.00 $571.60
Heart artery bypass to repair multiple arteries 33514 $2,932.00 $586.40
Heart artery bypass to repair multiple arteries 33516 $3,108.00 $621.60
Combined vein and artery heart artery bypass 33517 $269.00 $53.80
Combined multiple vein and artery heart artery bypasses 33518 $1,426.00 $285.20
Combined multiple vein and artery heart artery bypasses 33519 $558.00 $111.60
Combined multiple vein and artery heart artery bypasses 33521 $736.00 $147.20
Combined multiple vein and artery heart artery bypasses 33522 $914.00 $182.80
Combined multiple vein and artery heart artery bypasses 33523 $1,093.00 $218.60
Reoperation of heart artery bypass or valve procedure more than 1 month after original operation 33530 $458.00 $91.60
Heart artery bypass to repair one artery 33533 $3,520.00 $704.00
Heart artery bypass to repair multiple arteries 33534 $2,843.00 $568.60
Heart artery bypass to repair multiple arteries 33535 $6,652.00 $1,330.40
Heart artery bypass to repair multiple arteries 33536 $9,531.00 $1,906.20
Repair of lower heart chamber defect following heart attack 33545 $10,117.00 $2,023.40
Removal of plaque from heart artery at time of bypass graft procedure, open procedure 33572 $348.00 $69.60
Repair of hole between upper heart chambers on heart-lung machine 33641 $1,945.00 $389.00
Direct or patch closure of extra tissue between two upper heart chambers 33645 $5,434.00 $1,086.80
Repair of congenital defect in wall between both upper and lower heart chamber 33647 $3,642.00 $728.40
Closure of congenital single opening in wall between lower heart chambers 33681 $5,765.00 $1,153.00
Enlargement of wall between two upper heart chambers, open heart procedure 33736 $3,859.00 $771.80
Repair of congenital narrowing of aorta and pulmonary (lung) artery to aorta 33840 $3,518.00 $703.60
Repair of abnormal aortic arch on heart-lung machine 33853 $6,316.00 $1,263.20
Placement of graft to aorta on heart-lung machine 33860 $4,405.00 $881.00
Placement of graft to aorta on heart-lung machine 33863 $8,752.00 $1,750.40
Placement of graft to aorta on heart-lung machine 33864 $8,951.00 $1,790.20
Placement of graft to aorta on heart-lung machine 33870 $3,777.00 $755.40
Removal of blood clot in pulmonary (lung) artery 33915 $3,975.00 $795.00
Initiation of external vein to vein blood circulation in heart and lungs using a pump 33946 $1,700.00 $340.00
Initiation of external vein to artery blood circulation in heart and lungs using a pump 33947 $1,756.00 $351.20
Daily management of external vein to vein blood circulation in heart and lungs using a pump 33948 $781.00 $156.20
Daily management of external vein to artery blood circulation in heart and lungs using a pump 33949 $765.00 $153.00
Insertion of tube accessed through the skin for external blood circulation in heart and lungs using a pump patient 6 years and older 33952 $1,897.00 $379.40
Insertion of tube open procedure for external blood circulation in heart and lungs using a pump patient 6 years and older 33954 $1,572.00 $314.40
Insertion of tube accessed through the chest for external blood circulation in heart and lungs using a pump patient 6 years and older 33956 $2,614.00 $522.80
Repositioning of tube accessed through the skin for external blood circulation in heart and lungs using a pump patient 6 years and older 33958 $596.00 $119.20
Repositioning of tube open procedure for external blood circulation in heart and lungs using a pump patient 6 years and older 33962 $774.00 $154.80
Removal of tube accessed through the skin for external blood circulation in heart and lungs using a pump patient 6 years and older 33966 $777.00 $155.40
Insertion of assistive heart blood flow device into aorta, accessed through the skin 33967 $2,559.00 $511.80
Removal of blood flow assist device in aorta, accessed through the skin 33968 $2,164.00 $432.80
Removal of blood flow assist device in aorta, open procedure 33970 $1,814.00 $362.80
Removal of blood flow assist device in aorta 33971 $3,092.00 $618.40
Insertion of lower heart chamber blood flow assist device 33975 $4,291.00 $858.20
Removal of assistive blood flow device from one lower heart chamber 33977 $3,691.00 $738.20
Removal of tube open procedure for external blood circulation in heart and lungs using a pump patient 6 years and older 33984 $939.00 $187.80
Insertion of lower heart chamber blood flow assist device through the skin including radiological supervision and interpretation 33990 $1,363.00 $272.60
Removal of lower heart chamber blood flow assist device, accessed through the skin 33992 $983.00 $196.60
Repositioning of lower heart chamber blood flow assist device with imaging guidance 33993 $930.00 $186.00
Removal of blood clot in artery 34001 $2,420.00 $484.00
Removal of blood clot in artery 34101 $2,150.00 $430.00
Removal of blood clot in artery 34111 $1,588.00 $317.60
Removal of blood clot in artery 34151 $5,683.00 $1,136.60
Removal of blood clot in artery 34201 $5,970.00 $1,194.00
Removal of blood clot in artery 34203 $5,484.00 $1,096.80
Removal of blood clot in vena cava, pelvic or thigh artery 34451 $3,629.00 $725.80
Removal of blood clot in underarm or upper chest vein 34490 $2,247.00 $449.40
Reconstruction of vena cava 34502 $5,751.00 $1,150.20
Placement of graft for repair of aorta including radiological supervision and interpretation 34701 $6,866.00 $1,373.20
Placement of graft for repair of aorta including radiological supervision and interpretation 34702 $8,046.00 $1,609.20
Placement of graft for repair of aorta and groin artery including radiological supervision and interpretation 34703 $4,091.00 $818.20
Placement of graft for repair of aorta and groin artery including radiological supervision and interpretation 34704 $5,700.00 $1,140.00
Placement of graft for repair of aorta and groin arteries including radiological supervision and interpretation 34705 $4,365.00 $873.00
Placement of graft for repair of aorta and groin arteries including radiological supervision and interpretation 34706 $5,743.00 $1,148.60
Placement of graft for repair of groin artery including radiological supervision and interpretation 34707 $4,111.00 $822.20
Placement of graft for repair of groin artery including radiological supervision and interpretation 34708 $6,479.00 $1,295.80
Insertion of prosthesis for repair of abdominal or groin artery including radiological supervision and interpretation 34709 $2,532.00 $506.40
Delayed insertion of prosthesis for repair of abdominal or groin artery 34710 $3,451.00 $690.20
Delayed insertion of prosthesis for repair of abdominal or groin artery 34711 $1,565.00 $313.00
Exposure of one groin artery for delivery of graft, accessed through the skin 34713 $505.00 $101.00
Insertion of device to block groin artery 34808 $4,703.00 $940.60
Exposure of one thigh artery for insertion of prosthesis, open procedure 34812 $1,531.00 $306.20
Exposure of one groin artery for insertion of prosthesis, open procedure 34820 $5,320.00 $1,064.00
Repair of bulging (aneurysm) of aorta or upper thigh arteries with prosthesis, open procedure 34832 $6,519.00 $1,303.80
Physician planning of a patient-specific graft for repair of aorta requiring a minimum of 90 minutes of physician time 34839 $896.00 $179.20
Placement of graft for repair of aorta with radiological supervision and interpretation, with 1 artery prosthesis 34841 $2,793.00 $558.60
Placement of graft for repair of aorta with radiological supervision and interpretation, with 2 artery prostheses 34842 $3,547.00 $709.40
Placement of graft for repair of aorta with radiological supervision and interpretation, with 3 artery prostheses 34843 $4,301.00 $860.20
Placement of graft for repair of aorta with radiological supervision and interpretation, with 4 or more artery prostheses 34844 $5,055.00 $1,011.00
Placement of graft for repair of aorta with radiological supervision and interpretation, with 1 artery prostheses 34845 $5,222.00 $1,044.40
Placement of graft for repair of aorta with radiological supervision and interpretation, with 2 artery prostheses 34846 $5,976.00 $1,195.20
Placement of graft for repair of aorta with radiological supervision and interpretation, with 3 artery prostheses 34847 $6,730.00 $1,346.00
Placement of graft for repair of aorta with radiological supervision and interpretation, with 4 or more artery prostheses 34848 $7,484.00 $1,496.80
Repair of diseased or bulging (aneurysm) artery of neck or upper chest 35001 $4,302.00 $860.40
Repair of diseased or ruptured bulging (aneurysm) artery of neck or upper chest 35002 $4,289.00 $857.80
Repair of diseased or bulging (aneurysm) artery of arm 35011 $3,361.00 $672.20
Repair of diseased or ruptured bulging (aneurysm) artery of arm 35013 $4,238.00 $847.60
Repair of diseased or ruptured bulging (aneurysm) artery of upper chest or neck 35022 $4,570.00 $914.00
Repair of diseased or bulging (aneurysm) artery of forearm 35045 $3,092.00 $618.40
Repair of diseased or bulging (aneurysm) artery of abdominal aorta 35081 $11,362.00 $2,272.40
Repair of diseased or ruptured bulging (aneurysm) artery of abdominal aorta 35082 $8,639.00 $1,727.80
Repair of diseased or bulging (aneurysm) artery of abdominal organ 35091 $5,648.00 $1,129.60
Repair of diseased or ruptured bulging (aneurysm) artery of abdominal organ 35092 $10,064.00 $2,012.80
Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta 35102 $5,377.00 $1,075.40
Repair of diseased or ruptured bulging (aneurysm) of abdominal aorta 35103 $7,228.00 $1,445.60
Repair of diseased or bulging (aneurysm) artery of spleen 35111 $3,764.00 $752.80
Repair of diseased or bulging (aneurysm) artery of abdominal organ 35121 $5,371.00 $1,074.20
Repair of diseased or bulging (aneurysm) artery of groin 35131 $8,482.00 $1,696.40
Repair of diseased or ruptured bulging (aneurysm) artery of groin 35132 $5,658.00 $1,131.60
Repair of diseased or bulging (aneurysm) artery of upper thigh 35141 $1,815.00 $363.00
Repair of diseased or ruptured bulging (aneurysm) artery of upper thigh 35142 $3,973.00 $794.60
Repair of diseased or bulging (aneurysm) artery of lower leg 35151 $5,107.00 $1,021.40
Repair of congenital abnormal artery-vein connection in arms or legs 35184 $2,689.00 $537.80
Repair of abnormal artery-vein connection in chest and abdomen 35189 $4,302.00 $860.40
Repair of abnormal artery-vein connection in arms or legs 35190 $2,957.00 $591.40
Repair of blood vessel of neck 35201 $1,767.00 $353.40
Repair of blood vessel of arm 35206 $5,726.00 $1,145.20
Repair of blood vessel of hand or finger 35207 $7,662.00 $1,532.40
Repair of blood vessel of chest on heart-lung machine 35211 $4,984.00 $996.80
Repair of blood vessel of chest 35216 $2,623.00 $524.60
Repair of blood vessel of abdomen 35221 $6,923.00 $1,384.60
Repair of blood vessel of leg 35226 $3,224.00 $644.80
Repair of blood vessel of neck with vein graft 35231 $4,266.00 $853.20
Repair of blood vessel of arm with vein graft 35236 $1,957.00 $391.40
Repair of blood vessel in chest with vein graft 35246 $3,753.00 $750.60
Repair of blood vessel of abdomen with vein graft 35251 $4,370.00 $874.00
Repair of blood vessel of leg with vein graft 35256 $3,629.00 $725.80
Repair of blood vessel of neck with graft 35261 $2,150.00 $430.00
Repair of blood vessel of arm with graft 35266 $2,733.00 $546.60
Repair of blood vessel of abdomen with graft 35281 $5,710.00 $1,142.00
Repair of blood vessel of leg with graft 35286 $2,017.00 $403.40
Removal of blood clot and portion of artery of neck 35301 $6,449.00 $1,289.80
Removal of blood clot and portion of artery of upper thigh 35302 $6,167.00 $1,233.40
Removal of blood clot and portion of artery of lower leg 35303 $6,889.00 $1,377.80
Removal of blood clot and portion of artery of lower leg 35304 $7,106.00 $1,421.20
Removal of blood clot and portion of artery of lower leg 35305 $6,260.00 $1,252.00
Removal of blood clot and portion of artery of lower leg 35306 $2,352.00 $470.40
Removal of blood clot and portion of artery of upper arm 35321 $3,361.00 $672.20
Removal of blood clot and portion of artery of abdominal aorta 35331 $8,519.00 $1,703.80
Removal of blood clot and portion of artery of abdominal organ 35341 $5,108.00 $1,021.60
Removal of blood clot and portion of artery of groin 35351 $6,898.00 $1,379.60
Removal of blood clot and portion of artery of upper thigh 35355 $4,739.00 $947.80
Removal of blood clot and portion of artery of abdominal aorta and groin artery 35361 $5,024.00 $1,004.80
Removal of blood clot and portion of artery of upper thigh artery 35371 $5,674.00 $1,134.80
Removal of blood clot and portion of artery of upper thigh artery 35372 $6,034.00 $1,206.80
Reoperation of carotid artery removal of blood clot and portion of affected artery more than one month after original procedure 35390 $807.00 $161.40
Examination of blood vessel or graft using an endoscope 35400 $1,275.00 $255.00
Harvest of upper arm vein segment for leg or heart artery bypass 35500 $605.00 $121.00
Bypass of diseased or blocked artery (neck to brain artery) 35501 $2,642.00 $528.40
Bypass of diseased or blocked artery (neck to chest artery) 35506 $4,436.00 $887.20
Bypass of diseased or blocked artery (neck to opposite neck artery) 35509 $4,363.00 $872.60
Bypass of diseased or blocked artery (chest to brain artery) 35515 $3,513.00 $702.60
Bypass of diseased or blocked artery (chest to arm artery) 35516 $2,647.00 $529.40
Bypass of diseased or blocked artery (arm to opposite arm artery) 35518 $2,957.00 $591.40
Bypass of diseased or blocked artery (arm to upper leg artery) 35521 $3,361.00 $672.20
Bypass of diseased or blocked artery (arm to arm artery) 35522 $2,995.00 $599.00
Bypass of diseased or blocked artery (arm to arm artery) 35523 $4,006.00 $801.20
Bypass of diseased or blocked artery (arm to opposite arm artery) 35525 $3,074.00 $614.80
Bypass of diseased or blocked artery (abdominal to abdominal artery) 35531 $8,137.00 $1,627.40
Bypass of diseased or blocked artery (arm to upper leg artery) 35533 $4,957.00 $991.40
Bypass of diseased or blocked artery (spleen to kidney artery) 35536 $4,706.00 $941.20
Bypass of diseased or blocked artery (aorta to groin and opposite groin artery) 35538 $9,842.00 $1,968.40
Bypass of diseased or blocked artery (aorta to upper leg artery) 35539 $9,252.00 $1,850.40
Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery) 35540 $12,895.00 $2,579.00
Bypass of diseased or blocked artery (upper to lower leg artery) 35556 $3,919.00 $783.80
Bypass of diseased or blocked artery (upper leg to opposite upper leg artery) 35558 $2,957.00 $591.40
Bypass of diseased or blocked artery (aorta to kidney artery) 35560 $4,974.00 $994.80
Bypass of diseased or blocked artery (groin to opposite groin artery) 35563 $3,764.00 $752.80
Bypass of diseased or blocked artery (groin to upper leg artery) 35565 $3,482.00 $696.40
Bypass of diseased or blocked artery (upper leg to lower leg artery) 35566 $6,253.00 $1,250.60
Bypass of diseased or blocked artery (lower leg to opposite lower leg artery) 35570 $4,741.00 $948.20
Bypass of diseased or blocked artery (lower leg to lower leg artery) 35571 $4,480.00 $896.00
Bypass of diseased or blocked artery (upper leg to lower thigh artery) 35583 $12,072.00 $2,414.40
Bypass of diseased or blocked artery (upper leg to lower leg artery) 35585 $3,831.00 $766.20
Bypass of diseased or blocked artery (lower thigh to lower leg artery) 35587 $5,108.00 $1,021.60
Harvest of an arm artery segment 35600 $387.00 $77.40
Bypass of diseased or blocked artery (neck to brain artery) 35601 $3,953.00 $790.60
Bypass of diseased or blocked artery (neck to chest artery) 35606 $3,549.00 $709.80
Bypass of diseased or blocked artery (chest to opposite chest artery) 35612 $3,136.00 $627.20
Bypass of diseased or blocked artery (chest to arm artery) 35616 $3,227.00 $645.40
Bypass of diseased or blocked artery (arm to chest artery) 35621 $3,917.00 $783.40
Bypass of diseased or blocked artery (arm to lower leg artery) 35623 $2,318.00 $463.60
Bypass of diseased or blocked artery (arm to lower thigh or leg artery) 35626 $4,791.00 $958.20
Bypass of diseased or blocked artery (aorta to abdominal or kidney artery) 35631 $2,823.00 $564.60
Bypass of diseased or blocked artery (groin to abdominal artery) 35633 $5,967.00 $1,193.40
Bypass of diseased or blocked artery (aorta to groin artery) 35637 $7,008.00 $1,401.60
Bypass of diseased or blocked artery (aorta to groin to opposite groin artery) 35638 $7,121.00 $1,424.20
Bypass of diseased or blocked artery (aorta to upper leg and opposite upper leg artery) 35646 $6,970.00 $1,394.00
Bypass of diseased or blocked artery (aorta to upper leg artery) 35647 $4,033.00 $806.60
Bypass of diseased or blocked artery (arm to opposite arm artery) 35650 $2,440.00 $488.00
Bypass of diseased or blocked artery (arm to both lower thigh arteries) 35654 $4,140.00 $828.00
Bypass of diseased or blocked artery (upper leg to lower thigh artery) 35656 $3,842.00 $768.40
Bypass of diseased or blocked artery (upper leg to opposite upper leg artery) 35661 $6,099.00 $1,219.80
Bypass of diseased or blocked artery (groin to opposite groin artery) 35663 $3,815.00 $763.00
Bypass on diseased or blocked groin to upper leg artery 35665 $3,878.00 $775.60
Bypass of diseased or blocked artery (upper leg to lower leg arteries) 35666 $4,436.00 $887.20
Bypass of diseased or blocked artery (upper leg to lower leg arteries) 35671 $3,227.00 $645.40
Bypass of diseased or blocked artery 35681 $807.00 $161.40
Bypass of diseased or blocked artery 35682 $941.00 $188.20
Bypass of diseased or blocked artery 35683 $1,075.00 $215.00
Transfer and/or reimplantation of subclavian (chest) artery to carotid (neck) artery 35694 $3,495.00 $699.00
Reimplantation of organ artery to aortic (below kidney) prosthesis 35697 $399.00 $79.80
Reoperation of upper or lower leg artery more than 1 month after original operation 35700 $605.00 $121.00
Exploration of neck artery 35701 $1,224.00 $244.80
Exploration of upper thigh artery 35721 $1,479.00 $295.80
Exploration of lower leg artery 35741 $955.00 $191.00
Exploration of blood vessel 35761 $1,381.00 $276.20
Exploration of neck for postsurgical bleeding, blood clot, or infection 35800 $1,719.00 $343.80
Exploration of chest for postsurgical bleeding, blood clot, or infection 35820 $6,522.00 $1,304.40
Exploration of abdomen for postsurgical bleeding, blood clot, or infection 35840 $2,490.00 $498.00
Exploration of arm or leg for postsurgical bleeding, blood clot, or infection 35860 $1,539.00 $307.80
Removal of blood clot of arterial or venous graft 35875 $5,265.00 $1,053.00
Removal of blood clot and revision of arterial or venous graft 35876 $6,468.00 $1,293.60
Revision of arterial bypass of leg with placement of vein patch, open procedure 35879 $2,353.00 $470.60
Revision of arterial bypass of leg with placement of relocated vein, open procedure 35881 $2,957.00 $591.40
Revision of arterial bypass of groin with placement synthetic graft, open procedure 35883 $4,702.00 $940.40
Revision of arterial bypass of groin with vein patch graft, open procedure 35884 $3,891.00 $778.20
Removal of infected graft of arm or leg 35903 $2,150.00 $430.00
Removal of infected chest graft 35905 $5,837.00 $1,167.40
Removal of infected abdominal graft 35907 $7,423.00 $1,484.60
Insertion of needle or catheter into a vein 36000 $298.00 $59.60
Injection to cause blood clot in a diseased or bulging vessel of arm or leg, accessed through the skin 36002 $584.00 $116.80
Injection for X-ray imaging procedure on veins of arm or leg 36005 $560.00 $112.00
Introduction of catheter into the upper or lower major vein (vena cava) 36010 $1,435.00 $287.00
Insertion of catheter into vein 36011 $3,125.00 $625.00
Insertion of catheter into vein 36012 $822.00 $164.40
Insertion of catheter into right heart or main pulmonary (lung) artery 36013 $517.00 $103.40
Insertion of catheter into left or right pulmonary (lung) artery 36014 $929.00 $185.80
Insertion of catheter into an artery of a lobe of the lung 36015 $639.00 $127.80
Insertion of needle or catheter into the carotid (neck) or vertebral (brain) artery 36100 $612.00 $122.40
Insertion of needle or catheter into an artery of arm or leg 36140 $531.00 $106.20
Insertion of needle or catheter into aorta 36160 $565.00 $113.00
Insertion of catheter into aorta 36200 $1,926.00 $385.20
Insertion of catheter into chest or arm artery 36215 $1,807.00 $361.40
Insertion of catheter into chest or arm artery 36216 $2,461.00 $492.20
Insertion of catheter into chest or arm artery 36217 $1,995.00 $399.00
Insertion of catheter into chest or arm artery 36218 $584.00 $116.80
Insertion of catheter into chest aorta for diagnosis or treatment including radiological supervision and interpretation 36221 $4,550.00 $910.00
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36222 $6,337.00 $1,267.40
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36223 $6,366.00 $1,273.20
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36224 $9,499.00 $1,899.80
Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation 36225 $6,636.00 $1,327.20
Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation 36226 $10,740.00 $2,148.00
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36227 $9,302.00 $1,860.40
Insertion of catheter into artery on one side of neck or chest for diagnosis or treatment including radiological supervision and interpretation 36228 $10,658.00 $2,131.60
Insertion of catheter into abdominal pelvic or leg artery 36245 $2,307.00 $461.40
Insertion of catheter into abdominal pelvic or leg artery 36246 $2,509.00 $501.80
Insertion of catheter into abdominal pelvic or leg artery 36247 $2,003.00 $400.60
Insertion of catheter into each additional abdominal, pelvic or leg artery 36248 $369.00 $73.80
Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation 36251 $6,863.00 $1,372.60
Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation 36252 $6,934.00 $1,386.80
Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation 36254 $6,981.00 $1,396.20
Blood vessel injection procedure 36299 $385.00 $77.00
Insertion of needle into upper leg or neck vein, patient younger than 3 years 36400 $87.00 $17.40
Insertion of needle into scalp vein, patient younger than 3 years 36405 $81.00 $16.20
Insertion of needle into vein, patient younger than 3 years 36406 $87.00 $17.40
Insertion of needle into vein, patient 3 years or older 36410 $75.00 $15.00
Insertion of needle into vein for collection of blood sample 36415 $20.00 $4.00
Puncture of skin for collection of blood sample 36416 $12.00 $2.40
Incision of vein for insertion of needle or catheter, patient younger than 1 year 36420 $413.00 $82.60
Incision of vein for insertion of needle or catheter, patient age 1 or over 36425 $391.00 $78.20
Transfusion of blood or blood products 36430 $718.00 $143.60
Injection of chemical agent into spider veins of arm, leg, or trunk 36468 $473.00 $94.60
Injection of chemical agent into single incompetent vein 36470 $292.00 $58.40
Injection of chemical agent into multiple incompetent veins of one leg 36471 $466.00 $93.20
Destruction of insufficient vein of arm or leg, accessed through the skin 36475 $1,540.00 $308.00
Radiofrequency destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance 36476 $731.00 $146.20
Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin 36478 $1,037.00 $207.40
Insertion of catheter into vein with collection of blood sample 36500 $1,763.00 $352.60
Insertion of catheter into vein of navel, newborn 36510 $316.00 $63.20
Mechanical separation of plasma from opening blood 36514 $3,001.00 $600.20
Insertion of central venous catheter for infusion, patient younger than 5 years 36555 $896.00 $179.20
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $2,314.00 $462.80
Insertion of central venous catheter for infusion, patient younger than 5 years 36557 $2,152.00 $430.40
Insertion of central venous catheter for infusion, patient 5 years or older 36558 $3,028.00 $605.60
Insertion of central venous catheter and implanted device for infusion beneath the skin, patient younger than 5 years 36560 $3,479.00 $695.80
Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older 36561 $3,343.00 $668.60
Insertion of central venous catheter and implanted device for infusion beneath the skin 36563 $3,346.00 $669.20
Insertion of central venous catheters for infusion, two catheters in two veins 36565 $2,736.00 $547.20
Insertion of central venous catheters, two catheters in two veins, and implanted devices for infusion beneath the skin 36566 $5,159.00 $1,031.80
Insertion of central venous catheter for infusion, patient younger than 5 years 36568 $2,663.00 $532.60
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $2,683.00 $536.60
Insertion of central venous catheter for infusion with port beneath the skin, patient younger than 5 years 36570 $2,152.00 $430.40
Insertion of central venous catheter for infusion with port beneath the skin, patient 5 years or older 36571 $1,475.00 $295.00
Repair of central venous catheter for infusion 36575 $672.00 $134.40
Repair of central venous catheter for infusion 36576 $1,164.00 $232.80
Catheter replacement of central venous access device 36578 $672.00 $134.40
Replacement of central venous catheter 36580 $1,684.00 $336.80
Replacement of central venous catheter 36581 $1,633.00 $326.60
Replacement of central venous catheter 36582 $3,383.00 $676.60
Replacement of central venous catheter 36583 $3,383.00 $676.60
Replacement of catheter in peripheral vein accessed through same vein 36584 $2,483.00 $496.60
Replacement of peripheral venous catheter 36585 $1,574.00 $314.80
Removal of central venous catheter for infusion 36589 $1,163.00 $232.60
Removal of peripheral venous catheter for infusion 36590 $2,431.00 $486.20
Collection of blood specimen from a completely implantable venous access device 36591 $26.00 $5.20
Collection of blood specimen from central or peripheral venous catheter 36592 $172.00 $34.40
Declotting infusion of implanted central venous access device or catheter 36593 $645.00 $129.00
Mechanical removal of obstructive material from central venous catheter 36595 $1,850.00 $370.00
Mechanical removal of tissue or obstructive material in central venous catheter 36596 $1,169.00 $233.80
Repositioning of central venous catheter using fluoroscopic guidance 36597 $605.00 $121.00
Contrast injections for X-ray imaging procedure to evaluate central venous access device 36598 $145.00 $29.00
Arterial puncture withdrawal of blood for diagnosis 36600 $97.00 $19.40
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 36620 $1,178.00 $235.60
Insertion of arterial catheter for blood sampling or infusion 36625 $250.00 $50.00
Insertion of catheter into an artery in navel, newborn 36660 $122.00 $24.40
Insertion of needle for infusion into bone 36680 $337.00 $67.40
Insertion of external tube from vein to vein for dialysis 36800 $6,724.00 $1,344.80
Relocation of arm vein with connection to arm artery, open procedure 36818 $2,320.00 $464.00
Relocation of arm vein with connection to arm artery, open procedure 36819 $2,864.00 $572.80
Relocation of arm vein with connection to arm artery, open procedure 36820 $2,792.00 $558.40
Relocation of arm vein with connection to arm artery, open procedure 36821 $2,636.00 $527.20
Connection of donor vein to an artery and vein for dialysis 36825 $2,771.00 $554.20
Connection of tube graft to vein and artery for dialysis 36830 $2,596.00 $519.20
Removal of blood clot from dialysis graft, open procedure 36831 $1,590.00 $318.00
Revision of dialysis graft, open procedure 36832 $2,019.00 $403.80
Revision of dialysis graft with removal of blood cot, open procedure 36833 $1,711.00 $342.20
Repair of dialysis access in arm 36838 $3,044.00 $608.80
Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation 36901 $2,069.00 $413.80
Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation 36902 $13,936.00 $2,787.20
Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation 36903 $28,051.00 $5,610.20
Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation 36904 $14,037.00 $2,807.40
Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation 36905 $28,159.00 $5,631.80
Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation 36906 $42,560.00 $8,512.00
Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation 36907 $12,670.00 $2,534.00
Insertion of stent in dialysis segment, with imaging including radiological supervision and interpretation 36908 $2,380.00 $476.00
Permanent blockage of dialysis circuit, with imaging including radiological supervision and interpretation 36909 $1,823.00 $364.60
Insertion of shunts to bypass blood flow to liver using imaging guidance 37182 $42,308.00 $8,461.60
Revision of shunts to bypass blood flow to liver using imaging guidance 37183 $42,308.00 $8,461.60
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 37184 $5,456.00 $1,091.20
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed through the skin 37185 $4,974.00 $994.80
Removal of blood clot and injections to dissolve blood clot from artery or arterial graft using fluoroscopic guidance, accessed beneath the skin 37186 $5,129.00 $1,025.80
Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance 37187 $7,494.00 $1,498.80
Removal of blood clot and injections (accessed through the skin) to dissolve blood clot from veins using fluoroscopic guidance 37188 $9,138.00 $1,827.60
Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation 37191 $10,069.00 $2,013.80
Repositioning of vena cava filter by endovascular approach, including radiological supervision and interpretation 37192 $9,025.00 $1,805.00
Removal of vena cava filter by endovascular approach, including radiological supervision and interpretation 37193 $9,025.00 $1,805.00
Infusion of drug into a vein to dissolve blood clot obstructing blood flow to brain 37195 $807.00 $161.40
Retrieval of foreign body of blood vessels, accessed through the skin including radiological supervision and interpretation 37197 $7,028.00 $1,405.60
Biopsy of blood vessel via catheter 37200 $1,288.00 $257.60
Insertion of catheter into artery for drug infusion for blood clot including radiological supervision and interpretation 37211 $2,285.00 $457.00
Insertion of catheter into vein for drug infusion for blood clot including radiological supervision and interpretation 37212 $2,206.00 $441.20
Insertion of catheter into artery or vein for drug infusion for blood clot including radiological supervision and interpretation 37213 $4,008.00 $801.60
Removal of catheter in artery or vein including radiological supervision and interpretation 37214 $3,835.00 $767.00
Insertion of stents and blood clot protection device in neck artery, open or accessed through the skin 37215 $5,166.00 $1,033.20
Insertion of stents in neck artery, open or accessed through the skin 37216 $4,409.00 $881.80
Insertion of intravascular stents in neck artery with radiological supervision and interpretation 37217 $3,405.00 $681.00
Insertion of stents in blood vessels of chest open or accessed through the skin with radiological supervision and interpretation 37218 $11,948.00 $2,389.60
Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure 37220 $10,310.00 $2,062.00
Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure 37221 $14,882.00 $2,976.40
Balloon dilation of groin artery, endovascular, open, or percutaneous approach 37222 $10,062.00 $2,012.40
Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure 37223 $10,090.00 $2,018.00
Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure 37224 $7,719.00 $1,543.80
Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure 37225 $19,405.00 $3,881.00
Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37226 $19,334.00 $3,866.80
Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37227 $33,272.00 $6,654.40
Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure 37228 $9,812.00 $1,962.40
Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure 37229 $19,474.00 $3,894.80
Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37230 $13,924.00 $2,784.80
Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37231 $33,278.00 $6,655.60
Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure 37232 $8,846.00 $1,769.20
Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure 37233 $19,218.00 $3,843.60
Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37234 $9,627.00 $1,925.40
Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37235 $9,703.00 $1,940.60
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37236 $28,026.00 $5,605.20
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37237 $11,244.00 $2,248.80
Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation 37238 $22,027.00 $4,405.40
Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation 37239 $10,695.00 $2,139.00
Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance 37241 $22,556.00 $4,511.20
Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance 37242 $22,600.00 $4,520.00
Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance 37243 $22,682.00 $4,536.40
Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance 37244 $27,331.00 $5,466.20
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37246 $14,049.00 $2,809.80
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37247 $1,910.00 $382.00
Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37248 $14,098.00 $2,819.60
Balloon dilation of additional vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37249 $2,277.00 $455.40
Ultrasound evaluation of blood vessel during diagnosis or treatment 37252 $2,799.00 $559.80
Ultrasound evaluation of blood vessel during diagnosis or treatment 37253 $650.00 $130.00
Tying of perforator veins in leg muscles using an endoscope 37500 $2,385.00 $477.00
Tying internal jugular vein (neck) 37565 $2,457.00 $491.40
Tying external carotid artery 37600 $1,009.00 $201.80
Tying internal or common carotid artery 37605 $2,089.00 $417.80
Tying or banding of a passage between an artery and vein 37607 $994.00 $198.80
Tying or biopsy of temporal artery (side of skull) 37609 $1,806.00 $361.20
Tying of major neck artery 37615 $1,660.00 $332.00
Tying of major chest artery 37616 $4,264.00 $852.80
Tying of major artery of the abdomen 37617 $3,307.00 $661.40
Tying of major artery of arm or leg 37618 $2,737.00 $547.40
Tying inferior vena cava 37619 $9,562.00 $1,912.40
Tying femoral vein (upper leg vein) 37650 $1,114.00 $222.80
Tying common iliac vein (groin vein) 37660 $4,288.00 $857.60
Tying and incision leg vein 37700 $1,161.00 $232.20
Suturing incision and stripping leg vein 37718 $1,412.00 $282.40
Tying incision and stripping leg veins 37722 $1,088.00 $217.60
Tying of varicose veins in one leg, open procedure 37760 $2,282.00 $456.40
Tying of varicose veins in one leg, open procedure 37761 $1,908.00 $381.60
Multiple incisions for removal of varicose veins of arm or leg 37765 $2,541.00 $508.20
Multiple incisions for removal of varicose veins of arm or leg 37766 $2,947.00 $589.40
Tying and incision leg vein 37780 $933.00 $186.60
Tying incision and/or removal of varicose vein clusters of leg 37785 $925.00 $185.00
Blood vessel procedure 37799 $2,631.00 $526.20
Removal of spleen 38100 $2,780.00 $556.00
Removal of spleen during other surgical procedure 38102 $1,530.00 $306.00
Repair of ruptured spleen 38115 $1,588.00 $317.60
Examination of spleen using an endoscope 38120 $3,825.00 $765.00
Spleen procedure using an endoscope 38129 $3,609.00 $721.80
Diagnostic bone marrow aspiration 38220 $1,044.00 $208.80
Bone marrow biopsy 38221 $930.00 $186.00
Bone marrow biopsy and aspiration 38222 $1,025.00 $205.00
Drainage of lymph node abscess or inflammation 38300 $535.00 $107.00
Drainage of extensive lymph node abscess or inflammation 38305 $1,725.00 $345.00
Removal of growth of lymph node 38308 $1,687.00 $337.40
Suture and/or tying chest lymph duct 38380 $1,898.00 $379.60
Suture and/or tying chest lymph duct 38381 $2,007.00 $401.40
Biopsy or removal of lymph nodes, open procedure 38500 $944.00 $188.80
Needle biopsy or removal of lymph nodes 38505 $388.00 $77.60
Biopsy or removal of lymph nodes of neck, open procedure 38510 $1,418.00 $283.60
Biopsy or removal of lymph nodes of neck, open procedure 38520 $917.00 $183.40
Biopsy or removal of lymph nodes of under the arm, open procedure 38525 $996.00 $199.20
Removal of lymph nodes of neck 38542 $770.00 $154.00
Removal of congenital defect of lymph nodes at underarm or neck 38550 $1,777.00 $355.40
Removal of congenital defect of lymph nodes at underarm or neck 38555 $3,287.00 $657.40
Removal of pelvic or aortic lymph nodes 38562 $2,317.00 $463.40
Removal of lymph nodes behind abdominal cavity 38564 $2,414.00 $482.80
Removal of abdominal cavity lymph nodes using an endoscope 38570 $1,942.00 $388.40
Removal of total lymph nodes of both sides of pelvis using an endoscope 38571 $2,630.00 $526.00
Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope 38572 $3,200.00 $640.00
Removal of lymph nodes from chin to thyroid cartilage 38700 $3,390.00 $678.00
Removal of neck lymph nodes 38720 $2,800.00 $560.00
Removal of lymph nodes, muscle, and tissue of neck 38724 $3,026.00 $605.20
Removal of underarm lymph nodes 38740 $2,155.00 $431.00
Removal of all underarm lymph nodes 38745 $3,100.00 $620.00
Removal of lymph nodes from chest cavity and breast bone 38746 $515.00 $103.00
Removal of abdominal organ lymph nodes 38747 $844.00 $168.80
Removal of lymph nodes at groin 38760 $2,769.00 $553.80
Removal of lymph nodes at groin and pelvis 38765 $3,936.00 $787.20
Removal of lymph nodes at groin and pelvis 38770 $3,951.00 $790.20
Removal of abdominal cavity lymph nodes 38780 $3,382.00 $676.40
Injection procedure for X-ray imaging of the lymphatic system 38790 $284.00 $56.80
Injection of radioactive dye for X-ray identification of lymph node 38792 $533.00 $106.60
Lymph node imaging during surgery 38900 $456.00 $91.20
Lymph node procedure 38999 $917.00 $183.40
Drainage, biopsy, or removal of foreign body of chest cavity 39010 $2,772.00 $554.40
Removal of cyst below breast bone 39200 $2,732.00 $546.40
Removal of tumor below breast bone 39220 $2,875.00 $575.00
Examination of chest using an endoscope with biopsy 39401 $1,062.00 $212.40
Examination of chest using an endoscope with lymph node biopsy 39402 $1,386.00 $277.20
Repair of muscle tissue separating the chest and abdominal cavities 39501 $2,594.00 $518.80
Repair of injury to muscle separating the chest and abdominal cavities 39540 $3,861.00 $772.20
Suture of muscle separating the chest and abdominal cavities to restore function 39545 $2,762.00 $552.40
Repair of the muscle separating the chest and abdominal cavities 39560 $1,399.00 $279.80
Repair of muscle separating chest and abdominal cavities 39561 $4,184.00 $836.80
Biopsy of lip 40490 $356.00 $71.20
Removal of border of lip 40500 $1,524.00 $304.80
Removal of wedge of lip tissue 40510 $1,272.00 $254.40
V-shaped removal of lip tissue 40520 $1,306.00 $261.20
Removal of lip with skin flap repair 40525 $2,002.00 $400.40
Removal of lip with skin flap repair 40527 $2,083.00 $416.60
Partial removal of lip 40530 $1,342.00 $268.40
Repair of lip and border 40650 $920.00 $184.00
Repair of vertical lip wound extending to half of lip 40652 $1,737.00 $347.40
Repair of vertical lip wound extending to over half of lip 40654 $1,809.00 $361.80
Plastic repair of deformity present at birth on one side of the nose or lip 40700 $3,199.00 $639.80
Lip procedure 40799 $718.00 $143.60
Incision of abscess, cyst, or blood accumulation in mouth 40800 $369.00 $73.80
Incision of abscess, cyst, or blood accumulation in mouth 40801 $909.00 $181.80
Removal of embedded foreign body of mouth 40804 $446.00 $89.20
Removal of embedded foreign body of mouth 40805 $1,072.00 $214.40
Incision of tissue joining lip and gums 40806 $220.00 $44.00
Biopsy of mouth 40808 $505.00 $101.00
Removal of growth of tissue of mouth 40810 $581.00 $116.20
Removal of growth of mouth 40812 $839.00 $167.80
Removal of growth of mouth with plastic repair 40814 $445.00 $89.00
Removal of tissue and muscle growth of mouth 40816 $1,133.00 $226.60
Removal of tissue at dental edge and cheek 40819 $846.00 $169.20
Destruction of growth or scar of mouth 40820 $701.00 $140.20
Suture of (2.5 centimeter or less) mouth laceration 40830 $281.00 $56.20
Suture of (over 2.5 centimeter) mouth laceration 40831 $1,355.00 $271.00
Repair to increase depth of mouth 40845 $4,122.00 $824.40
Drainage of abscess, cyst, or blood accumulation under the tongue 41005 $691.00 $138.20
Drainage of abscess, cyst, or blood accumulation under the tongue 41006 $885.00 $177.00
Drainage of abscess, cyst, or blood accumulation under the jaw bone 41008 $917.00 $183.40
Drainage of abscess, cyst, or blood accumulation under lower teeth 41009 $966.00 $193.20
Incision of tissue connecting tongue and floor of mouth 41010 $875.00 $175.00
Drainage of abscess, cyst, or blood accumulation under the tongue or lower lip 41016 $1,147.00 $229.40
Drainage of abscess, cyst, or blood accumulation under the tongue or jaw bone 41017 $1,281.00 $256.20
Drainage of abscess, cyst, or blood accumulation under the tongue or lower teeth 41018 $1,366.00 $273.20
Biopsy of tongue 41100 $480.00 $96.00
Biopsy of tongue 41105 $491.00 $98.20
Biopsy of floor of mouth 41108 $401.00 $80.20
Removal of growth of tongue 41110 $557.00 $111.40
Removal of growth of tongue 41112 $901.00 $180.20
Removal of growth of tongue 41113 $1,001.00 $200.20
Removal of tissue connecting tongue and floor of mouth 41115 $699.00 $139.80
Removal of growth of floor of mouth 41116 $779.00 $155.80
Partial removal of tongue 41120 $3,629.00 $725.80
Partial removal of tongue 41130 $1,561.00 $312.20
Partial removal of tongue and surrounding lymph nodes on one side of neck 41135 $6,845.00 $1,369.00
Complete removal of tongue and surrounding lymph nodes on one side of neck 41145 $9,161.00 $1,832.20
Removal of tongue, floor of mouth, and jaw bone 41150 $7,262.00 $1,452.40
Removal of tongue, floor of mouth, soft tissue, and lymph nodes 41153 $8,085.00 $1,617.00
Removal of tongue, floor of mouth, jaw bone, tissue, and lymph nodes 41155 $10,359.00 $2,071.80
Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue 41250 $284.00 $56.80
Repair of (over 2.6 laceration) to floor of mouth or tongue 41252 $636.00 $127.20
Revision of tissue connecting tongue to floor of mouth 41520 $909.00 $181.80
Tongue or floor of mouth procedure 41599 $640.00 $128.00
Drainage of abscess, cyst, or blood accumulation of dental bone 41800 $412.00 $82.40
Removal of embedded foreign body from soft tissue of tooth bearing bone 41805 $842.00 $168.40
Removal of growth of dental bone 41825 $395.00 $79.00
Removal of growth of dental bone with repair 41826 $897.00 $179.40
Relocation of mouth tissue to gum surface 41899 $574.00 $114.80
Incision and drainage of roof of mouth or its soft tissue projection 42000 $798.00 $159.60
Biopsy of roof of mouth 42100 $433.00 $86.60
Removal of growth of roof of mouth 42104 $589.00 $117.80
Removal of growth of roof of mouth 42106 $643.00 $128.60
Removal of growth of roof of mouth 42107 $1,167.00 $233.40
Removal of soft tissue at roof of mouth 42140 $717.00 $143.40
Removal of soft tissue at roof of mouth 42145 $2,260.00 $452.00
Repair of (up to 2 centimeters) laceration at roof of mouth 42180 $351.00 $70.20
Repair of defect of roof of mouth 42200 $2,787.00 $557.40
Repair of defect of roof of mouth 42205 $2,995.00 $599.00
Repair of defect of roof of mouth 42225 $2,845.00 $569.00
Drainage of abscess of salivary gland 42300 $539.00 $107.80
Drainage of abscess of salivary gland 42305 $1,439.00 $287.80
Drainage of lower jaw abscess 42320 $613.00 $122.60
Removal of salivary gland stone 42330 $2,006.00 $401.20
Removal of salivary gland stone 42335 $919.00 $183.80
Needle biopsy of salivary gland 42400 $632.00 $126.40
Biopsy of salivary gland 42405 $1,931.00 $386.20
Removal of salivary cyst under tongue 42408 $1,180.00 $236.00
Creation of tract to drain salivary gland cyst 42409 $705.00 $141.00
Removal of salivary gland growth or salivary gland, lateral lobe 42410 $2,229.00 $445.80
Partial removal of salivary gland growth with release of facial nerve 42415 $3,878.00 $775.60
Removal of total salivary gland growth or salivary gland with release of facial nerve 42420 $4,122.00 $824.40
Removal of total salivary gland growth or salivary gland and facial nerve 42425 $2,708.00 $541.60
Removal of total salivary gland growth or salivary gland and surrounding lymph nodes on one side of neck 42426 $4,631.00 $926.20
Removal of salivary gland under floor of mouth 42440 $1,620.00 $324.00
Removal of salivary gland under tongue 42450 $1,273.00 $254.60
Plastic repair of salivary duct 42500 $1,220.00 $244.00
Plastic repair of salivary duct 42505 $1,620.00 $324.00
Insertion of probe for salivary gland duct dilation 42650 $245.00 $49.00
Salivary gland or duct procedure 42699 $1,273.00 $254.60
Drainage of tonsil abscess 42700 $436.00 $87.20
Drainage of throat abscess 42720 $1,402.00 $280.40
Drainage of throat abscess 42725 $2,885.00 $577.00
Biopsy of back of throat 42800 $457.00 $91.40
Biopsy of throat lesion behind nose 42804 $398.00 $79.60
Biopsy of throat lesion behind nose 42806 $468.00 $93.60
Removal or destruction of throat growth 42808 $680.00 $136.00
Removal of foreign body from throat 42809 $427.00 $85.40
Removal of congenital skin and tissue cyst 42810 $1,019.00 $203.80
Removal of congenital cyst or abnormal drainage tract into mouth 42815 $1,975.00 $395.00
Removal of tonsils for children under 12 42820 $930.00 $744.00
Removal of tonsils for children under 12 42820 $930.00 $186.00
Removal of tonsils and adenoid glands patient age 12 or over 42821 $975.00 $195.00
Removal of tonsils patient younger than age 12 42825 $811.00 $162.20
Removal of tonsils patient age 12 or over 42826 $809.00 $161.80
Removal of adenoids patient younger than age 12 42830 $664.00 $132.80
Removal of adenoids patient age 12 or over 42831 $714.00 $142.80
Removal of adenoids patient younger than age 12 42835 $561.00 $112.20
Removal of adenoids patient age 12 or over 42836 $736.00 $147.20
Removal of tonsils, tissue, muscle, and bone 42842 $3,171.00 $634.20
Removal of remaining tonsil tissue 42860 $607.00 $121.40
Removal or destruction of growth of tongue lymph node 42870 $1,983.00 $396.60
Suture of wound or injury in the throat 42900 $1,170.00 $234.00
Repair of the throat at esophagus 42953 $3,270.00 $654.00
Control of bleeding of throat 42960 $554.00 $110.80
Control of bleeding of throat requiring hospitalization 42961 $1,358.00 $271.60
Control of bleeding of throat 42962 $1,670.00 $334.00
Control of bleeding of throat with insertion of packing 42972 $1,658.00 $331.60
Throat, adenoids, or tonsils procedure 42999 $589.00 $117.80
Severing of muscle at upper esophagus 43030 $1,690.00 $338.00
Removal of growth of esophagus 43101 $3,344.00 $668.80
Removal of esophagus 43107 $3,043.00 $608.60
Removal of esophagus, open chest procedure 43112 $4,101.00 $820.20
Partial removal of lower esophagus 43117 $8,265.00 $1,653.00
Partial removal of lower esophagus, open chest and abdominal procedure or open abdominal procedure 43122 $7,996.00 $1,599.20
Removal of defect in wall of esophagus 43130 $2,728.00 $545.60
Removal of defect in wall of esophagus 43135 $2,465.00 $493.00
Removal of esophagus tissue using an endoscope 43180 $1,951.00 $390.20
Diagnostic examination of esophagus using an endoscope 43191 $521.00 $104.20
Diagnostic examination of esophagus using an endoscope 43200 $332.00 $66.40
Injections into esophagus using an endoscope 43201 $363.00 $72.60
Biopsy of esophagus using an endoscope 43202 $344.00 $68.80
Injection of dilated esophageal veins using an endoscope 43204 $685.00 $137.00
Tying of esophageal veins using an endoscope 43205 $317.00 $63.40
Removal of tissue lining of esophagus using an endoscope 43211 $851.00 $170.20
Placement of stent on esophagus using an endoscope 43212 $473.00 $94.60
Dilation of esophagus using an endoscope 43213 $666.00 $133.20
Balloon dilation of esophagus using an endoscope 43214 $481.00 $96.20
Removal of foreign bodies in esophagus using an endoscope 43215 $466.00 $93.20
Removal of esophageal polyps or growths using an endoscope 43216 $489.00 $97.80
Removal of esophageal polyps or growths using an endoscope 43217 $541.00 $108.20
Balloon dilation of esophagus using an endoscope 43220 $387.00 $77.40
Insertion of guide wire for dilation of esophagus using an endoscope 43226 $458.00 $91.60
Control of esophageal bleeding using an endoscope 43227 $570.00 $114.00
Destruction of growths of esophagus using an endoscope 43229 $532.00 $106.40
Ultrasound examination of esophagus using an endoscope 43231 $625.00 $125.00
Ultrasound guided fine needle aspiration or biopsy of esophagus using an endoscope 43232 $900.00 $180.00
Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope 43233 $597.00 $119.40
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $596.00 $119.20
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $596.00 $476.80
Injections of esophagus, stomach, and/or upper small bowel using an endoscope 43236 $514.00 $102.80
Ultrasound examination of esophagus, stomach, and/or upper small bowel using an endoscope 43237 $320.00 $64.00
Ultrasound guided needle aspiration or biopsies of esophagus using an endoscope 43238 $396.00 $79.20
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $700.00 $560.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $700.00 $140.00
Drainage of cyst of the esophagus, stomach, and/or upper small bowel using an endoscope 43240 $1,119.00 $223.80
Insertion of catheter or tube in esophagus stomach and/or upper small bowel using an endoscope 43241 $481.00 $96.20
Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using an endoscope 43242 $1,313.00 $262.60
Injection of dilated veins of stomach and/or esophagus using an endoscope 43243 $828.00 $165.60
Tying of dilated veins of stomach and/or esophagus using an endoscope 43244 $918.00 $183.60
Dilation of stomach outlet using an endoscope 43245 $578.00 $115.60
Insertion of stomach tube using an endoscope 43246 $1,287.00 $257.40
Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using an endoscope 43247 $792.00 $158.40
Insertion of guide wire with dilation of esophagus using an endoscope 43248 $589.00 $117.80
Balloon dilation of esophagus using an endoscope 43249 $541.00 $108.20
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope 43250 $580.00 $116.00
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope 43251 $673.00 $134.60
Injection of diagnostic or therapeutic substances or markers in esophagus, stomach, and/or upper small bowel using an endoscope 43253 $471.00 $94.20
Removal of tissue lining of esophagus, stomach, and/or upper small bowel using an endoscope 43254 $475.00 $95.00
Control of bleeding of esophagus, stomach, and/or upper small bowel using an endoscope 43255 $877.00 $175.40
Heat delivery to muscle at esophagus and/or stomach to treat gastric reflux using an endoscope 43257 $799.00 $159.80
Ultrasound examination of esophagus, stomach and/or upper small bowel using an endoscope 43259 $1,886.00 $377.20
Diagnostic examination of gallbladder and pancreatic, liver, and bile ducts using an endoscope 43260 $4,096.00 $819.20
Biopsy of gallbladder, pancreatic, liver, and bile ducts using an endoscope 43261 $4,110.00 $822.00
Incision of pancreatic outlet muscle using an endoscope 43262 $4,158.00 $831.60
Removal of stone from bile or pancreatic duct using an endoscope 43264 $4,225.00 $845.00
Destruction of stone in bile or pancreatic duct using an endoscope 43265 $4,232.00 $846.40
Placement of stent in esophagus, stomach, and/or upper small bowel using an endoscope 43266 $570.00 $114.00
Destruction of growths on esophagus, stomach, and/or upper small bowel using an endoscope 43270 $599.00 $119.80
Examination of common bile and/or pancreatic ducts using an endoscope 43273 $3,944.00 $788.80
Placement of stent pancreatic or bile duct using an endoscope 43274 $1,180.00 $236.00
Removal of foreign body or stent from pancreatic or bile duct using an endoscope 43275 $973.00 $194.60
Replacement of stent pancreatic or bile duct using an endoscope 43276 $1,228.00 $245.60
Balloon dilation of pancreatic or bile duct using an endoscope 43277 $979.00 $195.80
Destruction of mass on gallbladder, pancreatic, liver, and bile ducts using an endoscope 43278 $1,113.00 $222.60
Repair of muscle to lower esophagus and stomach using an endoscope 43279 $4,216.00 $843.20
Repair of muscle at esophagus and stomach using an endoscope 43280 $3,941.00 $788.20
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281 $5,120.00 $1,024.00
Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282 $5,886.00 $1,177.20
Repair of esophageal defect with repair of abnormal drainage tract 43310 $6,640.00 $1,328.00
Repair of esophageal defect with repair of abnormal drainage tract 43312 $4,101.00 $820.20
Repair of muscle at lower esophagus and stomach 43325 $4,169.00 $833.80
Repair of muscle at lower esophagus and stomach 43327 $2,731.00 $546.20
Repair of esophagus 43331 $3,268.00 $653.60
Repair of paraesophageal hernia 43332 $3,934.00 $786.80
Repair of paraesophageal hernia with mesh implant 43333 $4,126.00 $825.20
Repair of paraesophageal hernia 43334 $3,247.00 $649.40
Repair of paraesophageal hernia with mesh implant 43335 $3,498.00 $699.60
Partial removal of esophagus and stomach 43341 $1,075.00 $215.00
Relocation of esophagus 43352 $2,722.00 $544.40
Suture of wound or injury to esophagus 43415 $5,692.00 $1,138.40
Dilation of esophagus 43450 $143.00 $28.60
Dilation of esophagus 43453 $382.00 $76.40
Control of esophageal bleeding 43460 $770.00 $154.00
Removal of foreign body from stomach 43500 $2,208.00 $441.60
Suture of bleeding stomach ulcer 43501 $2,826.00 $565.20
Severing of muscle at stomach outlet to upper small bowel 43520 $1,052.00 $210.40
Biopsy of stomach 43605 $2,041.00 $408.20
Removal of stomach ulcer or growth 43610 $3,144.00 $628.80
Removal of malignant growth of stomach 43611 $4,025.00 $805.00
Removal of stomach with upper small bowel attachment to esophagus 43620 $4,034.00 $806.80
Removal of stomach with lower small bowel attachment to esophagus 43621 $5,848.00 $1,169.60
Removal of stomach with intestinal pouch attachment to esophagus 43622 $4,278.00 $855.60
Partial removal of stomach 43631 $2,848.00 $569.60
Partial removal of stomach 43632 $2,229.00 $445.80
Removal of end portion of stomach with attachment to small bowel 43633 $6,011.00 $1,202.20
Partial removal of stomach with severing of vagus nerve 43635 $3,093.00 $618.60
Severing of vagus nerve to stomach 43640 $3,829.00 $765.80
Bypass operation of stomach using an endoscope 43644 $5,601.00 $1,120.20
Creation of stomach feeding tube using an endoscope 43653 $1,916.00 $383.20
Insertion of nasal or oral stomach tube using fluoroscopic guidance 43752 $410.00 $82.00
Insertion of stomach tube and aspirations of gastric contents 43753 $104.00 $20.80
Repositioning of stomach feeding tube 43761 $396.00 $79.20
Insertion of adjustable stomach reduction device using an endoscope 43770 $3,531.00 $706.20
Revision of stomach reduction device using an endoscope 43771 $8,982.00 $1,796.40
Removal of stomach reduction device using an endoscope 43772 $3,098.00 $619.60
Replacement of stomach reduction device using an endoscope 43773 $4,067.00 $813.40
Removal of stomach reduction device and port beneath the skin using an endoscope 43774 $2,961.00 $592.20
Stomach reduction procedure with partial removal of stomach using an endoscope 43775 $4,299.00 $859.80
Repair of muscle of stomach outlet into upper small bowel 43800 $2,348.00 $469.60
Removal of end portion of stomach with attachment to upper small bowel 43810 $3,018.00 $603.60
Partial removal of stomach 43820 $2,044.00 $408.80
Partial removal of stomach and severing of vagus nerve 43825 $3,947.00 $789.40
Insertion of stomach feeding tube, open procedure 43830 $2,216.00 $443.20
Insertion of stomach feeding tube, open procedure 43831 $1,952.00 $390.40
Creation of stomach feeding tube, open procedure 43832 $3,562.00 $712.40
Suture of perforated ulcer, wound, or injury of stomach or upper small bowel 43840 $4,238.00 $847.60
Banding of upper stomach to reduce size 43842 $3,806.00 $761.20
Reduction of size of upper stomach 43843 $3,828.00 $765.60
Partial removal of stomach 43845 $6,084.00 $1,216.80
Partial removal of stomach 43846 $4,940.00 $988.00
Partial removal of stomach 43847 $5,486.00 $1,097.20
Revision of upper stomach bypass, open procedure 43848 $5,978.00 $1,195.60
Revision of attachment of stomach and small bowel 43850 $5,014.00 $1,002.80
Revision of attachment of stomach to upper small bowel 43855 $5,298.00 $1,059.60
Revision of attachment of stomach to small bowel 43860 $5,074.00 $1,014.80
Revision of attachment of stomach to small bowel 43865 $5,374.00 $1,074.80
Closure of skin opening to stomach 43870 $980.00 $196.00
Closure of abnormal drainage tract from stomach to large bowel 43880 $5,014.00 $1,002.80
Revision of skin level port of stomach banding device, open procedure 43886 $980.00 $196.00
Removal of skin level port of stomach banding device, open procedure 43887 $960.00 $192.00
Removal and replacement of skin level port of stomach banding device, open procedure 43888 $1,362.00 $272.40
Release of intestinal scar tissue 44005 $2,532.00 $506.40
Biopsy or foreign body removal in small bowel 44010 $2,526.00 $505.20
Insertion of feeding tube or catheter into upper small bowel 44015 $1,324.00 $264.80
Incision of small bowel for exploration, biopsy, or foreign body removal 44020 $2,322.00 $464.40
Incision of small bowel for insertion of tube 44021 $2,363.00 $472.60
Biopsy or foreign body removal in large bowel 44025 $2,944.00 $588.80
Incisional repair of twisted or herniated small bowel 44050 $2,333.00 $466.60
Incisional correction of abnormal rotation of small bowel 44055 $4,932.00 $986.40
Biopsy of small bowel by capsule or tube 44100 $421.00 $84.20
Removal of growth of small or large bowels 44110 $2,609.00 $521.80
Removal of multiple small or large bowel growths 44111 $3,357.00 $671.40
Partial removal of small bowel 44120 $3,012.00 $602.40
Partial removal of small bowel 44121 $946.00 $189.20
Partial removal of small bowel with creation of drainage tract to skin surface 44125 $3,100.00 $620.00
Partial removal of small bowel to correct congenital defect 44126 $7,201.00 $1,440.20
Creation of connection between two segments of small bowel 44130 $2,990.00 $598.00
Release of large bowel from spleen and abdominal wall 44139 $526.00 $105.20
Partial removal of large bowel 44140 $3,455.00 $691.00
Partial removal of large bowel with creation of opening to the skin 44141 $4,448.00 $889.60
Partial removal of large bowel with creation of opening 44143 $3,418.00 $683.60
Partial removal of large bowel with creation of small or large bowel opening 44144 $3,627.00 $725.40
Partial removal of large bowel and reattachment to rectum 44145 $4,129.00 $825.80
Partial removal of large bowel and reattachment to rectum and creation of large bowel opening 44146 $6,858.00 $1,371.60
Partial removal of large bowel 44147 $6,240.00 $1,248.00
Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening 44150 $4,492.00 $898.40
Removal of large bowel and rectum with creation of small bowel opening 44155 $5,496.00 $1,099.20
Removal of large bowel and rectum with attachment of small bowel to anus 44157 $7,408.00 $1,481.60
Removal of large bowel and rectum with attachment of small bowel to anus 44158 $7,140.00 $1,428.00
Partial removal of small and large bowel with attachment of small and large bowel 44160 $3,732.00 $746.40
Release of small bowel scar tissue using an endoscope 44180 $2,653.00 $530.60
Creation of small bowel opening using an endoscope 44186 $2,257.00 $451.40
Creation of small bowel opening using an endoscope 44187 $3,618.00 $723.60
Creation of large bowel opening using an endoscope 44188 $4,425.00 $885.00
Partial removal of small bowel using an endoscope 44202 $2,450.00 $490.00
Partial removal of small bowel using an endoscope 44203 $469.00 $93.80
Partial removal of large bowel using an endoscope 44204 $3,274.00 $654.80
Partial removal of small and large bowel with attachment of small and large bowel using an endoscope 44205 $4,680.00 $936.00
Partial removal of large bowel with creation of opening using an endoscope 44206 $5,541.00 $1,108.20
Partial removal of large bowel and reattachment to rectum using an endoscope 44207 $5,805.00 $1,161.00
Partial removal of large bowel and reattachment to rectum and creation of large bowel opening using an endoscope 44208 $6,632.00 $1,326.40
Removal of large bowel with attachment of small bowel to rectum or creation of small bowel opening using an endoscope 44210 $5,658.00 $1,131.60
Removal of large bowel and rectum with attachment of small bowel to anus and creation of small bowel opening using an endoscope 44211 $7,385.00 $1,477.00
Removal of large bowel and rectum with creation of small bowel opening using an endoscope 44212 $6,822.00 $1,364.40
Partial release of large bowel using an endoscope 44213 $638.00 $127.60
Closure of large or small bowel opening using an endoscope 44227 $5,031.00 $1,006.20
Insertion of small bowel tube, open procedure 44300 $2,030.00 $406.00
Creation of small bowel feeding tube 44310 $3,268.00 $653.60
Revision of small bowel opening and scar tissue release 44312 $1,728.00 $345.60
Reconstruction of small bowel opening 44314 $2,531.00 $506.20
Creation of small bowel pouch with valve 44316 $4,644.00 $928.80
Creation of large bowel drainage tract to skin surface 44320 $2,226.00 $445.20
Revision of large bowel opening and scar tissue release 44340 $1,995.00 $399.00
Reconstruction of large bowel opening 44345 $2,064.00 $412.80
Revision of large bowel opening and hernia repair 44346 $3,905.00 $781.00
Examination of small bowel using an endoscope 44360 $583.00 $116.60
Biopsy of small bowel using an endoscope 44361 $644.00 $128.80
Removal of foreign bodies in small bowel using an endoscope 44363 $774.00 $154.80
Removal of small bowel polyps or growths using an endoscope 44364 $818.00 $163.60
Removal of small bowel polyps or growths using an endoscope 44365 $725.00 $145.00
Control of bleeding in small bowel using an endoscope 44366 $965.00 $193.00
Destruction of small bowel polyps or growths using an endoscope 44369 $863.00 $172.60
Insertion of small bowel stent using an endoscope 44370 $1,047.00 $209.40
Insertion of feeding tube (accessed beneath the skin) into small bowel using an endoscope 44372 $1,025.00 $205.00
Convert stomach tube to small bowel tube (accessed beneath the skin) using an endoscope 44373 $745.00 $149.00
Diagnostic examination of small bowel using an endoscope 44376 $1,103.00 $220.60
Biopsy of small bowel using an endoscope 44377 $1,186.00 $237.20
Control of bleeding beyond second portion of small bowel using an endoscope 44378 $1,522.00 $304.40
Insertion of small bowel stent using an endoscope 44379 $1,545.00 $309.00
Diagnostic examination of small bowel using an endoscope which is inserted through abdominal opening 44380 $254.00 $50.80
Balloon dilation of small bowel using an endoscope which is inserted through abdominal opening 44381 $295.00 $59.00
Biopsy of small bowel using an endoscope which is inserted through abdominal opening 44382 $295.00 $59.00
Placement of stent in small bowel using an endoscope which is inserted through abdominal opening 44384 $510.00 $102.00
Diagnostic examination of defect in wall of small bowel using an endoscope 44385 $382.00 $76.40
Biopsy of small bowel using an endoscope 44386 $413.00 $82.60
Diagnostic examination of large bowel using an endoscope which is inserted through abdominal opening 44388 $506.00 $101.20
Biopsies of large bowel using an endoscope which is inserted through abdominal opening 44389 $568.00 $113.60
Control of bleeding in large bowel using an endoscope which is inserted through abdominal opening 44391 $814.00 $162.80
Removal of polyps or growths of large bowel using an endoscope which is inserted through abdominal opening 44392 $1,397.00 $279.40
Removal of large bowel polyps or growths using an endoscope 44394 $783.00 $156.60
Destruction of large bowel growths using an endoscope which is inserted through abdominal opening 44401 $840.00 $168.00
Stent placement in large bowel using an endoscope which is inserted through abdominal opening 44402 $833.00 $166.60
Resection of large bowel tissue using an endoscope which is inserted through abdominal opening 44403 $568.00 $113.60
Balloon dilation of large bowel using an endoscope which is inserted through abdominal opening 44405 $814.00 $162.80
Ultrasound examination of large bowel using an endoscope which is inserted through abdominal opening 44406 $568.00 $113.60
Ultrasound guided fine needle aspiration/biopsies of large bowel using an endoscope which is inserted through abdominal opening 44407 $568.00 $113.60
Decompression of large bowel using an endoscope which is inserted through abdominal opening 44408 $814.00 $162.80
Oral introduction of long drainage tube into small bowel 44500 $86.00 $17.20
Suture of small bowel for perforated ulcer, pouch, wound, injury or rupture 44602 $4,770.00 $954.00
Suture of multiple small bowel ulcers, defects, wounds, injuries, or rupture 44603 $2,896.00 $579.20
Suture of large bowel ulcer, defect, wound, injury, or rupture 44604 $2,779.00 $555.80
Suture of large bowel ulcer, defect, wound, injury, or rupture with creation of opening 44605 $4,284.00 $856.80
Release of small bowel obstruction 44615 $1,544.00 $308.80
Closure of large or small bowel opening 44620 $1,223.00 $244.60
Closure of large or small bowel opening with bowel removal and reattachment 44625 $2,968.00 $593.60
Closure of large or small bowel opening with bowel removal and reattachment of large bowel and rectum 44626 $3,637.00 $727.40
Closure of abnormal drainage tract of small bowel 44640 $2,472.00 $494.40
Closure of abnormal drainage tract within small bowel or small to large bowel 44650 $2,812.00 $562.40
Closure of abnormal drainage tract of small bowel 44660 $4,429.00 $885.80
Closure of abnormal drainage tract from small bowel into urinary bladder 44661 $2,365.00 $473.00
Surgical folding of upper small bowel upon itself 44680 $2,241.00 $448.20
Suspension of small bowel using mesh or prosthesis 44700 $3,247.00 $649.40
Assessment and overseeing preparation of donor fecal specimen 44705 $222.00 $44.40
Small bowel procedure 44799 $3,633.00 $726.60
Repair of congenital bowel defect 44800 $2,398.00 $479.60
Removal of growth from abdominal cavity 44820 $2,751.00 $550.20
Suture of abdominal cavity tissue 44850 $1,873.00 $374.60
Drainage of abscess of appendix, open procedure 44900 $2,142.00 $428.40
Removal of appendix 44950 $2,072.00 $414.40
Removal of appendix 44955 $344.00 $68.80
Removal of ruptured infected appendix 44960 $1,480.00 $296.00
Removal of appendix using an endoscope 44970 $2,280.00 $456.00
Drainage of pelvic abscess 45000 $1,165.00 $233.00
Drainage of rectal abscess 45005 $323.00 $64.60
Drainage of pelvic or rectal abscess 45020 $613.00 $122.60
Biopsy of rectum 45100 $961.00 $192.20
Removal of rectum with creation of large bowel opening, open abdominal and rectal procedure 45110 $4,593.00 $918.60
Partial removal of rectum, open abdominal procedure 45111 $3,661.00 $732.20
Removal of rectum, open abdominal and rectal procedure 45112 $6,396.00 $1,279.20
Partial removal of rectum and attachment of small bowel to anus 45113 $3,552.00 $710.40
Partial removal of rectum 45114 $5,270.00 $1,054.00
Removal of congenital rectal defect and large bowel with multiple biopsies, open abdominal and rectal procedure 45121 $5,616.00 $1,123.20
Partial removal of rectum 45123 $3,802.00 $760.40
Repair of prolapsed rectum 45130 $3,414.00 $682.80
Removal of scar tissue in rectum 45150 $1,336.00 $267.20
Removal of rectal growth 45160 $3,323.00 $664.60
Removal of rectal growth 45171 $1,996.00 $399.20
Removal of rectal muscle growth 45172 $2,702.00 $540.40
Destruction of rectal growth 45190 $2,328.00 $465.60
Diagnostic examination of rectum and large bowel using an endoscope 45300 $237.00 $47.40
Biopsy of rectum and large bowel using an endoscope 45305 $387.00 $77.40
Foreign body removal in rectum and large bowel using an endoscope 45307 $817.00 $163.40
Removal of polyp or growth of rectum and large bowel using an endoscope 45308 $167.00 $33.40
Removal of polyp or growth of rectum and large bowel using an endoscope 45309 $364.00 $72.80
Removal of multiple polyps or growths in rectum and large bowel using an endoscope 45315 $261.00 $52.20
Control of bleeding in rectum and large bowel using an endoscope 45317 $399.00 $79.80
Destruction of polyps or growths of the rectum and large bowel using an endoscope 45320 $365.00 $73.00
Diagnostic examination of large bowel using an endoscope 45330 $238.00 $47.60
Biopsy of large bowel using an endoscope 45331 $229.00 $45.80
Removal of foreign bodies in large bowel using an endoscope 45332 $339.00 $67.80
Removal of polyps or growths of large bowel using an endoscope 45333 $333.00 $66.60
Control of bleeding in large bowel using an endoscope 45334 $509.00 $101.80
Injections into large bowel using an endoscope 45335 $282.00 $56.40
Release of twisted large bowel using an endoscope 45337 $434.00 $86.80
Removal of polyps or growths of large bowel using an endoscope 45338 $433.00 $86.60
Dilation of large bowel stricture using an endoscope 45340 $167.00 $33.40
Ultrasound examination of large bowel using an endoscope 45341 $514.00 $102.80
Ultrasound guided needle aspiration or biopsy of large bowel using an endoscope 45342 $785.00 $157.00
Destruction of polyps or growths of large bowel using an endoscope 45346 $565.00 $113.00
Placement of stent in large bowel using an endoscope 45347 $529.00 $105.80
Removal of large bowel tissue using an endoscope 45349 $433.00 $86.60
Rubber banding of large bowel using an endoscope 45350 $318.00 $63.60
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $925.00 $740.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $925.00 $185.00
Removal of foreign bodies in large bowel using an endoscope 45379 $831.00 $166.20
Colonoscopy, flexible; with biopsy, single or multiple 45380 $946.00 $189.20
Colonoscopy, flexible; with biopsy, single or multiple 45380 $946.00 $756.80
Injections of large bowel using an endoscope 45381 $758.00 $151.60
Control of bleeding in large bowel using an endoscope 45382 $1,026.00 $205.20
Removal of polyps or growths in large bowel using an endoscope 45384 $830.00 $166.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,248.00 $998.40
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,248.00 $249.60
Balloon dilation of large bowel using an endoscope 45386 $814.00 $162.80
Destruction of large bowel growths using an endoscope 45388 $1,017.00 $203.40
Stent placement of large bowel using an endoscope 45389 $1,048.00 $209.60
Removal of large bowel tissue using an endoscope 45390 $758.00 $151.60
Ultrasound examination of lower large bowel using an endoscope 45391 $929.00 $185.80
Ultrasound guided needle aspiration or biopsy of lower large bowel using an endoscope 45392 $1,247.00 $249.40
Decompression of large bowel using an endoscope 45393 $1,026.00 $205.20
Removal of rectum with creation of large bowel opening through using an endoscope, abdominoperineal approach 45395 $6,924.00 $1,384.80
Removal of rectum using an endoscope, abdominoperineal approach 45397 $6,875.00 $1,375.00
Tying of large bowel using an endoscope 45398 $989.00 $197.80
Large bowel procedure 45399 $2,432.00 $486.40
Repair of rectal prolapse using an endoscope 45400 $3,717.00 $743.40
Repair of rectal prolapse with partial removal of lower large bowel using an endoscope 45402 $2,775.00 $555.00
Repair of rectal prolapse 45505 $1,880.00 $376.00
Fixation of rectum to sacrum with removal of large bowel, open abdominal procedure 45550 $4,619.00 $923.80
Repair of herniated rectum 45560 $1,170.00 $234.00
Repair of rectal wound 45562 $2,528.00 $505.60
Repair of rectal wound 45563 $2,374.00 $474.80
Repair of rectal prolapse under anesthesia 45900 $676.00 $135.20
Dilation of anal muscle under anesthesia 45905 $616.00 $123.20
Dilation of rectal scar tissue under anesthesia 45910 $716.00 $143.20
Removal of impacted stool or foreign body under anesthesia 45915 $321.00 $64.20
Diagnostic examination of anus and rectum under anesthesia 45990 $403.00 $80.60
Insertion of drain device in anus 46020 $396.00 $79.20
Removal of drain device from anus 46030 $275.00 $55.00
Drainage of rectal abscess 46040 $910.00 $182.00
Drainage of rectal abscess under anesthesia 46045 $1,361.00 $272.20
Drainage of rectal abscess 46050 $719.00 $143.80
Drainage of anal abscess 46060 $1,393.00 $278.60
Division of muscle of anus 46080 $823.00 $164.60
Incision of engorged external hemorrhoid 46083 $453.00 $90.60
Excision of abnormal anal drainage tract 46200 $962.00 $192.40
Removal of anal growth 46220 $501.00 $100.20
Removal of hemorrhoid by rubber banding 46221 $722.00 $144.40
Removal of multiple external anal growths 46230 $736.00 $147.20
Removal of multiple external hemorrhoids 46250 $1,273.00 $254.60
Removal of internal and external hemorrhoids 46255 $1,400.00 $280.00
Removal of internal and external hemorrhoids with excision of abnormal anal drainage tract 46257 $1,412.00 $282.40
Removal of internal and external hemorrhoids with repair of abnormal anal drainage tract 46258 $1,412.00 $282.40
Removal of multiple internal and external hemorrhoids 46260 $1,941.00 $388.20
Removal of multiple internal and external hemorrhoids with excision of abnormal anal drainage tract 46261 $1,827.00 $365.40
Repair of abnormal anal drainage tract 46270 $713.00 $142.60
Repair of anal muscle and abnormal anal drainage tract 46275 $555.00 $111.00
Repair of anal muscle and abnormal anal drainage tract 46280 $1,861.00 $372.20
Repair of abnormal anal drainage tract 46285 $1,420.00 $284.00
Repair of abnormal anal drainage tract 46288 $1,856.00 $371.20
Removal of engorged hemorrhoid 46320 $369.00 $73.80
Injection of agent to paralyze anal muscle 46505 $836.00 $167.20
Diagnostic examination of the anus using an endoscope 46600 $193.00 $38.60
Diagnostic examination of anus with magnification and chemical agent enhancement using an endoscope 46601 $258.00 $51.60
Dilation of anus using an endoscope 46604 $209.00 $41.80
Biopsy of anus using an endoscope 46606 $488.00 $97.60
Biopsies of anus with magnification and chemical agent enhancement using an endoscope 46607 $258.00 $51.60
Removal of foreign body in anus using an endoscope 46608 $1,524.00 $304.80
Removal of anal polyps or growths using an endoscope 46610 $280.00 $56.00
Removal of single anal polyp or growth using an endoscope 46611 $531.00 $106.20
Control of anal bleeding using an endoscope 46614 $337.00 $67.40
Plastic repair of anal stricture, adult 46700 $1,408.00 $281.60
Repair of abnormal anal drainage tract 46706 $601.00 $120.20
Repair of abnormal anal drainage tract 46707 $1,624.00 $324.80
Repair of anal muscle for incontinence or prolapse, adult 46750 $2,291.00 $458.20
Repair of muscle of anus for incontinence and/or prolapse using wire or suture 46753 $1,915.00 $383.00
Removal of anal muscle wire or suture 46754 $975.00 $195.00
Repair of anal muscle to correct incontinence, adult 46761 $3,128.00 $625.60
Chemical destruction of anal growths 46900 $394.00 $78.80
Destruction of anal growths using electric current 46910 $476.00 $95.20
Freezing destruction of anal growths 46916 $621.00 $124.20
Laser destruction of anal growths 46917 $465.00 $93.00
Excisional destruction of anal growths 46922 $373.00 $74.60
Destruction of anal growths 46924 $1,225.00 $245.00
Destruction of internal anal hemorrhoids 46930 $495.00 $99.00
Repair of anal tear with dilation of anal muscle 46940 $479.00 $95.80
Removal and tying hemorrhoid group 46945 $849.00 $169.80
Removal and tying 2 or more hemorrhoid group 46946 $702.00 $140.40
Repair of prolapsing hemorrhoids 46947 $1,302.00 $260.40
Anus procedure 46999 $823.00 $164.60
Needle biopsy of liver, accessed through the skin 47000 $1,646.00 $329.20
Needle biopsy of liver 47001 $921.00 $184.20
Drainage of liver abscess or cyst, open procedure 47010 $1,689.00 $337.80
Injection and/or drainage of liver abscesses or cysts 47015 $3,775.00 $755.00
Partial removal of liver tissue 47100 $2,748.00 $549.60
Partial removal of liver lobe 47120 $3,398.00 $679.60
Removal of right liver lobe 47130 $11,180.00 $2,236.00
Creation of tract to drain liver cyst or abscess 47300 $1,567.00 $313.40
Suture of liver wound to control bleeding 47350 $4,465.00 $893.00
Suturing liver wound to control bleeding 47360 $6,062.00 $1,212.40
Suture of liver wound to control bleeding 47361 $4,865.00 $973.00
Re-exploration of liver wound with removal of packing 47362 $1,829.00 $365.80
Destruction of liver growths using an endoscope 47370 $3,902.00 $780.40
Destruction of 1 or more growths on liver, open procedure 47380 $4,733.00 $946.60
Liver procedure 47399 $362.00 $72.40
Drainage or removal of liver duct stone 47420 $2,012.00 $402.40
Drainage or removal of stones from gallbladder, open procedure 47480 $2,776.00 $555.20
Insertion of catheter (accessed through the skin) into gallbladder using imaging guidance including radiological supervision and interpretation 47490 $2,982.00 $596.40
Injection of bile duct for X-ray imaging procedure accessed through the skin using imaging guidance including radiological supervision and interpretation 47531 $1,117.00 $223.40
Injection of bile duct for X-ray imaging procedure accessed through the skin using imaging guidance including radiological supervision and interpretation 47532 $4,502.00 $900.40
Placement of drainage catheter of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation 47534 $7,426.00 $1,485.20
Conversion of external biliary drainage catheter to internal-external biliary drainage catheter accessed through the skin using imaging guidance with study of bile ducts and radiological supervision and interpretation 47535 $9,902.00 $1,980.40
Replacement of liver duct drainage catheter accessed through the skin with imaging and radiological supervision and interpretation 47536 $9,902.00 $1,980.40
Removal of biliary drainage catheter, accessed through the skin using imaging guidance and radiological supervision and interpretation 47537 $2,196.00 $439.20
Placement of stent of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation 47538 $12,084.00 $2,416.80
Placement of stent of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation 47539 $9,400.00 $1,880.00
Placement of stent and drainage catheter of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation 47540 $12,084.00 $2,416.80
Placement of access device into biliary tract, accessed through the skin with imaging including radiological supervision and interpretation 47541 $9,902.00 $1,980.40
Balloon dilation of bile duct accessed through the skin using imaging guidance including radiological supervision and interpretation 47542 $408.00 $81.60
Removal of biliary duct or gallbladder stone, accessed through the skin using imaging guidance and radiological supervision and interpretation 47544 $714.00 $142.80
Examination of bile ducts during surgery using an endoscope 47550 $615.00 $123.00
Dilation of bile ducts using an endoscope, accessed through the skin 47555 $1,993.00 $398.60
Dilation of bile ducts with stent insertion using an endoscope, accessed through the skin 47556 $1,993.00 $398.60
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $3,309.00 $661.80
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $3,309.00 $2,647.20
Removal of gallbladder with X-ray study of bile ducts using endoscope 47563 $3,593.00 $718.60
Removal of gallbladder with exploration of common bile duct using endoscope 47564 $2,866.00 $573.20
Bile duct procedure using an endoscope 47579 $911.00 $182.20
Removal of gallbladder 47600 $2,423.00 $484.60
Removal of gallbladder with X-ray study of bile ducts 47605 $2,420.00 $484.00
Removal of gallbladder with exploration of common bile duct 47610 $3,775.00 $755.00
Removal of gallbladder and creation of bile duct drainage to bowel 47612 $4,136.00 $827.20
Incision of gallbladder cyst with creation of drainage tract into abdomen 47720 $1,687.00 $337.40
Incision of gallbladder cyst with creation of drainage tract from bile duct in liver to small bowel 47740 $4,298.00 $859.60
Incision of gallbladder cyst with creation of drainage tract to stomach and small bowel 47741 $4,841.00 $968.20
Connection of bile duct to small bowel 47760 $2,617.00 $523.40
Connection of bile duct to small bowel 47780 $4,348.00 $869.60
Connection of bile duct to small bowel 47785 $10,119.00 $2,023.80
Reconstruction of bile duct 47800 $5,182.00 $1,036.40
Suture of injured bile duct 47900 $4,363.00 $872.60
Insertion of external drains from gallbladder, bile duct and small bowel 48000 $6,141.00 $1,228.20
Insertion of external drains from gallbladder, bile duct and small bowel 48001 $7,521.00 $1,504.20
Biopsy of pancreas, open procedure 48100 $2,886.00 $577.20
Needle biopsy of pancreas, accessed through the skin 48102 $1,068.00 $213.60
Removal of pancreatic tissue 48105 $9,318.00 $1,863.60
Removal of growth of pancreas 48120 $1,607.00 $321.40
Partial removal of pancreas 48140 $3,104.00 $620.80
Partial removal of pancreas with connection of pancreas to small bowel 48145 $2,450.00 $490.00
Partial removal of pancreas 48146 $3,150.00 $630.00
Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel 48150 $4,832.00 $966.40
Partial removal of pancreas, bile duct and small bowel 48152 $9,062.00 $1,812.40
Partial removal of pancreas, bile duct and small bowel with connection of pancreas to small bowel 48153 $9,682.00 $1,936.40
Partial removal of pancreas, bile duct, and small bowel 48154 $9,073.00 $1,814.60
Insertion of drain from pancreatic cyst into abdominal cavity, open procedure 48510 $3,486.00 $697.20
Creation of drainage tract from pancreatic cyst to small bowel 48520 $3,369.00 $673.80
Creation of drainage tract from pancreatic cyst to small bowel 48540 $1,909.00 $381.80
Suture of pancreatic injury 48545 $3,782.00 $756.40
Creation of pancreatic drainage tract from pancreas and upper small bowel 48548 $5,433.00 $1,086.60
Exploration of abdomen and abdominal organs 49000 $2,569.00 $513.80
Reopening of recent abdominal incision 49002 $3,526.00 $705.20
Exploration behind abdominal cavity 49010 $3,067.00 $613.40
Drainage of abdominal abscess or infection, open procedure 49020 $1,877.00 $375.40
Drainage of abscess of muscle separating chest and abdomen (diaphragm), open procedure 49040 $2,093.00 $418.60
Drainage of abscess behind abdominal cavity, open procedure 49060 $2,419.00 $483.80
Drainage of accumulated abdominal lymph fluid, open procedure 49062 $2,533.00 $506.60
Drainage of fluid from abdominal cavity 49082 $1,027.00 $205.40
Drainage of fluid from abdominal cavity using imaging guidance 49083 $1,320.00 $264.00
Irrigation of abdominal cavity 49084 $907.00 $181.40
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $941.00 $188.20
Injection of abnormal fluid accumulation using imaging guidance with radiological supervision and interpretation 49185 $2,942.00 $588.40
Removal or destruction of (5 centimeters or less) abdominal cavity growths, cysts, or abnormal tissue, open procedure 49203 $3,739.00 $747.80
Removal or destruction of (5.1 to 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open abdominal procedure 49204 $4,773.00 $954.60
Removal or destruction of (greater than 10.0 centimeters) abdominal cavity growths, cysts, or abnormal tissue, open procedure 49205 $5,465.00 $1,093.00
Removal of pelvic or tailbone growth 49215 $7,213.00 $1,442.60
Removal of navel and surrounding tissue 49250 $1,896.00 $379.20
Removal of lining covering abdominal organs 49255 $2,473.00 $494.60
Diagnostic examination of the abdomen using an endoscope 49320 $1,144.00 $228.80
Biopsy of abdomen using an endoscope 49321 $1,208.00 $241.60
Aspiration of abdominal cavity or cyst using an endoscope 49322 $1,037.00 $207.40
Drainage of lymph fluid to abdominal cavity using an endoscope 49323 $2,175.00 $435.00
Insertion of abdominal cavity catheter using an endoscope 49324 $1,298.00 $259.60
Revision of abdominal cavity catheter using an endoscope 49325 $1,271.00 $254.20
Suture of internal abdominal lining using an endoscope 49326 $586.00 $117.20
Injection of air or X-ray contrast material into abdominal cavity 49400 $318.00 $63.60
Removal of foreign body from abdominal cavity 49402 $2,799.00 $559.80
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49405 $3,813.00 $762.60
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49406 $3,441.00 $688.20
Fluid collection drainage by catheter using imaging guidance, accessed through vagina or rectum 49407 $581.00 $116.20
Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation 49418 $2,854.00 $570.80
Insertion of abdominal cavity catheter for drainage or dialysis, open procedure 49421 $1,176.00 $235.20
Removal of abdominal cavity catheter 49422 $1,358.00 $271.60
Exchange of abdominal cavity drainage catheter using imaging guidance 49423 $3,910.00 $782.00
Injection of contrast through abdominal cavity catheter for X-ray study 49424 $5,574.00 $1,114.80
Injection for X-ray study of shunt from jugular vein to abdominal cavity 49427 $325.00 $65.00
Removal of shunt from jugular vein to abdominal cavity 49429 $1,482.00 $296.40
Creation of abdominal cavity catheter exit site 49436 $633.00 $126.60
Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance with contrast 49440 $544.00 $108.80
Percutaneous insertion of small bowel tube (accessed through the skin) using fluoroscopic guidance with contrast 49441 $1,609.00 $321.80
Insertion of large bowel tube (accessed through the skin) using fluoroscopic guidance with contrast 49442 $859.00 $171.80
Conversion of stomach tube to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49446 $1,497.00 $299.40
Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49450 $804.00 $160.80
Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49451 $1,054.00 $210.80
Replacement of stomach to small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49452 $1,182.00 $236.40
Mechanical removal of obstructive material in stomach, large, or small bowel tube using fluoroscopic guidance with contrast 49460 $1,362.00 $272.40
Contrast injections for x-ray imaging through existing tube in stomach, small bowel or large bowel, accessed through the skin 49465 $336.00 $67.20
Repair of groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception 49491 $1,156.00 $231.20
Repair of trapped groin hernia preterm infant younger than 37 weeks gestation performed from birth to 50 weeks postconception 49492 $1,463.00 $292.60
Repair of groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery 49495 $1,144.00 $228.80
Repair of trapped groin hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at time of surgery 49496 $1,070.00 $214.00
Repair of groin hernia patient age 6 months to younger than 5 years 49500 $1,413.00 $282.60
Repair of trapped groin hernia patient age 6 months to younger than 5 years 49501 $1,177.00 $235.40
Repair of groin hernia patient age 5 years or older without mesh 49505 $2,407.00 $1,925.60
Repair of groin hernia patient age 5 years or older without mesh 49505 $2,407.00 $481.40
Repair of trapped groin hernia patient age 5 years or older 49507 $3,937.00 $787.40
Repair of trapped groin hernia 49520 $2,727.00 $545.40
Repair of trapped groin hernia 49521 $2,108.00 $421.60
Repositioning of sliding groin hernia 49525 $1,920.00 $384.00
Repair of abdominal muscle herniation 49540 $2,282.00 $456.40
Repositioning of groin hernia 49550 $1,976.00 $395.20
Repositioning of trapped groin hernia 49553 $1,966.00 $393.20
Repositioning of groin hernia 49555 $1,479.00 $295.80
Repositioning of trapped groin hernia 49557 $1,466.00 $293.20
Repair of incisional or abdominal hernia 49560 $2,576.00 $515.20
Repair of trapped incisional or abdominal hernia 49561 $2,923.00 $584.60
Repair of incisional or abdominal hernia 49565 $2,396.00 $479.20
Repair of incisional or abdominal hernia 49566 $2,728.00 $545.60
Placement of mesh to repair incisional or abdominal hernia, open procedure 49568 $909.00 $181.80
Repair of trapped incisional or abdominal hernia 49570 $1,405.00 $281.00
Repair of trapped incisional or abdominal hernia 49572 $1,584.00 $316.80
Repair of hernia at navel patient younger than age 5 years 49580 $855.00 $171.00
Repair of trapped hernia at navel patient younger than age 5 years 49582 $948.00 $189.60
Repair of hernia at navel patient age 5 years or older 49585 $1,583.00 $316.60
Repair of trapped hernia at navel patient age 5 years or older 49587 $1,724.00 $344.80
Repair of hernia between abdominal muscles 49590 $1,209.00 $241.80
Repair of groin hernia using an endoscope 49650 $2,927.00 $585.40
Repositioning of recurrent groin hernia using an endoscope 49651 $2,379.00 $475.80
Repair of hernia using an endoscope 49652 $3,325.00 $665.00
Repair of trapped hernia using an endoscope 49653 $3,348.00 $669.60
Repair of incisional hernia using an endoscope 49654 $3,077.00 $615.40
Repair of trapped incisional hernia using an endoscope 49655 $3,528.00 $705.60
Repair of incisional hernia using an endoscope 49656 $3,089.00 $617.80
Repair of trapped incisional hernia using an endoscope 49657 $4,081.00 $816.20
Hernia repair procedure using an endoscope 49659 $1,919.00 $383.80
Suture of postsurgical abdominal wall opening 49900 $8,205.00 $1,641.00
Harvest of abdominal cavity lining for grafting 49904 $4,816.00 $963.20
Placement of flap to repair abdominal wall 49905 $1,104.00 $220.80
Abdominal procedure 49999 $1,778.00 $355.60
Exploration of kidney 50010 $2,271.00 $454.20
Incision and drainage of kidney abscess, open procedure 50020 $3,739.00 $747.80
Insertion of tube for kidney drainage 50040 $3,834.00 $766.80
Removal of kidney stone 50060 $3,925.00 $785.00
Removal or crushing kidney stone (up to 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin 50080 $4,428.00 $885.60
Removal or crushing kidney stone (over 2 centimeters) or insert kidney stent using an endoscope, accessed through the skin 50081 $4,627.00 $925.40
Removal of kidney stone 50130 $3,976.00 $795.20
Incision of kidney complicated by congenital defect 50135 $4,157.00 $831.40
Needle biopsy of kidney, accessed through the skin 50200 $1,496.00 $299.20
Biopsy of kidney 50205 $2,335.00 $467.00
Removal of kidney and partial removal of urinary duct (ureter), open procedure 50220 $3,576.00 $715.20
Removal of kidney and partial removal of urinary duct (ureter), open procedure 50225 $3,954.00 $790.80
Removal of kidney, lymph nodes, and/or blood clot from major vein (vena cava) with partial removal of urinary duct (ureter), open procedure 50230 $4,825.00 $965.00
Removal of kidney and urinary duct (ureter) with partial removal of bladder 50234 $4,558.00 $911.60
Removal of kidney and urinary duct (ureter) with partial removal of bladder 50236 $5,116.00 $1,023.20
Partial removal of kidney 50240 $2,070.00 $414.00
Removal of kidney cysts 50280 $3,124.00 $624.80
Removal and replacement of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin 50382 $6,796.00 $1,359.20
Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation, accessed through the skin 50384 $6,796.00 $1,359.20
Removal of indwelling stent in urinary duct (ureter) including radiological supervision and interpretation 50386 $574.00 $114.80
Removal and replacement of stent in kidney and urinary duct (ureter) using fluoroscopic guidance including radiological supervision and interpretation 50387 $2,776.00 $555.20
Removal of kidney drainage tube (ureter) using fluoroscopic guidance 50389 $1,086.00 $217.20
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $972.00 $194.40
Reconstruction of congenital kidney defect 50405 $4,960.00 $992.00
Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation 50430 $1,214.00 $242.80
Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation 50431 $1,448.00 $289.60
Placement of catheter of kidney, accessed through the skin using imaging guidance with radiological supervision and interpretation 50432 $4,158.00 $831.60
Placement of catheter of kidney and urinary tube (ureter), accessed through the skin using imaging guidance with radiological supervision and interpretation 50433 $5,156.00 $1,031.20
Conversion of nephrostomy catheter to nephroureteral catheter accessed through the skin using imaging guidance with study of kidney and ureter and radiological supervision and interpretation 50434 $1,795.00 $359.00
Replacement of kidney drainage catheter accessed through the skin with imaging and radiological supervision and interpretation 50435 $2,616.00 $523.20
Destruction of kidney cysts using an endoscope 50541 $3,609.00 $721.80
Destruction of kidney growths using an endoscope 50542 $4,392.00 $878.40
Partial removal of kidney using an endoscope 50543 $5,210.00 $1,042.00
Repair of kidney using an endoscope 50544 $4,962.00 $992.40
Removal of kidney and lymph nodes using an endoscope 50545 $5,331.00 $1,066.20
Removal of kidney and partial removal of urinary duct (ureter) using an endoscope 50546 $4,643.00 $928.60
Removal of kidney and urinary duct (ureter) using an endoscope 50548 $4,245.00 $849.00
Removal of kidney foreign body or stone using an endoscopy which is inserted through an already created kidney opening 50561 $1,632.00 $326.40
Kidney biopsy using an endoscope 50574 $1,842.00 $368.40
Shock wave crushing of kidney stones 50590 $2,115.00 $423.00
Destruction of growths in one kidney, accessed through the skin 50593 $11,619.00 $2,323.80
Insertion of stent in urinary duct (ureter) 50605 $3,136.00 $627.20
Removal of stone from upper urinary duct (ureter) 50610 $3,275.00 $655.00
Removal of stone from middle urinary duct (ureter) 50620 $3,124.00 $624.80
Removal of stone from lower urinary duct (ureter) 50630 $3,100.00 $620.00
Removal of urinary duct (ureter) and partial removal of bladder 50650 $3,430.00 $686.00
Injection of urinary duct (ureter) for X-ray imaging 50684 $160.00 $32.00
Change of tube or stent in urinary duct (ureter) 50688 $1,894.00 $378.80
Injection of bladder and urinary duct (ureter) for X-ray imaging 50690 $239.00 $47.80
Placement of stent of urinary duct (ureter), accessed through the skin with imaging including radiological supervision and interpretation 50693 $4,634.00 $926.80
Placement of stent of urinary duct (ureter), accessed through the skin with imaging including radiological supervision and interpretation 50694 $4,707.00 $941.40
Placement of stent of urinary duct (ureter), accessed through the skin with imaging including radiological supervision and interpretation 50695 $4,791.00 $958.20
Reconstruction of urinary duct (ureter) 50700 $3,459.00 $691.80
Balloon dilation treatment of stricture of urinary duct (ureter) using imaging guidance with radiological supervision and interpretation 50706 $1,145.00 $229.00
Release of scar tissue at urinary duct (ureter) 50715 $4,136.00 $827.20
Revision of opening from urinary tract to skin 50727 $1,923.00 $384.60
Connection of urinary duct (ureter) to kidney 50740 $4,077.00 $815.40
Removal and reconnection of diseased or injured portion of urinary duct (ureter) 50760 $4,140.00 $828.00
Connection to bladder of lower portion of urinary duct (ureter) 50780 $3,834.00 $766.80
Repair of urinary duct (ureter) with creation of bladder and muscle flap 50785 $4,600.00 $920.00
Connection of urinary duct (ureter) to bowel 50800 $3,544.00 $708.80
Connection of urinary duct (ureter) to small bowel with creation of opening 50820 $4,499.00 $899.80
Suture repair of urinary duct (ureter) 50900 $2,771.00 $554.20
Examination of kidney and urinary duct (ureter) using an endoscopy which is inserted through an already created urinary duct (ureter) opening 50951 $1,037.00 $207.40
Incision of bladder with drainage 51040 $1,757.00 $351.40
Incision of bladder with insertion of catheter or stent in urinary duct (ureter) 51045 $1,213.00 $242.60
Incision of bladder with removal of bladder stone 51050 $1,534.00 $306.80
Needle aspiration of bladder 51100 $405.00 $81.00
Aspiration of bladder using catheter or trocar 51101 $245.00 $49.00
Aspiration of bladder with insertion of bladder tube to skin surface 51102 $2,386.00 $477.20
Repair of congenital bladder defect 51500 $2,350.00 $470.00
Removal of bladder growth 51530 $2,662.00 $532.40
Incision, removal, or repair of abnormal drainage tract from bladder into bowel 51535 $2,551.00 $510.20
Partial removal of bladder 51550 $3,321.00 $664.20
Partial removal of bladder with reimplantation of urinary ducts (ureters) 51565 $4,220.00 $844.00
Removal of bladder and lymph nodes on both sides of pelvis 51575 $6,575.00 $1,315.00
Removal of bladder with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening 51590 $6,433.00 $1,286.60
Removal of bladder and lymph nodes on both sides of pelvis with transplantation of urinary ducts (ureters) to small or large bowel with creation of urinary opening 51595 $7,141.00 $1,428.20
Removal of bladder, urinary ducts (ureters) 51597 $7,425.00 $1,485.00
Injection procedure for X-ray imaging of the bladder or during voiding 51600 $363.00 $72.60
Injection procedure for X-ray imaging of the bladder and bladder canal (urethra) 51605 $308.00 $61.60
Injection procedure through the bladder and bladder canal (urethra) for X-ray imaging 51610 $277.00 $55.40
Bladder irrigation and/or instillation 51700 $309.00 $61.80
Insertion of temporary bladder catheter 51701 $159.00 $31.80
Insertion of indwelling bladder catheter 51702 $242.00 $48.40
Insertion of indwelling bladder catheter 51703 $316.00 $63.20
Removal of skin suture with change of bladder tube 51705 $503.00 $100.60
Removal of suture around skin surface tube with change of bladder tube 51710 $2,476.00 $495.20
Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope 51715 $1,422.00 $284.40
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 $355.00 $71.00
Insertion of device into bladder to measure pressure of urine flow 51725 $487.00 $97.40
Insertion of electronic device into bladder with measurement of urine flow pressure 51726 $773.00 $154.60
Insertion of electronic device into bladder with bladder canal (urethra) pressure studies 51727 $606.00 $121.20
Insertion of electronic device into bladder with voiding pressure studies 51728 $603.00 $120.60
Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies 51729 $640.00 $128.00
Timed assessment of bladder emptying 51736 $205.00 $41.00
Electronic assessment of bladder emptying 51741 $260.00 $52.00
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784 $287.00 $57.40
Needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51785 $619.00 $123.80
Assessment of muscle signal of pelvic nerves 51792 $265.00 $53.00
Insertion of device into the abdomen with measurement of pressure and urine flow rate 51797 $257.00 $51.40
Ultrasound measurement of bladder capacity after voiding 51798 $178.00 $35.60
Repair of bladder and/or bladder canal (urethra) 51800 $3,854.00 $770.80
Suture of bladder neck to vaginal wall and pubic bone with bladder canal suspension 51840 $2,517.00 $503.40
Repair of female bladder neck 51845 $1,932.00 $386.40
Suture of wound, injury, or rupture of the bladder 51860 $1,329.00 $265.80
Suture of wound, injury, or rupture of bladder 51865 $2,982.00 $596.40
Closure of skin surface bladder tube site 51880 $1,625.00 $325.00
Repair of abnormal drainage tract from bladder into the vagina 51900 $1,415.00 $283.00
Creation of sling around bladder canal (urethra) to control leakage using an endoscope 51992 $2,873.00 $574.60
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 52000 $976.00 $195.20
Irrigation and removal of multiple blood clots from bladder and bladder canal (urethra) using an endoscope 52001 $1,145.00 $229.00
Insertion of catheter into urinary duct (ureter) using an endoscope 52005 $511.00 $102.20
Insertion of catheter into urinary duct (ureter) and biopsy of urinary duct and/or renal pelvis using an endoscope 52007 $763.00 $152.60
Biopsy of the bladder using an endoscope 52204 $812.00 $162.40
Destruction of tissue in the bladder, bladder canal (urethra) or surrounding glands using an endoscope 52214 $788.00 $157.60
Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope 52224 $1,213.00 $242.60
Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope 52234 $901.00 $180.20
Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope 52235 $1,051.00 $210.20
Destruction and/or removal of large growths of the bladder using an endoscope 52240 $2,041.00 $408.20
Insertion of radioactive substance of the bladder and bladder canal (urethra) using an endoscope 52250 $962.00 $192.40
Dilation of the bladder using an endoscope under general or spinal anesthesia 52260 $842.00 $168.40
Incision of the bladder canal (urethra) using an endoscope, male 52275 $834.00 $166.80
Incision of the bladder canal (urethra) using an endoscope 52276 $1,061.00 $212.20
Dilation of bladder canal (urethra) using an endoscope 52281 $1,775.00 $355.00
Examination with injections of chemical for destruction of bladder using an endoscope 52287 $689.00 $137.80
Incision of urinary duct (ureter) using an endoscope 52290 $975.00 $195.00
Removal or destruction of abnormal pouches of urinary duct (ureter) at bladder using an endoscope 52300 $880.00 $176.00
Removal or destruction of abnormal pouches of urinary duct (ureter) at bladder using an endoscope 52301 $976.00 $195.20
Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope 52310 $2,158.00 $431.60
Complicated removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope 52315 $1,054.00 $210.80
Crushing, fragmenting, and removal of (less than 2.5 centimeters) bladder stone 52317 $1,411.00 $282.20
Crushing, fragmenting, and removal of bladder stones, complicated or larger than 2.5 centimeters 52318 $1,923.00 $384.60
Removal of stone in urinary duct (ureter) using an endoscope 52320 $1,487.00 $297.40
Fragmenting of stone in urinary duct (ureter) using an endoscope 52325 $3,390.00 $678.00
Injection of implant material in bladder using an endoscope 52327 $1,024.00 $204.80
Manipulation of stone in urinary duct (ureter) using an endoscope 52330 $1,063.00 $212.60
Insertion of stent in urinary duct (ureter) using an endoscope 52332 $913.00 $182.60
Treatment of stricture in urinary duct (ureter) using an endoscope 52341 $1,606.00 $321.20
Treatment of stricture at junction of kidney and urinary duct (ureter) using an endoscope 52342 $1,383.00 $276.60
Treatment of stricture in urinary duct (ureter) using an endoscope 52344 $1,643.00 $328.60
Treatment of kidney stricture using an endoscope 52345 $1,346.00 $269.20
Treatment of kidney stricture using an endoscope 52346 $1,453.00 $290.60
Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope 52351 $1,252.00 $250.40
Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope 52352 $1,637.00 $327.40
Crushing of stone in urinary duct (ureter) using an endoscope 52353 $1,695.00 $339.00
Biopsy and/or destruction of growth of urinary duct (ureter) or kidney using an endoscope 52354 $1,566.00 $313.20
Crushing of stone in urinary duct (ureter) with stent using an endoscope 52356 $1,641.00 $328.20
Incision, destruction, or removal of congenital bladder and bladder canal (urethra) defects using an endoscope 52400 $1,892.00 $378.40
Incision of prostate through bladder canal (urethra) 52450 $1,810.00 $362.00
Removal of bladder neck through bladder canal (urethra) 52500 $1,984.00 $396.80
Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope 52601 $2,786.00 $557.20
Removal of remaining or regrown prostate tissue with control of bleeding using an endoscope 52630 $1,723.00 $344.60
Removal of postsurgical bladder neck contracture 52640 $1,055.00 $211.00
Laser destruction of prostate including control of bleeding using an endoscope 52647 $2,407.00 $481.40
Laser vaporization of prostate including control of bleeding using an endoscope 52648 $2,226.00 $445.20
Incision or repair of abnormal bladder canal (urethra) 53010 $975.00 $195.00
Incision of external urinary opening 53020 $356.00 $71.20
Incision of external urinary opening, infant 53025 $254.00 $50.80
Drainage of abscess around bladder canal (urethra) 53040 $1,273.00 $254.60
Drainage of abscess or cyst of Skene's glands, male 53060 $1,855.00 $371.00
Biopsy of bladder canal (urethra) 53200 $468.00 $93.60
Removal of bladder and bladder canal (urethra), male 53215 $3,049.00 $609.80
Removal of pouch of female bladder canal (urethra) 53230 $1,523.00 $304.60
Removal of pouch of male bladder canal (urethra) 53235 $2,063.00 $412.60
Removal or destruction of bladder canal (urethra) polyps 53260 $712.00 $142.40
Removal or destruction of growth of bladder canal (urethra) 53265 $750.00 $150.00
Removal or destruction of bladder canal (urethra) mucous glands 53270 $658.00 $131.60
Repair of bladder canal (urethra) for abnormal drainage tract, pouching, or narrowing 53400 $3,377.00 $675.40
Reconstruction of bladder canal (urethra), female 53430 $3,571.00 $714.20
Creation of sling around male bladder canal (urethra) to control leakage 53440 $2,467.00 $493.40
Insertion of inflatable bladder canal (urethra) or bladder neck sphincter 53445 $3,074.00 $614.80
Removal of inflatable bladder canal (urethra) or bladder neck sphincter 53446 $2,474.00 $494.80
Repair of bladder canal (urethra) and urinary opening 53450 $1,371.00 $274.20
Release of bladder canal (urethra) scar tissue using an endoscope 53500 $2,681.00 $536.20
Suture of bladder canal (urethra) wound or injury, female 53502 $1,741.00 $348.20
Dilation of narrowing of bladder canal (urethra), male 53600 $661.00 $132.20
Dilation of narrowing of bladder canal (urethra), male 53601 $252.00 $50.40
Dilation of narrowing of bladder canal (urethra) under general or spinal anesthesia, male 53605 $260.00 $52.00
Dilation of narrowing of bladder canal (urethra), male 53620 $355.00 $71.00
Dilation of bladder canal (urethra), female 53660 $381.00 $76.20
Dilation of bladder canal (urethra), female 53661 $236.00 $47.20
Dilation of bladder canal (urethra) under general or spinal anesthesia, female 53665 $156.00 $31.20
Destruction of prostate tissue through bladder canal (urethra) 53850 $1,952.00 $390.40
Urinary system procedure 53899 $699.00 $139.80
Incision of penile foreskin 54001 $529.00 $105.80
Incision and drainage of penis 54015 $1,299.00 $259.80
Chemical destruction of growths of penis 54050 $425.00 $85.00
Freezing destruction of penile growths 54056 $506.00 $101.20
Laser destruction of growths of penis 54057 $373.00 $74.60
Excisional destruction of penile growths 54060 $554.00 $110.80
Destruction of multiple penile growths 54065 $718.00 $143.60
Biopsy of penis 54100 $598.00 $119.60
Removal of deep foreign body of penis 54115 $1,424.00 $284.80
Partial amputation of penis 54120 $2,236.00 $447.20
Amputation of entire penis 54125 $2,676.00 $535.20
Removal of foreskin of using clamp or device 54150 $120.00 $24.00
Removal of foreskin, neonate (28 days of age or less) 54160 $210.00 $42.00
Removal of foreskin, patient older than 28 days of age 54161 $446.00 $89.20
Removal of scar tissue following penile foreskin removal 54162 $880.00 $176.00
Repair of incomplete removal of penile foreskin 54163 $1,036.00 $207.20
Incision of the membrane attaching foreskin and penis 54164 $662.00 $132.40
Injection procedure to correct abnormally thickened penile tissue 54200 $337.00 $67.40
Injection of drug into erectile tissue at sides and back of penis 54220 $595.00 $119.00
Injection procedure to induce erection 54235 $270.00 $54.00
Reconstructive surgery to correct angle penis 54360 $2,323.00 $464.60
Insertion of non-inflatable penile prosthesis 54400 $1,746.00 $349.20
Insertion of inflatable penile prosthesis 54401 $2,059.00 $411.80
Insertion of multi-component inflatable penile prosthesis 54405 $3,136.00 $627.20
Removal of all components of inflatable penile prosthesis 54406 $2,823.00 $564.60
Repair of components of a multi-component inflatable penile prosthesis 54408 $2,858.00 $571.60
Removal and replacement of all components of a multi-component inflatable penile prosthesis at same surgery 54410 $3,581.00 $716.20
Removal and replacement of infected components of inflatable penile prosthesis 54411 $3,306.00 $661.20
Redirection of blood flow from penis with partial removal of head of penis 54435 $1,443.00 $288.60
Repair of penis 54437 $2,286.00 $457.20
Plastic repair of penile injury 54440 $1,369.00 $273.80
Repositioning of foreskin including scar tissue removal 54450 $372.00 $74.40
Incisional biopsy of testis (testicle) 54505 $691.00 $138.20
Excision of testis (testicle) lesion 54512 $1,951.00 $390.20
Removal of testis (testicle) 54520 $1,241.00 $248.20
Removal of one testis (testicle) for tumor 54530 $2,057.00 $411.40
Suture of spermatic veins to stop abnormal fluid collection using an endoscope 54550 $1,727.00 $345.40
Repair of twisted testicle 54600 $1,536.00 $307.20
Anchoring of opposite testicle to other testicle 54620 $980.00 $196.00
Repair of displaced testicle 54640 $2,238.00 $447.60
Insertion of testicular prosthesis 54660 $694.00 $138.80
Suture or repair of testicular injury 54670 $640.00 $128.00
Transplantation of one or both testicles to thigh 54680 $3,080.00 $616.00
Incision and drainage of sperm reservoir, testis, and/or scrotal area 54700 $1,029.00 $205.80
Removal of sperm duct growth 54830 $1,284.00 $256.80
Removal of fluid accumulation in sperm reservoir 54840 $1,717.00 $343.40
Removal of one sperm reservoir 54860 $1,470.00 $294.00
Removal of both sperm reservoirs 54861 $1,867.00 $373.40
Exploration of sperm reservoir 54865 $1,374.00 $274.80
Aspiration of fluid collection in testicle and sperm reservoir 55000 $426.00 $85.20
Removal of fluid accumulation in one testicle and sperm reservoir 55040 $1,308.00 $261.60
Removal of fluid accumulation in both testicles and sperm reservoirs 55041 $1,794.00 $358.80
Repair of fluid accumulation in testicle and sperm reservoir 55060 $1,542.00 $308.40
Incision and drainage of abscess in scrotal sac of testicle 55100 $529.00 $105.80
Exploration of the scrotal sac of testicle 55110 $1,283.00 $256.60
Removal of foreign body in scrotal sac of testicle 55120 $1,366.00 $273.20
Removal of diseased or injured scrotal skin 55150 $1,694.00 $338.80
Repair of the scrotum 55175 $1,402.00 $280.40
Complicated repair of the scrotum 55180 $2,144.00 $428.80
Removal of sperm duct 55250 $1,025.00 $205.00
Removal of fluid accumulation in one spermatic cord 55500 $1,410.00 $282.00
Removal of spermatic cord growth 55520 $1,462.00 $292.40
Removal of spermatic cord venous dilation or tying of spermatic veins 55530 $1,329.00 $265.80
Removal of spermatic cord venous dilation or suturing spermatic veins 55535 $1,397.00 $279.40
Tying of spermatic veins using an endoscope 55550 $1,393.00 $278.60
Biopsy of prostate gland 55700 $601.00 $120.20
Incisional biopsy of prostate gland 55705 $891.00 $178.20
Partial removal of prostate gland through incision between scrotum and anus 55801 $3,712.00 $742.40
Removal of prostate gland, glands for sperm movement (semen), and sperm duct 55810 $4,594.00 $918.80
Partial removal of prostate gland 55821 $2,978.00 $595.60
Partial removal of the prostate gland 55831 $3,246.00 $649.20
Removal of prostate gland 55840 $4,660.00 $932.00
Removal of prostate gland and lymph node biopsy through abdominal incision 55842 $4,983.00 $996.60
Removal of prostate gland and surrounding lymph nodes on both sides of the pelvis through abdominal incision 55845 $5,923.00 $1,184.60
Destruction of prostate gland using ultrasound guidance 55873 $18,448.00 $3,689.60
Insertion of needles or catheters into prostate for radiation therapy 55875 $2,933.00 $586.60
Insertion of radiation therapy devices in prostate gland for radiation therapy guidance 55876 $430.00 $86.00
Male genital system procedure 55899 $1,077.00 $215.40
Incision and drainage of female genitals abscess 56405 $336.00 $67.20
Incision and drainage of female genital gland abscess 56420 $379.00 $75.80
Creation of drainage tract for female genital gland or cyst 56440 $663.00 $132.60
Removal of external female genital scar tissue 56441 $547.00 $109.40
Incision of membrane at uterine opening 56442 $163.00 $32.60
Destruction of external female genital growths 56501 $433.00 $86.60
Destruction of extensive growths of external female genitals 56515 $746.00 $149.20
Biopsy of external female genitals 56605 $192.00 $38.40
Biopsy of external female genitals 56606 $132.00 $26.40
Partial removal of external female genitals 56620 $1,688.00 $337.60
Removal of external female genitals 56625 $1,960.00 $392.00
Partial removal of membrane at uterine opening, open procedure 56700 $612.00 $122.40
Removal of female genital gland or cyst 56740 $660.00 $132.00
Plastic repair of uterine opening 56800 $904.00 $180.80
Nonobstetrical repair of skin from anus to genitals 56810 $744.00 $148.80
Examination of external female genitals using an endoscope 56820 $211.00 $42.20
Examination and biopsy of external female genitals using an endoscope 56821 $510.00 $102.00
Incision and exploration of vaginal wall 57000 $661.00 $132.20
Incision and drainage of pelvic abscess 57010 $1,423.00 $284.60
Aspiration of abdominal cavity fluid through the vaginal wall 57020 $335.00 $67.00
Incision and drainage of vaginal blood accumulation following delivery 57022 $611.00 $122.20
Incision and drainage of vaginal blood accumulation 57023 $1,135.00 $227.00
Destruction of vaginal growths 57061 $400.00 $80.00
Destruction of multiple vaginal growths 57065 $594.00 $118.80
Biopsy of vaginal mucous membrane 57100 $166.00 $33.20
Biopsy of extensive area of vaginal mucous membrane 57105 $553.00 $110.60
Partial removal of vaginal wall 57106 $1,566.00 $313.20
Removal of vaginal wall 57110 $3,229.00 $645.80
Suture closure of the vagina and vaginal opening 57120 $1,666.00 $333.20
Removal of abnormal tissue dividing the vagina 57130 $530.00 $106.00
Excision of vaginal cyst or tumor 57135 $790.00 $158.00
Fitting and insertion of vaginal support device 57160 $262.00 $52.40
Fitting and insertion of pregnancy prevention device 57170 $229.00 $45.80
Insertion of drug agent or packing to control vaginal bleeding 57180 $404.00 $80.80
Suture of non-obstetrical vaginal injury 57200 $2,697.00 $539.40
Suture of non-obstetrical injury of the vagina and/or skin 57210 $945.00 $189.00
Plastic repair through the vagina of muscles at urinary opening (sphincter) 57220 $1,575.00 $315.00
Plastic repair of prolapsed urinary canal (urethra) into vaginal wall 57230 $1,271.00 $254.20
Repair of herniation of bladder into vaginal wall 57240 $1,575.00 $315.00
Repair of herniated rectum into vaginal wall 57250 $1,247.00 $249.40
Plastic repair of vagina and tissue separating vagina, rectum, and bladder 57260 $1,929.00 $385.80
Repair of herniation of rectum and bladder into vaginal wall 57265 $2,083.00 $416.60
Placement of artificial material for pelvic floor defect 57267 $1,124.00 $224.80
Repair of protrusion of intestine into rectum or vagina 57268 $1,547.00 $309.40
Repair of protrusion of intestine into rectum or vagina 57270 $2,964.00 $592.80
Attachment of vagina to rear pelvic bone (sacrum) 57280 $1,585.00 $317.00
Vaginal repair of pelvic ligaments 57282 $1,858.00 $371.60
Anatomic repositioning of vagina 57283 $2,667.00 $533.40
Repair through abdomen of vaginal wall defect, open procedure 57284 $3,187.00 $637.40
Repair through the vagina of vaginal wall defect 57285 $2,163.00 $432.60
Removal or revision of sling around bladder canal (urethra) to control leakage 57287 $2,562.00 $512.40
Creation of sling around bladder canal (urethra) to control leakage 57288 $2,782.00 $556.40
Creation of artificial vagina 57291 $893.00 $178.60
Creation of artificial vagina using tissue graft 57292 $1,451.00 $290.20
Revision and removal of prosthetic vaginal graft 57295 $1,725.00 $345.00
Closure of abnormal drainage tract from rectum into vagina 57300 $1,836.00 $367.20
Closure of abnormal drainage tract from rectum into vagina 57305 $2,682.00 $536.40
Closure through skin of abnormal drainage tract from rectum into vagina 57308 $1,095.00 $219.00
Closure of abnormal drainage tract from urinary canal (urethra) into vagina 57310