ࡱ> HHgHhHiHjHkHlHmHnHoHpHqHrHsHtHuHvHwHxHyHzH{H|H}H~HHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH 4b bjbj[[ Bo99{Y   d!d!d!d!d!$!!!P!lD6w!sXXnnn4֮ $7 jd!d!d!nn48000;d!nd!n6000lnl @D*z7<snN 0 T d! 00s   * :  Section 316.01:General Provisions 316.02:General Definitions 316.03:General Rate Provisions 316.04:Maximum Allowable Fees - Anesthesia Services 316.05:Maximum Allowable Fees - Surgical Services 316.06: Severability 316.01:General Provisions (1) Scope, Purpose, and Effective Date. (a) 101 CMR 316.00 governs the payment rates used by all governmental units for surgery and anesthesia services provided to publicly aided patients. Rates under 101 CMR 316.00 are effective on and after August 1, 2017, unless otherwise indicated. Rates for services provided to individuals covered by the Workers Compensation Act, M.G.L. c.152, are not set forth in 101 CMR 316.00, but are at 114.3 CMR 40.00: Rates For Services Under M.G.L. c. 152, Workers Compensation Act. (b) The following laboratory services have a professional and technical component: 83020, 84165, 84166, 84181, 84182, 85390, 85576, 86153, 86255, 86256, 86320, 86325, 86327, 86334, 86335, 87164, 87207, 88371, 88372, and 89060. Payment rates for the professional component are contained herein. Payment rates for the technical component for these codes are contained in 101 CMR 320.00: Clinical Laboratory Services. (2) Coverage. (a) Payment rates in 101 CMR 316.00 are used to pay for surgical and anesthesia services rendered to patients in a private medical office, freestanding ambulatory surgical center, licensed clinic, hospital or other inpatient or outpatient facility or department, or other appropriate setting by an individual eligible provider, when an eligible provider bills for the medical services rendered and no other payment method applies. (b) The rates of payment under 101 CMR 316.00 are full compensation for patient care rendered to publicly aided patients as well as for any related administrative or supervisory duties in connection with patient care. The rates of payment also reimburse all overhead expenses associated with the service provided, without regard to where the care is rendered. (3) Disclaimer of Authorization of Services. 101 CMR 316.00 is not authorization for or approval of the procedures for which rates are determined pursuant to 101 CMR 316.00. Governmental units that purchase care are responsible for the definition, authorization, coverage policies, and approval of care and services provided to publicly aided patients. (4) Coding Updates and Corrections. EOHHS may publish procedure code updates and corrections in the form of an Administrative Bulletin. Updates may reference coding systems including but not limited to the American Medical Associations Current Procedural Terminology (CPT). (a) The publication of such updates and corrections will list 1. codes for which the code numbers change, with the corresponding cross references between the new codes and the codes being replaced. Rates for such updated codes are set at the rate of the code that is being replaced; 2. deleted codes for which there are no corresponding new codes; and 3. codes for entirely new services that require pricing. EOHHS will list these codes and apply individual consideration (I.C.) reimbursement for these codes until appropriate rates can be developed. (b)For entirely new codes that require new pricing and have Medicare assigned relative value units (RVUs), EOHHS may list these codes and price them according to the rate methodology used in setting physician rates. When RVUs are not available, EOHHS may apply Individual Consideration in reimbursing for these new codes until appropriate rates can be developed. (5) Administrative Bulletins. EOHHS may issue administrative bulletins to add, delete, or otherwise update codes or modifiers, and to clarify its policy on and understanding of substantive provisions of 101 CMR 316.00. EOHHS may also issue administrative bulletins to clarify to which duly licensed or certified health care professionals or students the rate methods in this regulation apply. 316.02:General Definitions Meaning of Terms. The descriptions, five-digit procedure codes, and two-digit modifiers included in 101 CMR 316.00 utilize the Healthcare Common Procedure Code System (HCPCS) for Level I and Level II coding. Level I CPT-4 codes are obtained from the Physicians 2016 Current Procedural Terminology (CPT), copyright 2015 by the American Medical Association (AMA), or for the 2017 Level I CPT-4 code additions, the Physicians 2017 Current Procedural Terminology (CPT), copyright 2016 by the AMA, unless otherwise specified. Level II codes are obtained from 2016 HCPCS, or for the 2017 Level II code additions, the 2017 HCPCS, maintained jointly by the Centers for Medicare and Medicaid Services (CMS), the Blue Cross and Blue Shield Association, and the Health Insurance Association of America. HCPCS is a listing of descriptive terms and identifying codes and modifiers for reporting medical services and procedures performed by physicians and other health care professionals, as well as associated nonphysician services. No fee schedules, basic unit value, relative value guides, conversion factors, or scales are included in any part of the Physicians Current Procedure Terminology. In addition, terms used in 101 CMR 316.00 have the meanings set forth in 101 CMR 316.02. Eligible Provider. The rates established in these regulations apply in accordance with 101 CMR 316.01 to the following types of providers who meet conditions of participation of the governmental unit purchasing such services, and to the extent specified by such governmental unit. Eligible providers must provide such services in accordance with generally accepted professional standards and in accordance with state licensing requirements and certification by national credentialing bodies as required by law. A licensed physician (other than an intern, resident, fellow, or house officer), licensed podiatrist, and licensed dentist. A provider of radiation oncology services. Radiation oncology services may be rendered by eligible providers such as, but not limited to, independent radiation oncology centers. These eligible providers must be physically and financially independent of a hospital or a physicians office. A clinic licensed by the Massachusetts Department of Public Health in accordance with 105 CMR 140.000: Licensure of Clinics to provide surgical diagnostic services. A freestanding birth center facility that is not operating under a hospitals license, and is licensed as a birth center by the Massachusetts Department of Public Health pursuant to 105 CMR 142.000: Operation and Maintenance of Birth Centers. An advanced practice registered nurse who is authorized by the Board of Registration in Nursing to practice as a certified nurse practitioner, certified nurse midwife, clinical nurse specialist, psychiatric clinical nurse specialist, or a certified registered nurse anesthetist (CRNA). A licensed physician assistant who is authorized by the Board of Registration for Physician Assistants to practice as a physician assistant. EOHHS. The Executive Office of Health and Human Services established under M.G.L. c. 6A. Facility Setting Fee. Payments for services provided by an individual eligible provider in a hospital (including without limitation a hospital inpatient department, outpatient department, emergency department, and hospital licensed health center), or skilled nursing facility or freestanding ambulatory surgical center (ASC), will be made according to a facility setting fee when an applicable facility setting fee has been established for that procedure. Global Delivery. Includes direct provision and supervision of case management, maternal education (including but not limited to nutrition, pregnancy and childbirth, and reproductive health), and obstetrical risk assessment and monitoring, in addition to pelvic or Cesareansection delivery, all routine prenatal visits, and one postpartum visit. Governmental Unit. The Commonwealth, any department, agency, board or commission of the Commonwealth and any political subdivision of the Commonwealth. Individual Consideration (I.C.). Surgical procedures that are authorized but not listed in 101 CMR 316.00, surgical procedures performed in unusual circumstances, and services designated I.C. are individually considered items. The governmental unit or purchaser analyzes the eligible providers report of services rendered and charges submitted under the appropriate unlisted services or procedures category. The governmental unit or purchaser determines appropriate payment for procedures designated I.C. in accordance with the following standards and criteria: (a) the amount of time required to perform the service; (b) the degree of skill required to perform the service; (c) the severity or complexity of the patients disease, disorder, or disability; (d) any applicable relative-value studies; (e) any complications or other circumstances that may be deemed relevant; (f) the policies, procedures and practices of other third party insurers; (g) the payment rate for prescribed drugs as set forth in 101 CMR 331.00: Prescribed Drugs; and (h) a copy of the current invoice from the supplier. Modifiers. Listed services may be modified under certain circumstances. When applicable, the modifying circumstances should be identified by the addition of the appropriate two-digit number or letters to the procedure code. Primary Care Clinician (PCC) Plan. A managed care option administered by the MassHealth agency through which enrolled members receive primary care and certain other medical services. Publicly Aided Individual (or Publicly Aided Patient). A person who receives health care and services for which a governmental unit is in whole or in part liable under a statutory program of public assistance. Separate Procedure. Some of the listed procedures are commonly carried out as an integral part of a total service, and as such do not warrant a separate identification. When, however, such a procedure is performed independently of, and is not immediately related to, other services, it may be listed as a separate procedure in the procedure description. Thus, when a procedure that is ordinarily a component of a larger procedure is performed alone for a specific purpose, it may be considered to be a separate procedure. Surgical Team Fee. Reimbursement for highly complex surgical procedures requiring the expertise of several physicians (usually of different specialties) and other highly skilled, specially-trained personnel. More than one surgeon may be performing parts of the procedure simultaneously. The unit fee is payable to the director of the surgical team and includes all assistant surgeon fees; there are no separate payments for assisting surgical services. The director of the surgical team is expected to distribute the unit fee to the members of the surgical team. Unlisted Procedure or Service. A service or procedure may be provided that is not listed in 101 CMR 316.05. When reporting such a service, the appropriate "Unlisted Procedure" code may be used to indicate the service. 316.03:General Rate Provisions (1)Rate Determination. Rates of payment for services for which 101 CMR 316.00 applies are the lowest of (a) the eligible provider's usual fee to patients other than publicly aided patients; (b) the eligible provider's actual charge submitted; or (c) the allowable fees in accordance with 101 CMR 316.04 (for anesthesia services), or the schedule of allowable fees set forth in 101 CMR 316.05 (for surgical services), as applicable, and taking into account any other applicable rate provision(s) in accordance with 101 CMR 316.03. (2) Supplemental Payment. (a) Eligibility. An eligible provider who is a physician, certified nurse practitioner, physician assistant, or CRNA is eligible for a supplemental payment for services to publicly aided individuals eligible under Titles XIX and XXI of the Social Security Act if the following conditions are met: 1. the eligible provider is employed by a nonprofit group practice that was established in accordance with St.1997 c.163 and is affiliated with a Commonwealth-owned medical school; 2. such nonprofit group practice must have been established on or before January 1, 2000, in order to support the purposes of a teaching hospital affiliated with and appurtenant to a Commonwealth-owned medical school; and 3. the services are provided at a teaching hospital affiliated with and appurtenant to a Commonwealth-owned medical school. (b) Payment Method. This supplemental payment may not exceed the difference between 1. payments to the eligible provider made pursuant to the rates applicable under 101 CMR 316.03(1), 101 CMR 317.03(1), and 101 CMR 318.03(1); and 2. the federal upper payment limit established by the Centers for Medicare and Medicaid Services. (3) Rate Variations Based on Practice Site. Payments for certain services provided by individual eligible providers that can be routinely furnished in physicians offices are reduced when such services are furnished in facility settings. 101 CMR 316.05 establishes facility setting fees applied to services rendered in a facility when a practice site differential is warranted. (4) Allowable Fee for Certain Eligible Providers. Payment for services provided by eligible providers who are certified nurse practitioners, certified nurse midwives, clinical nurse specialists, psychiatric clinical nurse specialists, and physician assistants as specified in 101 CMR 316.02, is 85% of the fees contained in 101 CMR 316.05. (5) Global Surgical Package. The payment for a surgical procedure includes a standard package of preoperative, intraoperative, and postoperative services. Reimbursement for these procedures includes payment for services related to the surgery when furnished by the eligible provider who performs the surgery. The services included in the global surgical package may be furnished in any setting, e.g., in hospitals, ASCs, physicians' offices. Included in the global fee are preoperative period of one day for major surgery and the postoperative period of 90 days for major surgery, as determined by the Centers for Medicare and Medicaid Services (CMS). The postoperative period for minor surgery is either 0 or 10 days depending on the procedure, as determined by CMS. Visits to a patient in an intensive care or critical care unit are also included if made by the surgeon. (6) Obstetrical Services. Obstetrical fees contained in 101 CMR 316.05 are intended to include only the procedure or procedures performed and care to the publicly aided patient while hospitalized with the exception of global delivery (59400, 59510, 59610, 59618). Outpatient antepartum and postpartum obstetrical care may be billed under the appropriate medical procedure code in accordance with 101CMR 317.00: Medicine. Medical problems complicating labor and delivery management or medical complications of pregnancy may require additional resources or services and should be identified by utilizing the appropriate procedure codes in 101 CMR 317.00: Medicine in addition to the procedure codes for maternity care listed in 101 CMR 316.05. (7) Casts and Appliances. All maximum allowable fees include the initial application of a cast, traction device, or similar appliance. (8) CPT Category III Codes. All surgery related CPT category III codes are included as a part of this regulation and have an assigned fee of I.C. (9) PCC Plan Enhanced Fee. Primary Care Clinicians (PCCs) receive an enhanced rate for certain types of primary and preventive care visits provided to their PCC Plan members enrolled with the PCC on the date of service. The enhanced fee specified in 114.3 CMR 53.03(1): PCC Plan Enhanced Feeis added to the rate for theprocedurecode billed. The MassHealth agency pays PCCs an enhanced fee for delivering primary care services in accordance with the terms of the PCC provider contract. (10) Multiple Endoscopy Procedures. When multiple endoscopy procedures are performed through the same endoscope, payment is made for the endoscopy with the highest rate plus the difference between the next highest rate and the base endoscopy. When two related endoscopies and an unrelated endoscopy are performed, the special endoscopic payment rules apply to the related endoscopies. Unrelated endoscopic procedures are treated as a separate surgery and reimbursed using the payment rules for multiple surgery claims. 316.04:Maximum Allowable Fees  Anesthesia Services (1) Anesthesia Services. Anesthesia services may include but are not limited to general, regional, supplementation of local anesthesia, or other supportive services in order to afford the patient the anesthesia care deemed optimal by the anesthesiologist or CRNA during any procedure. These services include the usual preoperative and postoperative visits, the anesthesia care during the procedure, the administration of fluids, and/or blood incident to the anesthesia or surgery, and the usual monitoring procedures. Unusual forms of monitoring (e.g., intraarterial, central venous, and SwanGanz) are not included. (2) Rate Determination. The administration of anesthesia is reported by the use of the anesthesia fivedigit procedure code (0010001999) listed in 101CMR 316.05(4)(a) and modifiers applicable to anesthesia services listed in 101 CMR 316.04(7). Payment for anesthesia services is determined by a system of base anesthesia units and time anesthesia units. The total anesthesia reimbursement (the Total Anesthesia Fee) is the sum of the number of base anesthesia units multiplied by the base anesthesia unit fee, plus the number of time anesthesia units multiplied by the time anesthesia unit fee. Anesthesia time units are measured in minutes and one time anesthesia unit equals one minute. Payable anesthesia time starts when the anesthesiologist or CRNA begins to prepare the patient for the induction of anesthesia in the operating room or in an equivalent area and ends when the anesthesiologist or CRNA is no longer in personal attendance, that is, when the patient may be safely placed under postoperative supervision. (3) Maximum Unit Fee. The maximum allowable fee for anesthesia services under 101 CMR 316.00 is $18.86 per base anesthesia unit and $1.26 per one minute time anesthesia unit. (4) Multiple Surgery Procedures. When anesthesia is administered for multiple surgery procedures, only the base anesthesia units for the procedure with the largest number of units is used for the base anesthesia unit portion of the Total Anesthesia Fee calculation. (5) Personally Performed Anesthesia Services. Personally performed anesthesia services are anesthesia procedures that are personally performed alone by either an anesthesiologist or a CRNA. For a CRNA, personally performed anesthesia services are those that a CRNA performs alone without medical direction of an anesthesiologist. Payment for personally performed anesthesia services by an anesthesiologist, or by a CRNA not employed by the facility in which the anesthesia services are provided, is 100% of the Total Anesthesia Fee, and may be claimed by appending the appropriate anesthesia modifier to the anesthesia procedure code. If a CRNA is employed by the facility in which the personally performed anesthesia service is provided, there is no separate payment for the CRNAs services. (6) Medical Direction of CRNA Anesthesia Services. Payment for an anesthesiologists medical direction of a CRNA may be claimed by appending the appropriate anesthesia modifier to the anesthesia procedure code. (a) If an anesthesiologist provides medical direction of a CRNA who is not employed by the facility in which the anesthesia services are performed, payment for the anesthesiologists services is 50% of the Total Anesthesia Fee, and payment for the CRNAs services is 50% of the Total Anesthesia Fee. (b) If an anesthesiologist provides medical direction of a CRNA employed by a facility in which the anesthesia service is performed, payment for the anesthesiologists services is 50% of the Total Anesthesia Fee and there is no separate payment for the CRNAs services. (7) Modifiers. For modifiers and related descriptions applicable to anesthesia services (AA, QK, QY, QX, and QZ), please see section 101 CMR 316.05(3). 316.05: Maximum Allowable Fees  Surgical Services (1) Surgical and Obstetrical Services. The allowable fees for surgical and obstetrical services are the fees listed in 101 CMR 316.05(4)(b) subject to 101 CMR 316.03 and appropriate modifiers, as applicable. (Anesthesia procedure codes (00100-01999) and corresponding base anesthesia units for purposes of 101 CMR 316.04 are listed in 101 CMR 316.05(4)(a)). (2) Unless otherwise specified, guidelines, notes, and definitions provided in the 2016 CPT Coding Handbook (or the 2017 CPT Coding Handbook for 2017 code additions) are applicable to the use of the procedure codes, modifiers, and descriptions listed below. (3) Modifiers. (a) 26: Professional Component. The component of a service or procedure representing the physicians or other qualified health care professionals work interpreting or performing the service or procedure. (When the physician or other qualified health care professional component is reported separately, the addition of modifier 26 to the procedure code will allow payment of the professional component allowable fee (PC Fee) contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable.) (b) 50: Bilateral Procedure. Payment for bilateral procedures performed at the same operative session must be identified by the appropriate service code and modifier 50. Only one claim line is billed for both procedures. (The addition of modifier 50 to the bilateral code will allow payment of 150% of the allowable fee contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable, to the eligible provider for performance of both bilateral procedures.) (c) 51: Multiple Procedures. This modifier must be used to report multiple procedures performed at the same session. The service code for the major procedure or service must be reported without a modifier. The secondary, additional, or lesser procedure(s) must be identified by adding modifier 51 to the end of the service code for the secondary procedure(s). (The addition of modifier 51 to the second and subsequent procedure codes allows payment of 50% of the allowable fee contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable, to the eligible provider. Note: This modifier should not be used with designated add-on codes or with codes in which the narrative begins with each additional.) (d) 52: Reduced Services. Under certain circumstances, a service or procedure is partially reduced or eliminated at the physician's or other qualified health care professionals election. Under these circumstances, the service provided can be identified by its usual procedure number and addition of modifier 52, signifying that the service is reduced. This provides a means of reporting reduced services without disturbing the identification of the basic service. (e) 54: Surgical Care Only. When one eligible physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the appropriate procedure code. (This allows payment of 85% of the allowable fee contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable, to the physician or other qualified health care professional performing the surgery.) (f) 55: Postoperative Management Only. When one eligible physician or other qualified health care professional performs the postoperative management and another performed the surgical procedure, the postoperative component may be identified by adding modifier 55 to the appropriate procedure code. (This allows payment of 15% of the allowable fee contained in 101CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable, to the physician or other qualified health care professional.) (g) 58: Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period. It may be necessary to indicate the performance of a procedure or service during the postoperative period was (a) planned or anticipated (staged); (b) more extensive than original procedure; or (c) for therapy following a surgical procedure. This circumstance may be reported by adding modifier 58 to the staged or related procedure. Note: for treatment of a problem that requires a return to the operating/procedure room (e.g., unanticipated clinical condition), see modifier 78. (h) 59: Distinct Procedural Service. To identify a procedure distinct or independent from other services performed on the same day add modifier 59 to the end of the appropriate service code. Modifier 59 is used to identify services/procedures that are not normally reported together, but are appropriate under certain circumstances, for example, different site or organ system. However, when another already established modifier is appropriate, it should be used rather than modifier 59. (i) 62: Two Surgeons. When two eligible surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. Each surgeon should report the procedure once using the same procedure code. If additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate codes(s) may also be reported with modifier 62 added.) (The addition of modifier 62 to the procedure code allows payment of 57.5% of the allowable fee contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable, to each surgeon. No separate payment will be made for assisting surgical services in these cases; it is included in the total surgical fee listed.) (j) 66: Surgical Team. This modifier must be used to identify highly complex procedures (requiring the concomitant services of several eligible physicians, often of different specialties, plus other highly skilled, specially trained personnel, and various types of complex equipment) carried out under the surgical team concept. The unit fee is payable to the director of the surgical team and includes all assistant surgeon fees; there are no separate payments for assisting surgical services. The director of the surgical team is expected to distribute the unit fee to the eligible members of the surgical team. (k) 76: Repeat Procedure by Same Physician or Other Qualified Health Care Professional. The physician or other qualified health care professional may need to indicate that a procedure or service was repeated subsequent to the original procedure or service. This circumstance may be reported by adding modifier 76 to the repeated procedure/service or the separate five-digit modifier code 09976 may be used. (l) 77: Repeat Procedure by Another Physician or Other Qualified Health Care Professional. The physician or other qualified health care professional may need to indicate that a basic procedure or service performed by another physician or other qualified health care professional had to be repeated. This situation may be reported by adding modifier 77 to the repeated procedure/service or the separate five-digit modifier code 09977 may be used. (m) 78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period. The physician or other qualified health care professional may need to indicate that another procedure was performed during that postoperative period of the initial procedure. When this subsequent procedure is related to the first, and requires the use of the operating room, it may be reported by adding modifier 78 to the related procedure, or by using the separate five-digit modifier 09978. (For repeat procedures on the same day, see modifier 76.) (n) 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period. The physician or other qualified health care professional may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. This circumstance may be reported by using modifier 79 or by using the separate five-digit modifier 09979. (For repeat procedures on the same day, see modifier 76.) (o) 80: Assistant Surgeon. Surgical assistant services may be identified by adding modifier 80 to the usual procedure code. (This allows payment of 15% of the allowable fee contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable, to the eligible assistant surgeon.) (p) 82: Assistant Surgeon (when qualified resident surgeon not available). Surgical assistant services may be identified by adding modifier 82 to the usual procedure code when a qualified resident surgeon is not available. (This allows payment of 15% of the allowable fee contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable, to the eligible assistant surgeon.) (q) AA: Anesthesia services performed personally by an anesthesiologist. (This allows payment of 100% of the Total Anesthesia Fee for the anesthesiologists services.) (r) E1: Upper left, eyelid. (s) E2: Lower left, eyelid. (t) E3: Upper right, eyelid. (u) E4: Lower right, eyelid. (v) F1: Left hand, second digit. (w) F2: Left hand, third digit. (x) F3: Left hand, fourth digit. (y) F4: Left hand, fifth digit. (z) F5: Right hand, thumb. (aa) F6: Right hand, second digit. (bb) F7: Right hand, third digit. (cc) F8: Right hand, fourth digit. (dd) F9: Right hand, fifth digit. (ee) FA: Left hand, thumb. (ff) LC: Left circumflex coronary artery. (gg) LD: Left anterior descending coronary artery. (hh) LT: Left side: Used to identify procedures performed on the left side of the body. (ii) PA: Surgical or other invasive procedure performed on the wrong body part. (This modifier is applied to report Provider Preventable Conditions in accordance with 42 CFR 447.26 and results in nonpayment for services.) (jj) PB: Surgical or other invasive procedure performed on the wrong patient. (This modifier is applied to report Provider Preventable Conditions in accordance with 42 CFR 447.26 and results in nonpayment for services.) (kk) PC: Wrong surgical or other invasive procedure performed on a patient. (This modifier is applied to report Provider Preventable Conditions in accordance with 42 CFR 447.26 and results in nonpayment for services.) (ll) QK: Medical direction by a physician of two, three, or four concurrent anesthesia procedures. (Use to indicate physician medical direction of multiple CRNAs. This allows payment of 50% of the Total Anesthesia Fee for the physicians services.) (mm) QY: Medical direction of one CRNA by a physician. (Use to indicate physician medical direction of one CRNA. This allows payment of 50% of the Total Anesthesia Fee for the physicians services.) (nn) QX: CRNA anesthesia services with medical direction by a physician. (Use to indicate CRNA anesthesia services with medical direction by a physician. This allows payment of 50% of the Total Anesthesia Fee for the CRNAs services. Not for use if CRNA is employed by the facility in which the anesthesia services were performed.) (oo) QZ: CRNA anesthesia services without medical direction by a physician. (This allows payment of 100% of the Total Anesthesia Fee for the CRNAs services. Not for use if CRNA is employed by the facility in which the anesthesia services were performed.) (pp) RC: Right coronary artery. (qq) RT: Right side: Used to identify procedures performed on the right side of the body. (rr) SA: Nurse practitioner rendering service in collaboration with a physician. This modifier is to be applied to service codes billed by a physician that were performed by a certified nurse practitioner employed by the physician (the physician employer must be practicing as an individual (and not practicing as a professional corporation or as a member of a group practice)). A certified nurse practitioner billing under his/her own individual provider number, or a group practice, should not use this modifier. (ss) T1: Left foot, second digit. (tt) T2: Left foot, third digit, (uu) T3: Left foot, fourth digit. (vv) T4: Left foot, fifth digit. (ww) T5: Right foot, great toe. (xx) T6: Right foot, second digit. (yy) T7: Right foot, third digit. (zz) T8: Right foot, fourth digit. (aaa) T9: Right foot, fifth digit. (bbb) TA: Left foot, great toe. (ccc) TC: Technical component. The component of a service or procedure representing the cost of rent, equipment, utilities, supplies, administrative and technical salaries and benefits, and other overhead expenses of the service or procedures, excluding the physicians professional component. (When the technical component is reported separately, the addition of modifier TC to the procedure code will allow payment of the technical component allowable fee (TC Fee) contained in 101 CMR 316.05(4)(b), adjusted by 101 CMR 316.03 as applicable.) (ddd) XE: Separate encounter. A service that is distinct, because it occurred during a separate encounter. (eee) XS: Separate structure. A service that is distinct because it was performed on a separate organ/structure. (fff) XP: Separate practitioner. A service that is distinct because it was performed by a different practitioner. (ggg) XU: Unusual non-overlapping service. The use of a service that is distinct because it does not overlap usual components of the main service. (4) Procedure Codes; Fee Schedules. (a) Anesthesia Services List of Procedure Codes and Base Anesthesia Units. Anesthesia TableCodeUnitsDescription001005Anesthesia for procedures on salivary glands, including biopsy001026Anesthesia for procedures involving plastic repair of cleft lip001035Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)001044Anesthesia for electroconvulsive therapy001205Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified001244Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy001264Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy001405Anesthesia for procedures on eye; not otherwise specified001424Anesthesia for procedures on eye; lens surgery001446Anesthesia for procedures on eye; corneal transplant001456Anesthesia for procedures on eye; vitreoretinal surgery001474Anesthesia for procedures on eye; iridectomy001484Anesthesia for procedures on eye; ophthalmoscopy001605Anesthesia for procedures on nose and accessory sinuses; not otherwise specified001627Anesthesia for procedures on nose and accessory sinuses; radical surgery001644Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue001705Anesthesia for intraoral procedures, including biopsy; not otherwise specified001726Anesthesia for intraoral procedures, including biopsy; repair of cleft palate001746Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor001767Anesthesia for intraoral procedures, including biopsy; radical surgery001905Anesthesia for procedures on facial bones or skull; not otherwise specified001927Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism)0021011Anesthesia for intracranial procedures; not otherwise specified0021110Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma002125Anesthesia for intracranial procedures; subdural taps002149Anesthesia for intracranial procedures; burr holes, including ventriculography002159Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound)0021615Anesthesia for intracranial procedures; vascular procedures0021813Anesthesia for intracranial procedures; procedures in sitting position0022010Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures002226Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve003005Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified003206Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older003223Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid003267Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age0035010Anesthesia for procedures on major vessels of neck; not otherwise specified003525Anesthesia for procedures on major vessels of neck; simple ligation004003Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified004025Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)004045Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast0040613Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection004104Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias004505Anesthesia for procedures on clavicle and scapula; not otherwise specified004526004543Anesthesia for procedures on clavicle and scapula; biopsy of clavicle004706Anesthesia for partial rib resection; not otherwise specified0047210Anesthesia for partial rib resection; thoracoplasty (any type)0047413Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum)0050015Anesthesia for all procedures on esophagus005206Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified005224Anesthesia for closed chest procedures; needle biopsy of pleura005244Anesthesia for closed chest procedures; pneumocentesis005288Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation0052911Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation005304Anesthesia for permanent transvenous pacemaker insertion005324Anesthesia for access to central venous circulation005347Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator005377Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation0053918Anesthesia for tracheobronchial reconstruction0054012Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified0054115Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation0054215Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); decortication0054615Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty0054817Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi0055010Anesthesia for sternal debridement0056015Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator0056125Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age0056220Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation0056325Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest0056625Anesthesia for direct coronary artery bypass grafting; without pump oxygenator0056718Anesthesia for direct coronary artery bypass grafting; with pump oxygenator0058020Anesthesia for heart transplant or heart/lung transplant0060010Anesthesia for procedures on cervical spine and cord; not otherwise specified0060413Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position0062010Anesthesia for procedures on thoracic spine and cord, not otherwise specified00622130062513Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing 1 lung ventilation0062615Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing 1 lung ventilation006308Anesthesia for procedures in lumbar region; not otherwise specified006327Anesthesia for procedures in lumbar region; lumbar sympathectomy0063410006354Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture006403Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine0067013Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures)007004Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified007024Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy007305Anesthesia for procedures on upper posterior abdominal wall007405Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum007504Anesthesia for hernia repairs in upper abdomen; not otherwise specified007526Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence007547Anesthesia for hernia repairs in upper abdomen; omphalocele007567Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia0077015Anesthesia for all procedures on major abdominal blood vessels007907Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified0079213Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy)007948Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure)0079630Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient)0079711Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity008004Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified008025Anesthesia for procedures on lower anterior abdominal wall; panniculectomy008105Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum008205Anesthesia for procedures on lower posterior abdominal wall008304Anesthesia for hernia repairs in lower abdomen; not otherwise specified008326Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias008345Anesthesia for hernia repairs in the lower abdomen not otherwise specified, younger than 1 year of age008366Anesthesia for hernia repairs in the lower abdomen not otherwise specified, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery008406Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified008424Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; amniocentesis008447Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection008468Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy008488Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration008516Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection008606Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified008627Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy008648Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy008657Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostatectomy (suprapubic, retropubic)0086610Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy0086810Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal transplant (recipient)008705Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy008727Anesthesia for lithotripsy, extracorporeal shock wave; with water bath008735Anesthesia for lithotripsy, extracorporeal shock wave; without water bath0088015Anesthesia for procedures on major lower abdominal vessels; not otherwise specified0088210Anesthesia for procedures on major lower abdominal vessels; inferior vena cava ligation009025Anesthesia for; anorectal procedure009047Anesthesia for; radical perineal procedure009064Anesthesia for; vulvectomy009086Anesthesia for; perineal prostatectomy009103Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified009125Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s)009145Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate009165Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding009185Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus009203Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified009213Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral009226Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles009244Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis, unilateral or bilateral009264Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal009286Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal009304Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral009324Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis009346Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy009368Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy009384Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach)009403Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified009424Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures009446Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy009484Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervical cerclage009505Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); culdoscopy009524Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography011125Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior iliac crest011206Anesthesia for procedures on bony pelvis011303Anesthesia for body cast application or revision0114015Anesthesia for interpelviabdominal (hindquarter) amputation0115010Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation011604Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint011708Anesthesia for open procedures involving symphysis pubis or sacroiliac joint0117312Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum011803Anesthesia for obturator neurectomy; extrapelvic011904Anesthesia for obturator neurectomy; intrapelvic012004Anesthesia for all closed procedures involving hip joint012024Anesthesia for arthroscopic procedures of hip joint012106Anesthesia for open procedures involving hip joint; not otherwise specified0121210Anesthesia for open procedures involving hip joint; hip disarticulation012148Anesthesia for open procedures involving hip joint; total hip arthroplasty0121510Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty012204Anesthesia for all closed procedures involving upper two-thirds of femur012306Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified012325Anesthesia for open procedures involving upper two-thirds of femur; amputation012348Anesthesia for open procedures involving upper two-thirds of femur; radical resection012504Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg012603Anesthesia for all procedures involving veins of upper leg, including exploration012708Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise specified012724Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery ligation012746Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy013204Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area013404Anesthesia for all closed procedures on lower one-third of femur013605Anesthesia for all open procedures on lower one-third of femur013803Anesthesia for all closed procedures on knee joint013823Anesthesia for diagnostic arthroscopic procedures of knee joint013903Anesthesia for all closed procedures on upper ends of tibia, fibula, and/or patella013924Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella014004Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified014027Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty014045Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee014203Anesthesia for all cast applications, removal, or repair involving knee joint014303Anesthesia for procedures on veins of knee and popliteal area; not otherwise specified014326Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula014408Anesthesia for procedures on arteries of knee and popliteal area; not otherwise specified014428Anesthesia for procedures on arteries of knee and popliteal area; popliteal thromboendarterectomy, with or without patch graft014448Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneurysm014623Anesthesia for all closed procedures on lower leg, ankle, and foot014643Anesthesia for arthroscopic procedures of ankle and/or foot014703Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified014725Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft014745Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gastrocnemius recession (eg, Strayer procedure)014803Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified014824Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including below knee amputation)014844Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibula014867Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement014903Anesthesia for lower leg cast application, removal, or repair015008Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified015026Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or with catheter015203Anesthesia for procedures on veins of lower leg; not otherwise specified015225Anesthesia for procedures on veins of lower leg; venous thrombectomy, direct or with catheter016105Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla016204Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint016224Anesthesia for diagnostic arthroscopic procedures of shoulder joint016305Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified016349Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation0163615Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation0163810Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement016506Anesthesia for procedures on arteries of shoulder and axilla; not otherwise specified0165210Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm016548Anesthesia for procedures on arteries of shoulder and axilla; bypass graft0165610Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft016704Anesthesia for all procedures on veins of shoulder and axilla016803Anesthesia for shoulder cast application, removal or repair; not otherwise specified016824Anesthesia for shoulder cast application, removal or repair; shoulder spica017103Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified017125Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenotomy, elbow to shoulder, open017145Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder017165Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps017303Anesthesia for all closed procedures on humerus and elbow017323Anesthesia for diagnostic arthroscopic procedures of elbow joint017404Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified017425Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus017445Anesthesia for open or surgical arthroscopic procedures of the elbow; repair of nonunion or malunion of humerus017566Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures017585Anesthesia for open or surgical arthroscopic procedures of the elbow; excision of cyst or tumor of humerus017607Anesthesia for open or surgical arthroscopic procedures of the elbow; total elbow replacement017706Anesthesia for procedures on arteries of upper arm and elbow; not otherwise specified017726Anesthesia for procedures on arteries of upper arm and elbow; embolectomy017803Anesthesia for procedures on veins of upper arm and elbow; not otherwise specified017824Anesthesia for procedures on veins of upper arm and elbow; phleborrhaphy018103Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand018203Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones018293Anesthesia for diagnostic arthroscopic procedures on the wrist018303Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified018326Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; total wrist replacement018406Anesthesia for procedures on arteries of forearm, wrist, and hand; not otherwise specified018426Anesthesia for procedures on arteries of forearm, wrist, and hand; embolectomy018446Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis)018503Anesthesia for procedures on veins of forearm, wrist, and hand; not otherwise specified018524Anesthesia for procedures on veins of forearm, wrist, and hand; phleborrhaphy018603Anesthesia for forearm, wrist, or hand cast application, removal, or repair019165Anesthesia for diagnostic arteriography/venography019207Anesthesia for cardiac catheterization including coronary angiography and ventriculography (not to include Swan-Ganz catheter)019227Anesthesia for non-invasive imaging or radiation therapy019245Anesthesia for therapeutic interventional radiological procedures involving the arterial system; not otherwise specified019257Anesthesia for therapeutic interventional radiological procedures involving the arterial system; carotid or coronary019268Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic019305Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); not otherwise specified019317Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrahepatic or portal circulation (eg, transvenous intrahepatic portosystemic shunt[s] [TIPS])019326Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrathoracic or jugular019337Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial019355Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic019365Anesthesia for percutaneous image guided procedures on the spine and spinal cord; therapeutic019513Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; less than 4% total body surface area019525Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; between 4% and 9% of total body surface area019531Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure)019585Anesthesia for external cephalic version procedure019605Anesthesia for vaginal delivery only019617Anesthesia for cesarean delivery only019628Anesthesia for urgent hysterectomy following delivery019638Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia care019644019654Anesthesia for incomplete or missed abortion procedures019664Anesthesia for induced abortion procedures019675Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor)019682Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed)019695Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed)019907Physiological support for harvesting of organ(s) from brain-dead patient019913Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); other than the prone position019925Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); prone position019955019963Daily hospital management of epidural or subarachnoid continuous drug administration019990Unlisted anesthesia procedure(s) (b) Surgical Services Fee Schedule. 1. NFAC Nonfacility: These amounts apply when service is performed in a non-facility setting 2. FAC Facility: These amounts, also known as the Facility Setting Fee, apply when service is performed in a facility setting 3. Global Fee These amounts apply when no site of service differential rate is specified. CodeNFACFACGlobalPCTCDescription10021$92.69$50.88---Fine needle aspiration; without imaging guidance10022$107.51$48.01---Fine needle aspiration; with imaging guidance10030$605.20$120.54---Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous10035$419.70$63.86---Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion10036$367.23$32.15---Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)10040$75.72$65.34---Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)10060$88.55$72.83---Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single10061$154.40$133.91---Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple10080$137.31$76.98---Incision and drainage of pilonidal cyst; simple10081$203.04$125.59---Incision and drainage of pilonidal cyst; complicated10120$115.92$78.04---Incision and removal of foreign body, subcutaneous tissues; simple10121$206.32$137.28---Incision and removal of foreign body, subcutaneous tissues; complicated10140$123.27$88.47---Incision and drainage of hematoma, seroma or fluid collection10160$98.48$71.82---Puncture aspiration of abscess, hematoma, bulla, or cyst10180$184.82$132.06---Incision and drainage, complex, postoperative wound infection11000$41.12$20.91---Debridement of extensive eczematous or infected skin; up to 10% of body surface11001$16.01$10.39---Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure)11004--$418.40--Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum11005--$561.47--Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure11006--$507.08--Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure11008--$197.27--Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure)11010$372.80$205.82---Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues11011$402.44$217.50---Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle11012$535.72$310.93---Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone11042$88.63$45.69---Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less11043$170.49$113.80---Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less11044$233.12$168.57---Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less11045$30.45$18.94---Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)11046$53.87$40.40---Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)11047$90.67$71.86---Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)11055$36.50$11.80---Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion11056$44.42$16.64---Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions11057$49.82$21.76---Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions11100$78.58$35.92---Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion11101$24.34$18.45---Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; each separate/additional lesion (List separately in addition to code for primary procedure)11200$66.49$55.26---Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions11201$13.94$12.26---Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)11300$74.42$25.87---Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less11301$91.14$39.51---Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm11302$107.24$46.34---Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm11303$118.16$54.73---Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm11305$75.74$28.87---Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less11306$92.80$38.08---Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm11307$109.11$49.06---Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm11308$114.21$54.16---Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm11310$86.46$34.82---Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less11311$83.70$48.34---Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm11312$121.56$57.57---Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm11313$140.08$73.85---Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm11400$94.38$60.43---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less11401$112.63$77.55---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm11402$124.90$85.05---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm11403$143.86$109.90---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm11404$163.09$120.43---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm11406$232.23$181.15---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm11420$93.07$61.36---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less11421$118.21$82.01---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm11422$131.94$101.35---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm11423$151.33$117.10---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm11424$174.43$133.18---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm11426$246.33$201.99---Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm11440$102.72$78.30---Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less11441$126.66$98.88---Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm11442$141.45$108.89---Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm11443$167.70$132.90---Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm11444$209.60$168.35---Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm11446$289.67$240.56---Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm11450$286.69$186.23---Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair11451$364.07$238.90---Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair11462$280.81$178.38---Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair11463$368.93$240.12---Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair11470$310.48$207.77---Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair11471$383.08$257.92---Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair11600$145.78$88.81---Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less11601$172.61$110.87---Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm11602$187.17$121.79---Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm11603$212.92$145.28---Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm11604$236.31$159.42---Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm11606$335.49$235.02---Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm11620$147.19$89.94---Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less11621$173.58$111.84---Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm11622$193.19$127.80---Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm11623$225.48$157.57---Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm11624$253.57$177.80---Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm11626$303.95$216.67---Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm11640$151.89$93.24---Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less11641$179.69$116.54---Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm11642$204.52$137.17---Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm11643$239.66$170.90---Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm11644$294.89$210.98---Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm11646$382.74$291.81---Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm11719$10.40$5.63---Trimming of nondystrophic nails, any number11720$24.50$10.75---Debridement of nail(s) by any method(s); 1 to 511721$33.81$18.10---Debridement of nail(s) by any method(s); 6 or more11730$74.88$37.27---Avulsion of nail plate, partial or complete, simple; single11732$26.89$14.82---Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)11740$38.00$24.82---Evacuation of subungual hematoma11750$138.02$107.15---Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal;11755$101.61$58.11---Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)11760$147.84$87.23---Repair of nail bed11762$212.23$137.01---Reconstruction of nail bed with graft11765$128.62$71.09---Wedge excision of skin of nail fold (eg, for ingrown toenail)11770$207.75$135.63---Excision of pilonidal cyst or sinus; simple11771$425.60$317.84---Excision of pilonidal cyst or sinus; extensive11772$516.51$425.58---Excision of pilonidal cyst or sinus; complicated11900$41.91$23.10---Injection, intralesional; up to and including 7 lesions11901$52.22$35.67---Injection, intralesional; more than 7 lesions11920$127.78$84.28---Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less11921$148.69$99.58---Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm11922$46.63$21.65---Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)11950$55.43$38.03---Subcutaneous injection of filling material (eg, collagen); 1 cc or less11951$71.90$52.26---Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc11952$96.84$70.74---Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc11954$117.02$83.90---Subcutaneous injection of filling material (eg, collagen); over 10.0 cc11960--$706.61--Insertion of tissue expander(s) for other than breast, including subsequent expansion11970--$452.48--Replacement of tissue expander with permanent prosthesis11971$357.73$240.15---Removal of tissue expander(s) without insertion of prosthesis11976$106.38$68.49---Removal, implantable contraceptive capsules11980$70.45$40.98---Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)11981$104.80$59.62---Insertion, non-biodegradable drug delivery implant11982$118.59$72.57---Removal, non-biodegradable drug delivery implant11983$163.47$126.42---Removal with reinsertion, non-biodegradable drug delivery implant12001$67.28$32.20---Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less12002$81.48$42.19---Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm12004$95.55$52.61---Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm12005$119.91$67.99---Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm12006$141.85$83.48---Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm12007$164.64$105.42---Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm12011$82.21$39.83---Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less12013$85.52$41.46---Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm12014$99.47$53.45---Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm12015$120.16$67.12---Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm12016$151.87$91.81---Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm12017--$109.56--Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm12018--$124.31--Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm12020$217.52$143.43---Treatment of superficial wound dehiscence; simple closure12021$124.40$104.76---Treatment of superficial wound dehiscence; with packing12031$179.23$114.41---Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less12032$229.84$146.21---Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm12034$234.22$153.39---Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm12035$288.10$177.81---Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm12036$315.08$205.07---Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm12037$356.34$239.87---Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm12041$178.99$112.20---Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less12042$217.45$149.54---Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm12044$271.28$159.31---Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm12045$303.76$201.33---Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm12046$357.61$227.40---Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm12047$388.04$253.62---Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm12051$194.92$128.12---Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less12052$221.34$152.02---Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm12053$260.39$161.88---Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm12054$271.30$164.38---Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm12055$352.18$227.30---Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm12056$410.67$281.02---Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm12057$419.32$299.49---Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm13100$252.64$153.29---Repair, complex, trunk; 1.1 cm to 2.5 cm13101$299.24$189.51---Repair, complex, trunk; 2.6 cm to 7.5 cm13102$91.02$54.54---Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)13120$263.92$176.64---Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm13121$322.11$198.91---Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm13122$99.54$62.78---Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)13131$290.00$185.89---Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm13132$358.10$234.06---Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm13133$132.93$96.73---Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)13151$316.72$213.44---Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm13152$380.17$258.66---Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm13153$144.03$104.18---Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)13160--$593.15--Secondary closure of surgical wound or dehiscence, extensive or complicated14000$466.06$375.41---Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less14001$596.54$486.25---Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm14020$522.44$425.62---Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less14021$651.30$536.51---Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm14040$570.18$472.80---Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less14041$705.13$580.81---Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm14060$579.98$503.36---Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less14061$759.25$622.02---Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm14301$803.19$655.58---Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm14302--$162.31--Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)14350--$517.33--Filleted finger or toe flap, including preparation of recipient site15002$260.01$166.56---Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children15003$56.49$33.20---Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)15004$300.79$199.48---Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children15005$92.06$66.25---Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)15040$194.51$93.76---Harvest of skin for tissue cultured skin autograft, 100 sq cm or less15050$424.60$333.39---Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter15100$637.64$529.04---Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)15101$139.72$81.35---Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15110$593.24$512.42---Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children15111$83.49$74.79---Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15115$610.57$529.19---Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children15116$109.95$98.16---Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15120$634.08$517.33---Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)15121$156.62$97.69---Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15130$501.30$418.51---Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children15131$73.04$66.59---Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15135$628.46$547.36---Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children15136$69.36$64.59---Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15150$508.88$462.30---Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less15151$87.83$80.53---Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)15152$107.55$99.97---Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15155$536.11$493.74---Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less15156$113.52$107.06---Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)15157$127.41$118.43---Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15200$620.23$499.28---Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less15201$111.62$57.46---Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)15220$577.79$459.36---Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less15221$103.33$52.26---Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)15240$698.61$599.83---Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less15241$138.88$81.92---Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)15260$758.24$643.45---Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less15261$162.45$103.80---Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)15271$105.66$62.16---Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area15272$20.17$12.60---Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)15273$220.81$147.28---Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children15274$52.88$33.23---Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15275$111.96$70.43---Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area15276$25.52$18.23---Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)15277$239.38$164.17---Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children15278$62.95$41.34---Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)15570$681.01$544.90---Formation of direct or tubed pedicle, with or without transfer; trunk15572$661.53$554.61---Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs15574$681.99$570.86---Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet15576$603.36$500.65---Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral15600$247.03$156.94---Delay of flap or sectioning of flap (division and inset); at trunk15610$270.75$182.07---Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs15620$333.23$245.67---Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet15630$347.64$260.92---Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips15650$379.80$286.35---Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location15731$838.91$749.95---Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap)15732$960.54$832.01---Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae)15734$1,107.81$967.21---Muscle, myocutaneous, or fasciocutaneous flap; trunk15736$977.21$838.85---Muscle, myocutaneous, or fasciocutaneous flap; upper extremity15738$1,034.20$904.27---Muscle, myocutaneous, or fasciocutaneous flap; lower extremity15740$761.83$636.94---Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel15750--$680.19--Flap; neurovascular pedicle15756--$1,714.25--Free muscle or myocutaneous flap with microvascular anastomosis15757--$1,694.01--Free skin flap with microvascular anastomosis15758--$1,696.30--Free fascial flap with microvascular anastomosis15760$639.45$529.44---Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area15770--$500.53--Graft; derma-fat-fascia15775$223.76$163.71---Punch graft for hair transplant; 1 to 15 punch grafts15776$370.60$262.83---Punch graft for hair transplant; more than 15 punch grafts15777--$155.27--Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)15780$635.19$473.27---Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis)15781$419.72$326.26---Dermabrasion; segmental, face15782$486.85$339.23---Dermabrasion; regional, other than face15783$352.34$270.96---Dermabrasion; superficial, any site (eg, tattoo removal)15786$186.37$101.05---Abrasion; single lesion (eg, keratosis, scar)15787$37.82$12.85---Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)15788$357.62$189.52---Chemical peel, facial; epidermal15789$415.56$310.88---Chemical peel, facial; dermal15792$344.19$202.74---Chemical peel, nonfacial; epidermal15793$375.37$277.99---Chemical peel, nonfacial; dermal15819--$545.86--Cervicoplasty15820$425.71$382.49---Blepharoplasty, lower eyelid;15821$457.60$409.33---Blepharoplasty, lower eyelid; with extensive herniated fat pad15822$336.81$294.15---Blepharoplasty, upper eyelid;15823$458.68$409.57---Blepharoplasty, upper eyelid; with excessive skin weighting down lid15824--I.C.--Rhytidectomy; forehead15825--I.C.--Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)15826--I.C.--Rhytidectomy; glabellar frown lines15828--I.C.--Rhytidectomy; cheek, chin, and neck15829--I.C.--Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap15830--$863.06--Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy15832--$679.06--Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh15833--$637.75--Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg15834--$658.00--Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip15835--$686.51--Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock15836--$561.96--Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm15837$597.40$493.29---Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand15838--$425.70--Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad15839$658.22$545.69---Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area15840--$749.48--Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)15841--$1,186.81--Graft for facial nerve paralysis; free muscle graft (including obtaining graft)15842--$1,936.76--Graft for facial nerve paralysis; free muscle flap by microsurgical technique15845--$754.79--Graft for facial nerve paralysis; regional muscle transfer15847--I.C.--Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure)15850$67.43$30.10---Removal of sutures under anesthesia (other than local), same surgeon15851$75.34$33.52---Removal of sutures under anesthesia (other than local), other surgeon15852--$34.02--Dressing change (for other than burns) under anesthesia (other than local)15860--$80.35--Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft15876--I.C.--Suction assisted lipectomy; head and neck15877--I.C.--Suction assisted lipectomy; trunk15878--I.C.--Suction assisted lipectomy; upper extremity15879--I.C.--Suction assisted lipectomy; lower extremity15920--$443.97--Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture15922--$579.85--Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure15931--$500.79--Excision, sacral pressure ulcer, with primary suture;15933--$623.86--Excision, sacral pressure ulcer, with primary suture; with ostectomy15934--$678.08--Excision, sacral pressure ulcer, with skin flap closure;15935--$802.47--Excision, sacral pressure ulcer, with skin flap closure; with ostectomy15936--$652.89--Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;15937--$758.77--Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy15940--$513.04--Excision, ischial pressure ulcer, with primary suture;15941--$663.07--Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy)15944--$652.59--Excision, ischial pressure ulcer, with skin flap closure;15945--$719.30--Excision, ischial pressure ulcer, with skin flap closure; with ostectomy15946--$1,202.66--Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure15950--$435.23--Excision, trochanteric pressure ulcer, with primary suture;15951--$652.57--Excision, trochanteric pressure ulcer, with primary suture; with ostectomy15952--$664.27--Excision, trochanteric pressure ulcer, with skin flap closure;15953--$736.87--Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy15956--$847.07--Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;15958--$863.60--Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy15999--I.C.--Unlisted procedure, excision pressure ulcer16000$51.16$33.48---Initial treatment, first degree burn, when no more than local treatment is required16020$61.96$40.63---Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)16025$109.90$82.12---Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)16030$138.53$98.40---Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)16035--$141.87--Escharotomy; initial incision16036--$58.45--Escharotomy; each additional incision (List separately in addition to code for primary procedure)17000$50.42$40.03---Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion17003$4.27$1.74---Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)17004$113.40$74.39---Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions17106$256.08$206.13---Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm17107$325.19$258.67---Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm17108$476.56$390.41---Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm17110$84.99$53.00---Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions17111$100.11$64.75---Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions17250$60.76$27.64---Chemical cauterization of granulation tissue (proud flesh, sinus or fistula)17260$71.10$52.30---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less17261$108.69$68.28---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm17262$131.91$86.72---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm17263$143.92$96.22---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm17264$154.25$102.61---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm17266$174.53$119.81---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm17270$113.68$74.39---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less17271$122.84$82.71---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm17272$140.04$95.42---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm17273$156.10$107.55---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm17274$183.80$131.04---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm17276$212.17$157.17---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm17280$106.44$67.72---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less17281$133.56$92.87---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm17282$153.47$107.17---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm17283$182.99$133.60---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm17284$208.65$155.61---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm17286$266.02$207.64---Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm17311$498.35$279.18---Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks17312$294.34$148.40---Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)17313$466.94$250.29---Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks17314$282.80$137.71---Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)17315$59.66$39.17---Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure)17340$37.96$36.27---Cryotherapy (CO2 slush, liquid N2) for acne17360$96.22$72.92---Chemical exfoliation for acne (eg, acne paste, acid)17380--I.C.--Electrolysis epilation, each 30 minutes17999--I.C.--Unlisted procedure, skin, mucous membrane and subcutaneous tissue19000$86.64$31.92---Puncture aspiration of cyst of breast;19001$19.95$16.02---Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)19020$356.44$225.94---Mastotomy with exploration or drainage of abscess, deep19030$126.11$57.35---Injection procedure only for mammary ductogram or galactogram19081$539.89$124.55---Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance19082$450.45$62.32---Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)19083$522.74$116.94---Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance19084$433.54$58.61---Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)19085$807.20$137.32---Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance19086$643.92$68.33---Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)19100$113.36$49.94---Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)19101$255.30$161.57---Biopsy of breast; open, incisional19105$1,690.77$143.62---Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma19110$363.22$251.53---Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct19112$343.11$229.45---Excision of lactiferous duct fistula19120$363.91$301.60---Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions19125$402.60$334.41---Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion19126--$115.38--Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)19260--$878.30--Excision of chest wall tumor including ribs19271--$1,198.75--Excision of chest wall tumor involving ribs, with plastic reconstruction; without mediastinal lymphadenectomy19272--$1,306.96--Excision of chest wall tumor involving ribs, with plastic reconstruction; with mediastinal lymphadenectomy19281$183.67$75.06---Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance19282$129.88$37.55---Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for primary procedure)19283$207.15$75.25---Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance19284$157.97$37.86---Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)19285$403.99$63.86---Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance19286$357.12$32.15---Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)19287$676.48$95.85---Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance19288$548.61$47.96---Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)19296$3,128.75$151.75---Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy19297--$67.82--Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; concurrent with partial mastectomy (List separately in addition to code for primary procedure)19298$813.41$239.51---Placement of radiotherapy afterloading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance19300$390.11$304.23---Mastectomy for gynecomastia19301--$472.82--Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);19302--$651.10--Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy19303--$731.23--Mastectomy, simple, complete19304--$420.39--Mastectomy, subcutaneous19305--$818.12--Mastectomy, radical, including pectoral muscles, axillary lymph nodes19306--$870.94--Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)19307--$868.54--Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle19316--$567.39--Mastopexy19318--$813.97--Reduction mammaplasty19324--$358.15--Mammaplasty, augmentation; without prosthetic implant19325--$475.84--Mammaplasty, augmentation; with prosthetic implant19328--$368.19--Removal of intact mammary implant19330--$470.60--Removal of mammary implant material19340--$743.42--Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction19342--$684.59--Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction19350$616.21$499.47---Nipple/areola reconstruction19355$517.39$415.23---Correction of inverted nipples19357--$1,125.69--Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion19361--$1,162.14--Breast reconstruction with latissimus dorsi flap, without prosthetic implant19364--$2,027.78--Breast reconstruction with free flap19366--$1,030.91--Breast reconstruction with other technique19367--$1,320.42--Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site;19368--$1,620.95--Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site; with microvascular anastomosis (supercharging)19369--$1,504.66--Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double pedicle, including closure of donor site19370--$509.30--Open periprosthetic capsulotomy, breast19371--$581.75--Periprosthetic capsulectomy, breast19380--$573.78--Revision of reconstructed breast19396$211.43$103.38---Preparation of moulage for custom breast implant19499--I.C.--Unlisted procedure, breast20005$231.87$172.66---Incision and drainage of soft tissue abscess, subfascial (ie, involves the soft tissue below the deep fascia)20100--$440.23--Exploration of penetrating wound (separate procedure); neck20101$341.36$151.37---Exploration of penetrating wound (separate procedure); chest20102$371.72$186.22---Exploration of penetrating wound (separate procedure); abdomen/flank/back20103$440.41$256.31---Exploration of penetrating wound (separate procedure); extremity20150--$664.04--Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision20200$157.36$69.24---Biopsy, muscle; superficial20205$217.74$112.78---Biopsy, muscle; deep20206$184.90$44.31---Biopsy, muscle, percutaneous needle20220$130.08$54.31---Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)20225$413.14$81.15---Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)20240--$113.72--Biopsy, bone, open; superficial (eg, ilium, sternum, spinous process, ribs, trochanter of femur)20245--$377.98--Biopsy, bone, open; deep (eg, humerus, ischium, femur)20250--$285.87--Biopsy, vertebral body, open; thoracic20251--$310.29--Biopsy, vertebral body, open; lumbar or cervical20500$78.42$63.27---Injection of sinus tract; therapeutic (separate procedure)20501$91.55$28.13---Injection of sinus tract; diagnostic (sinogram)20520$154.44$109.54---Removal of foreign body in muscle or tendon sheath; simple20525$366.24$183.82---Removal of foreign body in muscle or tendon sheath; deep or complicated20526$57.15$41.99---Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel20527$62.36$48.89---Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)20550$43.90$30.71---Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")20551$45.15$31.39---Injection(s); single tendon origin/insertion20552$41.56$28.09---Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)20553$47.95$31.96---Injection(s); single or multiple trigger point(s), 3 or more muscles20555--$239.64--Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure)20600$35.39$26.13---Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance20604$54.09$33.61---Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting20605$37.18$27.36---Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance20606$59.75$38.42---Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting20610$44.55$33.60---Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance20611$68.26$44.97---Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting20612$45.42$30.83---Aspiration and/or injection of ganglion cyst(s) any location20615$185.84$122.14---Aspiration and injection for treatment of bone cyst20650$156.09$116.52---Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)20660--$174.36--Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)20661--$373.11--Application of halo, including removal; cranial20662--$327.47--Application of halo, including removal; pelvic20663--$348.86--Application of halo, including removal; femoral20664--$635.91--Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)20665$79.60$68.09---Removal of tongs or halo applied by another individual20670$294.62$110.53---Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)20680$467.91$314.41---Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)20690--$436.91--Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system20692--$827.57--Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)20693--$331.97--Adjustment or revision of external fixation system requiring anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or bar[s])20694$320.57$252.37---Removal, under anesthesia, of external fixation system20696--$887.45--Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)20697--$1,578.33--Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each20802--$1,766.30--Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation20805--$2,418.48--Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation20808--$2,951.24--Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation20816--$1,515.69--Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation20822--$1,327.42--Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation20824--$1,489.07--Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation20827--$1,341.37--Replantation, thumb (includes distal tip to MP joint), complete amputation20838--$1,785.09--Replantation, foot, complete amputation20900$320.54$139.53---Bone graft, any donor area; minor or small (eg, dowel or button)20902--$209.54--Bone graft, any donor area; major or large20910--$307.71--Cartilage graft; costochondral20912--$359.26--Cartilage graft; nasal septum20920--$294.54--Fascia lata graft; by stripper20922$451.56$367.65---Fascia lata graft; by incision and area exposure, complex or sheet20924--$375.83--Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)20926--$319.65--Tissue grafts, other (eg, paratenon, fat, dermis)20930--I.C.--Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)20931--$80.24--Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)20936--I.C.--Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)20937--$121.24--Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)20938--$132.60--Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)20950$195.52$67.83---Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome20955--$1,850.94--Bone graft with microvascular anastomosis; fibula20956--$1,942.71--Bone graft with microvascular anastomosis; iliac crest20957--$1,812.24--Bone graft with microvascular anastomosis; metatarsal20962--$1,570.30--Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal20969--$2,044.99--Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe20970--$2,126.38--Free osteocutaneous flap with microvascular anastomosis; iliac crest20972--$1,751.86--Free osteocutaneous flap with microvascular anastomosis; metatarsal20973--$1,940.23--Free osteocutaneous flap with microvascular anastomosis; great toe with web space20974$57.90$37.42---Electrical stimulation to aid bone healing; noninvasive (nonoperative)20975--$130.00--Electrical stimulation to aid bone healing; invasive (operative)20979$39.29$23.57---Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)20982$2,383.95$281.70---Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; radiofrequency20983$5,764.40$298.99---Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; cryoablation20985--$107.15--Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)20999--I.C.--Unlisted procedure, musculoskeletal system, general21010--$552.91--Arthrotomy, temporomandibular joint21011$264.72$194.84---Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm21012--$251.30--Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater21013$390.57$298.52---Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm21014--$386.66--Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater21015--$526.67--Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm21016--$755.71--Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater21025$678.65$567.80---Excision of bone (eg, for osteomyelitis or bone abscess); mandible21026$474.45$380.16---Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)21029$581.39$479.24---Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)21030$398.78$318.52---Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage21031$305.65$225.95---Excision of torus mandibularis21032$310.76$223.48---Excision of maxillary torus palatinus21034$989.49$864.89---Excision of malignant tumor of maxilla or zygoma21040$401.87$319.08---Excision of benign tumor or cyst of mandible, by enucleation and/or curettage21044--$656.40--Excision of malignant tumor of mandible;21045--$917.70--Excision of malignant tumor of mandible; radical resection21046--$847.27--Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])21047--$985.88--Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s])21048--$868.18--Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])21049--$902.87--Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])21050--$631.37--Condylectomy, temporomandibular joint (separate procedure)21060--$597.99--Meniscectomy, partial or complete, temporomandibular joint (separate procedure)21070--$458.91--Coronoidectomy (separate procedure)21073$297.45$190.53---Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)21076$755.19$624.98---Impression and custom preparation; surgical obturator prosthesis21077$1,893.85$1,569.71---Impression and custom preparation; orbital prosthesis21079$1,276.11$1,045.15---Impression and custom preparation; interim obturator prosthesis21080$1,433.14$1,163.16---Impression and custom preparation; definitive obturator prosthesis21081$1,324.30$1,070.32---Impression and custom preparation; mandibular resection prosthesis21082$1,255.07$1,006.71---Impression and custom preparation; palatal augmentation prosthesis21083$1,198.60$934.80---Impression and custom preparation; palatal lift prosthesis21084$1,376.22$1,083.52---Impression and custom preparation; speech aid prosthesis21085$577.69$423.90---Impression and custom preparation; oral surgical splint21086$1,409.25$1,163.13---Impression and custom preparation; auricular prosthesis21087$1,406.85$1,160.45---Impression and custom preparation; nasal prosthesis21088--I.C.--Impression and custom preparation; facial prosthesis21089--I.C.--Unlisted maxillofacial prosthetic procedure21100$800.10$375.77---Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)21110$626.12$521.44---Application of interdental fixation device for conditions other than fracture or dislocation, includes removal21116$113.50$32.40---Injection procedure for temporomandibular joint arthrography21120$508.95$399.22---Genioplasty; augmentation (autograft, allograft, prosthetic material)21121$620.85$513.37---Genioplasty; sliding osteotomy, single piece21122--$497.20--Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)21123--$706.70--Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)21125$2,410.50$589.73---Augmentation, mandibular body or angle; prosthetic material21127$3,499.29$670.75---Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)21137--$556.58--Reduction forehead; contouring only21138--$669.20--Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)21139--$707.23--Reduction forehead; contouring and setback of anterior frontal sinus wall21141--$1,001.64--Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft21142--$1,049.77--Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft21143--$1,056.43--Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft21145--$1,170.36--Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)21146--$1,150.94--Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft)21147--$1,301.13--Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteotomies)21150--$1,254.31--Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)21151--$1,521.83--Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)21154--$1,544.35--Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I21155--$1,620.94--Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I21159--$1,850.86--Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I21160--$2,360.57--Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I21172--$1,371.29--Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)21175--$1,606.88--Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts)21179--$1,094.71--Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)21180--$1,145.40--Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)21181--$549.63--Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial21182--$1,430.99--Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm21183--$1,708.35--Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm21184--$1,570.01--Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 80 sq cm21188--$1,205.26--Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)21193--$902.61--Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft21194--$1,070.44--Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)21195--$1,007.35--Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation21196--$1,114.54--Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation21198--$881.22--Osteotomy, mandible, segmental;21199--$793.63--Osteotomy, mandible, segmental; with genioglossus advancement21206--$886.44--Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)21208$1,478.76$630.68---Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)21209$622.65$467.46---Osteoplasty, facial bones; reduction21210$1,800.38$653.98---Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)21215$3,235.51$679.47---Graft, bone; mandible (includes obtaining graft)21230--$530.24--Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)21235$552.56$426.83---Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)21240--$839.98--Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)21242--$769.85--Arthroplasty, temporomandibular joint, with allograft21243--$1,271.67--Arthroplasty, temporomandibular joint, with prosthetic joint replacement21244--$806.80--Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)21245$842.18$663.41---Reconstruction of mandible or maxilla, subperiosteal implant; partial21246--$649.86--Reconstruction of mandible or maxilla, subperiosteal implant; complete21247--$1,155.60--Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)21248$845.44$682.39---Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial21249$1,152.00$966.78---Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete21255--$1,045.04--Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)21256--$905.41--Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)21260--$1,046.26--Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach21261--$1,565.37--Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach21263--$1,447.65--Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement21267--$1,194.46--Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach21268--$1,295.99--Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach21270$732.34$540.38---Malar augmentation, prosthetic material21275--$621.16--Secondary revision of orbitocraniofacial reconstruction21280--$428.64--Medial canthopexy (separate procedure)21282--$288.05--Lateral canthopexy21295--$137.32--Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach21296--$328.08--Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach21299--I.C.--Unlisted craniofacial and maxillofacial procedure21310$103.09$19.46---Closed treatment of nasal bone fracture without manipulation21315$214.95$114.76---Closed treatment of nasal bone fracture; without stabilization21320$198.43$101.33---Closed treatment of nasal bone fracture; with stabilization21325--$363.70--Open treatment of nasal fracture; uncomplicated21330--$432.51--Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation21335--$549.41--Open treatment of nasal fracture; with concomitant open treatment of fractured septum21336--$491.31--Open treatment of nasal septal fracture, with or without stabilization21337$310.58$223.58---Closed treatment of nasal septal fracture, with or without stabilization21338--$551.14--Open treatment of nasoethmoid fracture; without external fixation21339--$586.52--Open treatment of nasoethmoid fracture; with external fixation21340--$563.23--Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus21343--$907.90--Open treatment of depressed frontal sinus fracture21344--$1,038.24--Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches21345$615.01$490.13---Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint21346--$687.99--Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation21347--$856.65--Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches21348--$895.30--Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)21355$327.36$240.93---Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation21356$382.49$284.83---Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)21360--$404.30--Open treatment of depressed malar fracture, including zygomatic arch and malar tripod21365--$826.79--Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches21366--$857.46--Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)21385--$511.55--Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)21386--$517.17--Open treatment of orbital floor blowout fracture; periorbital approach21387--$533.19--Open treatment of orbital floor blowout fracture; combined approach21390--$594.89--Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant21395-----Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)21400$148.22$119.32---Closed treatment of fracture of orbit, except blowout; without manipulation21401$339.95$215.35---Closed treatment of fracture of orbit, except blowout; with manipulation21406--$387.96--Open treatment of fracture of orbit, except blowout; without implant21407--$483.24--Open treatment of fracture of orbit, except blowout; with implant21408--$649.80--Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)21421$584.39$489.25---Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint21422--$507.02--Open treatment of palatal or maxillary fracture (LeFort I type);21423--$612.99--Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches21431--$564.01--Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint21432--$492.80--Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation21433--$1,283.74--Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches21435--$936.76--Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)21436--$1,516.64--Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)21440$453.79$365.39--Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)21445$597.61$481.71---Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)21450$486.59$386.40---Closed treatment of mandibular fracture; without manipulation21451$593.87$494.81---Closed treatment of mandibular fracture; with manipulation21452$474.01$275.32---Percutaneous treatment of mandibular fracture, with external fixation21453$712.20$606.68---Closed treatment of mandibular fracture with interdental fixation21454--$447.84--Open treatment of mandibular fracture with external fixation21461$1,693.40$723.24---Open treatment of mandibular fracture; without interdental fixation21462$1,791.55$802.59---Open treatment of mandibular fracture; with interdental fixation21465--$718.75--Open treatment of mandibular condylar fracture21470--$900.72--Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints21480$76.80$23.19---Closed treatment of temporomandibular dislocation; initial or subsequent21485$548.96$455.79---Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent21490--$684.21--Open treatment of temporomandibular dislocation21497$576.19$476.00---Interdental wiring, for condition other than fracture21499I.C.--Unlisted musculoskeletal procedure, head21501$345.16$240.48---Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;21502--$389.97--Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy21510--$328.44--Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax21550$201.85$118.50---Biopsy, soft tissue of neck or thorax21552--$327.52--Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater21554--$536.38--Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater21555$313.68$227.53---Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm21556--$391.87--Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm21557--$703.76--Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm21558--$984.73--Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater21600--$414.43--Excision of rib, partial21610--$855.48--Costotransversectomy (separate procedure)21615--$447.46--Excision first and/or cervical rib;21616--$546.72--Excision first and/or cervical rib; with sympathectomy21620--$370.82--Ostectomy of sternum, partial21627--$399.55--Sternal debridement21630--$885.16--Radical resection of sternum;21632--$878.70--Radical resection of sternum; with mediastinal lymphadenectomy21685--$747.17--Hyoid myotomy and suspension21700--$268.91--Division of scalenus anticus; without resection of cervical rib21705--$396.66--Division of scalenus anticus; with resection of cervical rib21720--$336.99--Division of sternocleidomastoid for torticollis, open operation; without cast application21725--$387.26--Division of sternocleidomastoid for torticollis, open operation; with cast application21740--$740.73--Reconstructive repair of pectus excavatum or carinatum; open21742--I.C.--Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy21743--I.C.--Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy21750--$495.41--Closure of median sternotomy separation with or without debridement (separate procedure)21811--$439.60--Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs21812--$526.60--Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs21813--$685.55--Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs21820$106.47$109.28---Closed treatment of sternum fracture21825--$397.54--Open treatment of sternum fracture with or without skeletal fixation21899--I.C.--Unlisted procedure, neck or thorax21920$196.95$120.34---Biopsy, soft tissue of back or flank; superficial21925$334.85$262.73---Biopsy, soft tissue of back or flank; deep21930$354.29$269.54---Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm21931--$343.86--Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater21932--$484.00--Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm21933--$538.05--Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater21935--$749.03--Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm21936--$1,026.78--Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater22010--$696.78--Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic22015--$675.87--Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral22100--$637.82--Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical22101--$625.27--Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic22102--$583.96--Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar22103--$100.83--Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to code for primary procedure)22110--$762.68--Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical22112--$730.53--Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic22114--$734.27--Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar22116--$101.59--Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)22206--$1,769.55--Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic22207--$1,738.66--Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar22208--$420.54--Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (List separately in addition to code for primary procedure)22210--$1,298.08--Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical22212--$1,084.37--Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic22214--$1,088.04--Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar22216--$262.50--Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)22220--$1,165.51--Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical22222--$1,145.23--Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic22224--$1,159.10--Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar22226--$261.82--Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)22310$227.70$208.62---Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing22315$656.80$568.40---Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction22318--$1,181.29--Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting22319--$1,305.27--Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting22325--$1,047.90--Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar22326--$1,079.92--Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical22327--$1,092.81--Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic22328--$202.50--Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (List separately in addition to code for primary procedure)22505--$94.05--Manipulation of spine requiring anesthesia, any region22510$1,381.72$334.94---Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic22511$1,369.15$314.52---Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral22512$767.17$153.70---Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)22513$5,812.37$394.68---Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic22514$5,808.45$368.30---Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar22515$3,521.01$164.60---Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)22526$1,878.19$258.35---Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level22527$1,566.85$116.52---Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure)22532--$1,291.68--Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic22533--$1,210.91--Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar22534--$260.26--Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)22548--$1,414.90--Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process22551--$1,239.08--Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C222552--$286.52--Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for separate procedure)22554--$913.80--Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C222556--$1,210.50--Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic22558--$1,122.20--Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar22585--$237.56--Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)22586--$1,335.26--Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, L5-S1 interspace22590--$1,143.60--Arthrodesis, posterior technique, craniocervical (occiput-C2)22595--$1,092.46--Arthrodesis, posterior technique, atlas-axis (C1-C2)22600--$938.26--Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment22610--$922.02--Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse technique, when performed)22612--$1,157.78--Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)22614--$281.93--Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment (List separately in addition to code for primary procedure)22630--$1,136.33--Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar22632--$230.25--Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional interspace (List separately in addition to code for primary procedure)22633--$1,344.56--Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar22634--$357.76--Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; each additional interspace and segment (List separately in addition to code for primary procedure)22800--$989.52--Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments22802--$1,530.43--Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments22804--$1,766.26--Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments22808--$1,334.16--Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments22810--$1,473.91--Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments22812--$1,716.82--Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments22818--$1,592.29--Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments22819--$1,971.46--Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments22830--$595.39--Exploration of spinal fusion22840--$548.20--Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure)22841--I.C.--Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure)22842--$550.07--Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)22843--$588.21--Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure)22844--$713.31--Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure)22845--$525.20--Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)22846--$545.61--Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure)22847--$599.21--Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure)22848--$260.58--Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure)22849--$946.03--Reinsertion of spinal fixation device22850--$529.87--Removal of posterior nonsegmental instrumentation (eg, Harrington rod)22852--$508.82--Removal of posterior segmental instrumentation22853--$195.30--Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in conjunction with interbody arthrodesis, each interspace (List separately in addition to code for primary procedure)22854--$252.83--Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to vertebral corpectomy(ies) (vertebral body resection, partial or complete) defect, in conjunction with interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure)22855--$805.64--Removal of anterior instrumentation22856--$1,176.89--Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical22857--$1,406.44--Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar22858--$359.53--Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical (List separately in addition to code for primary procedure)22859--$252.83--Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh, methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis, each contiguous defect (List separately in addition to code for primary procedure)22861--$1,473.48--Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical22862--$1,412.39--Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar22864--$1,476.78--Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical22865--$1,505.02--Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar22867--$741.37--Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level22868--$182.81--Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; second level (List separately in addition to code for primary procedure)22869--$411.39--Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level22870--$106.64--Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in addition to code for primary procedure)22899--I.C.--Unlisted procedure, spine22900--$412.93--Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm22901--$484.66--Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater22902$328.98$244.22--Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm22903--$320.93--Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater22904--$762.35--Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm22905--$964.72--Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater22999--I.C.--Unlisted procedure, abdomen, musculoskeletal system23000$446.36$276.86--Removal of subdeltoid calcareous deposits, open23020--$509.07--Capsular contracture release (eg, Sever type procedure)23030$335.91$189.14---Incision and drainage, shoulder area; deep abscess or hematoma23031$327.08$163.19---Incision and drainage, shoulder area; infected bursa23035--$500.39--Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area23040--$531.59--Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body23044--$420.13--Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body23065$163.71$124.99---Biopsy, soft tissue of shoulder area; superficial23066$423.54$265.54---Biopsy, soft tissue of shoulder area; deep23071--$308.15--Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater23073--$508.31--Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater23075$353.91$241.66---Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm23076--$397.90--Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm23077--$836.04--Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm23078--$1,046.81--Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater23100--$369.90--Arthrotomy, glenohumeral joint, including biopsy23101--$337.00--Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage23105--$471.98--Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy23106--$365.14--Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy23107--$487.64--Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body23120--$433.91--Claviculectomy; partial23125--$523.34--Claviculectomy; total23130--$452.40--Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release23140--$394.32--Excision or curettage of bone cyst or benign tumor of clavicle or scapula;23145--$513.05--Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)23146--$459.40--Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft23150--$485.83--Excision or curettage of bone cyst or benign tumor of proximal humerus;23155--$585.13--Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)23156--$499.68--Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft23170--$410.56--Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle23172--$419.52--Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula23174--$554.89--Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck23180--$491.67--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle23182--$482.48--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula23184--$543.03--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus23190--$420.59--Ostectomy of scapula, partial (eg, superior medial angle)23195--$554.99--Resection, humeral head23200--$1,086.67--Radical resection of tumor; clavicle23210--$1,299.66--Radical resection of tumor; scapula23220--$1,422.45--Radical resection of tumor, proximal humerus23330$182.28$112.69---Removal of foreign body, shoulder; subcutaneous23333--$336.41--Removal of foreign body, shoulder; deep (subfascial or intramuscular)23334--$792.71--Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component23335--$940.64--Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)23350$100.53$37.67---Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography23395--$947.24--Muscle transfer, any type, shoulder or upper arm; single23397--$837.87--Muscle transfer, any type, shoulder or upper arm; multiple23400--$714.50--Scapulopexy (eg, Sprengels deformity or for paralysis)23405--$461.83--Tenotomy, shoulder area; single tendon23406--$567.56--Tenotomy, shoulder area; multiple tendons through same incision23410--$606.74--Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute23412--$628.99--Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic23415--$515.22--Coracoacromial ligament release, with or without acromioplasty23420--$715.07--Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)23430--$551.63--Tenodesis of long tendon of biceps23440--$556.96--Resection or transplantation of long tendon of biceps23450--$695.06--Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation23455--$735.27--Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)23460--$801.52--Capsulorrhaphy, anterior, any type; with bone block23462--$779.04--Capsulorrhaphy, anterior, any type; with coracoid process transfer23465--$819.34--Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block23466--$826.47--Capsulorrhaphy, glenohumeral joint, any type multi-directional instability23470--$884.79--Arthroplasty, glenohumeral joint; hemiarthroplasty23472--$1,070.60--Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))23473--$1,194.08--Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component23474--$1,289.19--Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component23480--$604.56--Osteotomy, clavicle, with or without internal fixation;23485--$702.15--Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation)23490--$621.38--Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle23491--$744.75--Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus23500$164.24$167.33---Closed treatment of clavicular fracture; without manipulation23505$264.05$248.62---Closed treatment of clavicular fracture; with manipulation23515--$532.92--Open treatment of clavicular fracture, includes internal fixation, when performed23520$168.19$171.00---Closed treatment of sternoclavicular dislocation; without manipulation23525$282.27$259.82---Closed treatment of sternoclavicular dislocation; with manipulation23530--$407.28--Open treatment of sternoclavicular dislocation, acute or chronic;23532--$460.08--Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)23540$168.52$171.61---Closed treatment of acromioclavicular dislocation; without manipulation23545$256.19$231.77---Closed treatment of acromioclavicular dislocation; with manipulation23550--$417.77--Open treatment of acromioclavicular dislocation, acute or chronic;23552--$484.40--Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)23570$174.07$179.68---Closed treatment of scapular fracture; without manipulation23575$298.49$278.84---Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement)23585--$722.20--Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed23600$246.33$231.46---Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation23605$346.43$315.84---Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction23615--$653.02--Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed;23616--$913.26--Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prosthetic replacement23620$202.97$192.59---Closed treatment of greater humeral tuberosity fracture; without manipulation23625$283.25$262.48---Closed treatment of greater humeral tuberosity fracture; with manipulation23630--$578.02--Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed23650$234.62$214.41---Closed treatment of shoulder dislocation, with manipulation; without anesthesia23655--$298.68--Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia23660--$430.63--Open treatment of acute shoulder dislocation23665$317.26$294.25---Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation23670--$646.05--Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed23675$410.61$371.88---Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation23680--$684.41--Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed23700--$145.46--Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)23800--$754.75--Arthrodesis, glenohumeral joint;23802--$930.58--Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)23900--$1,019.50--Interthoracoscapular amputation (forequarter)23920--$826.20--Disarticulation of shoulder;23921--$348.07--Disarticulation of shoulder; secondary closure or scar revision23929--I.C.--Unlisted procedure, shoulder23930$267.37$158.76---Incision and drainage, upper arm or elbow area; deep abscess or hematoma23931$220.78$119.75---Incision and drainage, upper arm or elbow area; bursa23935--$376.01--Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow24000--$353.77--Arthrotomy, elbow, including exploration, drainage, or removal of foreign body24006--$521.89--Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)24065$195.66$125.78---Biopsy, soft tissue of upper arm or elbow area; superficial24066$472.86$307.57---Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)24071--$298.44--Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater24073--$507.54--Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater24075$371.36$244.51---Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm24076--$400.49--Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm24077--$756.54--Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm24079--$965.57--Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater24100--$310.60--Arthrotomy, elbow; with synovial biopsy only24101--$371.56--Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body24102--$455.97--Arthrotomy, elbow; with synovectomy24105--$262.68--Excision, olecranon bursa24110--$429.95--Excision or curettage of bone cyst or benign tumor, humerus;24115--$543.92--Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)24116--$634.67--Excision or curettage of bone cyst or benign tumor, humerus; with allograft24120--$392.29--Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process;24125--$455.77--Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft)24126--$479.93--Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft24130--$377.06--Excision, radial head24134--$550.94--Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus24136--$466.33--Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck24138--$498.68--Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process24140--$517.33--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus24145--$437.74--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck24147--$461.18--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process24149--$869.02--Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)24150--$1,142.95--Radical resection of tumor, shaft or distal humerus24152--$980.65--Radical resection of tumor, radial head or neck24155--$620.86--Resection of elbow joint (arthrectomy)24160--$930.21--Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components24164--$538.98--Removal of prosthesis, includes debridement and synovectomy when performed; radial head24200$157.37$104.33---Removal of foreign body, upper arm or elbow area; subcutaneous24201$413.01$267.08---Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)24220$123.13$51.00---Injection procedure for elbow arthrography24300--$315.52--Manipulation, elbow, under anesthesia24301--$553.64--Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)24305--$427.74--Tendon lengthening, upper arm or elbow, each tendon24310--$350.34--Tenotomy, open, elbow to shoulder, each tendon24320--$575.59--Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)24330--$529.61--Flexor-plasty, elbow (eg, Steindler type advancement);24331--$579.32--Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement24332--$452.83--Tenolysis, triceps24340--$453.45--Tenodesis of biceps tendon at elbow (separate procedure)24341--$554.52--Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)24342--$572.41--Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft24343--$523.88--Repair lateral collateral ligament, elbow, with local tissue24344--$808.14--Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)24345--$521.66--Repair medial collateral ligament, elbow, with local tissue24346--$808.08--Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)24357--$320.27--Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous24358--$387.70--Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open24359--$487.47--Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment24360--$652.33--Arthroplasty, elbow; with membrane (eg, fascial)24361--$733.22--Arthroplasty, elbow; with distal humeral prosthetic replacement24362--$779.59--Arthroplasty, elbow; with implant and fascia lata ligament reconstruction24363--$1,070.05--Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)24365--$469.76--Arthroplasty, radial head;24366--$502.12--Arthroplasty, radial head; with implant24370--$1,138.77--Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component24371--$1,309.00--Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component24400--$602.50--Osteotomy, humerus, with or without internal fixation24410--$778.08--Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)24420--$726.34--Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)24430--$778.08--Repair of nonunion or malunion, humerus; without graft (eg, compression technique)24435--$795.37--Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)24470--$419.11--Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)24495--$481.65--Decompression fasciotomy, forearm, with brachial artery exploration24498--$638.20--Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft24500$269.70$244.45---Closed treatment of humeral shaft fracture; without manipulation24505$373.08$335.48---Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction24515--$646.95--Open treatment of humeral shaft fracture with plate/screws, with or without cerclage24516--$633.80--Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws24530$286.10$257.76---Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation24535$456.96$419.92---Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction24538--$549.84--Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension24545--$685.13--Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension24546--$765.51--Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension24560$241.67$215.29---Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation24565$395.22$360.99---Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation24566--$532.16--Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation24575--$540.70--Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed24576$256.57$229.35---Closed treatment of humeral condylar fracture, medial or lateral; without manipulation24577$405.76$370.40---Closed treatment of humeral condylar fracture, medial or lateral; with manipulation24579--$617.54--Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed24582--$598.73--Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation24586--$797.39--Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius);24587--$796.53--Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty24600$271.09$246.95---Treatment of closed elbow dislocation; without anesthesia24605--$349.58--Treatment of closed elbow dislocation; requiring anesthesia24615--$525.72--Open treatment of acute or chronic elbow dislocation24620--$407.02--Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation24635--$498.63--Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed24640$101.91$68.23---Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation24650$197.71$180.87---Closed treatment of radial head or neck fracture; without manipulation24655$325.81$295.22---Closed treatment of radial head or neck fracture; with manipulation24665--$483.69--Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;24666--$542.20--Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement24670$219.34$197.17---Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); without manipulation24675$339.41$307.98---Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation24685--$485.26--Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed24800--$611.87--Arthrodesis, elbow joint; local24802--$721.14--Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)24900--$538.97--Amputation, arm through humerus; with primary closure24920--$539.32--Amputation, arm through humerus; open, circular (guillotine)24925--$404.91--Amputation, arm through humerus; secondary closure or scar revision24930--$565.31--Amputation, arm through humerus; re-amputation24931--$590.54--Amputation, arm through humerus; with implant24935--$810.18--Stump elongation, upper extremity24940--I.C.--Cineplasty, upper extremity, complete procedure24999--I.C.--Unlisted procedure, humerus or elbow25000--$252.74--Incision, extensor tendon sheath, wrist (eg, deQuervains disease)25001--$256.11--Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)25020--$431.62--Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve25023--$817.32--Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve25024--$569.06--Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve25025--$886.46--Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve25028--$392.79--Incision and drainage, forearm and/or wrist; deep abscess or hematoma25031--$267.23--Incision and drainage, forearm and/or wrist; bursa25035--$428.48--Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess)25040--$416.40--Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body25065$194.29$122.73---Biopsy, soft tissue of forearm and/or wrist; superficial25066--$267.36--Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular)25071--$313.36--Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater25073--$393.11--Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater25075$362.79$235.10---Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm25076--$382.79--Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm25077--$648.84--Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm25078--$851.04--Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater25085--$333.77--Capsulotomy, wrist (eg, contracture)25100--$256.97--Arthrotomy, wrist joint; with biopsy25101--$300.29--Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body25105--$358.56--Arthrotomy, wrist joint; with synovectomy25107--$457.63--Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex25109--$399.17--Excision of tendon, forearm and/or wrist, flexor or extensor, each25110--$254.93--Excision, lesion of tendon sheath, forearm and/or wrist25111--$239.47--Excision of ganglion, wrist (dorsal or volar); primary25112--$287.36--Excision of ganglion, wrist (dorsal or volar); recurrent25115--$561.60--Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors25116--$445.82--Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum25118--$284.30--Synovectomy, extensor tendon sheath, wrist, single compartment;25119--$367.42--Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna25120--$369.14--Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process);25125--$428.86--Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft)25126--$439.13--Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft25130--$332.45--Excision or curettage of bone cyst or benign tumor of carpal bones;25135--$409.51--Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft)25136--$362.59--Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft25145--$383.06--Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist25150--$418.91--Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna25151--$431.08--Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius25170--$1,085.86--Radical resection of tumor, radius or ulna25210--$362.50--Carpectomy; 1 bone25215--$457.36--Carpectomy; all bones of proximal row25230--$321.44--Radial styloidectomy (separate procedure)25240--$318.38--Excision distal ulna partial or complete (eg, Darrach type or matched resection)25246$124.06$55.58---Injection procedure for wrist arthrography25248--$307.67--Exploration with removal of deep foreign body, forearm or wrist25250--$390.12--Removal of wrist prosthesis; (separate procedure)25251--$528.17--Removal of wrist prosthesis; complicated, including total wrist25259--$313.12--Manipulation, wrist, under anesthesia25260--$467.58--Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle25263--$460.94--Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle25265--$551.74--Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle25270--$363.68--Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle25272--$409.35--Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle25274--$491.00--Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle25275--$497.28--Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)25280--$417.80--Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon25290--$324.38--Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon25295--$388.08--Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon25300--$505.11--Tenodesis at wrist; flexors of fingers25301--$475.67--Tenodesis at wrist; extensors of fingers25310--$459.60--Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon25312--$528.74--Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon25315--$567.77--Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;25316--$672.52--Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer25320--$732.62--Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability25332--$621.42--Arthroplasty, wrist, with or without interposition, with or without external or internal fixation25335--$594.72--Centralization of wrist on ulna (eg, radial club hand)25337--$659.05--Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without open reduction of distal radioulnar joint25350--$498.52--Osteotomy, radius; distal third25355--$554.36--Osteotomy, radius; middle or proximal third25360--$483.63--Osteotomy; ulna25365--$671.63--Osteotomy; radius AND ulna25370--$742.16--Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna25375--$700.73--Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna25390--$568.26--Osteoplasty, radius OR ulna; shortening25391--$732.14--Osteoplasty, radius OR ulna; lengthening with autograft25392--$640.31--Osteoplasty, radius AND ulna; shortening (excluding 64876)25393--$836.93--Osteoplasty, radius AND ulna; lengthening with autograft25394--$574.24--Osteoplasty, carpal bone, shortening25400--$592.65--Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)25405--$763.56--Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)25415--$707.82--Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)25420--$857.14--Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)25425--$708.23--Repair of defect with autograft; radius OR ulna25426--$825.29--Repair of defect with autograft; radius AND ulna25430--$540.44--Insertion of vascular pedicle into carpal bone (eg, Hori procedure)25431--$579.85--Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone25440--$565.91--Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation)25441--$692.64--Arthroplasty with prosthetic replacement; distal radius25442--$596.17--Arthroplasty with prosthetic replacement; distal ulna25443--$576.30--Arthroplasty with prosthetic replacement; scaphoid carpal (navicular)25444--$608.76--Arthroplasty with prosthetic replacement; lunate25445--$532.99--Arthroplasty with prosthetic replacement; trapezium25446--$861.79--Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)25447--$612.61--Arthroplasty, interposition, intercarpal or carpometacarpal joints25449--$761.59--Revision of arthroplasty, including removal of implant, wrist joint25450--$383.46--Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna25455--$453.42--Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna25490--$530.45--Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius25491--$545.25--Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna25492--$665.88--Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna25500$206.03$188.35---Closed treatment of radial shaft fracture; without manipulation25505$376.37$342.97---Closed treatment of radial shaft fracture; with manipulation25515--$495.26--Open treatment of radial shaft fracture, includes internal fixation, when performed25520$415.78$393.33---Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)25525--$580.13--Open treatment of radial shaft fracture, includes internal fixation, when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous skeletal fixation, when performed25526--$702.22--Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex25530$198.44$179.07---Closed treatment of ulnar shaft fracture; without manipulation25535$365.27$336.65---Closed treatment of ulnar shaft fracture; with manipulation25545--$462.15--Open treatment of ulnar shaft fracture, includes internal fixation, when performed25560$209.55$188.50---Closed treatment of radial and ulnar shaft fractures; without manipulation25565$387.58$348.57---Closed treatment of radial and ulnar shaft fractures; with manipulation25574--$497.79--Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna25575--$665.39--Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna25600$248.46$234.43---Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation25605$406.92$381.38---Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation25606--$491.64--Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation25607--$544.53--Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation25608--$609.16--Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments25609--$773.56--Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments25622$229.61$208.28---Closed treatment of carpal scaphoid (navicular) fracture; without manipulation25624$356.50$323.38---Closed treatment of carpal scaphoid (navicular) fracture; with manipulation25628--$533.38--Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed25630$229.23$209.87---Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone25635$319.82$283.90---Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone25645--$419.43--Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone25650$240.56$224.84---Closed treatment of ulnar styloid fracture25651--$361.24--Percutaneous skeletal fixation of ulnar styloid fracture25652--$462.32--Open treatment of ulnar styloid fracture25660--$303.79--Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation25670--$448.44--Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones25671--$393.86--Percutaneous skeletal fixation of distal radioulnar dislocation25675$324.53$294.50---Closed treatment of distal radioulnar dislocation with manipulation25676--$464.00--Open treatment of distal radioulnar dislocation, acute or chronic25680--$351.32--Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation25685--$539.98--Open treatment of trans-scaphoperilunar type of fracture dislocation25690--$353.87--Closed treatment of lunate dislocation, with manipulation25695--$467.51--Open treatment of lunate dislocation25800--$540.88--Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)25805--$622.24--Arthrodesis, wrist; with sliding graft25810--$641.55--Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)25820--$457.34--Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)25825--$562.55--Arthrodesis, wrist; with autograft (includes obtaining graft)25830--$707.20--Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure)25900--$523.23--Amputation, forearm, through radius and ulna;25905--$469.66--Amputation, forearm, through radius and ulna; open, circular (guillotine)25907--$428.35--Amputation, forearm, through radius and ulna; secondary closure or scar revision25909--$505.10--Amputation, forearm, through radius and ulna; re-amputation25915--$867.57--Krukenberg procedure25920--$513.15--Disarticulation through wrist;25922--$422.67--Disarticulation through wrist; secondary closure or scar revision25924--$447.69--Disarticulation through wrist; re-amputation25927--$606.64--Transmetacarpal amputation;25929--$435.81--Transmetacarpal amputation; secondary closure or scar revision25931--$489.32--Transmetacarpal amputation; re-amputation25999--I.C.--Unlisted procedure, forearm or wrist26010$203.13$103.22---Drainage of finger abscess; simple26011$299.59$137.95---Drainage of finger abscess; complicated (eg, felon)26020--$323.49--Drainage of tendon sheath, digit and/or palm, each26025--$314.51--Drainage of palmar bursa; single, bursa26030--$365.23--Drainage of palmar bursa; multiple bursa26034--$399.15--Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess)26035--$634.63--Decompression fingers and/or hand, injection injury (eg, grease gun)26037--$419.51--Decompressive fasciotomy, hand (excludes 26035)26040--$233.22--Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous26045--$348.11--Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial26055$429.22$233.34---Tendon sheath incision (eg, for trigger finger)26060--$198.38--Tenotomy, percutaneous, single, each digit26070--$234.08--Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint26075--$248.11--Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each26080--$291.54--Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each26100--$248.62--Arthrotomy with biopsy; carpometacarpal joint, each26105--$248.59--Arthrotomy with biopsy; metacarpophalangeal joint, each26110--$239.99--Arthrotomy with biopsy; interphalangeal joint, each26111--$309.84--Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater26113--$406.68--Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater26115$383.16$248.17---Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm26116--$391.27--Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm26117--$554.14--Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm26118--$775.53--Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater26121--$442.47--Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)26123--$618.14--Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft);26125--$200.04--Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)26130--$343.56--Synovectomy, carpometacarpal joint26135--$407.47--Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit26140--$374.30--Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint26145--$379.35--Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon26160$440.00$250.29---Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger26170--$301.59--Excision of tendon, palm, flexor or extensor, single, each tendon26180--$329.94--Excision of tendon, finger, flexor or extensor, each tendon26185--$406.92--Sesamoidectomy, thumb or finger (separate procedure)26200--$334.41--Excision or curettage of bone cyst or benign tumor of metacarpal;26205--$445.21--Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft)26210--$329.11--Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger;26215--$416.59--Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft)26230--$369.77--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal26235--$366.16--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger26236--$328.11--Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger26250--$798.10--Radical resection of tumor, metacarpal26260--$593.30--Radical resection of tumor, proximal or middle phalanx of finger26262--$466.23--Radical resection of tumor, distal phalanx of finger26320--$258.65--Removal of implant from finger or hand26340--$253.50--Manipulation, finger joint, under anesthesia, each joint26341$74.50$55.69---Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord26350--$532.18--Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon26352--$608.53--Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon26356--$656.48--Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon26357--$637.83--Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon26358--$706.54--Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon26370--$563.63--Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon26372--$652.50--Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon26373--$627.34--Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon26390--$617.37--Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod26392--$715.30--Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod26410--$423.51--Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon26412--$507.19--Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon26415--$568.27--Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod26416--$530.64--Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod26418--$434.10--Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon26420--$526.05--Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon26426--$371.70--Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger26428--$560.55--Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger26432--$373.59--Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger)26433--$396.83--Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)26434--$480.70--Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft)26437--$463.06--Realignment of extensor tendon, hand, each tendon26440--$463.71--Tenolysis, flexor tendon; palm OR finger, each tendon26442--$716.25--Tenolysis, flexor tendon; palm AND finger, each tendon26445--$433.15--Tenolysis, extensor tendon, hand OR finger, each tendon26449--$516.81--Tenolysis, complex, extensor tendon, finger, including forearm, each tendon26450--$304.38--Tenotomy, flexor, palm, open, each tendon26455--$300.03--Tenotomy, flexor, finger, open, each tendon26460--$294.17--Tenotomy, extensor, hand or finger, open, each tendon26471--$456.99--Tenodesis; of proximal interphalangeal joint, each joint26474--$448.01--Tenodesis; of distal joint, each joint26476--$432.41--Lengthening of tendon, extensor, hand or finger, each tendon26477--$433.04--Shortening of tendon, extensor, hand or finger, each tendon26478--$461.65--Lengthening of tendon, flexor, hand or finger, each tendon26479--$456.97--Shortening of tendon, flexor, hand or finger, each tendon26480--$561.11--Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon26483--$626.15--Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon26485--$600.60--Transfer or transplant of tendon, palmar; without free tendon graft, each tendon26489--$676.77--Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon26490--$581.99--Opponensplasty; superficialis tendon transfer type, each tendon26492--$645.76--Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon26494--$583.77--Opponensplasty; hypothenar muscle transfer26496--$633.55--Opponensplasty; other methods26497--$638.98--Transfer of tendon to restore intrinsic function; ring and small finger26498--$839.33--Transfer of tendon to restore intrinsic function; all 4 fingers26499--$613.28--Correction claw finger, other methods26500--$462.72--Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)26502--$517.57--Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)26508--$477.25--Release of thenar muscle(s) (eg, thumb contracture)26510--$442.98--Cross intrinsic transfer, each tendon26516--$518.94--Capsulodesis, metacarpophalangeal joint; single digit26517--$608.61--Capsulodesis, metacarpophalangeal joint; 2 digits26518--$610.90--Capsulodesis, metacarpophalangeal joint; 3 or 4 digits26520--$487.05--Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint26525--$487.41--Capsulectomy or capsulotomy; interphalangeal joint, each joint26530--$397.95--Arthroplasty, metacarpophalangeal joint; each joint26531--$462.56--Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint26535--$313.43--Arthroplasty, interphalangeal joint; each joint26536--$532.13--Arthroplasty, interphalangeal joint; with prosthetic implant, each joint26540--$487.63--Repair of collateral ligament, metacarpophalangeal or interphalangeal joint26541--$592.00--Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)26542--$502.55--Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)26545--$511.73--Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint26546--$734.92--Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)26548--$562.22--Repair and reconstruction, finger, volar plate, interphalangeal joint26550--$1,136.14--Pollicization of a digit26551--$2,085.67--Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft26553--$2,395.20--Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single26554--$2,423.19--Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double26555--$989.15--Transfer, finger to another position without microvascular anastomosis26556--$2,490.18--Transfer, free toe joint, with microvascular anastomosis26560--$417.36--Repair of syndactyly (web finger) each web space; with skin flaps26561--$686.74--Repair of syndactyly (web finger) each web space; with skin flaps and grafts26562--$987.71--Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails)26565--$502.11--Osteotomy; metacarpal, each26567--$505.01--Osteotomy; phalanx of finger, each26568--$667.60--Osteoplasty, lengthening, metacarpal or phalanx26580--$1,078.37--Repair cleft hand26587--$670.11--Reconstruction of polydactylous digit, soft tissue and bone26590--$984.39--Repair macrodactylia, each digit26591--$327.53--Repair, intrinsic muscles of hand, each muscle26593--$447.22--Release, intrinsic muscles of hand, each muscle26596--$556.84--Excision of constricting ring of finger, with multiple Z-plasties26600$222.31$208.84---Closed treatment of metacarpal fracture, single; without manipulation, each bone26605$242.17$219.72---Closed treatment of metacarpal fracture, single; with manipulation, each bone26607--$338.32--Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone26608--$355.29--Percutaneous skeletal fixation of metacarpal fracture, each bone26615--$428.63--Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone26641$274.98$249.73---Closed treatment of carpometacarpal dislocation, thumb, with manipulation26645$314.78$287.84---Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation26650--$356.88--Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation26665--$468.48--Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed26670$253.21$228.51---Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia26675$336.76$307.86---Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia26676--$373.41--Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint26685--$428.88--Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint26686--$460.96--Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction26700$240.11$224.68---Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia26705$312.06$284.56---Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia26706--$327.45--Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation26715--$425.83--Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed26720$149.76$138.82---Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each26725$252.38$226.28---Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each26727--$349.69--Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each26735--$443.29--Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each26740$173.54$162.59---Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each26742$275.14$248.48---Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each26746--$549.21--Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each26750$138.57$138.85---Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each26755$235.32$203.05---Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each26756--$312.47--Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each26765--$373.83--Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each26770$205.53$189.53---Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia26775$286.96$258.33---Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia26776--$330.42--Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation26785--$407.74--Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single26820--$581.78--Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)26841--$538.54--Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation;26842--$580.57--Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)26843--$546.54--Arthrodesis, carpometacarpal joint, digit, other than thumb, each;26844--$600.57--Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)26850--$512.81--Arthrodesis, metacarpophalangeal joint, with or without internal fixation;26852--$587.83--Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)26860--$422.12--Arthrodesis, interphalangeal joint, with or without internal fixation;26861--$75.35--Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure)26862--$538.02--Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)26863--$167.05--Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft), each additional joint (List separately in addition to code for primary procedure)26910--$532.06--Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer26951--$487.29--Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure26952--$478.95--Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)26989--I.C.--Unlisted procedure, hands or fingers26990--$462.59--Incision and drainage, pelvis or hip joint area; deep abscess or hematoma26991$528.46$385.34---Incision and drainage, pelvis or hip joint area; infected bursa26992--$707.86--Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)27000--$309.21--Tenotomy, adductor of hip, percutaneous (separate procedure)27001--$396.96--Tenotomy, adductor of hip, open27003--$440.64--Tenotomy, adductor, subcutaneous, open, with obturator neurectomy27005--$534.01--Tenotomy, hip flexor(s), open (separate procedure)27006--$543.18--Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)27025--$675.24--Fasciotomy, hip or thigh, any type27027--$662.01--Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral27030--$688.29--Arthrotomy, hip, with drainage (eg, infection)27033--$715.10--Arthrotomy, hip, including exploration or removal of loose or foreign body27035--$844.68--Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves27036--$744.09--Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas)27040$262.25$148.31---Biopsy, soft tissue of pelvis and hip area; superficial27041--$507.43--Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular27043--$343.61--Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater27045--$548.91--Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater27047$348.99$266.77---Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm27048--$448.05--Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm27049--$982.33--Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm27050--$286.54--Arthrotomy, with biopsy; sacroiliac joint27052--$427.32--Arthrotomy, with biopsy; hip joint27054--$506.45--Arthrotomy with synovectomy, hip joint27057--$744.14--Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilateral27059--$1,325.62--Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater27060--$343.37--Excision; ischial bursa27062--$338.74--Excision; trochanteric bursa or calcification27065--$379.70--Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed27066--$598.67--Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed27067--$755.57--Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision27070--$626.25--Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial27071--$677.59--Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular)27075--$1,534.80--Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis27076--$1,849.20--Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum27077--$2,076.71--Radical resection of tumor; innominate bone, total27078--$1,512.09--Radical resection of tumor; ischial tuberosity and greater trochanter of femur27080--$377.86--Coccygectomy, primary27086$222.21$123.98---Removal of foreign body, pelvis or hip; subcutaneous tissue27087--$461.67--Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)27090--$612.12--Removal of hip prosthesis; (separate procedure)27091--$1,173.29--Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer27093$144.91$51.74---Injection procedure for hip arthrography; without anesthesia27095$186.73$60.73---Injection procedure for hip arthrography; with anesthesia27096$123.55$62.93---Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed27097--$496.79--Release or recession, hamstring, proximal27098--$494.77--Transfer, adductor to ischium27100--$604.73--Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)27105--$639.00--Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)27110--$712.38--Transfer iliopsoas; to greater trochanter of femur27111--$663.06--Transfer iliopsoas; to femoral neck27120--$955.24--Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)27122--$808.91--Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)27125--$834.15--Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)27130--$996.00--Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft27132--$1,229.70--Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft27134--$1,404.29--Revision of total hip arthroplasty; both components, with or without autograft or allograft27137--$1,081.26--Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft27138--$1,123.14--Revision of total hip arthroplasty; femoral component only, with or without allograft27140--$659.10--Osteotomy and transfer of greater trochanter of femur (separate procedure)27146--$945.48--Osteotomy, iliac, acetabular or innominate bone;27147--$1,080.40--Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip27151--$1,166.31--Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy27156--$1,258.95--Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip27158--$1,039.88--Osteotomy, pelvis, bilateral (eg, congenital malformation)27161--$894.09--Osteotomy, femoral neck (separate procedure)27165--$1,011.93--Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast27170--$863.87--Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)27175--$491.62--Treatment of slipped femoral epiphysis; by traction, without reduction27176--$663.15--Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ27177--$820.03--Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)27178--$676.68--Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning27179--$718.49--Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)27181--$711.08--Open treatment of slipped femoral epiphysis; osteotomy and internal fixation27185--$450.01--Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur27187--$730.30--Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur27197--$89.18--Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation27198--$223.81--Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; with manipulation, requiring more than local anesthesia (ie, general anesthesia, moderate sedation, spinal/epidural)27200$135.55$141.73---Closed treatment of coccygeal fracture27202--$391.64--Open treatment of coccygeal fracture27215--$460.17--Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral, for pelvic bone fracture patterns that do not disrupt the pelvic ring, includes internal fixation, when performed27216--$680.94--Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac joint and/or sacrum)27217--$639.45--Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami)27218--$880.98--Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns that disrupt the pelvic ring, unilateral, includes internal fixation, when performed (includes ipsilateral ilium, sacroiliac joint and/or sacrum)27220$393.04$389.39---Closed treatment of acetabulum (hip socket) fracture(s); without manipulation27222--$718.75--Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction27226--$777.32--Open treatment of posterior or anterior acetabular wall fracture, with internal fixation27227--$1,217.42--Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation27228--$1,386.48--Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation27230$352.68$350.44---Closed treatment of femoral fracture, proximal end, neck; without manipulation27232--$551.12--Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction27235--$669.75--Percutaneous skeletal fixation of femoral fracture, proximal end, neck27236--$880.59--Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement27238--$341.61--Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation27240--$704.39--Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction27244--$905.90--Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage27245--$905.75--Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage27246$285.66$287.34---Closed treatment of greater trochanteric fracture, without manipulation27248--$546.73--Open treatment of greater trochanteric fracture, includes internal fixation, when performed27250--$129.32--Closed treatment of hip dislocation, traumatic; without anesthesia27252--$558.09--Closed treatment of hip dislocation, traumatic; requiring anesthesia27253--$692.27--Open treatment of hip dislocation, traumatic, without internal fixation27254--$931.69--Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation27256$220.76$169.97---Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation27257--$266.71--Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia27258--$816.72--Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);27259--$1,141.14--Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening27265--$296.26--Closed treatment of post hip arthroplasty dislocation; without anesthesia27266--$429.77--Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia27267--$322.77--Closed treatment of femoral fracture, proximal end, head; without manipulation27268--$394.05--Closed treatment of femoral fracture, proximal end, head; with manipulation27269--$910.64--Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed27275$135.00Manipulation, hip joint, requiring general anesthesia27279--$509.16--Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device27280--$989.27--Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed27282--$609.67--Arthrodesis, symphysis pubis (including obtaining graft)27284--$1,142.75--Arthrodesis, hip joint (including obtaining graft);27286--$1,204.34--Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy27290--$1,179.77--Interpelviabdominal amputation (hindquarter amputation)27295--$920.99--Disarticulation of hip27299--I.C.--Unlisted procedure, pelvis or hip joint27301$503.98$369.84--Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region27303--$470.83--Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)27305--$357.32--Fasciotomy, iliotibial (tenotomy), open27306--$266.03--Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)27307--$342.12--Tenotomy, percutaneous, adductor or hamstring; multiple tendons27310--$540.01--Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)27323$206.08$132.83--Biopsy, soft tissue of thigh or knee area; superficial27324--$294.80--Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular)27325--$405.10--Neurectomy, hamstring muscle27326--$383.66--Neurectomy, popliteal (gastrocnemius)27327$347.70$232.92--Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm27328--$455.84--Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm27329--$757.98--Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm27330--$311.06--Arthrotomy, knee; with synovial biopsy only27331--$352.41--Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies27332--$474.02--Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral27333--$433.95--Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral27334--$505.25--Arthrotomy, with synovectomy, knee; anterior OR posterior27335--$563.48--Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area27337--$307.15--Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater27339--$552.06--Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater27340--$277.40--Excision, prepatellar bursa27345--$356.89--Excision of synovial cyst of popliteal space (eg, Baker's cyst)27347--$393.13--Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee27350--$481.83--Patellectomy or hemipatellectomy27355--$445.10--Excision or curettage of bone cyst or benign tumor of femur;27356--$543.72--Excision or curettage of bone cyst or benign tumor of femur; with allograft27357--$600.70--Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft)27358--$202.49--Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure)27360--$629.18--Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess)27364--$1,141.09--Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater27365--$1,517.55--Radical resection of tumor, femur or knee27370$120.03$37.24---Injection of contrast for knee arthrography27372$459.81$299.28---Removal of foreign body, deep, thigh region or knee area27380--$441.09--Suture of infrapatellar tendon; primary27381--$588.97--Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft27385--$428.31--Suture of quadriceps or hamstring muscle rupture; primary27386--$613.44--Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft27390--$332.86--Tenotomy, open, hamstring, knee to hip; single tendon27391--$427.05--Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg27392--$525.78--Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral27393--$375.68--Lengthening of hamstring tendon; single tendon27394--$474.86--Lengthening of hamstring tendon; multiple tendons, 1 leg27395--$647.55--Lengthening of hamstring tendon; multiple tendons, bilateral27396--$455.39--Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon27397--$665.44--Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons27400--$512.91--Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)27403--$473.23--Arthrotomy with meniscus repair, knee27405--$498.72--Repair, primary, torn ligament and/or capsule, knee; collateral27407--$572.97--Repair, primary, torn ligament and/or capsule, knee; cruciate27409--$702.27--Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments27412--$1,215.01--Autologous chondrocyte implantation, knee27415--$1,008.96--Osteochondral allograft, knee, open27416--$720.21--Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s])27418--$611.56--Anterior tibial tubercleplasty (eg, Maquet type procedure)27420--$549.26--Reconstruction of dislocating patella; (eg, Hauser type procedure)27422--$547.79--Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure)27424--$552.08--Reconstruction of dislocating patella; with patellectomy27425--$333.48--Lateral retinacular release, open27427--$526.07--Ligamentous reconstruction (augmentation), knee; extra-articular27428--$822.23--Ligamentous reconstruction (augmentation), knee; intra-articular (open)27429--$920.15--Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular27430--$546.20--Quadricepsplasty (eg, Bennett or Thompson type)27435--$596.97--Capsulotomy, posterior capsular release, knee27437--$487.80--Arthroplasty, patella; without prosthesis27438--$619.92--Arthroplasty, patella; with prosthesis27440--$588.43--Arthroplasty, knee, tibial plateau;27441--$606.75--Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy27442--$640.66--Arthroplasty, femoral condyles or tibial plateau(s), knee;27443--$594.88--Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy27445--$917.41--Arthroplasty, knee, hinge prosthesis (eg, Walldius type)27446--$852.29--Arthroplasty, knee, condyle and plateau; medial OR lateral compartment27447--$995.71--Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)27448--$572.91--Osteotomy, femur, shaft or supracondylar; without fixation27450--$744.39--Osteotomy, femur, shaft or supracondylar; with fixation27454--$955.84--Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)27455--$693.62--Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure27457--$696.94--Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure27465--$908.33--Osteoplasty, femur; shortening (excluding 64876)27466--$867.84--Osteoplasty, femur; lengthening27468--$906.49--Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer27470--$865.69--Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)27472--$928.68--Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft)27475--$488.80--Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur27477--$539.57--Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal27479--$581.91--Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula27485--$494.82--Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus)27486--$1,034.70--Revision of total knee arthroplasty, with or without allograft; 1 component27487--$1,290.75--Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component27488--$884.20--Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee27495--$829.59--Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur27496--$402.05--Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor);27497--$428.75--Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve27498--$477.02--Decompression fasciotomy, thigh and/or knee, multiple compartments;27499--$515.94--Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve27500$385.87$355.28---Closed treatment of femoral shaft fracture, without manipulation27501$372.84$369.75---Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation27502--$562.42--Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction27503--$591.73--Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction27506--$984.66--Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws27507--$715.00--Open treatment of femoral shaft fracture with plate/screws, with or without cerclage27508$391.39$366.97--Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation27509--$477.28--Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or transcondylar, with or without intercondylar extension, or distal femoral epiphyseal separation27510--$502.97--Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation27511--$731.75--Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed27513--$909.19--Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed27514--$709.84--Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed27516$379.92$355.50---Closed treatment of distal femoral epiphyseal separation; without manipulation27517--$497.34--Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction27519--$654.51--Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed27520$243.71$221.26---Closed treatment of patellar fracture, without manipulation27524--$555.63--Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair27530$228.45$211.61---Closed treatment of tibial fracture, proximal (plateau); without manipulation27532$456.62$426.88---Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction27535--$659.23--Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed27536--$876.30--Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation27538$353.68$330.11---Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation27540--$597.77--Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed27550$376.59$347.69---Closed treatment of knee dislocation; without anesthesia27552--$463.24--Closed treatment of knee dislocation; requiring anesthesia27556--$642.84--Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction27557--$768.14--Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair27558--$872.80--Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction27560$270.87$248.70---Closed treatment of patellar dislocation; without anesthesia27562--$347.93--Closed treatment of patellar dislocation; requiring anesthesia27566--$657.09--Open treatment of patellar dislocation, with or without partial or total patellectomy27570--$112.77--Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)27580--$1,057.54--Arthrodesis, knee, any technique27590--$585.57--Amputation, thigh, through femur, any level;27591--$709.53--Amputation, thigh, through femur, any level; immediate fitting technique including first cast27592--$500.10--Amputation, thigh, through femur, any level; open, circular (guillotine)27594--$374.91--Amputation, thigh, through femur, any level; secondary closure or scar revision27596--$531.33--Amputation, thigh, through femur, any level; re-amputation27598--$531.13--Disarticulation at knee27599--I.C.--Unlisted procedure, femur or knee27600--$303.21--Decompression fasciotomy, leg; anterior and/or lateral compartments only27601--$327.86--Decompression fasciotomy, leg; posterior compartment(s) only27602--$359.91--Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)27603$400.42$288.16---Incision and drainage, leg or ankle; deep abscess or hematoma27604$376.90$258.47---Incision and drainage, leg or ankle; infected bursa27605$263.38$137.94---Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia27606--$209.81--Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia27607--$449.19--Incision (eg, osteomyelitis or bone abscess), leg or ankle27610--$482.55--Arthrotomy, ankle, including exploration, drainage, or removal of foreign body27612--$414.85--Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening27613$192.85$121.85---Biopsy, soft tissue of leg or ankle area; superficial27614$438.84$300.77---Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular)27615--$749.60--Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm27616--$930.07--Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater27618$340.84$228.31---Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm27619--$347.83--Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm27620--$338.60--Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body27625--$435.09--Arthrotomy, with synovectomy, ankle;27626--$458.69--Arthrotomy, with synovectomy, ankle; including tenosynovectomy27630$429.21$273.74---Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle27632--$305.32--Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater27634--$504.95--Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater27635--$435.87--Excision or curettage of bone cyst or benign tumor, tibia or fibula;27637--$555.38--Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft)27638--$564.37--Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft27640--$615.82--Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia27641--$495.12--Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula27645--$1,301.47--Radical resection of tumor; tibia27646--$1,127.76--Radical resection of tumor; fibula27647--$759.04--Radical resection of tumor; talus or calcaneus27648$127.07$38.67---Injection procedure for ankle arthrography27650--$491.00--Repair, primary, open or percutaneous, ruptured Achilles tendon;27652--$507.48--Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)27654--$526.83--Repair, secondary, Achilles tendon, with or without graft27656$485.92$295.65--Repair, fascial defect of leg27658--$279.13--Repair, flexor tendon, leg; primary, without graft, each tendon27659--$359.10--Repair, flexor tendon, leg; secondary, with or without graft, each tendon27664--$270.39--Repair, extensor tendon, leg; primary, without graft, each tendon27665--$308.05--Repair, extensor tendon, leg; secondary, with or without graft, each tendon27675--$362.66--Repair, dislocating peroneal tendons; without fibular osteotomy27676--$447.78--Repair, dislocating peroneal tendons; with fibular osteotomy27680--$320.12--Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon27681--$403.57--Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incision[s])27685$507.04$347.08---Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)27686--$414.20--Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each27687--$338.84--Gastrocnemius recession (eg, Strayer procedure)27690--$469.91--Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)27691--$556.56--Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior tibial through interosseous space, flexor digitorum longus, flexor hallucis longus, or peroneal tendon to midfoot or hindfoot)27692--$76.43--Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure)27695--$354.75--Repair, primary, disrupted ligament, ankle; collateral27696--$413.89--Repair, primary, disrupted ligament, ankle; both collateral ligaments27698--$475.89--Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)27700--$442.14--Arthroplasty, ankle;27702--$713.04--Arthroplasty, ankle; with implant (total ankle)27703--$818.12--Arthroplasty, ankle; revision, total ankle27704--$428.21--Removal of ankle implant27705--$561.35--Osteotomy; tibia27707--$302.12--Osteotomy; fibula27709--$859.31--Osteotomy; tibia and fibula27712--$812.01--Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)27715--$788.00--Osteoplasty, tibia and fibula, lengthening or shortening27720--$645.98--Repair of nonunion or malunion, tibia; without graft, (eg, compression technique)27722--$648.10--Repair of nonunion or malunion, tibia; with sliding graft27724--$928.35--Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft)27725--$890.16--Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method27726--$711.60--Repair of fibula nonunion and/or malunion with internal fixation27727--$763.49--Repair of congenital pseudarthrosis, tibia27730--$422.02--Arrest, epiphyseal (epiphysiodesis), open; distal tibia27732--$301.76--Arrest, epiphyseal (epiphysiodesis), open; distal fibula27734--$484.80--Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula27740--$522.98--Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula;27742--$576.18--Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur27745--$557.98--Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia27750$260.82$238.37---Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation27752$400.54$367.98---Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction27756--$425.16--Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)27758--$657.17--Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage27759--$735.59--Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage27760$251.96$228.95---Closed treatment of medial malleolus fracture; without manipulation27762$355.34$322.22---Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction27766--$453.73--Open treatment of medial malleolus fracture, includes internal fixation, when performed27767$212.42$213.82--Closed treatment of posterior malleolus fracture; without manipulation27768--$327.95--Closed treatment of posterior malleolus fracture; with manipulation27769--$539.01--Open treatment of posterior malleolus fracture, includes internal fixation, when performed27780$231.66$209.77---Closed treatment of proximal fibula or shaft fracture; without manipulation27781$316.25$291.83---Closed treatment of proximal fibula or shaft fracture; with manipulation27784--$530.16--Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed27786$238.93$215.07---Closed treatment of distal fibular fracture (lateral malleolus); without manipulation27788$315.38$286.76---Closed treatment of distal fibular fracture (lateral malleolus); with manipulation27792--$484.10--Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed27808$252.96$226.02---Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation27810$349.10$315.14---Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation27814--$571.29--Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed27816$241.76$215.66---Closed treatment of trimalleolar ankle fracture; without manipulation27818$361.44$321.87---Closed treatment of trimalleolar ankle fracture; with manipulation27822--$623.87--Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip27823--$706.66--Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip27824$235.53$228.51---Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation27825$405.15$365.02---Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation27826--$617.19--Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only27827--$799.86--Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only27828--$955.90--Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula27829--$508.80--Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed27830$285.18$264.70---Closed treatment of proximal tibiofibular joint dislocation; without anesthesia27831--$291.39--Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia27832--$559.39--Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula27840--$274.12--Closed treatment of ankle dislocation; without anesthesia27842--$367.80--Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation27846--$537.05--Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation27848--$599.18--Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation27860--$130.28--Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus)27870--$761.05--Arthrodesis, ankle, open27871--$506.54--Arthrodesis, tibiofibular joint, proximal or distal27880--$671.00--Amputation, leg, through tibia and fibula;27881--$641.70--Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast27882--$441.20--Amputation, leg, through tibia and fibula; open, circular (guillotine)27884--$425.69--Amputation, leg, through tibia and fibula; secondary closure or scar revision27886--$486.29--Amputation, leg, through tibia and fibula; re-amputation27888--$504.65--Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves27889--$475.95--Ankle disarticulation27892--$408.55--Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve27893--$447.53--Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve27894--$628.25--Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve27899--I.C.--Unlisted procedure, leg or ankle28001$213.81$127.09---Incision and drainage, bursa, foot28002$338.16$237.69---Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space28003$538.51$424.01---Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas28005--$432.28--Incision, bone cortex (eg, osteomyelitis or bone abscess), foot28008$333.08$220.27---Fasciotomy, foot and/or toe28010$176.61$158.08---Tenotomy, percutaneous, toe; single tendon28011$244.23$216.44---Tenotomy, percutaneous, toe; multiple tendons28020$417.04$271.39---Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint28022$377.34$244.60---Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint28024$357.04$229.63---Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint28035$405.49$266.02---Release, tarsal tunnel (posterior tibial nerve decompression)28039$391.65$262.27---Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater28041--$344.94--Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater28043$309.47$197.77---Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm28045$381.76$261.37---Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm28046--$542.53--Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm28047--$788.97--Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater28050$329.24$211.10---Arthrotomy with biopsy; intertarsal or tarsometatarsal joint28052$347.13$214.95---Arthrotomy with biopsy; metatarsophalangeal joint28054$304.72$184.89---Arthrotomy with biopsy; interphalangeal joint28055--$281.23--Neurectomy, intrinsic musculature of foot28060$399.81$268.19---Fasciectomy, plantar fascia; partial (separate procedure)28062$450.99$305.34---Fasciectomy, plantar fascia; radical (separate procedure)28070$411.52$266.99---Synovectomy; intertarsal or tarsometatarsal joint, each28072$391.28$249.28---Synovectomy; metatarsophalangeal joint, each28080$406.35$278.10---Excision, interdigital (Morton) neuroma, single, each28086$423.27$271.17---Synovectomy, tendon sheath, foot; flexor28088$347.45$212.75---Synovectomy, tendon sheath, foot; extensor28090$364.58$232.12---Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot28092$328.87$203.14---Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each28100$467.59$309.31---Excision or curettage of bone cyst or benign tumor, talus or calcaneus;28102--$448.66--Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft)28103--$294.01--Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft28104$407.23$264.95---Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;28106--$347.05--Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)28107$431.71$281.01---Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft28108$341.78$217.46---Excision or curettage of bone cyst or benign tumor, phalanges of foot28110$359.84$218.40---Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)28111$379.97$244.14---Ostectomy, complete excision; first metatarsal head28112$379.03$235.63---Ostectomy, complete excision; other metatarsal head (second, third or fourth)28113$456.91$321.08---Ostectomy, complete excision; fifth metatarsal head28114$820.31$627.24---Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)28116$576.64$426.21---Ostectomy, excision of tarsal coalition28118$456.69$309.36---Ostectomy, calcaneus;28119$405.69$271.54---Ostectomy, calcaneus; for spur, with or without plantar fascial release28120$519.36$372.87---Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus28122$459.83$330.45---Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus28124$369.00$249.16---Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe28126$307.82$187.71---Resection, partial or complete, phalangeal base, each toe28130--$478.04--Talectomy (astragalectomy)28140$455.86$327.89---Metatarsectomy28150$331.19$211.64---Phalangectomy, toe, each toe28153$319.93$199.26---Resection, condyle(s), distal end of phalanx, each toe28160$327.50$204.02---Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each28171--$630.03--Radical resection of tumor; tarsal (except talus or calcaneus)28173--$566.89--Radical resection of tumor; metatarsal28175--$365.98--Radical resection of tumor; phalanx of toe28190$200.48$100.86---Removal of foreign body, foot; subcutaneous28192$364.45$236.48---Removal of foreign body, foot; deep28193$408.50$276.60---Removal of foreign body, foot; complicated28200$379.04$241.81---Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon28202$458.54$319.34---Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)28208$366.95$234.49---Repair, tendon, extensor, foot; primary or secondary, each tendon28210$440.12$305.97---Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)28220$348.32$227.09---Tenolysis, flexor, foot; single tendon28222$390.36$261.83---Tenolysis, flexor, foot; multiple tendons28225$318.33$195.69---Tenolysis, extensor, foot; single tendon28226$468.31$292.91---Tenolysis, extensor, foot; multiple tendons28230$337.14$213.10---Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)28232$301.66$183.79---Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)28234$318.45$200.02---Tenotomy, open, extensor, foot or toe, each tendon28238$513.62$363.76---Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)28240$342.21$218.45---Tenotomy, lengthening, or release, abductor hallucis muscle28250$447.07$303.67---Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure)28260$524.18$380.50---Capsulotomy, midfoot; medial release only (separate procedure)28261$743.64$576.94---Capsulotomy, midfoot; with tendon lengthening28262$1,103.43$871.06---Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)28264$756.96$563.88---Capsulotomy, midtarsal (eg, Heyman type procedure)28270$380.23$251.42---Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)28272$306.67$192.17---Capsulotomy; interphalangeal joint, each joint (separate procedure)28280$399.86$262.91---Syndactylization, toes (eg, webbing or Kelikian type procedure)28285$412.71$284.46---Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)28286$350.46$225.86---Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)28288$467.32$324.48---Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head28289$560.68$409.14---Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint28291$570.67$364.98---Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant28292$606.08$452.86---Correction, hallux valgus (bunion), with or without sesamoidectomy; Keller, McBride, or Mayo type procedure28295$737.52$408.41---Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method28296$547.47$390.87---Correction, hallux valgus (bunion), with or without sesamoidectomy; with metatarsal osteotomy (eg, Mitchell, Chevron, or concentric type procedures)28297$620.98$433.51---Correction, hallux valgus (bunion), with or without sesamoidectomy; Lapidus-type procedure28298$553.96$378.00---Correction, hallux valgus (bunion), with or without sesamoidectomy; by phalanx osteotomy28299$683.14$504.37---Correction, hallux valgus (bunion), with or without sesamoidectomy; by double osteotomy28300--$484.23--Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation28302--$528.46--Osteotomy; talus28304$630.15$451.11--Osteotomy, tarsal bones, other than calcaneus or talus;28305--$495.66--Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)28306$473.32$302.13---Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal28307$524.65$336.35---Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)28308$437.56$283.77---Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each28309--$670.73--Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure)28310$423.12$268.77---Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)28312$395.29$240.38---Osteotomy, shortening, angular or rotational correction; other phalanges, any toe28313$408.15$269.24---Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)28315$372.20$244.51---Sesamoidectomy, first toe (separate procedure)28320--$453.91--Repair, nonunion or malunion; tarsal bones28322$603.28$430.97---Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)28340$444.97$309.70---Reconstruction, toe, macrodactyly; soft tissue resection28341$514.67$368.18---Reconstruction, toe, macrodactyly; requiring bone resection28344$360.38$233.53---Reconstruction, toe(s); polydactyly28345$402.99$274.18---Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web28360--$681.78--Reconstruction, cleft foot28400$189.63$172.79---Closed treatment of calcaneal fracture; without manipulation28405$296.68$267.50---Closed treatment of calcaneal fracture; with manipulation28406--$390.88--Percutaneous skeletal fixation of calcaneal fracture, with manipulation28415--$819.50--Open treatment of calcaneal fracture, includes internal fixation, when performed;28420--$926.30--Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other autogenous bone graft (includes obtaining graft)28430$180.72$159.67---Closed treatment of talus fracture; without manipulation28435$240.99$213.76---Closed treatment of talus fracture; with manipulation28436--$337.18--Percutaneous skeletal fixation of talus fracture, with manipulation28445--$785.86--Open treatment of talus fracture, includes internal fixation, when performed28446--$891.44--Open osteochondral autograft, talus (includes obtaining graft[s])28450$165.10$146.29---Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each28455$220.34$197.05---Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation, each28456--$242.65--Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each28465--$465.04--Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each28470$167.50$155.99---Closed treatment of metatarsal fracture; without manipulation, each28475$194.80$171.51---Closed treatment of metatarsal fracture; with manipulation, each28476--$267.49--Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each28485--$394.10--Open treatment of metatarsal fracture, includes internal fixation, when performed, each28490$112.27$96.00---Closed treatment of fracture great toe, phalanx or phalanges; without manipulation28495$136.75$114.01---Closed treatment of fracture great toe, phalanx or phalanges; with manipulation28496$344.13$177.99---Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation28505$510.28$373.61---Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed28510$95.00$92.47---Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each28515$124.10$108.95---Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each28525$436.75$300.08---Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each28530$88.79$78.40---Closed treatment of sesamoid fracture28531$271.39$139.77---Open treatment of sesamoid fracture, with or without internal fixation28540$158.57$142.29---Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia28545$222.25$195.87---Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia28546$435.18$249.12---Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation28555$669.96$497.93---Open treatment of tarsal bone dislocation, includes internal fixation, when performed28570$170.47$143.24---Closed treatment of talotarsal joint dislocation; without anesthesia28575$276.24$248.46---Closed treatment of talotarsal joint dislocation; requiring anesthesia28576--$291.62--Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation28585$650.48$500.62---Open treatment of talotarsal joint dislocation, includes internal fixation, when performed28600$167.21$142.80---Closed treatment of tarsometatarsal joint dislocation; without anesthesia28605$247.63$221.53---Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia28606--$295.66--Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation28615--$589.16--Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed28630$119.23$81.35---Closed treatment of metatarsophalangeal joint dislocation; without anesthesia28635$133.28$98.48---Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia28636$220.13$137.62---Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation28645$503.67$363.64---Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed28660$88.46$66.29---Closed treatment of interphalangeal joint dislocation; without anesthesia28665$116.42$98.18---Closed treatment of interphalangeal joint dislocation; requiring anesthesia28666--$139.97--Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation28675$450.06$309.74---Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed28705--$924.82--Arthrodesis; pantalar28715--$696.49--Arthrodesis; triple28725--$578.28--Arthrodesis; subtalar28730--$545.58--Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;28735--$580.52--Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)28737--$513.73--Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)28740$646.85$465.00---Arthrodesis, midtarsal or tarsometatarsal, single joint28750$623.11$442.10---Arthrodesis, great toe; metatarsophalangeal joint28755$393.76$248.67---Arthrodesis, great toe; interphalangeal joint28760$604.98$431.83---Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure)28800--$403.52--Amputation, foot; midtarsal (eg, Chopart type procedure)28805--$540.73--Amputation, foot; transmetatarsal28810--$320.74--Amputation, metatarsal, with toe, single28820$435.34$297.27---Amputation, toe; metatarsophalangeal joint28825$416.12$279.17---Amputation, toe; interphalangeal joint28890$248.20$168.50---Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring anesthesia other than local, including ultrasound guidance, involving the plantar fascia28899--I.C.--Unlisted procedure, foot or toes29000$216.98$126.90---Application of halo type body cast (see 20661-20663 for insertion)29010$181.39$109.55---Application of Risser jacket, localizer, body; only29015$217.92$133.44---Application of Risser jacket, localizer, body; including head29035$148.96$89.47---Application of body cast, shoulder to hips;29040$172.08$108.38---Application of body cast, shoulder to hips; including head, Minerva type29044$218.57$113.62---Application of body cast, shoulder to hips; including 1 thigh29046$184.99$117.64---Application of body cast, shoulder to hips; including both thighs29049$63.29$46.17---Application, cast; figure-of-eight29055$170.04$103.25---Application, cast; shoulder spica29058$92.13$68.83---Application, cast; plaster Velpeau29065$73.03$51.15---Application, cast; shoulder to hand (long arm)29075$65.95$46.59---Application, cast; elbow to finger (short arm)29085$72.60$50.43---Application, cast; hand and lower forearm (gauntlet)29086$60.34$38.73---Application, cast; finger (eg, contracture)29105$66.68$43.94---Application of long arm splint (shoulder to hand)29125$49.53$29.61---Application of short arm splint (forearm to hand); static29126$58.66$36.21---Application of short arm splint (forearm to hand); dynamic29130$30.73$20.91---Application of finger splint; static29131$38.47$24.15---Application of finger splint; dynamic29200$22.37$13.39---Strapping; thorax29240$21.80$13.67---Strapping; shoulder (eg, Velpeau)29260$21.83$14.26---Strapping; elbow or wrist29280$22.11$14.82---Strapping; hand or finger29305$188.57$118.69---Application of hip spica cast; 1 leg29325$206.78$132.13---Application of hip spica cast; 1 and one-half spica or both legs29345$102.75$74.69---Application of long leg cast (thigh to toes);29355$105.83$78.61---Application of long leg cast (thigh to toes); walker or ambulatory type29358$121.95$77.05---Application of long leg cast brace29365$92.85$65.07---Application of cylinder cast (thigh to ankle)29405$62.20$44.80---Application of short leg cast (below knee to toes);29425$59.80$42.40---Application of short leg cast (below knee to toes); walking or ambulatory type29435$88.05$61.39---Application of patellar tendon bearing (PTB) cast29440$33.18$21.39---Adding walker to previously applied cast29445$101.17$77.03---Application of rigid total contact leg cast29450$107.57$83.16---Application of clubfoot cast with molding or manipulation, long or short leg29505$63.84$37.18---Application of long leg splint (thigh to ankle or toes)29515$54.61$36.93---Application of short leg splint (calf to foot)29520$23.77$13.67---Strapping; hip29530$21.68$13.54---Strapping; knee29540$19.43$13.26---Strapping; ankle and/or foot29550$14.29$8.40---Strapping; toes29580$39.87$26.40---Strapping; Unna boot29581$48.37$9.36---Application of multi-layer compression system; leg (below knee), including ankle and foot29582$54.86$11.64---Application of multi-layer compression system; thigh and leg, including ankle and foot, when performed29583$34.06$8.24---Application of multi-layer compression system; upper arm and forearm29584$54.86$11.64---Application of multi-layer compression system; upper arm, forearm, hand, and fingers29700$47.71$24.41---Removal or bivalving; gauntlet, boot or body cast29705$50.11$34.67---Removal or bivalving; full arm or full leg cast29710$91.40$60.53---Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc.29720$64.77$32.50---Repair of spica, body cast or jacket29730$48.57$33.14---Windowing of cast29740$74.35$51.34---Wedging of cast (except clubfoot casts)29750$66.59$49.19---Wedging of clubfoot cast29799--I.C.--Unlisted procedure, casting or strapping29800--$380.12--Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)29804--$480.92--Arthroscopy, temporomandibular joint, surgical29805--$350.89--Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)29806--$782.71--Arthroscopy, shoulder, surgical; capsulorrhaphy29807--$764.10--Arthroscopy, shoulder, surgical; repair of SLAP lesion29819--$434.24--Arthroscopy, shoulder, surgical; with removal of loose body or foreign body29820--$397.45--Arthroscopy, shoulder, surgical; synovectomy, partial29821--$434.38--Arthroscopy, shoulder, surgical; synovectomy, complete29822--$422.62--Arthroscopy, shoulder, surgical; debridement, limited29823--$461.06--Arthroscopy, shoulder, surgical; debridement, extensive29824--$497.30--Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)29825--$430.35--Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation29826--$128.09--Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)29827--$782.57--Arthroscopy, shoulder, surgical; with rotator cuff repair29828--$675.64--Arthroscopy, shoulder, surgical; biceps tenodesis29830--$337.42--Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)29834--$362.35--Arthroscopy, elbow, surgical; with removal of loose body or foreign body29835--$374.88--Arthroscopy, elbow, surgical; synovectomy, partial29836--$423.73--Arthroscopy, elbow, surgical; synovectomy, complete29837--$389.05--Arthroscopy, elbow, surgical; debridement, limited29838--$435.64--Arthroscopy, elbow, surgical; debridement, extensive29840--$336.51--Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)29843--$359.76--Arthroscopy, wrist, surgical; for infection, lavage and drainage29844--$369.18--Arthroscopy, wrist, surgical; synovectomy, partial29845--$428.57--Arthroscopy, wrist, surgical; synovectomy, complete29846--$386.64--Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement29847--$397.40--Arthroscopy, wrist, surgical; internal fixation for fracture or instability29848--$380.57--Endoscopy, wrist, surgical, with release of transverse carpal ligament29850--$458.06--Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy)29851--$653.04--Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy)29855--$578.74--Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy)29856--$734.38--Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy)29860--$489.22--Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)29861--$533.32--Arthroscopy, hip, surgical; with removal of loose body or foreign body29862--$600.04--Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum29863--$599.79--Arthroscopy, hip, surgical; with synovectomy29866--$770.03--Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft[s])29867--$930.61--Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)29868--$1,179.28--Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral29870$443.33$306.94---Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)29871--$382.04--Arthroscopy, knee, surgical; for infection, lavage and drainage29873--$392.13--Arthroscopy, knee, surgical; with lateral release29874--$398.55--Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)29875--$368.04--Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)29876--$487.23--Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)29877--$461.70--Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)29879--$490.80--Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture29880--$417.76--Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29881--$402.84--Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed29882--$518.08--Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)29883--$621.93--Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)29884--$457.58--Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)29885--$556.55--Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion)29886--$472.20--Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion29887--$552.49--Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation29888--$727.13--Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction29889--$901.31--Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction29891--$503.52--Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect29892--$435.86--Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond fracture, with or without internal fixation (includes arthroscopy)29893$472.64$323.62---Endoscopic plantar fasciotomy29894--$372.48--Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body29895--$355.16--Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial29897--$376.82--Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited29898--$420.65--Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive29899--$764.51--Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis29900--$344.94--Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy29901--$396.84--Arthroscopy, metacarpophalangeal joint, surgical; with debridement29902--$420.25--Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion)29904--$472.28--Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body29905--$508.14--Arthroscopy, subtalar joint, surgical; with synovectomy29906--$534.20--Arthroscopy, subtalar joint, surgical; with debridement29907--$647.54--Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis29914--$736.34--Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)29915--$749.41--Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)29916--$750.53--Arthroscopy, hip, surgical; with labral repair29999--I.C.--Unlisted procedure, arthroscopy30000$178.39$88.87---Drainage abscess or hematoma, nasal, internal approach30020$180.80$89.59---Drainage abscess or hematoma, nasal septum30100$109.44$51.63---Biopsy, intranasal30110$178.09$97.83---Excision, nasal polyp(s), simple30115--$328.79--Excision, nasal polyp(s), extensive30117$690.79$260.29---Excision or destruction (eg, laser), intranasal lesion; internal approach30118--$575.88--Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy)30120$392.99$328.72---Excision or surgical planing of skin of nose for rhinophyma30124--$216.22--Excision dermoid cyst, nose; simple, skin, subcutaneous30125--$457.42--Excision dermoid cyst, nose; complex, under bone or cartilage30130--$291.36--Excision inferior turbinate, partial or complete, any method30140--$338.88--Submucous resection inferior turbinate, partial or complete, any method30150--$576.97--Rhinectomy; partial30160--$577.58--Rhinectomy; total30200$88.19$44.70---Injection into turbinate(s), therapeutic30210$115.61$75.20---Displacement therapy (Proetz type)30220$236.81$93.96---Insertion, nasal septal prosthesis (button)30300$144.87$80.60---Removal foreign body, intranasal; office type procedure30310--$157.41--Removal foreign body, intranasal; requiring general anesthesia30320--$336.90--Removal foreign body, intranasal; by lateral rhinotomy30400--$765.58--Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip30410--$890.56--Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip30420--$1,028.31--Rhinoplasty, primary; including major septal repair30430--$734.23--Rhinoplasty, secondary; minor revision (small amount of nasal tip work)30435--$837.84--Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)30450--$1,118.37--Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)30460--$530.28--Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only30462--$1,158.94--Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies30465--$734.63--Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)30520--$471.07--Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft30540--$523.09--Repair choanal atresia; intranasal30545--$658.48--Repair choanal atresia; transpalatine30560$210.21$104.97---Lysis intranasal synechia30580$495.30$382.77---Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)30600$446.60$332.38---Repair fistula; oronasal30620--$474.72--Septal or other intranasal dermatoplasty (does not include obtaining graft)30630--$468.92--Repair nasal septal perforations30801$179.42$105.05---Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial30802$224.63$144.08---Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)30901$71.63$41.04---Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method30903$170.54$58.57---Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method30905$208.74$77.97---Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial30906$269.11$100.73---Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent30915--$431.38--Ligation arteries; ethmoidal30920--$624.08--Ligation arteries; internal maxillary artery, transantral30930--$93.59--Fracture nasal inferior turbinate(s), therapeutic30999--I.C.--Unlisted procedure, nose31000$142.54$80.24---Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium)31002--$147.53--Lavage by cannulation; sphenoid sinus31020$376.19$276.01---Sinusotomy, maxillary (antrotomy); intranasal31030$529.94$400.01---Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps31032--$433.38--Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps31040--$570.76--Pterygomaxillary fossa surgery, any approach31050--$368.16--Sinusotomy, sphenoid, with or without biopsy;31051--$487.66--Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)31070--$334.50--Sinusotomy frontal; external, simple (trephine operation)31075--$589.95--Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)31080--$779.51--Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)31081--$1,084.07--Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)31084--$868.27--Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision31085--$1,151.13--Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision31086--$846.80--Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision31087--$806.64--Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision31090--$776.17--Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)31200--$437.06--Ethmoidectomy; intranasal, anterior31201--$558.15--Ethmoidectomy; intranasal, total31205--$678.15--Ethmoidectomy; extranasal, total31225--$1,395.35--Maxillectomy; without orbital exenteration31230--$1,543.04--Maxillectomy; with orbital exenteration (en bloc)31231$163.80$47.90---Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)31233$201.80$101.34---Nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy (via inferior meatus or canine fossa puncture)31235$229.39$119.94---Nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)31237$196.93$119.76---Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)31238$196.06$125.34---Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage31239--$460.26--Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy31240--$119.33--Nasal/sinus endoscopy, surgical; with concha bullosa resection31254--$201.36--Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior)31255--$294.55--Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior)31256--$146.28--Nasal/sinus endoscopy, surgical, with maxillary antrostomy;31267--$234.07--Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus31276--$371.43--Nasal/sinus endoscopy, surgical with frontal sinus exploration, with or without removal of tissue from frontal sinus31287--$171.41--Nasal/sinus endoscopy, surgical, with sphenoidotomy;31288--$198.29--Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus31290--$852.81--Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region31291--$905.92--Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region31292--$740.85--Nasal/sinus endoscopy, surgical; with medial or inferior orbital wall decompression31293--$803.50--Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression31294--$916.71--Nasal/sinus endoscopy, surgical; with optic nerve decompression31295$1,626.56$121.51---Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via canine fossa31296$1,655.98$145.31---Nasal/sinus endoscopy, surgical; with dilation of frontal sinus ostium (eg, balloon dilation)31297$1,629.08$118.97---Nasal/sinus endoscopy, surgical; with dilation of sphenoid sinus ostium (eg, balloon dilation)31299--I.C.--Unlisted procedure, accessory sinuses31300--$986.78--Laryngotomy (thyrotomy, laryngofissure); with removal of tumor or laryngocele, cordectomy31320--$533.44--Laryngotomy (thyrotomy, laryngofissure); diagnostic31360--$1,584.39--Laryngectomy; total, without radical neck dissection31365--$1,946.88--Laryngectomy; total, with radical neck dissection31367--$1,684.80--Laryngectomy; subtotal supraglottic, without radical neck dissection31368--$1,878.47--Laryngectomy; subtotal supraglottic, with radical neck dissection31370--$1,592.12--Partial laryngectomy (hemilaryngectomy); horizontal31375--$1,501.21--Partial laryngectomy (hemilaryngectomy); laterovertical31380--$1,488.38--Partial laryngectomy (hemilaryngectomy); anterovertical31382--$1,637.18--Partial laryngectomy (hemilaryngectomy); antero-latero-vertical31390--$2,175.25--Pharyngolaryngectomy, with radical neck dissection; without reconstruction31395--$2,304.10--Pharyngolaryngectomy, with radical neck dissection; with reconstruction31400--$744.24--Arytenoidectomy or arytenoidopexy, external approach31420--$624.52--Epiglottidectomy31500--$79.45--Intubation, endotracheal, emergency procedure31502--$25.75--Tracheotomy tube change prior to establishment of fistula tract31505$64.29$37.35---Laryngoscopy, indirect; diagnostic (separate procedure)31510$161.28$90.28---Laryngoscopy, indirect; with biopsy31511$161.03$96.21---Laryngoscopy, indirect; with removal of foreign body31512$156.02$96.24---Laryngoscopy, indirect; with removal of lesion31513--$98.29--Laryngoscopy, indirect; with vocal cord injection31515$141.94$78.23---Laryngoscopy direct, with or without tracheoscopy; for aspiration31520--$116.46--Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn31525$192.81$119.28---Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn31526--$117.31--Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope31527--$144.24--Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator31528--$107.79--Laryngoscopy direct, with or without tracheoscopy; with dilation, initial31529--$120.43--Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent31530--$146.93--Laryngoscopy, direct, operative, with foreign body removal;31531--$158.13--Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope31535--$141.11--Laryngoscopy, direct, operative, with biopsy;31536--$156.93--Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope31540--$179.66--Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;31541--$196.29--Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope31545--$269.05--Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)31546--$407.96--Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft)31551--$1,075.04--Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age31552--$1,091.15--Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older31553--$1,090.82--Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age31554--$1,257.88--Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older31560--$232.51--Laryngoscopy, direct, operative, with arytenoidectomy;31561--$254.47--Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope31570$256.91$170.47---Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;31571--$185.80--Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope31572$388.32$136.42---Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral31573$203.77$112.76---Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral31574$813.24$112.76---Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral31575$87.19$57.44---Laryngoscopy, flexible fiberoptic; diagnostic31576$172.23$92.25---Laryngoscopy, flexible fiberoptic; with biopsy31577$184.31$111.35---Laryngoscopy, flexible fiberoptic; with removal of foreign body31578$212.68$127.93---Laryngoscopy, flexible fiberoptic; with removal of lesion31579$159.95$104.94---Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy31580--$923.33--Laryngoplasty; for laryngeal web, 2-stage, with keel insertion and removal31584--$1,132.80--Laryngoplasty; with open reduction of fracture31587--$743.65--Laryngoplasty, cricoid split31590--$687.77--Laryngeal reinnervation by neuromuscular pedicle31591--$794.92--Laryngoplasty, medialization, unilateral31592--$1,276.20--Cricotracheal resection31595--$579.38--Section recurrent laryngeal nerve, therapeutic (separate procedure), unilateral31599--I.C.--Unlisted procedure, larynx31600--$288.25--Tracheostomy, planned (separate procedure);31601--$188.23--Tracheostomy, planned (separate procedure); younger than 2 years31603--$162.67--Tracheostomy, emergency procedure; transtracheal31605--$132.39--Tracheostomy, emergency procedure; cricothyroid membrane31610--$536.64--Tracheostomy, fenestration procedure with skin flaps31611--$410.20--Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis)31612$63.52$35.46---Tracheal puncture, percutaneous with transtracheal aspiration and/or injection31613--$345.74--Tracheostoma revision; simple, without flap rotation31614--$572.10--Tracheostoma revision; complex, with flap rotation31615$137.85$95.48---Tracheobronchoscopy through established tracheostomy incision31622$232.60$106.04---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)31623$254.44$108.23---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings31624$240.41$109.35---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage31625$304.43$124.82---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites31626$710.47$155.09---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple31627$1,120.34$71.32---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedure[s])31628$320.31$139.30---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe31629$383.33$147.04---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)31630--$146.97--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture31631--$168.40--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required)31632$56.24$36.32---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure)31633$69.19$46.74---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), each additional lobe (List separately in addition to code for primary procedure)31634$1,468.77$151.18---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with assessment of air leak, with administration of occlusive substance (eg, fibrin glue), if performed31635$264.93$138.65---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body31636--$162.41--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required), initial bronchus31637--$54.67--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; each additional major bronchus stented (List separately in addition to code for primary procedure)31638--$185.40--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as required)31640--$186.65--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor31641--$189.73--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)31643--$130.67--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application31645$247.48$119.23---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess)31646$222.40$103.13---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent31647--$163.39--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), initial lobe31648--$151.04--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe31649--$50.99--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure)31651--$57.63--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, when performed, assessment of air leak, airway sizing, and insertion of bronchial valve(s), each additional lobe (List separately in addition to code for primary procedure[s])31652$704.57$172.48---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), one or two mediastinal and/or hilar lymph node stations or structures31653$748.18$190.27---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]), 3 or more mediastinal and/or hilar lymph node stations or structures31654$110.00$49.66---Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s])31660--$155.22--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe31661--$162.90--Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes31717$201.02$80.35---Catheterization with bronchial brush biopsy31720--$37.80--Catheter aspiration (separate procedure); nasotracheal31725--$65.34--Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside31730$969.68$107.01---Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy31750--$1,072.15--Tracheoplasty; cervical31755--$1,354.24--Tracheoplasty; tracheopharyngeal fistulization, each stage31760--$1,006.03--Tracheoplasty; intrathoracic31766--$1,282.92--Carinal reconstruction31770--$963.76--Bronchoplasty; graft repair31775--$963.55--Bronchoplasty; excision stenosis and anastomosis31780--$865.82--Excision tracheal stenosis and anastomosis; cervical31781--$1,066.13--Excision tracheal stenosis and anastomosis; cervicothoracic31785--$799.78--Excision of tracheal tumor or carcinoma; cervical31786--$1,036.56--Excision of tracheal tumor or carcinoma; thoracic31800--$559.33--Suture of tracheal wound or injury; cervical31805--$600.12--Suture of tracheal wound or injury; intrathoracic31820$329.95$245.48---Surgical closure tracheostomy or fistula; without plastic repair31825$453.59$357.33---Surgical closure tracheostomy or fistula; with plastic repair31830$336.82$257.12---Revision of tracheostomy scar31899--I.C.--Unlisted procedure, trachea, bronchi32035--$524.53--Thoracostomy; with rib resection for empyema32036--$566.03--Thoracostomy; with open flap drainage for empyema32096--$582.66--Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral32097--$582.63--Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral32098--$553.15--Thoracotomy, with biopsy(ies) of pleura32100--$585.34--Thoracotomy; with exploration32110--$1,056.27--Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear32120--$632.22--Thoracotomy; for postoperative complications32124--$671.42--Thoracotomy; with open intrapleural pneumonolysis32140--$721.53--Thoracotomy; with cyst(s) removal, includes pleural procedure when performed32141--$1,098.20--Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed32150--$728.06--Thoracotomy; with removal of intrapleural foreign body or fibrin deposit32151--$727.74--Thoracotomy; with removal of intrapulmonary foreign body32160--$573.48--Thoracotomy; with cardiac massage32200--$826.53--Pneumonostomy, with open drainage of abscess or cyst32215--$581.84--Pleural scarification for repeat pneumothorax32220--$1,147.74--Decortication, pulmonary (separate procedure); total32225--$720.72--Decortication, pulmonary (separate procedure); partial32310--$661.62--Pleurectomy, parietal (separate procedure)32320--$1,156.40--Decortication and parietal pleurectomy32400$114.91$64.40---Biopsy, pleura, percutaneous needle32405$352.35$77.32---Biopsy, lung or mediastinum, percutaneous needle32440--$1,130.44--Removal of lung, pneumonectomy;32442--$2,303.31--Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy)32445--$2,554.62--Removal of lung, pneumonectomy; extrapleural32480--$1,066.57--Removal of lung, other than pneumonectomy; single lobe (lobectomy)32482--$1,143.30--Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)32484--$1,035.44--Removal of lung, other than pneumonectomy; single segment (segmentectomy)32486--$1,688.76--Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)32488--$1,722.99--Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)32491--$1,065.56--Removal of lung, other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction, sternal split or transthoracic approach, includes any pleural procedure, when performed32501--$175.23--Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)32503--$1,303.68--Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; without chest wall reconstruction(s)32504--$1,486.20--Resection of apical lung tumor (eg, Pancoast tumor), including chest wall resection, rib(s) resection(s), neurovascular dissection, when performed; with chest wall reconstruction32505--$675.42--Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial32506--$112.12--Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)32507--$111.96--Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)32540--$1,252.45--Extrapleural enucleation of empyema (empyemectomy)32550$606.57$162.32---Insertion of indwelling tunneled pleural catheter with cuff32551--$123.36--Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)32552$138.20$118.28---Removal of indwelling tunneled pleural catheter with cuff32553$459.28$144.13---Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple32554$153.24$65.96---Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance32555$223.45$83.13---Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance32556$422.19$91.04---Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance32557$400.68$113.59---Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance32560$188.41$56.51---Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)32561$68.95$50.15---Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day32562$61.90$45.06---Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day32601--$222.82--Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy32604--$346.52--Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy32606--$332.68--Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy32607--$222.85--Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral32608--$272.77--Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral32609--$187.55--Thoracoscopy; with biopsy(ies) of pleura32650--$484.78--Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)32651--$792.70--Thoracoscopy, surgical; with partial pulmonary decortication32652--$1,199.30--Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis32653--$766.39--Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit32654--$854.31--Thoracoscopy, surgical; with control of traumatic hemorrhage32655--$692.65--Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed32656--$583.18--Thoracoscopy, surgical; with parietal pleurectomy32658--$518.44--Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac32659--$532.06--Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage32661--$580.48--Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass32662--$647.14--Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass32663--$1,010.88--Thoracoscopy, surgical; with lobectomy (single lobe)32664--$617.93--Thoracoscopy, surgical; with thoracic sympathectomy32665--$884.79--Thoracoscopy, surgical; with esophagomyotomy (Heller type)32666--$632.20--Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral32667--$112.40--Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)32668--$112.12--Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)32669--$971.90--Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)32670--$1,153.92--Thoracoscopy, surgical; with removal of two lobes (bilobectomy)32671--$1,275.09--Thoracoscopy, surgical; with removal of lung (pneumonectomy)32672--$1,097.95--Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed32673--$881.26--Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral32674--$154.38--Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)32701--$155.45--Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment32800--$685.08--Repair lung hernia through chest wall32810--$653.69--Closure of chest wall following open flap drainage for empyema (Clagett type procedure)32815--$2,016.34--Open closure of major bronchial fistula32820--$967.68--Major reconstruction, chest wall (posttraumatic)32850--I.C.--Donor pneumonectomy(s) (including cold preservation), from cadaver donor32851--$2,368.25--Lung transplant, single; without cardiopulmonary bypass32852--$2,587.68--Lung transplant, single; with cardiopulmonary bypass32853--$3,293.39--Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass32854--$3,501.91--Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass32855--I.C.--Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmonary artery, and bronchus; unilateral32856--I.C.--Backbench standard preparation of cadaver donor lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff, pulmonary artery, and bronchus; bilateral32900--$1,017.99--Resection of ribs, extrapleural, all stages32905--$968.25--Thoracoplasty, Schede type or extrapleural (all stages);32906--$1,193.74--Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula32940--$890.61--Pneumonolysis, extraperiosteal, including filling or packing procedures32960$104.88$72.33---Pneumothorax, therapeutic, intrapleural injection of air32997--$252.90--Total lung lavage (unilateral)32998$1,888.84$210.91---Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, radiofrequency, unilateral32999--I.C.--Unlisted procedure, lungs and pleura33010--$86.30--Pericardiocentesis; initial33011--$86.74--Pericardiocentesis; subsequent33015--$372.04--Tube pericardiostomy33020--$637.07--Pericardiotomy for removal of clot or foreign body (primary procedure)33025--$577.70--Creation of pericardial window or partial resection for drainage33030--$1,441.72--Pericardiectomy, subtotal or complete; without cardiopulmonary bypass33031--$1,778.89--Pericardiectomy, subtotal or complete; with cardiopulmonary bypass33050--$724.33--Resection of pericardial cyst or tumor33120--$1,508.74--Excision of intracardiac tumor, resection with cardiopulmonary bypass33130--$996.86--Resection of external cardiac tumor33140--$1,130.00--Transmyocardial laser revascularization, by thoracotomy; (separate procedure)33141--$94.26--Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)33202--$561.22--Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)33203--$581.89--Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy)33206--$336.18--Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial33207--$357.56--Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular33208--$386.78--Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular33210--$128.56--Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)33211--$131.46--Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure)33212--$243.18--Insertion of pacemaker pulse generator only; with existing single lead33213--$253.27--Insertion of pacemaker pulse generator only; with existing dual leads33214--$356.68--Upgrade of implanted pacemaker system, conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator, testing of existing lead, insertion of new lead, insertion of new pulse generator)33215--$225.53--Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode33216--$279.78--Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator33217--$274.08--Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator33218--$293.13--Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator33220--$293.37--Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator33221--$272.22--Insertion of pacemaker pulse generator only; with existing multiple leads33222--$256.14--Relocation of skin pocket for pacemaker33223$306.41Relocation of skin pocket for implantable defibrillator33224--$371.21--Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of existing generator)33225--$336.63--Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) (List separately in addition to code for primary procedure)33226--$356.07--Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator)33227--$255.59--Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system33228--$266.52--Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system33229--$280.98--Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system33230--$288.55--Insertion of implantable defibrillator pulse generator only; with existing dual leads33231--$300.45--Insertion of implantable defibrillator pulse generator only; with existing multiple leads33233--$178.79--Removal of permanent pacemaker pulse generator only33234--$361.37--Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular33235--$471.99--Removal of transvenous pacemaker electrode(s); dual lead system33236--$569.21--Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular33237--$611.56--Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system33238--$678.69--Removal of permanent transvenous electrode(s) by thoracotomy33240--$275.19--Insertion of implantable defibrillator pulse generator only; with existing single lead33241--$167.78--Removal of implantable defibrillator pulse generator only33243--$989.61--Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy33244--$632.02--Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction33249--$672.89--Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber33250--$1,055.69--Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); without cardiopulmonary bypass33251--$1,172.36--Operative ablation of supraventricular arrhythmogenic focus or pathway (eg, Wolff-Parkinson-White, atrioventricular node re-entry), tract(s) and/or focus (foci); with cardiopulmonary bypass33254--$991.35--Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)33255--$1,169.86--Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass33256--$1,407.26--Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass33257--$423.76--Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), limited (eg, modified maze procedure) (List separately in addition to code for primary procedure)33258--$475.11--Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), without cardiopulmonary bypass (List separately in addition to code for primary procedure)33259--$613.47--Operative tissue ablation and reconstruction of atria, performed at the time of other cardiac procedure(s), extensive (eg, maze procedure), with cardiopulmonary bypass (List separately in addition to code for primary procedure)33261--$1,183.05--Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass33262--$280.65--Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system33263--$291.58--Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system33264--$303.79--Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system33265--$984.66--Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass33266--$1,331.29--Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass33270--$431.61--Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed33271--$364.25--Insertion of subcutaneous implantable defibrillator electrode33272--$256.22--Removal of subcutaneous implantable defibrillator electrode33273--$299.55--Repositioning of previously implanted subcutaneous implantable defibrillator electrode33282--$175.18--Implantation of patient-activated cardiac event recorder33284--$155.33--Removal of an implantable, patient-activated cardiac event recorder33300--$1,760.63--Repair of cardiac wound; without bypass33305--$2,941.14--Repair of cardiac wound; with cardiopulmonary bypass33310--$849.30--Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass33315--$1,375.88--Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass33320--$768.03--Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass33321--$890.30--Suture repair of aorta or great vessels; with shunt bypass33322--$1,003.57--Suture repair of aorta or great vessels; with cardiopulmonary bypass33330--$1,029.49--Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass33335--$1,351.40--Insertion of graft, aorta or great vessels; with cardiopulmonary bypass33340--$598.36--Percutaneous transcatheter closure of the left atrial appendage with endocardial implant, including fluoroscopy, transseptal puncture, catheter placement(s), left atrial angiography, left atrial appendage angiography, when performed, and radiological supervision and interpretation33361--$975.72--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach33362--$1,065.61--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach33363--$1,108.22--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach33364--$1,160.30--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach33365--$1,277.33--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy)33366--$1,381.33--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy)33367--$448.43--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg, femoral vessels) (List separately in addition to code for primary procedure)33368--$533.59--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg, femoral, iliac, axillary vessels) (List separately in addition to code for primary procedure)33369--$705.21--Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg, aorta, right atrium, pulmonary artery) (List separately in addition to code for primary procedure)33390--$1,423.13--Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)33391--$1,686.27--Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)33404--$1,267.45--Construction of apical-aortic conduit33405--$1,634.40--Replacement, aortic valve, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve33406--$2,069.92--Replacement, aortic valve, with cardiopulmonary bypass; with allograft valve (freehand)33410--$1,826.63--Replacement, aortic valve, with cardiopulmonary bypass; with stentless tissue valve33411--$2,412.92--Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus33412--$2,273.38--Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)33413--$2,333.01--Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure)33414--$1,553.32--Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract33415--$1,462.32--Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis33416--$1,464.73--Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy)33417--$1,209.65--Aortoplasty (gusset) for supravalvular stenosis33418--$1,300.87--Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis33419--$305.55--Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addition to code for primary procedure)33420--$1,051.85--Valvotomy, mitral valve; closed heart33422--$1,208.84--Valvotomy, mitral valve; open heart, with cardiopulmonary bypass33425--$1,967.74--Valvuloplasty, mitral valve, with cardiopulmonary bypass;33426--$1,716.10--Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring33427--$1,759.11--Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring33430--$2,015.00--Replacement, mitral valve, with cardiopulmonary bypass33460--$1,751.64--Valvectomy, tricuspid valve, with cardiopulmonary bypass33463--$2,222.90--Valvuloplasty, tricuspid valve; without ring insertion33464--$1,759.39--Valvuloplasty, tricuspid valve; with ring insertion33465--$1,983.52--Replacement, tricuspid valve, with cardiopulmonary bypass33468--$1,769.82--Tricuspid valve repositioning and plication for Ebstein anomaly33470--$941.57--Valvotomy, pulmonary valve, closed heart; transventricular33471--$1,006.91--Valvotomy, pulmonary valve, closed heart; via pulmonary artery33474--$1,575.57--Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass33475--$1,678.92--Replacement, pulmonary valve33476--$1,105.30--Right ventricular resection for infundibular stenosis, with or without commissurotomy33477--$945.87--Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed33478--$1,141.57--Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection33496--$1,204.69--Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure)33500--$1,133.91--Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass33501--$818.98--Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass33502--$928.71--Repair of anomalous coronary artery from pulmonary artery origin; by ligation33503--$966.33--Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass33504--$1,065.10--Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass33505--$1,487.58--Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure)33506--$1,483.26--Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta33507--$1,246.17--Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation33508--$11.55--Endoscopy, surgical, including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure)33510--$1,392.93--Coronary artery bypass, vein only; single coronary venous graft33511--$1,530.57--Coronary artery bypass, vein only; 2 coronary venous grafts33512--$1,738.23--Coronary artery bypass, vein only; 3 coronary venous grafts33513--$1,787.90--Coronary artery bypass, vein only; 4 coronary venous grafts33514--$1,882.12--Coronary artery bypass, vein only; 5 coronary venous grafts33516--$1,959.67--Coronary artery bypass, vein only; 6 or more coronary venous grafts33517--$134.09--Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)33518--$294.75--Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)33519--$389.80--Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)33521--$467.44--Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)33522--$524.48--Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)33523--$596.81--Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)33530--$376.56--Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure)33533--$1,347.28--Coronary artery bypass, using arterial graft(s); single arterial graft33534--$1,584.39--Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts33535--$1,765.70--Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts33536--$1,903.21--Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts33542--$1,890.02--Myocardial resection (eg, ventricular aneurysmectomy)33545--$2,225.77--Repair of postinfarction ventricular septal defect, with or without myocardial resection33548--$2,133.02--Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures)33572--$165.03--Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List separately in addition to primary procedure)33600--$1,246.62--Closure of atrioventricular valve (mitral or tricuspid) by suture or patch33602--$1,210.35--Closure of semilunar valve (aortic or pulmonary) by suture or patch33606--$1,355.77--Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure)33608--$1,305.35--Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery33610--$1,287.42--Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect33611--$1,492.94--Repair of double outlet right ventricle with intraventricular tunnel repair;33612--$1,448.47--Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction33615--$1,445.41--Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure)33617--$1,565.27--Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure33619--$1,974.80--Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure)33620--$1,193.38--Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)33621--$676.94--Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)33622--$2,631.94--Reconstruction of complex cardiac anomaly (eg, single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia, creation of cavopulmonary anastomosis, and removal of right and left pulmonary bands (eg, hybrid approach stage 2, Norwood, bidirectional Glenn, pulmonary artery debanding)33641--$1,186.96--Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch33645--$1,252.25--Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage33647--$1,315.22--Repair of atrial septal defect and ventricular septal defect, with direct or patch closure33660--$1,271.37--Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair33665--$1,384.30--Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair33670--$1,423.78--Repair of complete atrioventricular canal, with or without prosthetic valve33675--$1,426.34--Closure of multiple ventricular septal defects;33676--$1,549.13--Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)33677--$1,609.13--Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset33681--$1,334.84--Closure of single ventricular septal defect, with or without patch;33684--$1,444.95--Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic)33688--$1,360.67--Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset33690--$874.29--Banding of pulmonary artery33692--$1,499.31--Complete repair tetralogy of Fallot without pulmonary atresia;33694--$1,492.94--Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch33697--$1,485.95--Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect33702--$1,121.86--Repair sinus of Valsalva fistula, with cardiopulmonary bypass;33710--$1,570.28--Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect33720--$1,122.37--Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass33722--$1,177.08--Closure of aortico-left ventricular tunnel33724--$1,115.00--Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)33726--$1,470.19--Repair of pulmonary venous stenosis33730--$1,451.34--Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types)33732--$1,196.13--Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane33735--$943.12--Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation)33736--$1,022.45--Atrial septectomy or septostomy; open heart with cardiopulmonary bypass33737--$987.33--Atrial septectomy or septostomy; open heart, with inflow occlusion33750--$915.73--Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)33755--$958.01--Shunt; ascending aorta to pulmonary artery (Waterston type operation)33762--$976.81--Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)33764--$958.01--Shunt; central, with prosthetic graft33766--$965.93--Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure)33767--$1,030.64--Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)33768--$299.37--Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)33770--$1,621.72--Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect33771--$1,670.23--Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect33774--$1,305.54--Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass;33775--$1,414.03--Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band33776--$1,494.53--Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect33777--$1,445.23--Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction33778--$1,796.27--Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type);33779--$1,782.64--Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band33780--$1,709.40--Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect33781--$1,773.56--Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction33782--$2,329.08--Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation33783--$2,675.15--Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia33786--$1,643.34--Total repair, truncus arteriosus (Rastelli type operation)33788--$1,169.75--Reimplantation of an anomalous pulmonary artery33800--$717.28--Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)33802--$789.93--Division of aberrant vessel (vascular ring);33803--$834.41--Division of aberrant vessel (vascular ring); with reanastomosis33813--$942.64--Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass33814--$1,106.70--Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass33820--$705.05--Repair of patent ductus arteriosus; by ligation33822--$777.56--Repair of patent ductus arteriosus; by division, younger than 18 years33824--$858.15--Repair of patent ductus arteriosus; by division, 18 years and older33840--$901.15--Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis33845--$970.51--Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft33851--$924.92--Excision of coarctation of aorta, with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement33852--$1,015.81--Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass33853--$1,328.87--Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass33860--$2,309.66--Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed33863--$2,262.95--Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall)33864--$2,313.15--Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure)33870--$1,813.26--Transverse arch graft, with cardiopulmonary bypass33875--$1,978.21--Descending thoracic aorta graft, with or without bypass33877--$2,615.25--Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass33880--$1,303.86--Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin33881--$1,120.53--Endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); not involving coverage of left subclavian artery origin, initial endoprosthesis plus descending thoracic aortic extension(s), if required, to level of celiac artery origin33883--$814.20--Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); initial extension33884--$294.96--Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure)33886--$702.67--Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta33889--$566.95--Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision, unilateral33891--$695.11--Bypass graft, with other than vein, transcervical retropharyngeal carotid-carotid, performed in conjunction with endovascular repair of descending thoracic aorta, by neck incision33910--$1,893.86--Pulmonary artery embolectomy; with cardiopulmonary bypass33915--$911.97--Pulmonary artery embolectomy; without cardiopulmonary bypass33916--$3,020.75--Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass33917--$1,058.98--Repair of pulmonary artery stenosis by reconstruction with patch or graft33920--$1,382.84--Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery33922--$1,008.92--Transection of pulmonary artery with cardiopulmonary bypass33924--$205.28--Ligation and takedown of a systemic-to-pulmonary artery shunt, performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure)33925--$1,242.15--Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass33926--$1,851.91--Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass33930--I.C.--Donor cardiectomy-pneumonectomy (including cold preservation)33933--I.C.--Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior vena cava, and trachea for implantation33935--$3,608.64--Heart-lung transplant with recipient cardiectomy-pneumonectomy33940--I.C.--Donor cardiectomy (including cold preservation)33944--I.C.--Backbench standard preparation of cadaver donor heart allograft prior to transplantation, including dissection of allograft from surrounding soft tissues to prepare aorta, superior vena cava, inferior vena cava, pulmonary artery, and left atrium for implantation33945--$3,492.49--Heart transplant, with or without recipient cardiectomy33946--$221.29--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous33947--$244.62--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial33948--$175.28--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous33949--$170.52--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial33951--$305.84--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)33952--$307.83--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)33953--$341.58--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age33954--$344.12--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e), open, 6 years and older33955--$617.76--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age33956--$600.90--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older33957--$137.47--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)33958--$134.73--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)33959--$174.46--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (includes fluoroscopic guidance, when performed)33962--$172.20--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), open, 6 years and older (includes fluoroscopic guidance, when performed)33963--$348.65--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includes fluoroscopic guidance, when performed)33964--$361.29--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy, 6 years and older (includes fluoroscopic guidance, when performed)33965--$137.47--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age33966--$169.22--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older33967--$186.37--Insertion of intra-aortic balloon assist device, percutaneous33968--$24.30--Removal of intra-aortic balloon assist device, percutaneous33969--$203.08--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age33970--$254.62--Insertion of intra-aortic balloon assist device through the femoral artery, open approach33971--$516.69--Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft33973--$369.46--Insertion of intra-aortic balloon assist device through the ascending aorta33974--$647.27--Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft33975--$944.95--Insertion of ventricular assist device; extracorporeal, single ventricle33976--$1,148.69--Insertion of ventricular assist device; extracorporeal, biventricular33977--$813.29--Removal of ventricular assist device; extracorporeal, single ventricle33978--$960.82--Removal of ventricular assist device; extracorporeal, biventricular33979--$1,399.73--Insertion of ventricular assist device, implantable intracorporeal, single ventricle33980--$1,284.28--Removal of ventricular assist device, implantable intracorporeal, single ventricle33981--$598.03--Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump33982--$1,423.58--Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass33983--$1,661.50--Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass33984--$204.96--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older33985--$382.85--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age33986--$382.00--Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy, 6 years and older33987--$149.43--Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)33988--$557.57--Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS33989--$362.19--Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS33990--$315.71--Insertion of ventricular assist device, percutaneous including radiological supervision and interpretation; arterial access only33991--$459.83--Insertion of ventricular assist device, percutaneous including radiological supervision and interpretation; both arterial and venous access, with transseptal puncture33992--$148.57--Removal of percutaneous ventricular assist device at separate and distinct session from insertion33993--$130.50--Repositioning of percutaneous ventricular assist device with imaging guidance at separate and distinct session from insertion33999--I.C.--Unlisted procedure, cardiac surgery34001--$710.07--Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision34051--$718.97--Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision34101--$440.32--Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision34111--$439.01--Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision34151--$1,019.31--Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision34201--$751.62--Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision34203--$697.77--Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision34401--$1,059.62--Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision34421--$534.68--Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision34451--$1,048.32--Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision34471--$782.86--Thrombectomy, direct or with catheter; subclavian vein, by neck incision34490--$446.26--Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision34501--$716.17--Valvuloplasty, femoral vein34502--$1,117.09--Reconstruction of vena cava, any method34510--$870.63--Venous valve transposition, any vein donor34520--$729.60--Cross-over vein graft to venous system34530--$806.40--Saphenopopliteal vein anastomosis34800--$823.69--Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aortic tube prosthesis34802--$909.35--Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb)34803--$938.58--Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (2 docking limbs)34804--$907.44--Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody bifurcated prosthesis34805--$867.85--Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-uniiliac or aorto-unifemoral prosthesis34806--$72.12--Transcatheter placement of wireless physiologic sensor in aneurysmal sac during endovascular repair, including radiological supervision and interpretation, instrument calibration, and collection of pressure data (List separately in addition to code for primary procedure)34808--$149.36--Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure)34812--$243.70--Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral34813--$170.78--Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure)34820--$355.54--Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy, by abdominal or retroperitoneal incision, unilateral34825--$510.21--Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; initial vessel34826--$148.58--Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, or dissection; each additional vessel (List separately in addition to code for primary procedure)34830--$1,279.56--Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis34831--$1,374.03--Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis34832--$1,369.76--Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis34833--$440.75--Open iliac artery exposure with creation of conduit for delivery of aortic or iliac endovascular prosthesis, by abdominal or retroperitoneal incision, unilateral34834--$197.80--Open brachial artery exposure to assist in the deployment of aortic or iliac endovascular prosthesis by arm incision, unilateral34839--I.C.--Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time34841--I.C.--Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)34842--I.C.--Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34843--I.C.--Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34844--I.C.--Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34845--I.C.--Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)34846--I.C.--Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34847--I.C.--Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34848--I.C.--Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34900--$654.40--Endovascular repair of iliac artery (eg, aneurysm, pseudoaneurysm, arteriovenous malformation, trauma) using ilio-iliac tube endoprosthesis35001--$818.25--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, carotid, subclavian artery, by neck incision35002--$824.00--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision35005--$802.68--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral artery35011--$732.10--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision35013--$915.77--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, axillary-brachial artery, by arm incision35021--$911.70--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, innominate, subclavian artery, by thoracic incision35022--$1,023.35--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision35045--$727.53--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ulnar artery35081--$1,271.49--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta35082--$1,596.88--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta35091--$1,300.39--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)35092--$1,887.30--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)35102--$1,374.93--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common, hypogastric, external)35103--$1,632.21--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)35111--$1,116.90--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, splenic artery35112--$1,348.05--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery35121--$1,194.97--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, celiac, renal, or mesenteric artery35122--$1,568.92--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery35131--$1,012.28--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, iliac artery (common, hypogastric, external)35132--$1,183.22--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, iliac artery (common, hypogastric, external)35141--$807.40--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, common femoral artery (profunda femoris, superficial femoral)35142--$964.67--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral)35151--$905.83--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, popliteal artery35152--$1,015.53--Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery35180--$696.96--Repair, congenital arteriovenous fistula; head and neck35182--$1,295.05--Repair, congenital arteriovenous fistula; thorax and abdomen35184--$761.63--Repair, congenital arteriovenous fistula; extremities35188--$865.56--Repair, acquired or traumatic arteriovenous fistula; head and neck35189--$1,112.78--Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen35190--$557.75--Repair, acquired or traumatic arteriovenous fistula; extremities35201--$695.49--Repair blood vessel, direct; neck35206--$568.22--Repair blood vessel, direct; upper extremity35207--$562.06--Repair blood vessel, direct; hand, finger35211--$999.72--Repair blood vessel, direct; intrathoracic, with bypass35216--$1,485.71--Repair blood vessel, direct; intrathoracic, without bypass35221--$1,057.10--Repair blood vessel, direct; intra-abdominal35226--$608.30--Repair blood vessel, direct; lower extremity35231--$899.97--Repair blood vessel with vein graft; neck35236--$716.88--Repair blood vessel with vein graft; upper extremity35241--$1,015.96--Repair blood vessel with vein graft; intrathoracic, with bypass35246--$1,143.07--Repair blood vessel with vein graft; intrathoracic, without bypass35251--$1,233.98--Repair blood vessel with vein graft; intra-abdominal35256--$743.58--Repair blood vessel with vein graft; lower extremity35261--$774.19--Repair blood vessel with graft other than vein; neck35266--$636.99--Repair blood vessel with graft other than vein; upper extremity35271--$996.98--Repair blood vessel with graft other than vein; intrathoracic, with bypass35276--$1,054.71--Repair blood vessel with graft other than vein; intrathoracic, without bypass35281--$1,177.71--Repair blood vessel with graft other than vein; intra-abdominal35286--$684.18--Repair blood vessel with graft other than vein; lower extremity35301--$826.30--Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision35302--$821.44--Thromboendarterectomy, including patch graft, if performed; superficial femoral artery35303--$909.18--Thromboendarterectomy, including patch graft, if performed; popliteal artery35304--$936.34--Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery35305--$896.49--Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel35306--$330.87--Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure)35311--$1,054.96--Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision35321--$650.24--Thromboendarterectomy, including patch graft, if performed; axillary-brachial35331--$1,056.48--Thromboendarterectomy, including patch graft, if performed; abdominal aorta35341--$995.97--Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal35351--$932.73--Thromboendarterectomy, including patch graft, if performed; iliac35355--$755.14--Thromboendarterectomy, including patch graft, if performed; iliofemoral35361--$1,115.78--Thromboendarterectomy, including patch graft, if performed; combined aortoiliac35363--$1,275.64--Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral35371--$599.17--Thromboendarterectomy, including patch graft, if performed; common femoral35372--$716.73--Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral35390--$115.20--Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure)35400--$107.63--Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure)35500--$230.29--Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure)35501--$1,086.38--Bypass graft, with vein; common carotid-ipsilateral internal carotid35506--$924.12--Bypass graft, with vein; carotid-subclavian or subclavian-carotid35508--$983.78--Bypass graft, with vein; carotid-vertebral35509--$1,023.58--Bypass graft, with vein; carotid-contralateral carotid35510--$892.42--Bypass graft, with vein; carotid-brachial35511--$812.85--Bypass graft, with vein; subclavian-subclavian35512--$885.51--Bypass graft, with vein; subclavian-brachial35515--$1,081.40--Bypass graft, with vein; subclavian-vertebral35516--$885.22--Bypass graft, with vein; subclavian-axillary35518--$841.86--Bypass graft, with vein; axillary-axillary35521--$897.49--Bypass graft, with vein; axillary-femoral35522--$881.29--Bypass graft, with vein; axillary-brachial35523--$938.72--Bypass graft, with vein; brachial-ulnar or -radial35525--$836.07--Bypass graft, with vein; brachial-brachial35526--$1,240.27--Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid35531--$1,472.35--Bypass graft, with vein; aortoceliac or aortomesenteric35533--$1,087.49--Bypass graft, with vein; axillary-femoral-femoral35535--$1,387.76--Bypass graft, with vein; hepatorenal35536--$1,224.12--Bypass graft, with vein; splenorenal35537--$1,594.06--Bypass graft, with vein; aortoiliac35538--$1,701.61--Bypass graft, with vein; aortobi-iliac35539--$1,592.70--Bypass graft, with vein; aortofemoral35540--$1,775.75--Bypass graft, with vein; aortobifemoral35556--$1,023.45--Bypass graft, with vein; femoral-popliteal35558--$902.77--Bypass graft, with vein; femoral-femoral35560--$1,246.69--Bypass graft, with vein; aortorenal35563--$968.70--Bypass graft, with vein; ilioiliac35565--$967.02--Bypass graft, with vein; iliofemoral35566--$1,218.93--Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels35570--$1,108.48--Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial35571--$970.95--Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels35572--$250.17--Harvest of femoropopliteal vein, 1 segment, for vascular reconstruction procedure (eg, aortic, vena caval, coronary, peripheral artery) (List separately in addition to code for primary procedure)35583--$1,057.13--In-situ vein bypass; femoral-popliteal35585--$1,225.16--In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery35587--$997.32--In-situ vein bypass; popliteal-tibial, peroneal35600--$183.29--Harvest of upper extremity artery, 1 segment, for coronary artery bypass procedure (List separately in addition to code for primary procedure)35601--$1,022.46--Bypass graft, with other than vein; common carotid-ipsilateral internal carotid35606--$856.71--Bypass graft, with other than vein; carotid-subclavian35612--$782.83--Bypass graft, with other than vein; subclavian-subclavian35616--$800.32--Bypass graft, with other than vein; subclavian-axillary35621--$802.21--Bypass graft, with other than vein; axillary-femoral35623--$954.31--Bypass graft, with other than vein; axillary-popliteal or -tibial35626--$1,147.58--Bypass graft, with other than vein; aortosubclavian, aortoinnominate, or aortocarotid35631--$1,346.76--Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal35632--$1,308.58--Bypass graft, with other than vein; ilio-celiac35633--$1,459.78--Bypass graft, with other than vein; ilio-mesenteric35634--$1,281.58--Bypass graft, with other than vein; iliorenal35636--$1,161.44--Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)35637--$1,260.11--Bypass graft, with other than vein; aortoiliac35638--$1,286.40--Bypass graft, with other than vein; aortobi-iliac35642--$718.40--Bypass graft, with other than vein; carotid-vertebral35645--$744.98--Bypass graft, with other than vein; subclavian-vertebral35646--$1,253.20--Bypass graft, with other than vein; aortobifemoral35647--$1,136.12--Bypass graft, with other than vein; aortofemoral35650--$790.54--Bypass graft, with other than vein; axillary-axillary35654--$1,000.07--Bypass graft, with other than vein; axillary-femoral-femoral35656--$793.70--Bypass graft, with other than vein; femoral-popliteal35661--$794.66--Bypass graft, with other than vein; femoral-femoral35663--$918.66--Bypass graft, with other than vein; ilioiliac35665--$857.86--Bypass graft, with other than vein; iliofemoral35666--$928.83--Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal artery35671--$819.94--Bypass graft, with other than vein; popliteal-tibial or -peroneal artery35681--$58.07--Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)35682--$255.63--Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure)35683--$297.26--Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)35685--$143.73--Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure)35686--$116.17--Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure)35691--$700.63--Transposition and/or reimplantation; vertebral to carotid artery35693--$600.13--Transposition and/or reimplantation; vertebral to subclavian artery35694--$719.34--Transposition and/or reimplantation; subclavian to carotid artery35695--$766.16--Transposition and/or reimplantation; carotid to subclavian artery35697--$106.63--Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure)35700--$110.67--Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery, or other distal vessels, more than 1 month after original operation (List separately in addition to code for primary procedure)35701--$422.65--Exploration (not followed by surgical repair), with or without lysis of artery; carotid artery35721--$336.49--Exploration (not followed by surgical repair), with or without lysis of artery; femoral artery35741--$380.96--Exploration (not followed by surgical repair), with or without lysis of artery; popliteal artery35761--$290.61--Exploration (not followed by surgical repair), with or without lysis of artery; other vessels35800--$527.09--Exploration for postoperative hemorrhage, thrombosis or infection; neck35820--$1,449.42--Exploration for postoperative hemorrhage, thrombosis or infection; chest35840--$864.86--Exploration for postoperative hemorrhage, thrombosis or infection; abdomen35860--$615.57--Exploration for postoperative hemorrhage, thrombosis or infection; extremity35870--$903.41--Repair of graft-enteric fistula35875--$436.72--Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);35876--$691.08--Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft35879--$675.38--Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty35881--$745.95--Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition35883--$882.35--Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, Dacron, ePTFE, bovine pericardium)35884--$898.64--Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft35901--$347.98--Excision of infected graft; neck35903--$417.74--Excision of infected graft; extremity35905--$1,221.31--Excision of infected graft; thorax35907--$1,390.38--Excision of infected graft; abdomen36000$19.79$6.88---Introduction of needle or intracatheter, vein36002$121.90$78.68---Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm36005$254.82$35.36---Injection procedure for extremity venography (including introduction of needle or intracatheter)36010$390.33$89.21---Introduction of catheter, superior or inferior vena cava36011$653.20$114.93---Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)36012$673.80$127.68---Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)36013$617.46$92.11---Introduction of catheter, right heart or main pulmonary artery36014$636.10$110.46---Selective catheter placement, left or right pulmonary artery36015$681.60$127.07---Selective catheter placement, segmental or subsegmental pulmonary artery36100$386.10$112.20---Introduction of needle or intracatheter, carotid or vertebral artery36120$329.16$72.66---Introduction of needle or intracatheter; retrograde brachial artery36140$340.29$74.53---Introduction of needle or intracatheter; extremity artery36160$385.04$91.21---Introduction of needle or intracatheter, aortic, translumbar36200$483.54$110.29---Introduction of catheter, aorta36215$879.21$172.00---Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family36216$928.04$199.79---Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family36217$1,539.28$237.69---Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family36218$149.21$38.64---Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)36221$856.82$155.51---Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed36222$1,024.31$213.55---Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed36223$1,200.39$233.59---Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed36224$1,416.24$260.01---Selective catheter placement, internal carotid artery, unilateral, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed36225$1,173.36$230.42---Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed36226$1,437.88$260.61---Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed36227$190.88$82.28---Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)36228$950.63$168.22---Selective catheter placement, each intracranial branch of the internal carotid or vertebral arteries, unilateral, with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg, middle cerebral artery, posterior inferior cerebellar artery) (List separately in addition to code for primary procedure)36245$1,072.93$184.43---Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family36246$687.66$194.86---Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family36247$1,233.52$231.36---Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family36248$118.66$36.71---Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)36251$1,113.41$204.14---Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral36252$1,200.19$270.72---Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral36253$1,782.88$278.67---Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral36254$1,720.25$314.54---Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral36260--$457.18--Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver)36261--$294.55--Revision of implanted intra-arterial infusion pump36262--$226.28--Removal of implanted intra-arterial infusion pump36299--I.C.--Unlisted procedure, vascular injection36400$22.29$14.72---Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein36405$19.91$12.05---Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein36406$12.50$6.04---Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein36410$12.78$6.88---Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)36415--I.C.--Collection of venous blood by venipuncture36416--I.C.--Collection of capillary blood specimen (eg, finger, heel, ear stick)36420--$38.14--Venipuncture, cutdown; younger than age 1 year36425--$29.15--Venipuncture, cutdown; age 1 or over36430--$27.25--Transfusion, blood or blood components36440--$42.52--Push transfusion, blood, 2 years or younger36450--$85.47--Exchange transfusion, blood; newborn36455--$90.33--Exchange transfusion, blood; other than newborn36456--$80.35--Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn36460--$251.93--Transfusion, intrauterine, fetal36468--I.C.--Single or multiple injections of sclerosing solutions, spider veins (telangiectasia), limb or trunk36470$114.63$62.71---Injection of sclerosing solution; single vein36471$132.23$73.86---Injection of sclerosing solution; multiple veins, same leg36473$1,182.77$1,128.67---Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; first vein treated36474$212.69$64.48---Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, mechanochemical; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)36475$1,202.40$203.61---Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated36476$225.30$98.17---Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)36478$938.94$202.83---Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated36479$234.78$98.67---Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; second and subsequent veins treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)36481$1,603.57$259.04---Percutaneous portal vein catheterization by any method36500--$132.85--Venous catheterization for selective organ blood sampling36510$68.48$40.97---Catheterization of umbilical vein for diagnosis or therapy, newborn36511--$69.72--Therapeutic apheresis; for white blood cells36512--$70.28--Therapeutic apheresis; for red blood cells36513--$71.17--Therapeutic apheresis; for platelets36514$423.53$68.81---Therapeutic apheresis; for plasma pheresis36515$1,641.15$63.97---Therapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion36516$1,653.77$49.65---Therapeutic apheresis; with extracorporeal selective adsorption or selective filtration and plasma reinfusion36522$1,110.77$76.62---Photopheresis, extracorporeal36555$196.37$86.36---Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age36556$177.13$88.17---Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older36557$779.05$240.23---Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age36558$606.23$205.48---Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older36560$1,043.04$284.20---Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age36561$912.87$260.67---Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older36563$1,030.41$278.30---Insertion of tunneled centrally inserted central venous access device with subcutaneous pump36565$748.27$254.07---Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg, Tesio type catheter)36566$4,320.77$281.85---Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s)36568$233.94$72.02---Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; younger than 5 years of age36569$193.62$67.90---Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older36570$905.43$232.46---Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age36571$1,017.27$237.38---Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older36575$130.53$25.85---Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site36576$296.07$145.64---Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site36578$400.60$160.66---Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site36580$166.94$49.35---Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access36581$601.63$146.16---Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access36582$857.22$225.50---Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access36583$1,064.49$247.28---Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through same venous access36584$159.57$49.84---Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access36585$899.80$210.28---Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access36589$123.01$102.24---Removal of tunneled central venous catheter, without subcutaneous port or pump36590$220.02$150.99---Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion36591--$18.40--Collection of blood specimen from a completely implantable venous access device36592--$20.64--Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified36593--$24.45--Declotting by thrombolytic agent of implanted vascular access device or catheter36595$454.96$136.44---Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access36596$103.55$33.39---Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen36597$97.40$45.48---Repositioning of previously placed central venous catheter under fluoroscopic guidance36598$85.71$27.33---Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report36600$24.10$11.47---Arterial puncture, withdrawal of blood for diagnosis36620--$37.18--Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous36625--$75.19--Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown36640--$88.82--Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown36660--$47.10--Catheterization, umbilical artery, newborn, for diagnosis or therapy36680--$42.23--Placement of needle for intraosseous infusion36800--$90.15--Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein36810--$158.06--Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)36815--$105.76--Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure36818--$508.81--Arteriovenous anastomosis, open; by upper arm cephalic vein transposition36819--$536.80--Arteriovenous anastomosis, open; by upper arm basilic vein transposition36820--$536.16--Arteriovenous anastomosis, open; by forearm vein transposition36821--$487.38--Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)36823--$977.66--Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity, with or without hyperthermia, with removal of cannula(s) and repair of arteriotomy and venotomy sites36825--$588.54--Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft36830--$490.05--Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)36831--$453.24--Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)36832--$556.43--Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)36833--$596.43--Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)36835--$364.00--Insertion of Thomas shunt (separate procedure)36838--$833.54--Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)36860$159.63$82.46---External cannula declotting (separate procedure); without balloon catheter36861--$95.09--External cannula declotting (separate procedure); with balloon catheter36901$445.70$108.42---Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report36902$954.28$161.38---Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty36903$4,425.27$220.70---Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis segment36904$1,389.37$254.12---Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s)36905$1,778.43$318.86---Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty36906$5,355.97$372.03---Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural pharmacological thrombolytic injection(s); with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis circuit36907$571.22$92.77---Transluminal balloon angioplasty, central dialysis segment, performed through dialysis circuit, including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary procedure)36908$2,123.46$138.96---Transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging radiological supervision and interpretation required to perform the stenting, and all angioplasty in the central dialysis segment (List separately in addition to code for primary procedure)36909$1,546.16$132.24---Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins), endovascular, including all imaging and radiological supervision and interpretation necessary to complete the intervention (List separately in addition to code for primary procedure)37140--$1,655.91--Venous anastomosis, open; portocaval37145--$1,550.58--Venous anastomosis, open; renoportal37160--$1,592.83--Venous anastomosis, open; caval-mesenteric37180--$1,486.35--Venous anastomosis, open; splenorenal, proximal37181--$1,676.82--Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)37182--$620.34--Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract formation/dilatation, stent placement and all associated imaging guidance and documentation)37183$4,702.31$292.94---Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recanulization/dilatation, stent placement and all associated imaging guidance and documentation)37184$1,779.86$334.86---Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel37185$561.85$121.25---Primary percutaneous transluminal mechanical thrombectomy, noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)37186$1,079.82$180.66---Secondary percutaneous transluminal thrombectomy (eg, nonprimary mechanical, snare basket, suction technique), noncoronary, non-intracranial, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)37187$1,615.98$298.39---Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance37188$1,398.54$216.21---Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during course of thrombolytic therapy37191$2,086.10$175.52---Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed37192$1,207.02$267.45---Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed37193$1,250.60$268.93---Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed37195--I.C.--Thrombolysis, cerebral, by intravenous infusion37197$1,189.43$231.34---Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed37200--$163.43--Transcatheter biopsy37211--$291.26--Transcatheter therapy, arterial infusion for thrombolysis other than coronary or intracranial, any method, including radiological supervision and interpretation, initial treatment day37212--$256.63--Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day37213--$181.32--Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed;37214--$99.39--Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method37215--$729.45--Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal embolic protection37216--I.C.--Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal embolic protection37217--$797.49--Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angioplasty, when performed, and radiological supervision and interpretation37218--$600.30--Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiological supervision and interpretation37220$2,486.73$301.13---Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal angioplasty37221$3,676.72$370.53---Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed37222$690.99$135.33---Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)37223$2,051.23$155.53---Revascularization, endovascular, open or percutaneous, iliac artery, each additional ipsilateral iliac vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)37224$3,022.78$332.31---Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal angioplasty37225$8,751.12$449.60---Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with atherectomy, includes angioplasty within the same vessel, when performed37226$7,194.35$389.75---Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed37227$11,828.03$540.25---Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed37228$4,303.19$405.14---Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal angioplasty37229$8,615.66$524.34---Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed37230$6,570.09$516.47---Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed37231$10,612.60$562.16---Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed37232$950.38$147.20---Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure)37233$1,139.41$239.41---Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)37234$3,074.06$206.23---Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)37235$3,228.29$294.79---Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)37236$3,252.32$331.73---Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery37237$1,948.15$154.88---Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; each additional artery (List separately in addition to code for primary procedure)37238$3,331.22$230.75---Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein37239$1,610.61$108.64---Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)37241$3,781.24$330.81---Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles)37242$6,096.48$365.03---Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)37243$7,749.10$433.74---Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction37244$5,377.38$507.21---Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation37246$1,681.97$264.38---Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery37247$678.12$130.92---Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; each additional artery (List separately in addition to code for primary procedure)37248$1,160.95$227.45---Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein37249$496.05$111.44---Transluminal balloon angioplasty (except dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure)37252$1,108.07$66.34---Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure)37253$166.04$52.95---Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)37500--$560.56--Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS)37501--I.C.--Unlisted vascular endoscopy procedure37565--$535.68--Ligation, internal jugular vein37600--$519.82--Ligation; external carotid artery37605--$580.45--Ligation; internal or common carotid artery37606--$428.06--Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp37607--$277.28--Ligation or banding of angioaccess arteriovenous fistula37609$234.95$153.84---Ligation or biopsy, temporal artery37615--$382.84--Ligation, major artery (eg, post-traumatic, rupture); neck37616--$799.56--Ligation, major artery (eg, post-traumatic, rupture); chest37617--$970.27--Ligation, major artery (eg, post-traumatic, rupture); abdomen37618--$283.44--Ligation, major artery (eg, post-traumatic, rupture); extremity37619--$1,185.04--Ligation of inferior vena cava37650--$372.91--Ligation of femoral vein37660--$835.48--Ligation of common iliac vein37700--$185.30--Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions37718--$322.19--Ligation, division, and stripping, short saphenous vein37722--$352.17--Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below37735--$506.34--Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg, with excision of deep fascia37760--$451.14--Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg37761--$406.60--Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg37765$491.15$331.47---Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions37766$581.95$404.02---Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions37780--$188.59--Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)37785$268.26$195.01---Ligation, division, and/or excision of varicose vein cluster(s), 1 leg37788--$951.33--Penile revascularization, artery, with or without vein graft37790--$371.07--Penile venous occlusive procedure37799--I.C.--Unlisted procedure, vascular surgery38100--$834.61--Splenectomy; total (separate procedure)38101--$838.92--Splenectomy; partial (separate procedure)38102--$188.43--Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure)38115--$917.49--Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy38120--$764.70--Laparoscopy, surgical, splenectomy38129--I.C.--Unlisted laparoscopy procedure, spleen38200--$85.21--Injection procedure for splenoportography38204--$76.74--Management of recipient hematopoietic progenitor cell donor search and cell acquisition38205--$61.86--Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic38206--$62.14--Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous38207--$34.20--Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage38208--$21.48--Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor38209--$9.14--Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor38210--$60.31--Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion38211--$54.47--Transplant preparation of hematopoietic progenitor cells; tumor cell depletion38212--$36.19--Transplant preparation of hematopoietic progenitor cells; red blood cell removal38213--$9.14--Transplant preparation of hematopoietic progenitor cells; platelet depletion38214--$31.15--Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion38215--$36.19--Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer38220$126.93$45.27---Bone marrow; aspiration only38221$129.09$55.85---Bone marrow; biopsy, needle or trocar38230--$146.42--Bone marrow harvesting for transplantation; allogeneic38232--$145.86--Bone marrow harvesting for transplantation; autologous38240--$167.37--Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor38241--$125.52--Hematopoietic progenitor cell (HPC); autologous transplantation38242--$88.05--Allogeneic lymphocyte infusions38243--$87.72--Hematopoietic progenitor cell (HPC); HPC boost38300$210.30$137.90---Drainage of lymph node abscess or lymphadenitis; simple38305--$350.46--Drainage of lymph node abscess or lymphadenitis; extensive38308--$325.63--Lymphangiotomy or other operations on lymphatic channels38380--$425.62--Suture and/or ligation of thoracic duct; cervical approach38381--$581.51--Suture and/or ligation of thoracic duct; thoracic approach38382--$447.04--Suture and/or ligation of thoracic duct; abdominal approach38500$246.84$185.94---Biopsy or excision of lymph node(s); open, superficial38505$97.41$53.63---Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)38510$386.75$308.73---Biopsy or excision of lymph node(s); open, deep cervical node(s)38520--$340.56--Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad38525--$319.24--Biopsy or excision of lymph node(s); open, deep axillary node(s)38530--$402.91--Biopsy or excision of lymph node(s); open, internal mammary node(s)38542--$384.02--Dissection, deep jugular node(s)38550--$371.82--Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection38555--$730.53--Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection38562--$514.36--Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic38564--$511.99--Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)38570--$369.16--Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple38571--$490.82--Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy38572--$677.47--Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple38589--I.C.--Unlisted laparoscopy procedure, lymphatic system38700--$598.88--Suprahyoid lymphadenectomy38720--$993.96--Cervical lymphadenectomy (complete)38724--$1,077.70--Cervical lymphadenectomy (modified radical neck dissection)38740--$505.59--Axillary lymphadenectomy; superficial38745--$636.55--Axillary lymphadenectomy; complete38746--$153.94--Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)38747--$191.51--Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure)38760--$612.33--Inguinofemoral lymphadenectomy, superficial, including Cloquets node (separate procedure)38765--$937.32--Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)38770--$592.40--Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)38780--$750.69--Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure)38790--$61.43--Injection procedure; lymphangiography38792--$30.12--Injection procedure; radioactive tracer for identification of sentinel node38794--$225.87--Cannulation, thoracic duct38900--$98.88--Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)38999--I.C.--Unlisted procedure, hemic or lymphatic system39000--$365.45--Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach39010--$571.48--Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy39200--$637.69--Resection of mediastinal cyst39220--$825.58--Resection of mediastinal tumor39401--$224.46--Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed39402--$292.37--Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)39499--I.C.--Unlisted procedure, mediastinum39501--$616.30--Repair, laceration of diaphragm, any approach39503--$4,405.77--Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia39540--$627.16--Repair, diaphragmatic hernia (other than neonatal), traumatic; acute39541--$683.49--Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic39545--$649.64--Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic39560--$578.44--Resection, diaphragm; with simple repair (eg, primary suture)39561--$901.06--Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)39599--I.C.--Unlisted procedure, diaphragm40490$98.15$54.37---Biopsy of lip40500$389.43$276.89---Vermilionectomy (lip shave), with mucosal advancement40510$370.85$269.54---Excision of lip; transverse wedge excision with primary closure40520$374.85$271.02---Excision of lip; V-excision with primary direct linear closure40525--$414.53--Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan)40527--$463.67--Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander)40530$412.08$304.03---Resection of lip, more than one-fourth, without reconstruction40650$340.27$227.17---Repair lip, full thickness; vermilion only40652$374.09$266.32---Repair lip, full thickness; up to half vertical height40654$435.52$321.02---Repair lip, full thickness; over one-half vertical height, or complex40700--$675.64--Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral40701--$753.77--Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure40702--$647.46--Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages40720--$761.85--Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure40761--$804.71--Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle40799--I.C.--Unlisted procedure, lips40800$168.47$103.08---Drainage of abscess, cyst, hematoma, vestibule of mouth; simple40801$246.78$171.57---Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated40804$150.18$90.69---Removal of embedded foreign body, vestibule of mouth; simple40805$292.21$174.62---Removal of embedded foreign body, vestibule of mouth; complicated40806$91.19$25.24---Incision of labial frenum (frenotomy)40808$148.46$85.04---Biopsy, vestibule of mouth40810$163.25$99.27---Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair40812$226.15$152.63---Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair40814$300.65$236.38---Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair40816$313.82$245.06---Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle40818$281.53$212.49---Excision of mucosa of vestibule of mouth as donor graft40819$248.32$187.14---Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)40820$211.70$136.21---Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)40830$209.49$128.10---Closure of laceration, vestibule of mouth; 2.5 cm or less40831$264.55$173.62---Closure of laceration, vestibule of mouth; over 2.5 cm or complex40840$621.83$474.78---Vestibuloplasty; anterior40842$597.79$454.67---Vestibuloplasty; posterior, unilateral40843$825.67$639.05---Vestibuloplasty; posterior, bilateral40844$989.31$787.81---Vestibuloplasty; entire arch40845$1,106.51$917.64---Vestibuloplasty; complex (including ridge extension, muscle repositioning)40899--I.C.--Unlisted procedure, vestibule of mouth41000$127.08$86.67---Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual41005$180.47$97.40---Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial41006$278.93$193.05---Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid41007$273.32$186.32---Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space41008$295.31$207.19---Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space41009$313.28$224.88---Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space41010$161.13$84.23---Incision of lingual frenum (frenotomy)41015$352.34$270.68---Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual41016$343.37$271.81---Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental41017$346.61$273.09---Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular41018$391.91$317.82---Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space41019--$349.35--Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application41100$131.27$82.44---Biopsy of tongue; anterior two-thirds41105$133.27$85.28---Biopsy of tongue; posterior one-third41108$116.40$69.82---Biopsy of floor of mouth41110$167.00$101.61---Excision of lesion of tongue without closure41112$262.16$196.49---Excision of lesion of tongue with closure; anterior two-thirds41113$285.85$216.81---Excision of lesion of tongue with closure; posterior one-third41114--$483.04--Excision of lesion of tongue with closure; with local tongue flap41115$194.75$117.85---Excision of lingual frenum (frenectomy)41116$260.86$170.78---Excision, lesion of floor of mouth41120--$843.16--Glossectomy; less than one-half tongue41130--$1,028.46--Glossectomy; hemiglossectomy41135--$1,666.11--Glossectomy; partial, with unilateral radical neck dissection41140--$1,688.89--Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection41145--$2,137.22--Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection41150--$1,695.99--Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection41153--$1,842.25--Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection41155--$2,296.30--Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)41250$210.14$117.53---Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue41251$227.65$139.53---Repair of laceration 2.5 cm or less; posterior one-third of tongue41252$243.89$159.41---Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex41500--$324.76--Fixation of tongue, mechanical, other than suture (eg, K-wire)41510--$332.52--Suture of tongue to lip for micrognathia (Douglas type procedure)41512--$516.88--Tongue base suspension, permanent suture technique41520$277.78$200.60---Frenoplasty (surgical revision of frenum, eg, with Z-plasty)41530--$294.84--Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session41599--I.C.--Unlisted procedure, tongue, floor of mouth41800$216.33$115.30---Drainage of abscess, cyst, hematoma from dentoalveolar structures41805$205.55$138.20---Removal of embedded foreign body from dentoalveolar structures; soft tissues41806$278.44$202.67---Removal of embedded foreign body from dentoalveolar structures; bone41820--I.C.--Gingivectomy, excision gingiva, each quadrant41821--I.C.--Operculectomy, excision pericoronal tissues41822$229.73$139.93---Excision of fibrous tuberosities, dentoalveolar structures41823$334.93$250.73---Excision of osseous tuberosities, dentoalveolar structures41825$167.37$94.69---Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair41826$248.38$165.31---Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair41827$345.13$237.09---Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair41828$239.78$161.77---Excision of hyperplastic alveolar mucosa, each quadrant (specify)41830$308.55$220.44---Alveolectomy, including curettage of osteitis or sequestrectomy41850--I.C.--Destruction of lesion (except excision), dentoalveolar structures41870--I.C.--Periodontal mucosal grafting41872$287.97$199.29---Gingivoplasty, each quadrant (specify)41874$295.23$197.85---Alveoloplasty, each quadrant (specify)41899--I.C.--Unlisted procedure, dentoalveolar structures42000$124.41$79.79---Drainage of abscess of palate, uvula42100$116.95$84.40---Biopsy of palate, uvula42104$169.39$107.37---Excision, lesion of palate, uvula; without closure42106$215.13$137.95---Excision, lesion of palate, uvula; with simple primary closure42107$358.77$265.88---Excision, lesion of palate, uvula; with local flap closure42120--$788.22--Resection of palate or extensive resection of lesion42140$199.80$119.82---Uvulectomy, excision of uvula42145--$533.91--Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)42160$181.94$112.90---Destruction of lesion, palate or uvula (thermal, cryo or chemical)42180$188.64$140.09---Repair, laceration of palate; up to 2 cm42182$244.91$192.99---Repair, laceration of palate; over 2 cm or complex42200--$641.70--Palatoplasty for cleft palate, soft and/or hard palate only42205--$666.11--Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only42210--$743.83--Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft)42215--$497.72--Palatoplasty for cleft palate; major revision42220--$376.51--Palatoplasty for cleft palate; secondary lengthening procedure42225--$676.78--Palatoplasty for cleft palate; attachment pharyngeal flap42226--$690.38--Lengthening of palate, and pharyngeal flap42227--$651.57--Lengthening of palate, with island flap42235--$567.15--Repair of anterior palate, including vomer flap42260$620.95$499.43---Repair of nasolabial fistula42280$128.26$83.36---Maxillary impression for palatal prosthesis42281$159.05$115.27---Insertion of pin-retained palatal prosthesis42299--I.C.--Unlisted procedure, palate, uvula42300$162.69$116.67---Drainage of abscess; parotid, simple42305--$325.12--Drainage of abscess; parotid, complicated42310$124.50$94.48---Drainage of abscess; submaxillary or sublingual, intraoral42320$193.75$133.41---Drainage of abscess; submaxillary, external42330$180.03$125.58---Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral42335$291.69$196.84---Sialolithotomy; submandibular (submaxillary), complicated, intraoral42340$358.75$254.64---Sialolithotomy; parotid, extraoral or complicated intraoral42400$83.11$41.86---Biopsy of salivary gland; needle42405$228.97$170.60---Biopsy of salivary gland; incisional42408$348.92$246.77---Excision of sublingual salivary cyst (ranula)42409$259.10$169.01---Marsupialization of sublingual salivary cyst (ranula)42410--$464.76--Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection42415--$787.33--Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve42420--$883.08--Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve42425--$623.66--Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve42426--$1,001.84--Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection42440--$309.88--Excision of submandibular (submaxillary) gland42450$348.23$272.73---Excision of sublingual gland42500$335.04$261.52---Plastic repair of salivary duct, sialodochoplasty; primary or simple42505$426.34$344.12---Plastic repair of salivary duct, sialodochoplasty; secondary or complicated42507--$393.77--Parotid duct diversion, bilateral (Wilke type procedure);42509--$639.92--Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands42510--$488.82--Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts42550$104.16$46.91---Injection procedure for sialography42600$369.34$263.54---Closure salivary fistula42650$64.93$44.72---Dilation salivary duct42660$97.36$66.21---Dilation and catheterization of salivary duct, with or without injection42665$240.54$156.07---Ligation salivary duct, intraoral42699--I.C.--Unlisted procedure, salivary glands or ducts42700$147.52$103.74---Incision and drainage abscess; peritonsillar42720$343.30$293.63---Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach42725--$613.96--Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach42800$123.21$85.32---Biopsy; oropharynx42804$153.85$87.06---Biopsy; nasopharynx, visible lesion, simple42806$172.04$101.04---Biopsy; nasopharynx, survey for unknown primary lesion42808$175.19$122.71---Excision or destruction of lesion of pharynx, any method42809$156.78$91.96---Removal of foreign body from pharynx42810$301.56$221.86---Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues42815--$425.28--Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx42820--$219.14--Tonsillectomy and adenoidectomy; younger than age 1242821--$227.52--Tonsillectomy and adenoidectomy; age 12 or over42825--$199.12--Tonsillectomy, primary or secondary; younger than age 1242826--$190.69--Tonsillectomy, primary or secondary; age 12 or over42830--$157.96--Adenoidectomy, primary; younger than age 1242831--$170.94--Adenoidectomy, primary; age 12 or over42835--$147.05--Adenoidectomy, secondary; younger than age 1242836--$182.83--Adenoidectomy, secondary; age 12 or over42842--$785.66--Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure42844--$1,072.77--Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)42845--$1,710.83--Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap42860--$144.01--Excision of tonsil tags42870--$470.75--Excision or destruction lingual tonsil, any method (separate procedure)42890--$1,103.31--Limited pharyngectomy42892--$1,452.98--Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls42894--$1,821.33--Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis42900--$253.20--Suture pharynx for wound or injury42950--$640.31--Pharyngoplasty (plastic or reconstructive operation on pharynx)42953--$772.58--Pharyngoesophageal repair42955--$604.63--Pharyngostomy (fistulization of pharynx, external for feeding)42960--$128.69--Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple42961--$321.37--Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization42962--$391.91--Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention42970--$307.66--Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery42971--$344.36--Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization42972--$385.05--Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention42999--I.C.--Unlisted procedure, pharynx, adenoids, or tonsils43020--$388.52--Esophagotomy, cervical approach, with removal of foreign body43030--$388.08--Cricopharyngeal myotomy43045--$946.75--Esophagotomy, thoracic approach, with removal of foreign body43100--$467.32--Excision of lesion, esophagus, with primary repair; cervical approach43101--$737.60--Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach43107--$1,846.78--Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)43108--$3,319.60--Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es)43112--$1,945.00--Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty43113--$3,287.07--Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)43116--$3,736.97--Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction43117--$1,781.49--Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)43118--$2,657.69--Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)43121--$2,068.83--Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty43122--$1,857.89--Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty43123--$3,412.64--Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)43124--$2,763.20--Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy43130--$584.28--Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach43135--$1,075.22--Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach43180--$410.28--Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed43191--$114.98--Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure)43192--$127.05--Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance43193--$126.24--Esophagoscopy, rigid, transoral; with biopsy, single or multiple43194--$141.71--Esophagoscopy, rigid, transoral; with removal of foreign body(s)43195--$137.25--Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)43196--$146.57--Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire43197$145.21$61.02---Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)43198$160.69$73.13---Esophagoscopy, flexible, transnasal; with biopsy, single or multiple43200$210.60$70.00---Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)43201$212.86$81.52---Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance43202$281.49$81.39---Esophagoscopy, flexible, transoral; with biopsy, single or multiple43204--$105.77--Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices43205--$110.02--Esophagoscopy, flexible, transoral; with band ligation of esophageal varices43206$253.67$105.21---Esophagoscopy, flexible, transoral; with optical endomicroscopy43210--$316.56--Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed43211--$180.84--Esophagoscopy, flexible, transoral; with endoscopic mucosal resection43212--$144.70--Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)43213$955.58$197.30---Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed)43214--$147.73--Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)43215$322.87$109.86---Esophagoscopy, flexible, transoral; with removal of foreign body(s)43216$320.25$104.72---Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps43217$343.78$124.04---Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique43220$893.33$92.68---Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter)43226$293.39$101.72---Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire43227$541.22$128.12---Esophagoscopy, flexible, transoral; with control of bleeding, any method43229$560.35$152.03---Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)43231$307.89$124.63---Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination43232$366.81$152.97---Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s)43233--$174.45--Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)43235$238.95$96.10---Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)43236$298.45$108.46---Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance43237--$151.05--Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures43238--$178.82--Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures)43239$306.19$108.34---Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple43240--$298.49--Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)43241--$110.93--Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter43242--$201.92--Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)43243--$181.82--Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices43244--$188.64--Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices43245$475.05$135.48---Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)43246--$153.22--Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube43247$318.19$136.90---Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)43248$313.26$129.17---Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire43249$843.38$119.34---Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)43250$349.72$131.10---Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps43251$382.60$151.36---Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique43252$279.80$129.94---Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy43253--$201.49--Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)43254--$207.25--Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection43255$566.33$154.91---Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method43257--$178.87--Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease43259--$174.15--Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis43260--$246.25--Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)43261--$258.36--Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple43262--$272.43--Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy43263--$272.59--Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi43264--$277.60--Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)43265--$329.25--Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)43266--$173.20--Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)43270$581.25$178.82---Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)43273--$89.37--Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure)43274--$351.44--Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent43275--$286.92--Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s)43276--$365.92--Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged43277--$288.50--Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct43278--$328.99--Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed43279--$934.17--Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed43280--$783.15--Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)43281--$1,115.40--Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh43282--$1,253.10--Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh43283--$113.64--Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)43284--$487.78--Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed43285--$492.59--Removal of esophageal sphincter augmentation device43289--I.C.--Unlisted laparoscopy procedure, esophagus43300--$463.08--Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula43305--$816.22--Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula43310--$1,072.55--Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula43312--$1,163.99--Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula43313--$2,003.80--Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula43314--$2,259.75--Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula43320--$1,007.11--Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach43325--$970.05--Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)43327--$595.99--Esophagogastric fundoplasty partial or complete; laparotomy43328--$819.69--Esophagogastric fundoplasty partial or complete; thoracotomy43330--$962.45--Esophagomyotomy (Heller type); abdominal approach43331--$974.25--Esophagomyotomy (Heller type); thoracic approach43332--$840.17--Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis43333--$915.05--Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis43334--$904.16--Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis43335--$967.38--Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis43336--$1,095.74--Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis43337--$1,179.84--Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis43338--$83.20--Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)43340--$986.61--Esophagojejunostomy (without total gastrectomy); abdominal approach43341--$1,016.75--Esophagojejunostomy (without total gastrectomy); thoracic approach43351--$939.28--Esophagostomy, fistulization of esophagus, external; thoracic approach43352--$777.66--Esophagostomy, fistulization of esophagus, external; cervical approach43360--$1,713.80--Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty43361--$1,842.06--Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)43400--$1,104.98--Ligation, direct, esophageal varices43401--$1,124.48--Transection of esophagus with repair, for esophageal varices43405--$1,058.08--Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation43410--$767.79--Suture of esophageal wound or injury; cervical approach43415--$1,861.06--Suture of esophageal wound or injury; transthoracic or transabdominal approach43420--$757.58--Closure of esophagostomy or fistula; cervical approach43425--$1,045.74--Closure of esophagostomy or fistula; transthoracic or transabdominal approach43450$163.02$63.95---Dilation of esophagus, by unguided sound or bougie, single or multiple passes43453$764.54$68.84---Dilation of esophagus, over guide wire43460--$159.95--Esophagogastric tamponade, with balloon (Sengstaken type)43496--I.C.--Free jejunum transfer with microvascular anastomosis43499--I.C.--Unlisted procedure, esophagus43500--$569.88--Gastrotomy; with exploration or foreign body removal43501--$972.76--Gastrotomy; with suture repair of bleeding ulcer43502--$1,099.86--Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)43510--$683.99--Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)43520--$498.27--Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)43605--$606.49--Biopsy of stomach, by laparotomy43610--$709.47--Excision, local; ulcer or benign tumor of stomach43611--$885.28--Excision, local; malignant tumor of stomach43620--$1,411.83--Gastrectomy, total; with esophagoenterostomy43621--$1,635.62--Gastrectomy, total; with Roux-en-Y reconstruction43622--$1,667.46--Gastrectomy, total; with formation of intestinal pouch, any type43631--$1,047.78--Gastrectomy, partial, distal; with gastroduodenostomy43632--$1,465.29--Gastrectomy, partial, distal; with gastrojejunostomy43633--$1,384.97--Gastrectomy, partial, distal; with Roux-en-Y reconstruction43634--$1,526.26--Gastrectomy, partial, distal; with formation of intestinal pouch43635--$80.57--Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)43640--$853.88--Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective43641--$863.95--Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)43644--$1,252.48--Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)43645--$1,337.21--Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption43647--I.C.--Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum43648--I.C.--Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum43651--$476.85--Laparoscopy, surgical; transection of vagus nerves, truncal43652--$556.15--Laparoscopy, surgical; transection of vagus nerves, selective or highly selective43653--$419.45--Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)43659--I.C.--Unlisted laparoscopy procedure, stomach43752--$30.12--Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)43753--$15.82--Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed43754$83.27$25.18---Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)43755$107.44$45.14---Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pentagastrin, calcium, secretin), includes drug administration43756$160.75$38.39---Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture)43757$226.43$58.05---Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes drug administration43760$384.56$34.33---Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance43761$86.45$75.78---Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition43770--$813.14--Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)43771--$923.62--Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only43772--$688.04--Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only43773--$921.73--Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only43774--$695.84--Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components43775--$793.16--Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)43800--$672.96--Pyloroplasty43810--$736.61--Gastroduodenostomy43820--$970.00--Gastrojejunostomy; without vagotomy43825--$944.11--Gastrojejunostomy; with vagotomy, any type43830--$510.64--Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)43831--$427.06--Gastrostomy, open; neonatal, for feeding43832--$754.00--Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)43840--$982.82--Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury43842--$879.65--Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty43843--$925.39--Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty43845--$1,418.53--Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)43846--$1,165.41--Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy43847--$1,287.38--Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption43848--$1,390.93--Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)43850--$1,178.64--Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; without vagotomy43855--$1,197.26--Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; with vagotomy43860--$1,181.75--Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy43865--$1,229.40--Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy43870--$517.80--Closure of gastrostomy, surgical43880--$1,155.19--Closure of gastrocolic fistula43881--I.C.--Implantation or replacement of gastric neurostimulator electrodes, antrum, open43882--I.C.--Revision or removal of gastric neurostimulator electrodes, antrum, open43886--$268.37--Gastric restrictive procedure, open; revision of subcutaneous port component only43887--$239.04--Gastric restrictive procedure, open; removal of subcutaneous port component only43888--$337.27--Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only43999--I.C.--Unlisted procedure, stomach44005--$791.52--Enterolysis (freeing of intestinal adhesion) (separate procedure)44010--$629.56--Duodenotomy, for exploration, biopsy(s), or foreign body removal44015--$101.98--Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure)44020--$706.06--Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal44021--$706.69--Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)44025--$714.83--Colotomy, for exploration, biopsy(s), or foreign body removal44050--$678.35--Reduction of volvulus, intussusception, internal hernia, by laparotomy44055--$1,078.14--Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)44100--$80.36--Biopsy of intestine by capsule, tube, peroral (1 or more specimens)44110--$618.77--Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy44111--$715.47--Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies44120--$884.76--Enterectomy, resection of small intestine; single resection and anastomosis44121--$174.17--Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)44125--$856.47--Enterectomy, resection of small intestine; with enterostomy44126--$1,778.15--Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering44127--$2,045.58--Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering44128--$175.38--Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)44130--$951.53--Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)44132--I.C.--Donor enterectomy (including cold preservation), open; from cadaver donor44133--I.C.--Donor enterectomy (including cold preservation), open; partial, from living donor44135--I.C.--Intestinal allotransplantation; from cadaver donor44136--I.C.--Intestinal allotransplantation; from living donor44137--I.C.--Removal of transplanted intestinal allograft, complete44139--$87.33--Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)44140--$972.01--Colectomy, partial; with anastomosis44141--$1,327.98--Colectomy, partial; with skin level cecostomy or colostomy44143--$1,208.14--Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)44144--$1,283.64--Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula44145--$1,202.71--Colectomy, partial; with coloproctostomy (low pelvic anastomosis)44146--$1,543.95--Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy44147--$1,406.40--Colectomy, partial; abdominal and transanal approach44150--$1,364.96--Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy44151--$1,556.37--Colectomy, total, abdominal, without proctectomy; with continent ileostomy44155--$1,523.04--Colectomy, total, abdominal, with proctectomy; with ileostomy44156--$1,672.18--Colectomy, total, abdominal, with proctectomy; with continent ileostomy44157--$1,569.69--Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed44158--$1,573.43--Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed44160--$900.72--Colectomy, partial, with removal of terminal ileum with ileocolostomy44180--$666.53--Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)44186--$474.54--Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)44187--$812.38--Laparoscopy, surgical; ileostomy or jejunostomy, non-tube44188--$897.54--Laparoscopy, surgical, colostomy or skin level cecostomy44202--$1,005.15--Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis44203--$173.70--Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure)44204--$1,117.02--Laparoscopy, surgical; colectomy, partial, with anastomosis44205--$972.24--Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy44206--$1,273.91--Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)44207--$1,323.09--Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)44208--$1,448.64--Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy44210--$1,302.89--Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy44211--$1,598.80--Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed44212--$1,502.70--Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy44213--$135.90--Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)44227--$1,208.62--Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis44238--I.C.--Unlisted laparoscopy procedure, intestine (except rectum)44300--$611.22--Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)44310--$759.23--Ileostomy or jejunostomy, non-tube44312--$432.97--Revision of ileostomy; simple (release of superficial scar) (separate procedure)44314--$732.75--Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)44316--$1,023.47--Continent ileostomy (Kock procedure) (separate procedure)44320--$873.24--Colostomy or skin level cecostomy;44322--$739.65--Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure)44340--$459.39--Revision of colostomy; simple (release of superficial scar) (separate procedure)44345--$766.78--Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)44346--$861.53--Revision of colostomy; with repair of paracolostomy hernia (separate procedure)44360--$112.15--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)44361--$123.59--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple44363--$147.75--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s)44364--$157.55--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique44365--$139.44--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery44366--$184.80--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)44369--$188.90--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique44370--$204.48--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation)44372--$183.77--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube44373--$147.94--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube44376--$216.88--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)44377--$228.91--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple44378--$293.14--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)44379--$311.91--Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation)44380$171.67$46.79---Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)44381$789.65$67.57---Ileoscopy, through stoma; with transendoscopic balloon dilation44382$249.29$59.30---Ileoscopy, through stoma; with biopsy, single or multiple44384--$117.19--Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)44385$188.19$57.42---Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)44386$265.81$70.49---Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple44388$268.92$120.46---Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)44389$341.43$132.63---Colonoscopy through stoma; with biopsy, single or multiple44390$338.47$162.23---Colonoscopy through stoma; with removal of foreign body(s)44391$593.45$176.98---Colonoscopy through stoma; with control of bleeding, any method44392$317.88$152.02---Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps44394$357.56$172.90---Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique44401$2,573.79$184.73---Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed)44402--$200.06--Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed)44403--$229.93--Colonoscopy through stoma; with endoscopic mucosal resection44404$326.18$132.54---Colonoscopy through stoma; with directed submucosal injection(s), any substance44405$472.90$140.91---Colonoscopy through stoma; with transendoscopic balloon dilation44406--$175.31--Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures44407--$209.61--Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures44408--$177.05--Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed44500--$18.22--Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure)44602--$1,018.52--Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation44603--$1,170.21--Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations44604--$764.92--Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy44605--$946.33--Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy44615--$780.36--Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction44620--$632.38--Closure of enterostomy, large or small intestine;44625--$740.70--Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal44626--$1,159.95--Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)44640--$1,016.01--Closure of intestinal cutaneous fistula44650--$1,050.60--Closure of enteroenteric or enterocolic fistula44660--$971.26--Closure of enterovesical fistula; without intestinal or bladder resection44661--$1,126.07--Closure of enterovesical fistula; with intestine and/or bladder resection44680--$772.55--Intestinal plication (separate procedure)44700--$744.96--Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)44701--$121.38--Intraoperative colonic lavage (List separately in addition to code for primary procedure)44705--I.C.--Preparation of fecal microbiota for instillation, including assessment of donor specimen44715--I.C.--Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein44720--$197.23--Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each44721--$275.99--Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each44799--I.C.--Unlisted procedure, small intestine44800--$557.24--Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct44820--$610.50--Excision of lesion of mesentery (separate procedure)44850--$546.70--Suture of mesentery (separate procedure)44899--I.C.--Unlisted procedure, Meckel's diverticulum and the mesentery44900--$561.16--Incision and drainage of appendiceal abscess, open44950--$465.76--Appendectomy;44955--$60.46--Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)44960--$633.13--Appendectomy; for ruptured appendix with abscess or generalized peritonitis44970--$437.61--Laparoscopy, surgical, appendectomy44979--I.C.--Unlisted laparoscopy procedure, appendix45000--$312.56--Transrectal drainage of pelvic abscess45005$209.83$120.31---Incision and drainage of submucosal abscess, rectum45020--$419.92--Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess45100--$222.78--Biopsy of anorectal wall, anal approach (eg, congenital megacolon)45108--$269.59--Anorectal myomectomy45110--$1,350.22--Proctectomy; complete, combined abdominoperineal, with colostomy45111--$792.10--Proctectomy; partial resection of rectum, transabdominal approach45112--$1,369.06--Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)45113--$1,395.44--Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy45114--$1,311.25--Proctectomy, partial, with anastomosis; abdominal and transsacral approach45116--$1,191.25--Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)45119--$1,424.86--Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed45120--$1,109.22--Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)45121--$1,257.33--Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies45123--$821.33--Proctectomy, partial, without anastomosis, perineal approach45126--$2,036.90--Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), or any combination thereof45130--$797.97--Excision of rectal procidentia, with anastomosis; perineal approach45135--$993.46--Excision of rectal procidentia, with anastomosis; abdominal and perineal approach45136--$1,338.18--Excision of ileoanal reservoir with ileostomy45150--$291.27--Division of stricture of rectum45160--$742.02--Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach45171--$447.37--Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)45172--$598.57--Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)45190--$513.92--Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach45300$94.63$40.19---Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)45303$758.39$67.74---Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie)45305$150.08$58.04---Proctosigmoidoscopy, rigid; with biopsy, single or multiple45307$177.59$77.13---Proctosigmoidoscopy, rigid; with removal of foreign body45308$165.15$64.96---Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery45309$172.66$69.11---Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique45315$174.43$78.73---Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique45317$185.44$86.37---Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)45320$185.13$80.17---Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser)45321--$78.60--Proctosigmoidoscopy, rigid; with decompression of volvulus45327--$88.67--Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation)45330$129.46$42.18---Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45331$199.35$54.26---Sigmoidoscopy, flexible; with biopsy, single or multiple45332$239.45$82.85---Sigmoidoscopy, flexible; with removal of foreign body(s)45333$270.65$74.20---Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps45334$476.56$92.65---Sigmoidoscopy, flexible; with control of bleeding, any method45335$225.32$54.13---Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance45337--$89.65--Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed45338$249.43$94.24---Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique45340$384.27$62.37---Sigmoidoscopy, flexible; with transendoscopic balloon dilation45341--$97.28--Sigmoidoscopy, flexible; with endoscopic ultrasound examination45342--$131.80--Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)45346$2,470.08$124.23---Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)45347--$119.93--Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)45349--$152.01--Sigmoidoscopy, flexible; with endoscopic mucosal resection45350$457.11$79.37---Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids)45378$287.98$142.33---Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)45379$362.71$183.10---Colonoscopy, flexible; with removal of foreign body(s)45380$358.40$154.66---Colonoscopy, flexible; with biopsy, single or multiple45381$344.22$154.79---Colonoscopy, flexible; with directed submucosal injection(s), any substance45382$612.54$198.88---Colonoscopy, flexible; with control of bleeding, any method45384$391.88$174.39---Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps45385$372.41$195.05---Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique45386$505.59$162.66---Colonoscopy, flexible; with transendoscopic balloon dilation45388$2,586.84$206.48---Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)45389--$221.21--Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)45390--$251.76--Colonoscopy, flexible; with endoscopic mucosal resection45391--$197.65--Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures45392--$232.36--Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures45393--$192.34--Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed45395--$1,450.70--Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy45397--$1,582.39--Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed45398$564.62$179.30---Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)45399--I.C.--Unlisted procedure, colon45400--$835.81--Laparoscopy, surgical; proctopexy (for prolapse)45402--$1,110.02--Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection45499--I.C.--Unlisted laparoscopy procedure, rectum45500--$389.07--Proctoplasty; for stenosis45505--$439.91--Proctoplasty; for prolapse of mucous membrane45520$123.22$30.33---Perirectal injection of sclerosing solution for prolapse45540--$774.33--Proctopexy (eg, for prolapse); abdominal approach45541--$691.22--Proctopexy (eg, for prolapse); perineal approach45550--$1,068.46--Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach45560--$509.04--Repair of rectocele (separate procedure)45562--$818.70--Exploration, repair, and presacral drainage for rectal injury;45563--$1,197.57--Exploration, repair, and presacral drainage for rectal injury; with colostomy45800--$880.31--Closure of rectovesical fistula;45805--$1,062.33--Closure of rectovesical fistula; with colostomy45820--$880.23--Closure of rectourethral fistula;45825--$1,022.83--Closure of rectourethral fistula; with colostomy45900--$149.72--Reduction of procidentia (separate procedure) under anesthesia45905--$125.82--Dilation of anal sphincter (separate procedure) under anesthesia other than local45910--$144.18--Dilation of rectal stricture (separate procedure) under anesthesia other than local45915$251.95$169.16---Removal of fecal impaction or foreign body (separate procedure) under anesthesia45990--$78.60--Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic45999--I.C.--Unlisted procedure, rectum46020$207.63$175.08---Placement of seton46030$105.72$66.99---Removal of anal seton, other marker46040$402.88$308.02---Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)46045--$321.13--Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia46050$155.16$72.65---Incision and drainage, perianal abscess, superficial46060--$354.30--Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton46070--$171.65--Incision, anal septum (infant)46080$186.27$116.39---Sphincterotomy, anal, division of sphincter (separate procedure)46083$134.31$79.31---Incision of thrombosed hemorrhoid, external46200$339.48$245.47---Fissurectomy, including sphincterotomy, when performed46220$157.18$88.14---Excision of single external papilla or tag, anus46221$204.26$143.08---Hemorrhoidectomy, internal, by rubber band ligation(s)46230$206.45$127.03---Excision of multiple external papillae or tags, anus46250$350.95$233.92---Hemorrhoidectomy, external, 2 or more columns/groups46255$382.09$261.70---Hemorrhoidectomy, internal and external, single column/group;46257--$312.96--Hemorrhoidectomy, internal and external, single column/group; with fissurectomy46258--$342.74--Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed46260--$351.35--Hemorrhoidectomy, internal and external, 2 or more columns/groups;46261--$385.55--Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy46262--$408.91--Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed46270$383.34$292.14---Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous46275$405.79$308.40---Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric46280--$349.20--Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed46285$402.23$307.66---Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage46288--$408.00--Closure of anal fistula with rectal advancement flap46320$139.27$81.74---Excision of thrombosed hemorrhoid, external46500$149.39$92.98---Injection of sclerosing solution, hemorrhoids46505$214.21$178.01---Chemodenervation of internal anal sphincter46600$68.24$30.64---Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)46601$104.02$70.34---Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performed46604$488.70$49.22---Anoscopy; with dilation (eg, balloon, guide wire, bougie)46606$175.00$56.29---Anoscopy; with biopsy, single or multiple46607$145.20$94.12---Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple46608$179.18$59.35---Anoscopy; with removal of foreign body46610$174.33$59.27---Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery46611$134.65$60.00---Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique46612$198.30$68.08---Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique46614$98.25$48.02---Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)46615$108.15$68.02---Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique46700--$483.77--Anoplasty, plastic operation for stricture; adult46705--$374.22--Anoplasty, plastic operation for stricture; infant46706--$123.77--Repair of anal fistula with fibrin glue46707--$353.25--Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS])46710--$777.33--Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach46712--$1,569.24--Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach46715--$397.47--Repair of low imperforate anus; with anoperineal fistula (cut-back procedure)46716--$824.63--Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula46730--$1,349.25--Repair of high imperforate anus without fistula; perineal or sacroperineal approach46735--$1,560.15--Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches46740--$1,559.01--Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach46742--$1,775.63--Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches46744--$2,545.79--Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach46746--$2,690.90--Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach;46748--$2,921.04--Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps46750--$557.60--Sphincteroplasty, anal, for incontinence or prolapse; adult46751--$443.95--Sphincteroplasty, anal, for incontinence or prolapse; child46753--$446.59--Graft (Thiersch operation) for rectal incontinence and/or prolapse46754$222.09$171.29---Removal of Thiersch wire or suture, anal canal46760--$810.07--Sphincteroplasty, anal, for incontinence, adult; muscle transplant46761--$681.39--Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)46762--$685.17--Sphincteroplasty, anal, for incontinence, adult; implantation artificial sphincter46900$185.72$102.65---Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical46910$196.48$99.38---Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation46916$175.59$107.68---Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery46917$351.55$98.42---Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery46922$204.24$100.12---Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision46924$413.06$135.80---Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)46930$157.74$111.72---Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)46940$172.45$107.90---Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial46942$163.78$96.99---Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent46945$236.83$171.45---Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group46946$239.11$169.51---Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups46947--$281.12--Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling46999--I.C.--Unlisted procedure, anus47000$283.10$76.84---Biopsy of liver, needle; percutaneous47001--$74.45--Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure)47010--$876.45--Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages47015--$834.90--Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)47100--$616.38--Biopsy of liver, wedge47120--$1,684.14--Hepatectomy, resection of liver; partial lobectomy47122--$2,472.46--Hepatectomy, resection of liver; trisegmentectomy47125--$2,213.59--Hepatectomy, resection of liver; total left lobectomy47130--$2,376.38--Hepatectomy, resection of liver; total right lobectomy47133--I.C.--Donor hepatectomy (including cold preservation), from cadaver donor47135--$3,883.90--Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age47140--$2,582.85--Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)47141--$3,084.48--Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)47142--$3,397.50--Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)47143--I.C.--Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; without trisegment or lobe split47144--I.C.--Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; with trisegment split of whole liver graft into 2 partial liver grafts (ie, left lateral segment [segments II and III] and right trisegment [segments I and IV through VIII])47145--I.C.--Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; with lobe split of whole liver graft into 2 partial liver grafts (ie, left lobe [segments II, III, and IV] and right lobe [segments I and V through VIII])47146--$235.83--Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each47147--$274.93--Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each47300--$822.46--Marsupialization of cyst or abscess of liver47350--$994.08--Management of liver hemorrhage; simple suture of liver wound or injury47360--$1,346.31--Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation47361--$2,182.47--Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver47362--$1,050.60--Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing47370--$902.11--Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency47371--$843.94--Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical47379--I.C.--Unlisted laparoscopic procedure, liver47380--$1,043.42--Ablation, open, of 1 or more liver tumor(s); radiofrequency47381--$996.80--Ablation, open, of 1 or more liver tumor(s); cryosurgical47382$3,948.73$572.94---Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency47383$5,979.56$360.08---Ablation, 1 or more liver tumor(s), percutaneous, cryoablation47399--I.C.--Unlisted procedure, liver47400--$1,555.51--Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus47420--$972.63--Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty47425--$980.74--Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty47460--$909.32--Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure)47480--$640.17--Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)47490--$252.46--Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation47531$290.65$71.47---Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access47532$638.22$160.01---Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)47533$1,043.64$225.58---Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external47534$1,283.85$299.10---Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external47535$864.01$171.96---Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation47536$640.75$109.78---Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation47537$314.39$73.60---Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation47538$3,569.52$244.54---Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; existing access47539$3,894.40$330.31---Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; new access, without placement of separate biliary drainage catheter47540$4,043.98$394.29---Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation, each stent; new access, with placement of separate biliary drainage catheter (eg, external or internal-external)47541$921.34$209.36---Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation, new access47542$399.01$95.36---Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each duct (List separately in addition to code for primary procedure)47543$1,041.32$120.27---Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, single or multiple (List separately in addition to code for primary procedure)47544$633.94$157.98---Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)47550--$118.83--Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)47552--$231.88--Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure)47553--$227.75--Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple47554--$350.99--Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi47555--$272.92--Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent47556--$310.59--Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent47562--$478.12--Laparoscopy, surgical; cholecystectomy47563--$518.84--Laparoscopy, surgical; cholecystectomy with cholangiography47564--$807.96--Laparoscopy, surgical; cholecystectomy with exploration of common duct47570--$554.94--Laparoscopy, surgical; cholecystoenterostomy47579--I.C.--Unlisted laparoscopy procedure, biliary tract47600--$773.92--Cholecystectomy;47605--$814.23--Cholecystectomy; with cholangiography47610--$907.62--Cholecystectomy with exploration of common duct;47612--$918.81--Cholecystectomy with exploration of common duct; with choledochoenterostomy47620--$994.26--Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography47700--$757.39--Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography47701--$1,237.16--Portoenterostomy (eg, Kasai procedure)47711--$1,125.17--Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic47712--$1,437.90--Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic47715--$965.42--Excision of choledochal cyst47720--$836.06--Cholecystoenterostomy; direct47721--$982.89--Cholecystoenterostomy; with gastroenterostomy47740--$945.90--Cholecystoenterostomy; Roux-en-Y47741--$1,064.82--Cholecystoenterostomy; Roux-en-Y with gastroenterostomy47760--$1,629.96--Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract47765--$2,187.13--Anastomosis, of intrahepatic ducts and gastrointestinal tract47780--$1,783.18--Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract47785--$2,338.81--Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract47800--$1,139.65--Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis47801--$738.05--Placement of choledochal stent47802--$1,097.08--U-tube hepaticoenterostomy47900--$992.95--Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)47999--I.C.--Unlisted procedure, biliary tract48000--$1,352.00--Placement of drains, peripancreatic, for acute pancreatitis;48001--$1,651.27--Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy48020--$849.96--Removal of pancreatic calculus48100--$643.89--Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)48102$410.33$180.49---Biopsy of pancreas, percutaneous needle48105--$2,056.24--Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis48120--$802.24--Excision of lesion of pancreas (eg, cyst, adenoma)48140--$1,129.49--Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy48145--$1,175.00--Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy48146--$1,361.24--Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)48148--$903.37--Excision of ampulla of Vater48150--$2,246.04--Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy48152--$2,073.88--Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy48153--$2,234.04--Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomy48154--$2,096.72--Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomy48155--$1,318.52--Pancreatectomy, total48160--I.C.--Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells48400--$77.96--Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure)48500--$824.72--Marsupialization of pancreatic cyst48510--$793.00--External drainage, pseudocyst of pancreas, open48520--$791.72--Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct48540--$938.74--Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y48545--$965.38--Pancreatorrhaphy for injury48547--$1,292.56--Duodenal exclusion with gastrojejunostomy for pancreatic injury48548--$1,202.08--Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)48550--I.C.--Donor pancreatectomy (including cold preservation), with or without duodenal segment for transplantation48551--I.C.--Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile duct, ligation of mesenteric vessels, and Y-graft arterial anastomoses from iliac artery to superior mesenteric artery and to splenic artery48552--$168.28--Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each48554--$1,873.54--Transplantation of pancreatic allograft48556--$926.35--Removal of transplanted pancreatic allograft48999--I.C.--Unlisted procedure, pancreas49000--$560.45--Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)49002--$757.40--Reopening of recent laparotomy49010--$676.41--Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)49020--$1,153.47--Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open49040--$725.75--Drainage of subdiaphragmatic or subphrenic abscess, open49060--$798.10--Drainage of retroperitoneal abscess, open49062--$534.43--Drainage of extraperitoneal lymphocele to peritoneal cavity, open49082$148.18$55.29---Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance49083$227.45$81.24---Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance49084--$78.10--Peritoneal lavage, including imaging guidance, when performed49180$124.65$63.47---Biopsy, abdominal or retroperitoneal mass, percutaneous needle49185$784.58$91.41---Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed49203--$869.49--Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less49204--$1,110.16--Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter49205--$1,271.84--Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter49215--$1,610.23--Excision of presacral or sacrococcygeal tumor49220--$660.64--Staging laparotomy for Hodgkins disease or lymphoma (includes splenectomy, needle or open biopsies of both liver lobes, possibly also removal of abdominal nodes, abdominal node and/or bone marrow biopsies, ovarian repositioning)49250--$428.88--Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)49255--$577.37--Omentectomy, epiploectomy, resection of omentum (separate procedure)49320--$238.31--Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)49321--$252.34--Laparoscopy, surgical; with biopsy (single or multiple)49322--$269.16--Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)49323--$466.14--Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity49324--$283.84--Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter49325--$302.16--Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed49326--$135.64--Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)49327--$93.81--Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imaging guidance, if performed, single or multiple (List separately in addition to code for primary procedure)49329--I.C.--Unlisted laparoscopy procedure, abdomen, peritoneum and omentum49400$101.80$68.96---Injection of air or contrast into peritoneal cavity (separate procedure)49402--$621.11--Removal of peritoneal foreign body from peritoneal cavity49405$684.00$157.24---Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous49406$684.28$157.24---Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous49407$566.79$168.00---Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal49411$424.16$147.17---Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple49412--$59.32--Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in addition to code for primary procedure)49418$1,131.96$162.08---Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous49419--$326.01--Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable)49421--$165.66--Insertion of tunneled intraperitoneal catheter for dialysis, open49422--$276.31--Removal of tunneled intraperitoneal catheter49423$433.70$53.44---Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)49424$114.28$28.41---Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)49425--$534.57--Insertion of peritoneal-venous shunt49426--$444.08--Revision of peritoneal-venous shunt49427--$33.92--Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt49428--$313.41--Ligation of peritoneal-venous shunt49429--$332.03--Removal of peritoneal-venous shunt49435--$85.93--Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure)49436--$137.13--Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter49440$815.97$165.18---Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report49441$918.10$189.85---Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report49442$758.82$166.12---Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report49446$787.93$120.58---Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report49450$528.80$49.76---Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report49451$575.55$67.32---Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report49452$709.68$103.79---Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report49460$583.48$35.68---Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation and report49465$128.07$23.11---Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report49491--$576.77--Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible49492--$693.78--Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or strangulated49495--$280.92--Repair, initial inguinal 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 the time of surgery, with or without hydrocelectomy; reducible49496--$447.59--Repair, initial inguinal 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 the time of surgery, with or without hydrocelectomy; incarcerated or strangulated49500--$268.22--Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible49501--$427.62--Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated49505--$379.83--Repair initial inguinal hernia, age 5 years or older; reducible49507--$426.15--Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated49520--$459.35--Repair recurrent inguinal hernia, any age; reducible49521--$519.78--Repair recurrent inguinal hernia, any age; incarcerated or strangulated49525--$417.06--Repair inguinal hernia, sliding, any age49540--$487.84--Repair lumbar hernia49550--$418.63--Repair initial femoral hernia, any age; reducible49553--$458.93--Repair initial femoral hernia, any age; incarcerated or strangulated49555--$434.79--Repair recurrent femoral hernia; reducible49557--$524.99--Repair recurrent femoral hernia; incarcerated or strangulated49560--$535.35--Repair initial incisional or ventral hernia; reducible49561--$673.21--Repair initial incisional or ventral hernia; incarcerated or strangulated49565--$557.81--Repair recurrent incisional or ventral hernia; reducible49566--$679.61--Repair recurrent incisional or ventral hernia; incarcerated or strangulated49568--$191.79--Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair)49570--$305.24--Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure)49572--$376.37--Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated49580--$245.06--Repair umbilical hernia, younger than age 5 years; reducible49582--$353.03--Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated49585--$325.30--Repair umbilical hernia, age 5 years or older; reducible49587--$347.73--Repair umbilical hernia, age 5 years or older; incarcerated or strangulated49590--$416.98--Repair spigelian hernia49600--$513.87--Repair of small omphalocele, with primary closure49605--$3,551.17--Repair of large omphalocele or gastroschisis; with or without prosthesis49606--$809.19--Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room49610--$499.76--Repair of omphalocele (Gross type operation); first stage49611--$441.02--Repair of omphalocele (Gross type operation); second stage49650--$313.30--Laparoscopy, surgical; repair initial inguinal hernia49651--$406.45--Laparoscopy, surgical; repair recurrent inguinal hernia49652--$540.59--Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducible49653--$673.73--Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated49654--$613.06--Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducible49655--$748.46--Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated49656--$665.44--Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducible49657--$954.29--Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulated49659--I.C.--Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy49900--$595.79--Suture, secondary, of abdominal wall for evisceration or dehiscence49904--$1,044.03--Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)49905--$254.46--Omental flap, intra-abdominal (List separately in addition to code for primary procedure)49906--I.C.--Free omental flap with microvascular anastomosis49999--I.C.--Unlisted procedure, abdomen, peritoneum and omentum50010--$541.15--Renal exploration, not necessitating other specific procedures50020--$750.17--Drainage of perirenal or renal abscess, open50040--$682.80--Nephrostomy, nephrotomy with drainage50045--$705.69--Nephrotomy, with exploration50060--$840.95--Nephrolithotomy; removal of calculus50065--$889.35--Nephrolithotomy; secondary surgical operation for calculus50070--$872.33--Nephrolithotomy; complicated by congenital kidney abnormality50075--$1,071.65--Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy)50080--$640.90--Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm50081--$939.42--Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; over 2 cm50100--$778.34--Transection or repositioning of aberrant renal vessels (separate procedure)50120--$699.55--Pyelotomy; with exploration50125--$758.33--Pyelotomy; with drainage, pyelostomy50130--$760.54--Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)50135--$835.18--Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality)50200$481.12$105.63---Renal biopsy; percutaneous, by trocar or needle50205--$547.54--Renal biopsy; by surgical exposure of kidney50220--$767.38--Nephrectomy, including partial ureterectomy, any open approach including rib resection;50225--$883.05--Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney50230--$940.64--Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy50234--$955.59--Nephrectomy with total ureterectomy and bladder cuff; through same incision50236--$1,079.44--Nephrectomy with total ureterectomy and bladder cuff; through separate incision50240--$974.25--Nephrectomy, partial50250--$896.30--Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed50280--$701.90--Excision or unroofing of cyst(s) of kidney50290--$662.41--Excision of perinephric cyst50300--I.C.--Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral50320--$1,060.35--Donor nephrectomy (including cold preservation); open, from living donor50323--I.C.--Backbench standard preparation of cadaver donor renal allograft prior to transplantation, including dissection and removal of perinephric fat, diaphragmatic and retroperitoneal attachments, excision of adrenal gland, and preparation of ureter(s), renal vein(s), and renal artery(s), ligating branches, as necessary50325--I.C.--Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation, including dissection and removal of perinephric fat and preparation of ureter(s), renal vein(s), and renal artery(s), ligating branches, as necessary50327--$155.71--Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each50328--$136.70--Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each50329--$128.50--Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each50340--$685.03--Recipient nephrectomy (separate procedure)50360--$1,754.23--Renal allotransplantation, implantation of graft; without recipient nephrectomy50365--$2,059.91--Renal allotransplantation, implantation of graft; with recipient nephrectomy50370--$875.03--Removal of transplanted renal allograft50380--$1,448.32--Renal autotransplantation, reimplantation of kidney50382$929.07$200.25---Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation50384$738.84$181.78---Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation50385$895.81$171.77---Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation50386$582.06$130.51---Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation50387$428.23$72.10---Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation50389$233.18$40.11---Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)50390--$71.64--Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous50391$90.34$71.82---Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent)50395--$132.81--Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract, percutaneous50396--$88.31--Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter50400--$851.92--Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple50405--$1,027.53--Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, with or without plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)50430$404.66$124.59---Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access50431$125.42$49.93---Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access50432$659.30$164.54---Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation50433$888.68$202.52---Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access50434$703.82$155.46---Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract50435$370.42$76.03---Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation50500--$921.38--Nephrorrhaphy, suture of kidney wound or injury50520--$819.54--Closure of nephrocutaneous or pyelocutaneous fistula50525--$1,039.09--Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach50526--$1,089.75--Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach50540--$843.12--Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)50541--$676.56--Laparoscopy, surgical; ablation of renal cysts50542--$858.90--Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed50543--$1,094.38--Laparoscopy, surgical; partial nephrectomy50544--$914.86--Laparoscopy, surgical; pyeloplasty50545--$984.47--Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)50546--$884.27--Laparoscopy, surgical; nephrectomy, including partial ureterectomy50547--$1,172.70--Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor50548--$989.53--Laparoscopy, surgical; nephrectomy with total ureterectomy50549--I.C.--Unlisted laparoscopy procedure, renal50551$267.56$216.77---Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;50553$284.32$229.03---Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter50555$305.00$250.00---Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy50557$311.55$254.58---Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy50561$353.25$290.39---Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus50562--$427.59--Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with resection of tumor50570--$360.99--Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;50572--$390.45--Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter50574--$415.15--Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy50575--$524.14--Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic junction, incision of ureteral pelvic junction and insertion of endopyelotomy stent)50576--$414.57--Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy50580--$446.66--Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus50590$538.51$420.36---Lithotripsy, extracorporeal shock wave50592$2,005.51$269.21---Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency50593$3,667.51$356.56---Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy50600--$692.66--Ureterotomy with exploration or drainage (separate procedure)50605--$715.95--Ureterotomy for insertion of indwelling stent, all types50606$409.37$115.83---Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)50610--$718.49--Ureterolithotomy; upper one-third of ureter50620--$667.92--Ureterolithotomy; middle one-third of ureter50630--$656.14--Ureterolithotomy; lower one-third of ureter50650--$762.35--Ureterectomy, with bladder cuff (separate procedure)50660--$844.58--Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach50684$81.88$37.82---Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter50686$108.66$65.44---Manometric studies through ureterostomy or indwelling ureteral catheter50688--$60.22--Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit50690$74.63$52.74---Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service50693$829.75$162.67---Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract50694$910.67$209.92---Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter50695$1,109.26$266.23---Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter50700--$685.64--Ureteroplasty, plastic operation on ureter (eg, stricture)50705$1,344.18$148.11---Ureteral embolization or occlusion, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)50706$596.27$138.55---Balloon dilation, ureteral stricture, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)50715--$887.41--Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis50722--$753.20--Ureterolysis for ovarian vein syndrome50725--$827.18--Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava50727--$375.91--Revision of urinary-cutaneous anastomosis (any type urostomy);50728--$518.01--Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia50740--$884.89--Ureteropyelostomy, anastomosis of ureter and renal pelvis50750--$848.93--Ureterocalycostomy, anastomosis of ureter to renal calyx50760--$826.59--Ureteroureterostomy50770--$846.02--Transureteroureterostomy, anastomosis of ureter to contralateral ureter50780--$813.02--Ureteroneocystostomy; anastomosis of single ureter to bladder50782--$751.17--Ureteroneocystostomy; anastomosis of duplicated ureter to bladder50783--$832.27--Ureteroneocystostomy; with extensive ureteral tailoring50785--$891.77--Ureteroneocystostomy; with vesico-psoas hitch or bladder flap50800--$680.94--Ureteroenterostomy, direct anastomosis of ureter to intestine50810--$926.28--Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis50815--$901.65--Ureterocolon conduit, including intestine anastomosis50820--$966.07--Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)50825--$1,217.12--Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty)50830--$1,329.88--Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)50840--$906.98--Replacement of all or part of ureter by intestine segment, including intestine anastomosis50845--$921.77--Cutaneous appendico-vesicostomy50860--$696.76--Ureterostomy, transplantation of ureter to skin50900--$631.62--Ureterorrhaphy, suture of ureter (separate procedure)50920--$652.52--Closure of ureterocutaneous fistula50930--$852.33--Closure of ureterovisceral fistula (including visceral repair)50940--$654.81--Deligation of ureter50945--$715.86--Laparoscopy, surgical; ureterolithotomy50947--$1,021.24--Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement50948--$938.19--Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement50949--I.C.--Unlisted laparoscopy procedure, ureter50951$279.23$225.63---Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;50953$294.71$239.14---Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter50955$315.59$259.18---Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy50957$318.58$260.77---Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy50961$287.44$233.56---Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus50970--$273.72--Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;50972--$265.32--Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter50974--$347.52--Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy50976--$342.17--Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy50980--$260.34--Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus51020--$348.52--Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material51030--$354.18--Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion51040--$215.52--Cystostomy, cystotomy with drainage51045--$362.43--Cystotomy, with insertion of ureteral catheter or stent (separate procedure)51050--$349.83--Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection51060--$432.26--Transvesical ureterolithotomy51065--$427.80--Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus51080--$304.06--Drainage of perivesical or prevesical space abscess51100$45.79$28.67---Aspiration of bladder; by needle51101$95.06$38.09---Aspiration of bladder; by trocar or intracatheter51102$171.03$106.76---Aspiration of bladder; with insertion of suprapubic catheter51500--$471.40--Excision of urachal cyst or sinus, with or without umbilical hernia repair51520--$441.81--Cystotomy; for simple excision of vesical neck (separate procedure)51525--$633.14--Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)51530--$584.19--Cystotomy; for excision of bladder tumor51535--$575.08--Cystotomy for excision, incision, or repair of ureterocele51550--$708.00--Cystectomy, partial; simple51555--$931.18--Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)51565--$955.12--Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)51570--$1,085.64--Cystectomy, complete; (separate procedure)51575--$1,339.26--Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes51580--$1,393.56--Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;51585--$1,548.87--Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes51590--$1,419.94--Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;51595--$1,607.19--Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes51596--$1,727.58--Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder51597--$1,685.80--Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof51600$142.92$32.63---Injection procedure for cystography or voiding urethrocystography51605--$28.42--Injection procedure and placement of chain for contrast and/or chain urethrocystography51610$81.20$48.09---Injection procedure for retrograde urethrocystography51700$62.82$32.79---Bladder irrigation, simple, lavage and/or instillation51701$41.52$20.47---Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)51702$53.87$22.44---Insertion of temporary indwelling bladder catheter; simple (eg, Foley)51703$97.66$60.06---Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)51705$68.94$38.35---Change of cystostomy tube; simple51710$97.24$59.35---Change of cystostomy tube; complicated51715$217.67$146.95---Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck51720$81.31$58.86---Bladder instillation of anticarcinogenic agent (including retention time)51725--$143.28$56.12$87.15Simple cystometrogram51726--$202.59$62.80$139.79Complex cystometrogram51727--$239.56$78.72$160.83Cystometrogram w/up51728--$241.93$76.88$165.04Cystometrogram w/vp51729--$260.65$93.08$167.57Cystometrogram w/vp&up51736--$11.68$6.19$5.49Urine flow measurement51741--$11.96$6.19$5.77Electro-uroflowmetry first51784--$147.03$56.36$90.68Anal/urinary muscle study51785--$201.27$62.61$138.66Anal/urinary muscle study51792--$163.62$40.67$122.95Urinary reflex study51797--$85.84$29.43$56.41Intraabdominal pressure test51798--$14.90--Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging51800--$766.64--Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck51820--$813.24--Cystourethroplasty with unilateral or bilateral ureteroneocystostomy51840--$484.32--Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple51841--$573.56--Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)51845--$432.77--Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)51860--$547.61--Cystorrhaphy, suture of bladder wound, injury or rupture; simple51865--$657.76--Cystorrhaphy, suture of bladder wound, injury or rupture; complicated51880--$345.92--Closure of cystostomy (separate procedure)51900--$615.75--Closure of vesicovaginal fistula, abdominal approach51920--$626.02--Closure of vesicouterine fistula;51925--$784.95--Closure of vesicouterine fistula; with hysterectomy51940--$1,206.95--Closure, exstrophy of bladder51960--$1,023.76--Enterocystoplasty, including intestinal anastomosis51980--$526.47--Cutaneous vesicostomy51990--$552.37--Laparoscopy, surgical; urethral suspension for stress incontinence51992--$619.06--Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)51999--I.C.--Unlisted laparoscopy procedure, bladder52000$154.16$93.26---Cystourethroscopy (separate procedure)52001$276.20$211.37---Cystourethroscopy with irrigation and evacuation of multiple obstructing clots52005$202.12$98.28---Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;52007$340.24$122.19---Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis52010$283.74$122.94---Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service52204$282.71$104.51---Cystourethroscopy, with biopsy(s)52214$509.63$129.09---Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands52224$531.94$149.15---Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy52234--$181.11--Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)52235--$212.49--Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)52240--$288.18--Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)52250--$176.51--Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration52260--$154.95--Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia52265$279.26$120.14---Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia52270$269.72$133.89---Cystourethroscopy, with internal urethrotomy; female52275$363.08$182.91---Cystourethroscopy, with internal urethrotomy; male52276--$194.86--Cystourethroscopy with direct vision internal urethrotomy52277--$237.79--Cystourethroscopy, with resection of external sphincter (sphincterotomy)52281$206.02$112.28---Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female52282--$247.38--Cystourethroscopy, with insertion of permanent urethral stent52283$206.44$148.35---Cystourethroscopy, with steroid injection into stricture52285$208.85$144.30---Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of polyp(s) of urethra, bladder neck, and/or trigone52287$235.44$124.30---Cystourethroscopy, with injection(s) for chemodenervation of the bladder52290--$179.65--Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral52300--$206.63--Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral52301--$213.47--Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral52305--$205.10--Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple52310$183.01$111.73---Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple52315$309.15$201.95---Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated52317$612.30$255.33---Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)52318--$347.91--Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm)52320--$181.50--Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus52325--$236.00--Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)52327--$191.90--Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material52330$373.25$193.92---Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus52332$376.63$114.79---Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)52334--$188.79--Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde52341--$209.19--Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)52342--$227.54--Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)52343--$253.17--Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)52344--$271.83--Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)52345--$290.18--Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)52346--$327.93--Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)52351--$222.86--Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic52352--$260.56--Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)52353--$288.18--Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)52354--$306.54--Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion52355--$343.39--Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor52356--$305.69--Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)52400--$352.39--Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds52402--$195.48--Cystourethroscopy with transurethral resection or incision of ejaculatory ducts52441$968.22$166.72---Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant52442$749.37$44.41---Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)52450--$348.86--Transurethral incision of prostate52500--$362.07--Transurethral resection of bladder neck (separate procedure)52601--$623.34--Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)52630--$296.95--Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)52640--$235.30--Transurethral resection; of postoperative bladder neck contracture52647$1,368.92$478.46---Laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included if performed)52648$1,407.39$509.92---Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)52649--$607.67--Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)52700--$326.50--Transurethral drainage of prostatic abscess53000--$110.29--Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra53010--$220.79--Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external53020--$71.45--Meatotomy, cutting of meatus (separate procedure); except infant53025--$53.44--Meatotomy, cutting of meatus (separate procedure); infant53040--$290.90--Drainage of deep periurethral abscess53060$136.31$121.72---Drainage of Skene's gland abscess or cyst53080--$311.81--Drainage of perineal urinary extravasation; uncomplicated (separate procedure)53085--$495.75--Drainage of perineal urinary extravasation; complicated53200$115.20$104.54--Biopsy of urethra53210--$568.20--Urethrectomy, total, including cystostomy; female53215--$684.44--Urethrectomy, total, including cystostomy; male53220--$336.79--Excision or fulguration of carcinoma of urethra53230--$447.74--Excision of urethral diverticulum (separate procedure); female53235--$467.65--Excision of urethral diverticulum (separate procedure); male53240--$316.59--Marsupialization of urethral diverticulum, male or female53250--$304.46--Excision of bulbourethral gland (Cowper's gland)53260$149.70$133.42---Excision or fulguration; urethral polyp(s), distal urethra53265$162.26$137.57---Excision or fulguration; urethral caruncle53270$154.38$137.27---Excision or fulguration; Skene's glands53275--$193.99--Excision or fulguration; urethral prolapse53400--$591.45--Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)53405--$644.15--Urethroplasty; second stage (formation of urethra), including urinary diversion53410--$720.79--Urethroplasty, 1-stage reconstruction of male anterior urethra53415--$831.91--Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra53420--$629.77--Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage53425--$689.76--Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage53430--$709.24--Urethroplasty, reconstruction of female urethra53431--$851.42--Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)53440--$555.40--Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)53442--$578.96--Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic)53444--$584.63--Insertion of tandem cuff (dual cuff)53445--$556.66--Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff53446--$475.19--Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff53447--$596.66--Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session53448--$945.52--Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement of infected tissue53449--$452.09--Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff53450--$303.48--Urethromeatoplasty, with mucosal advancement53460--$338.96--Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure)53500--$552.38--Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)53502--$360.25--Urethrorrhaphy, suture of urethral wound or injury, female53505--$361.12--Urethrorrhaphy, suture of urethral wound or injury; penile53510--$466.76--Urethrorrhaphy, suture of urethral wound or injury; perineal53515--$586.55--Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous53520--$412.03--Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)53600$61.91$46.76---Dilation of urethral stricture by passage of sound or urethral dilator, male; initial53601$60.76$39.43---Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent53605--$47.18--Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia53620$86.38$64.21---Dilation of urethral stricture by passage of filiform and follower, male; initial53621$82.08$53.18---Dilation of urethral stricture by passage of filiform and follower, male; subsequent53660$53.38$30.93---Dilation of female urethra including suppository and/or instillation; initial53661$52.23$29.78---Dilation of female urethra including suppository and/or instillation; subsequent53665--$28.16--Dilation of female urethra, general or conduction (spinal) anesthesia53850$1,604.23$450.25---Transurethral destruction of prostate tissue; by microwave thermotherapy53852$1,472.85$460.03---Transurethral destruction of prostate tissue; by radiofrequency thermotherapy53855$608.03$60.51---Insertion of a temporary prostatic urethral stent, including urethral measurement53860$1,209.32$167.31---Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence53899--I.C.--Unlisted procedure, urinary system54000$111.99$80.84---Slitting of prepuce, dorsal or lateral (separate procedure); newborn54001$138.70$102.78---Slitting of prepuce, dorsal or lateral (separate procedure); except newborn54015--$228.87--Incision and drainage of penis, deep54050$99.94$79.17---Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical54055$89.50$69.30---Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation54056$107.96$83.82---Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery54057$103.00$71.29---Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery54060$135.38$97.22---Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision54065$164.64$129.28---Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)54100$150.36$93.67---Biopsy of penis; (separate procedure)54105$197.62$158.05---Biopsy of penis; deep structures54110--$466.54--Excision of penile plaque (Peyronie disease);54111--$590.02--Excision of penile plaque (Peyronie disease); with graft to 5 cm in length54112--$692.01--Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length54115$336.47$315.42---Removal foreign body from deep penile tissue (eg, plastic implant)54120--$466.92--Amputation of penis; partial54125--$598.21--Amputation of penis; complete54130--$877.44--Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy54135--$1,106.43--Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes54150$115.37$71.31---Circumcision, using clamp or other device with regional dorsal penile or ring block54160$167.95$107.62---Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less)54161--$145.65--Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age54162$192.80$147.61--Lysis or excision of penile post-circumcision adhesions54163--$163.33--Repair incomplete circumcision54164--$144.54--Frenulotomy of penis54200$81.09$63.12--Injection procedure for Peyronie disease;54205--$394.54--Injection procedure for Peyronie disease; with surgical exposure of plaque54220$153.35$98.63---Irrigation of corpora cavernosa for priapism54230$72.29$59.10---Injection procedure for corpora cavernosography54231$104.37$85.84---Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine)54235$67.57$54.66---Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)54240--$76.19$48.54$27.66Penis study54250--$89.27$80.70$8.57Penis study54300--$473.62--Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra54304--$553.63--Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps54308--$528.19--Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm54312--$633.31--Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm54316--$770.58--Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia54318--$551.28--Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair)54322--$567.41--1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)54324--$737.88--1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)54326--$697.31--1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra54328--$692.98--1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps, skin graft patch, and/or island flap54332--$786.92--1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap54336--$918.17--1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap54340--$422.03--Repair of hypospadias complications (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple54344--$751.90--Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft54348--$747.24--Repair of hypospadias complications (ie, fistula, stricture, diverticula); requiring extensive dissection and urethroplasty with flap, patch or tubed graft (includes urinary diversion)54352--$1,042.43--Repair of hypospadias cripple requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts54360--$531.75--Plastic operation on penis to correct angulation54380--$590.02--Plastic operation on penis for epispadias distal to external sphincter;54385--$717.81--Plastic operation on penis for epispadias distal to external sphincter; with incontinence54390--$956.40--Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder54400--$391.71--Insertion of penile prosthesis; non-inflatable (semi-rigid)54401--$488.59--Insertion of penile prosthesis; inflatable (self-contained)54405--$596.10--Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir54406--$539.37--Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis54408--$583.48--Repair of component(s) of a multi-component, inflatable penile prosthesis54410--$634.45--Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session54411--$756.27--Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue54415--$391.40--Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis54416--$525.77--Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session54417--$662.62--Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue54420--$520.58--Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral54430--$473.53--Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral54435--$308.97--Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism54437--$503.34--Repair of traumatic corporeal tear(s)54438--$1,005.56--Replantation, penis, complete amputation including urethral repair54440--I.C.--Plastic operation of penis for injury54450$51.75$42.21---Foreskin manipulation including lysis of preputial adhesions and stretching54500--$55.09--Biopsy of testis, needle (separate procedure)54505--$156.03--Biopsy of testis, incisional (separate procedure)54512--$398.71--Excision of extraparenchymal lesion of testis54520--$241.68--Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach54522--$454.16--Orchiectomy, partial54530--$374.44--Orchiectomy, radical, for tumor; inguinal approach54535--$549.17--Orchiectomy, radical, for tumor; with abdominal exploration54550--$365.14--Exploration for undescended testis (inguinal or scrotal area)54560--$507.36--Exploration for undescended testis with abdominal exploration54600--$337.82--Reduction of torsion of testis, surgical, with or without fixation of contralateral testis54620--$223.13--Fixation of contralateral testis (separate procedure)54640--$355.46--Orchiopexy, inguinal approach, with or without hernia repair54650--$525.14--Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)54660--$265.82--Insertion of testicular prosthesis (separate procedure)54670--$300.75--Suture or repair of testicular injury54680--$584.34--Transplantation of testis(es) to thigh (because of scrotal destruction)54690--$535.27--Laparoscopy, surgical; orchiectomy54692--$616.35--Laparoscopy, surgical; orchiopexy for intra-abdominal testis54699--I.C.--Unlisted laparoscopy procedure, testis54700--$158.72--Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)54800--$93.89--Biopsy of epididymis, needle54830--$277.04--Excision of local lesion of epididymis54840--$238.57--Excision of spermatocele, with or without epididymectomy54860--$310.77--Epididymectomy; unilateral54861--$419.25--Epididymectomy; bilateral54865--$266.87--Exploration of epididymis, with or without biopsy54900--$619.70--Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral54901--$815.64--Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral55000$88.09$63.12---Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication55040--$251.13--Excision of hydrocele; unilateral55041--$377.48--Excision of hydrocele; bilateral55060--$282.77--Repair of tunica vaginalis hydrocele (Bottle type)55100$162.85$124.12---Drainage of scrotal wall abscess55110--$287.57--Scrotal exploration55120--$265.09--Removal of foreign body in scrotum55150--$364.15--Resection of scrotum55175--$269.46--Scrotoplasty; simple55180--$512.01--Scrotoplasty; complicated55200$330.15$206.95---Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure)55250$400.21$232.01---Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)55300--$137.78--Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral55400--$375.37--Vasovasostomy, vasovasorrhaphy55450$269.52$190.38---Ligation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure)55500--$293.16--Excision of hydrocele of spermatic cord, unilateral (separate procedure)55520--$331.93--Excision of lesion of spermatic cord (separate procedure)55530--$260.93--Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)55535--$319.19--Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach55540--$395.49--Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair55550--$318.48--Laparoscopy, surgical, with ligation of spermatic veins for varicocele55559--I.C.--Unlisted laparoscopy procedure, spermatic cord55600--$312.87--Vesiculotomy;55605--$406.02--Vesiculotomy; complicated55650--$530.54--Vesiculectomy, any approach55680--$263.84--Excision of Mullerian duct cyst55700$163.75$102.57---Biopsy, prostate; needle or punch, single or multiple, any approach55705--$196.85--Biopsy, prostate; incisional, any approach55706--$276.81--Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance55720--$335.64--Prostatotomy, external drainage of prostatic abscess, any approach; simple55725--$439.50--Prostatotomy, external drainage of prostatic abscess, any approach; complicated55801--$809.38--Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy)55810--$968.93--Prostatectomy, perineal radical;55812--$1,183.69--Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)55815--$1,300.56--Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes55821--$644.09--Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); suprapubic, subtotal, 1 or 2 stages55831--$696.52--Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal55840--$863.11--Prostatectomy, retropubic radical, with or without nerve sparing;55842--$862.80--Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)55845--$1,003.95--Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes55860--$645.30--Exposure of prostate, any approach, for insertion of radioactive substance;55862--$845.94--Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy)55865--$982.00--Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes55866--$1,048.84--Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed55870$130.63$105.09---Electroejaculation55873$5,574.86$566.06---Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)55875--$564.20--Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy55876$101.82$74.60---Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple55899--I.C.--Unlisted procedure, male genital system55920--$331.32--Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application55970--I.C.--Intersex surgery; male to female55980--I.C.--Intersex surgery; female to male56405$80.68$80.12---Incision and drainage of vulva or perineal abscess56420$90.75$66.89---Incision and drainage of Bartholin's gland abscess56440--$133.48--Marsupialization of Bartholin's gland cyst56441$106.53$102.32---Lysis of labial adhesions56442--$35.49--Hymenotomy, simple incision56501$97.45$85.10---Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)56515$167.10$147.73---Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)56605$60.93$43.82---Biopsy of vulva or perineum (separate procedure); 1 lesion56606$27.68$21.50---Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure)56620--$381.53--Vulvectomy simple; partial56625--$457.70--Vulvectomy simple; complete56630--$672.39--Vulvectomy, radical, partial;56631--$857.37--Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy56632--$997.82--Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy56633--$877.86--Vulvectomy, radical, complete;56634--$943.02--Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy56637--$1,089.96--Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy56640--$1,094.24--Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy56700--$137.07--Partial hymenectomy or revision of hymenal ring56740--$219.35--Excision of Bartholin's gland or cyst56800--$176.04--Plastic repair of introitus56805--$842.86--Clitoroplasty for intersex state56810--$190.09--Perineoplasty, repair of perineum, nonobstetrical (separate procedure)56820$82.83$62.91---Colposcopy of the vulva;56821$109.08$83.82---Colposcopy of the vulva; with biopsy(s)57000--$138.06--Colpotomy; with exploration57010--$317.71--Colpotomy; with drainage of pelvic abscess57020$67.87$58.61---Colpocentesis (separate procedure)57022--$124.31--Incision and drainage of vaginal hematoma; obstetrical/postpartum57023--$226.32--Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding)57061$85.04$72.98---Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)57065$143.53$127.81---Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)57100$65.80$48.40---Biopsy of vaginal mucosa; simple (separate procedure)57105$101.08$93.22---Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)57106--$361.63--Vaginectomy, partial removal of vaginal wall;57107--$1,051.28--Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)57109--$1,246.69--Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)57110--$649.67--Vaginectomy, complete removal of vaginal wall;57111--$1,169.18--Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)57112--$1,332.31--Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy)57120--$372.51--Colpocleisis (Le Fort type)57130$130.65$116.61---Excision of vaginal septum57135$141.53$126.93---Excision of vaginal cyst or tumor57150$33.54$20.91---Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease57155$324.51$214.22---Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy57156$148.61$108.48---Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy57160$56.90$33.89---Fitting and insertion of pessary or other intravaginal support device57170$60.97$47.94---Diaphragm or cervical cap fitting with instructions57180$104.91$77.40---Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure)57200--$222.20--Colporrhaphy, suture of injury of vagina (nonobstetrical)57210--$269.26--Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)57220--$234.52--Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)57230--$289.04--Plastic repair of urethrocele57240--$489.47--Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele57250--$492.30--Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy57260--$605.58--Combined anteroposterior colporrhaphy;57265--$662.64--Combined anteroposterior colporrhaphy; with enterocele repair57267--$185.46--Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure)57268--$354.70--Repair of enterocele, vaginal approach (separate procedure)57270--$581.50--Repair of enterocele, abdominal approach (separate procedure)57280--$693.08--Colpopexy, abdominal approach57282--$367.16--Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)57283--$501.79--Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)57284--$593.32--Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach57285--$489.94--Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach57287--$499.34--Removal or revision of sling for stress incontinence (eg, fascia or synthetic)57288--$523.50--Sling operation for stress incontinence (eg, fascia or synthetic)57289--$538.25--Pereyra procedure, including anterior colporrhaphy57291--$451.59--Construction of artificial vagina; without graft57292--$598.81--Construction of artificial vagina; with graft57295--$349.54--Revision (including removal) of prosthetic vaginal graft; vaginal approach57296--$688.52--Revision (including removal) of prosthetic vaginal graft; open abdominal approach57300--$410.84--Closure of rectovaginal fistula; vaginal or transanal approach57305--$677.00--Closure of rectovaginal fistula; abdominal approach57307--$776.08--Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy57308--$481.59--Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication57310--$341.29--Closure of urethrovaginal fistula;57311--$388.98--Closure of urethrovaginal fistula; with bulbocavernosus transplant57320--$392.92--Closure of vesicovaginal fistula; vaginal approach57330--$544.48--Closure of vesicovaginal fistula; transvesical and vaginal approach57335--$829.02--Vaginoplasty for intersex state57400--$97.93--Dilation of vagina under anesthesia (other than local)57410--$78.85--Pelvic examination under anesthesia (other than local)57415--$117.82--Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)57420$86.67$66.47---Colposcopy of the entire vagina, with cervix if present;57421$116.06$90.25---Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix57423--$662.23--Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach57425--$704.67--Laparoscopy, surgical, colpopexy (suspension of vaginal apex)57426--$615.03--Revision (including removal) of prosthetic vaginal graft, laparoscopic approach57452$80.53$67.62---Colposcopy of the cervix including upper/adjacent vagina;57454$112.29$99.10---Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage57455$105.36$80.38---Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix57456$99.50$74.80---Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage57460$212.90$118.60---Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix57461$239.61$136.05---Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix57500$96.48$55.79---Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)57505$76.18$68.60---Endocervical curettage (not done as part of a dilation and curettage)57510$96.57$84.50---Cautery of cervix; electro or thermal57511$107.39$97.29---Cautery of cervix; cryocautery, initial or repeat57513$107.05$98.63---Cautery of cervix; laser ablation57520$226.95$202.26---Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser57522$194.18$179.02---Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision57530--$254.78--Trachelectomy (cervicectomy), amputation of cervix (separate procedure)57531--$1,315.41--Radical trachelectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy, with or without removal of tube(s), with or without removal of ovary(s)57540--$568.59--Excision of cervical stump, abdominal approach;57545--$611.57--Excision of cervical stump, abdominal approach; with pelvic floor repair57550--$298.58--Excision of cervical stump, vaginal approach;57555--$437.46--Excision of cervical stump, vaginal approach; with anterior and/or posterior repair57556--$414.25--Excision of cervical stump, vaginal approach; with repair of enterocele57558$92.06$83.36---Dilation and curettage of cervical stump57700--$234.19--Cerclage of uterine cervix, nonobstetrical57720--$225.79--Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach57800$44.85$35.58---Dilation of cervical canal, instrumental (separate procedure)58100$80.58$63.74---Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)58110$35.15$29.54---Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure)58120$190.60$159.73---Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)58140--$668.85--Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach58145--$399.92--Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach58146--$834.16--Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach58150--$734.35--Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);58152--$905.33--Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)58180--$698.91--Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)58200--$988.17--Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic lymph node sampling, with or without removal of tube(s), with or without removal of ovary(s)58210--$1,330.57--Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s)58240--$2,102.56--Pelvic exenteration for gynecologic malignancy, with total abdominal hysterectomy or cervicectomy, with or without removal of tube(s), with or without removal of ovary(s), with removal of bladder and ureteral transplantations, and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof58260--$600.37--Vaginal hysterectomy, for uterus 250 g or less;58262--$669.46--Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)58263--$717.83--Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele58267--$764.59--Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control58270--$639.61--Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele58275--$714.20--Vaginal hysterectomy, with total or partial vaginectomy;58280--$761.28--Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele58285--$964.57--Vaginal hysterectomy, radical (Schauta type operation)58290--$833.36--Vaginal hysterectomy, for uterus greater than 250 g;58291--$900.11--Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)58292--$950.10--Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele58293--$987.26--Vaginal hysterectomy, for uterus greater than 250 g; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control58294--$883.44--Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele58300$73.15$53.22---Insertion of intrauterine device (IUD)58301$95.86$66.74---Removal of intrauterine device (IUD)58321$57.26$35.37---Artificial insemination; intra-cervical58322$63.58$42.26---Artificial insemination; intra-uterine58323$11.25$8.73---Sperm washing for artificial insemination58340$90.88$43.17---Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography58345--$198.19--Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography58346--$331.64--Insertion of Heyman capsules for clinical brachytherapy58350$71.95$58.20---Chromotubation of oviduct, including materials58353$781.38$159.77---Endometrial ablation, thermal, without hysteroscopic guidance58356$1,462.99$249.52---Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed58400--$322.09--Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure)58410--$592.17--Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy58520--$607.86--Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)58540--$658.49--Hysteroplasty, repair of uterine anomaly (Strassman type)58541--$521.35--Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;58542--$595.08--Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)58543--$602.18--Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;58544--$655.04--Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)58545--$654.10--Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas58546--$813.31--Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g58548--$1,371.16--Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed58550--$641.03--Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less;58552--$716.51--Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)58553--$822.89--Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;58554--$961.48--Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)58555$233.77$137.52---Hysteroscopy, diagnostic (separate procedure)58558$302.02$193.13---Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C58559--$247.14--Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)58560--$279.02--Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)58561--$394.87--Hysteroscopy, surgical; with removal of leiomyomata58562$311.33$209.74---Hysteroscopy, surgical; with removal of impacted foreign body58563$1,295.01$247.11---Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)58565$1,976.71$431.12---Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants58570--$565.80--Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;58571--$648.72--Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)58572--$738.93--Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;58573--$876.93--Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)58578--I.C.--Unlisted laparoscopy procedure, uterus58579--I.C.--Unlisted hysteroscopy procedure, uterus58600--$362.81--Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral58605--$329.13--Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)58611--$76.14--Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)58615--$242.53--Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach58660--$488.49--Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)58661--$470.05--Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)58662--$514.58--Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method58670--$266.65--Laparoscopy, surgical; with fulguration of oviducts (with or without transection)58671--$266.21--Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)58672--$531.99--Laparoscopy, surgical; with fimbrioplasty58673--$578.01--Laparoscopy, surgical; with salpingostomy (salpingoneostomy)58674--$608.60--Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency58679--I.C.--Unlisted laparoscopy procedure, oviduct, ovary58700--$566.04--Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)58720--$533.77--Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)58740--$640.19--Lysis of adhesions (salpingolysis, ovariolysis)58750--$693.48--Tubotubal anastomosis58752--$668.48--Tubouterine implantation58760--$594.63--Fimbrioplasty58770--$657.56--Salpingostomy (salpingoneostomy)58800$233.62$218.47---Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach58805--$295.33--Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach58820--$229.09--Drainage of ovarian abscess; vaginal approach, open58822--$539.21--Drainage of ovarian abscess; abdominal approach58825--$506.89--Transposition, ovary(s)58900--$330.51--Biopsy of ovary, unilateral or bilateral (separate procedure)58920--$547.28--Wedge resection or bisection of ovary, unilateral or bilateral58925--$541.78--Ovarian cystectomy, unilateral or bilateral58940--$382.61--Oophorectomy, partial or total, unilateral or bilateral;58943--$848.78--Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingectomy(s), with or without omentectomy58950--$816.28--Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy;58951--$1,048.00--Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy58952--$1,185.05--Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction, intra-abdominal or retroperitoneal tumors)58953--$1,464.72--Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;58954--$1,590.87--Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy58956--$997.82--Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy58957--$1,145.27--Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed;58958--$1,259.15--Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy58960--$703.18--Laparotomy, for staging or restaging of ovarian, tubal, or primary peritoneal malignancy (second look), with or without omentectomy, peritoneal washing, biopsy of abdominal and pelvic peritoneum, diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy58970$162.90$145.50---Follicle puncture for oocyte retrieval, any method58974--I.C.--Embryo transfer, intrauterine58976$185.89$158.66---Gamete, zygote, or embryo intrafallopian transfer, any method58999--I.C.--Unlisted procedure, female genital system (nonobstetrical)59000$127.93$79.65--Amniocentesis; diagnostic59001--$176.22--Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance)59012--$198.53--Cordocentesis (intrauterine), any method59015$154.70$129.41---Chorionic villus sampling, any method59020--$72.83$36.22$36.61Fetal contract stress test59025--$48.87$29.12$19.75Fetal non-stress test59030--$101.88--Fetal scalp blood sampling59050--$49.40--Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation59051--$41.01--Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only59070$294.93$218.88---Transabdominal amnioinfusion, including ultrasound guidance59072--$348.80--Fetal umbilical cord occlusion, including ultrasound guidance59074$282.47$217.64--Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance59076--$348.80--Fetal shunt placement, including ultrasound guidance59100--$580.11--Hysterotomy, abdominal (eg, for hydatidiform mole, abortion)59120--$779.68--Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach59121--$781.10--Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy59130--$667.35--Surgical treatment of ectopic pregnancy; abdominal pregnancy59135--$620.16--Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy requiring total hysterectomy59136--$843.27--Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus59140--$295.62--Surgical treatment of ectopic pregnancy; cervical, with evacuation59150--$756.52--Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy59151--$733.51--Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy59160$203.13$170.18---Curettage, postpartum59200$72.65$43.53---Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)59300$193.96$146.07---Episiotomy or vaginal repair, by other than attending59320--$149.88--Cerclage of cervix, during pregnancy; vaginal59325--$237.78--Cerclage of cervix, during pregnancy; abdominal59350--$191.97--Hysterorrhaphy of ruptured uterus59400--$2,060.14--Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care59409--$795.30--Vaginal delivery only (with or without episiotomy and/or forceps);59410--$1,016.19--Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care59412--$74.48--External cephalic version, with or without tocolysis59414--$89.34--Delivery of placenta (separate procedure)59425$453.54$347.41---Antepartum care only; 4-6 visits59426$812.85$613.62---Antepartum care only; 7 or more visits59430$184.65$135.99---Postpartum care only (separate procedure)59510--$2,278.56--Routine obstetric care including antepartum care, cesarean delivery, and postpartum care59514--$894.21--Cesarean delivery only;59515--$1,233.29--Cesarean delivery only; including postpartum care59525--$345.24--Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure)59610--$2,158.26--Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery59612--$892.93--Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps);59614--$1,112.54--Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care59618--$2,307.69--Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery59620--$918.31--Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery;59622--$1,266.10--Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care59812$316.37$292.23---Treatment of incomplete abortion, any trimester, completed surgically59820$379.81$355.29---Treatment of missed abortion, completed surgically; first trimester59821$381.78$354.96---Treatment of missed abortion, completed surgically; second trimester59830--$315.85--Treatment of septic abortion, completed surgically59840$158.24$151.22---Induced abortion, by dilation and curettage59841$277.10$260.26---Induced abortion, by dilation and evacuation59850--$261.05--Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines;59851--$278.12--Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacuation59852--$378.64--Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed intra-amniotic injection)59855--$299.62--Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines;59856--$351.11--Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacuation59857--$386.16--Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; with hysterotomy (failed medical evacuation)59866--$161.41--Multifetal pregnancy reduction(s) (MPR)59870--$344.24--Uterine evacuation and curettage for hydatidiform mole59871--$96.33--Removal of cerclage suture under anesthesia (other than local)59897--I.C.--Unlisted fetal invasive procedure, including ultrasound guidance, when performed59898--I.C.--Unlisted laparoscopy procedure, maternity care and delivery59899--I.C.--Unlisted procedure, maternity care and delivery60000$129.97$116.22---Incision and drainage of thyroglossal duct cyst, infected60100$84.66$58.28---Biopsy thyroid, percutaneous core needle60200--$487.27--Excision of cyst or adenoma of thyroid, or transection of isthmus60210--$518.80--Partial thyroid lobectomy, unilateral; with or without isthmusectomy60212--$736.26--Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy60220--$520.53--Total thyroid lobectomy, unilateral; with or without isthmusectomy60225--$684.08--Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy60240--$672.64--Thyroidectomy, total or complete60252--$965.28--Thyroidectomy, total or subtotal for malignancy; with limited neck dissection60254--$1,225.58--Thyroidectomy, total or subtotal for malignancy; with radical neck dissection60260--$800.54--Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid60270--$996.08--Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach60271--$774.21--Thyroidectomy, including substernal thyroid; cervical approach60280--$332.35--Excision of thyroglossal duct cyst or sinus;60281--$438.71--Excision of thyroglossal duct cyst or sinus; recurrent60300$91.10$36.65---Aspiration and/or injection, thyroid cyst60500--$704.65--Parathyroidectomy or exploration of parathyroid(s);60502--$937.17--Parathyroidectomy or exploration of parathyroid(s); re-exploration60505--$1,011.84--Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach60512--$175.98--Parathyroid autotransplantation (List separately in addition to code for primary procedure)60520--$756.57--Thymectomy, partial or total; transcervical approach (separate procedure)60521--$812.36--Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure)60522--$981.32--Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure)60540--$772.54--Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure);60545--$884.82--Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor60600--$1,009.68--Excision of carotid body tumor; without excision of carotid artery60605--$1,241.53--Excision of carotid body tumor; with excision of carotid artery60650--$865.75--Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal60659--I.C.--Unlisted laparoscopy procedure, endocrine system60699--I.C.--Unlisted procedure, endocrine system61000--$82.43--Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial61001--$62.59--Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps61020--$73.41--Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection61026--$76.22--Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment61050--$63.61--Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure)61055--$88.40--Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment61070--$42.68--Puncture of shunt tubing or reservoir for aspiration or injection procedure61105--$333.77--Twist drill hole for subdural or ventricular puncture61107--$224.25--Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device61108--$659.89--Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma61120--$540.39--Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material)61140--$913.32--Burr hole(s) or trephine; with biopsy of brain or intracranial lesion61150--$963.67--Burr hole(s) or trephine; with drainage of brain abscess or cyst61151--$719.59--Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst61154--$918.77--Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural61156--$895.57--Burr hole(s); with aspiration of hematoma or cyst, intracerebral61210--$262.33--Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure)61215--$371.76--Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter61250--$593.15--Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery61253--$607.00--Burr hole(s) or trephine, infratentorial, unilateral or bilateral61304--$1,182.93--Craniectomy or craniotomy, exploratory; supratentorial61305--$1,438.35--Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa)61312--$1,491.91--Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural61313--$1,427.71--Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral61314--$1,311.94--Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural61315--$1,484.65--Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar61316--$62.41--Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure)61320--$1,365.89--Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial61321--$1,507.65--Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial61322--$1,705.91--Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy61323--$1,720.21--Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy61330--$1,215.22--Decompression of orbit only, transcranial approach61332--$1,345.79--Exploration of orbit (transcranial approach); with biopsy61333--$1,379.75--Exploration of orbit (transcranial approach); with removal of lesion61340--$1,031.38--Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome)61343--$1,575.26--Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation)61345--$1,460.25--Other cranial decompression, posterior fossa61450--$1,378.96--Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion61458--$1,440.45--Craniectomy, suboccipital; for exploration or decompression of cranial nerves61460--$1,514.04--Craniectomy, suboccipital; for section of 1 or more cranial nerves61480--$1,195.29--Craniectomy, suboccipital; for mesencephalic tractotomy or pedunculotomy61500--$959.63--Craniectomy; with excision of tumor or other bone lesion of skull61501--$841.00--Craniectomy; for osteomyelitis61510--$1,571.60--Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma61512--$1,826.13--Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial61514--$1,365.12--Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial61516--$1,333.15--Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial61517--$62.44--Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure)61518--$1,976.79--Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull61519--$2,097.85--Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma61520--$2,702.44--Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor61521--$2,251.91--Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull61522--$1,555.63--Craniectomy, infratentorial or posterior fossa; for excision of brain abscess61524--$1,483.96--Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst61526--$2,617.14--Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor;61530--$2,206.14--Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy61531--$878.90--Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring61533--$1,092.62--Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring61534--$1,173.75--Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery61535--$721.19--Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure)61536--$1,852.00--Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array)61537--$1,760.01--Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery61538--$1,910.43--Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery61539--$1,684.39--Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery61540--$1,570.24--Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery61541--$1,545.45--Craniotomy with elevation of bone flap; for transection of corpus callosum61543--$1,530.61--Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy61544--$1,368.32--Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus61545--$2,287.33--Craniotomy with elevation of bone flap; for excision of craniopharyngioma61546--$1,658.46--Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach61548--$1,134.39--Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic61550--$716.80--Craniectomy for craniosynostosis; single cranial suture61552--$856.78--Craniectomy for craniosynostosis; multiple cranial sutures61556--$1,145.52--Craniotomy for craniosynostosis; frontal or parietal bone flap61557--$1,157.39--Craniotomy for craniosynostosis; bifrontal bone flap61558--$1,353.61--Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts61559--$1,545.92--Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining grafts)61563--$1,370.61--Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression61564--$1,673.78--Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression61566--$1,610.64--Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy61567--$1,842.66--Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery61570--$1,340.35--Craniectomy or craniotomy; with excision of foreign body from brain61571--$1,426.20--Craniectomy or craniotomy; with treatment of penetrating wound of brain61575--$1,582.07--Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion;61576--$2,679.19--Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy)61580--$1,854.04--Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration61581--$1,992.14--Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy61582--$2,130.03--Craniofacial approach to anterior cranial fossa; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa61583--$2,095.50--Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa61584--$2,070.85--Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration61585--$2,332.85--Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration61586--$1,769.57--Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft61590--$2,251.05--Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parotidectomy, craniotomy, decompression and/or mobilization of the facial nerve and/or petrous carotid artery61591--$2,282.98--Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resection of sigmoid sinus, with or without decompression and/or mobilization of contents of auditory canal or petrous carotid artery61592--$2,299.80--Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural elevation of temporal lobe61595--$1,744.20--Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization61596--$1,815.31--Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid artery61597--$2,035.49--Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompression of vertebral artery, with or without mobilization61598--$2,059.43--Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus61600--$1,584.42--Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural61601--$1,761.01--Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft61605--$1,621.30--Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural61606--$2,161.34--Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; intradural, including dural repair, with or without graft61607--$1,984.89--Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural61608--$2,344.59--Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft61610--$1,139.10--Transection or ligation, carotid artery in cavernous sinus, with repair by anastomosis or graft (List separately in addition to code for primary procedure)61611--$284.87--Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure)61612--$1,070.45--Transection or ligation, carotid artery in petrous canal; with repair by anastomosis or graft (List separately in addition to code for primary procedure)61613--$2,337.76--Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus61615--$1,695.92--Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural61616--$2,418.09--Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, with or without graft61618--$940.68--Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata, adipose tissue, homologous or synthetic grafts)61619--$1,052.08--Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis muscle)61623--$408.99--Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon, concomitant neurological monitoring, and radiologic supervision and interpretation of all angiography required for balloon occlusion and to exclude vascular injury post occlusion61624--$819.77--Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord)61626--$629.27--Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic branch)61630--$960.41--Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous61635--$1,034.81--Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed61640--$473.93--Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel61641--$166.36--Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular family (List separately in addition to code for primary procedure)61642--$332.99--Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular family (List separately in addition to code for primary procedure)61645--$559.05--Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis, intracranial, any method, including diagnostic angiography, fluoroscopic guidance, catheter placement, and intraprocedural pharmacological thrombolytic injection(s)61650--$375.69--Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; initial vascular territory61651--$159.53--Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and imaging guidance; each additional vascular territory (List separately in addition to code for primary procedure)61680--$1,609.16--Surgery of intracranial arteriovenous malformation; supratentorial, simple61682--$2,967.72--Surgery of intracranial arteriovenous malformation; supratentorial, complex61684--$2,042.26--Surgery of intracranial arteriovenous malformation; infratentorial, simple61686--$3,200.53--Surgery of intracranial arteriovenous malformation; infratentorial, complex61690--$1,556.50--Surgery of intracranial arteriovenous malformation; dural, simple61692--$2,606.76--Surgery of intracranial arteriovenous malformation; dural, complex61697--$3,017.01--Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation61698--$3,302.08--Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation61700--$2,432.97--Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation61702--$2,865.87--Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation61703--$981.54--Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type)61705--$1,848.60--Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery61708--$1,564.45--Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis61710--$1,545.80--Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter61711--$1,858.70--Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries61720--$917.18--Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus61735--$1,132.41--Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus61750--$1,010.74--Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion;61751--$997.23--Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance61760--$1,138.72--Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring61770--$1,161.60--Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source61781--$167.70--Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure)61782--$129.46--Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)61783--$166.37--Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)61790--$638.36--Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion61791--$772.90--Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract61796--$732.66--Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion61797--$156.95--Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure)61798--$994.77--Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion61799--$216.37--Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure)61800--$110.92--Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure)61850--$710.17--Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical61860--$1,126.76--Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical61863--$1,083.09--Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; first array61864--$202.50--Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; each additional array (List separately in addition to primary procedure)61867--$1,634.40--Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; first array61868--$355.40--Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; each additional array (List separately in addition to primary procedure)61870--$834.64--Craniectomy for implantation of neurostimulator electrodes, cerebellar, cortical61880--$417.46--Revision or removal of intracranial neurostimulator electrodes61885--$379.35--Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array61886--$619.72--Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays61888--$287.17--Revision or removal of cranial neurostimulator pulse generator or receiver62000--$745.72--Elevation of depressed skull fracture; simple, extradural62005--$896.42--Elevation of depressed skull fracture; compound or comminuted, extradural62010--$1,100.77--Elevation of depressed skull fracture; with repair of dura and/or debridement of brain62100--$1,152.11--Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea62115--$966.19--Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty62117--$1,208.64--Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts)62120--$1,249.09--Repair of encephalocele, skull vault, including cranioplasty62121--$1,175.70--Craniotomy for repair of encephalocele, skull base62140--$748.06--Cranioplasty for skull defect; up to 5 cm diameter62141--$823.10--Cranioplasty for skull defect; larger than 5 cm diameter62142--$643.33--Removal of bone flap or prosthetic plate of skull62143--$750.27--Replacement of bone flap or prosthetic plate of skull62145--$1,016.21--Cranioplasty for skull defect with reparative brain surgery62146--$895.12--Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter62147--$1,025.32--Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter62148--$90.49--Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure)62160--$135.38--Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure)62161--$1,094.78--Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter)62162--$1,355.40--Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage62163--$816.61--Neuroendoscopy, intracranial; with retrieval of foreign body62164--$1,494.93--Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage62165--$1,121.75--Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach62180--$1,148.41--Ventriculocisternostomy (Torkildsen type operation)62190--$640.57--Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular62192--$705.39--Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus62194--$337.86--Replacement or irrigation, subarachnoid/subdural catheter62200--$989.88--Ventriculocisternostomy, third ventricle;62201--$873.01--Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method62220--$743.63--Creation of shunt; ventriculo-atrial, -jugular, -auricular62223--$760.63--Creation of shunt; ventriculo-peritoneal, -pleural, other terminus62225--$384.17--Replacement or irrigation, ventricular catheter62230--$609.65--Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system62252--$63.87$33.12$30.74Csf shunt reprogram62256--$436.20--Removal of complete cerebrospinal fluid shunt system; without replacement62258--$812.79--Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation62263$504.98$257.18---Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 2 or more days62264$322.84$177.47---Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day62267$188.79$118.63---Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes62268--$192.54--Percutaneous aspiration, spinal cord cyst or syrinx62269--$199.89--Biopsy of spinal cord, percutaneous needle62270$121.67$57.40---Spinal puncture, lumbar, diagnostic62272$154.57$60.84---Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)62273$131.26$84.39---Injection, epidural, of blood or clot patch62280$234.41$119.91---Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid62281$182.29$116.34---Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic62282$225.26$108.23---Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal)62284$140.15$63.81---Injection procedure for myelography and/or computed tomography, lumbar62287--$424.58--Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with the use of an endoscope, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar62290$256.45$128.76---Injection procedure for discography, each level; lumbar62291$254.64$128.08---Injection procedure for discography, each level; cervical or thoracic62292--$438.67--Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar62294--$591.39--Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal62302$184.83$91.09---Myelography via lumbar injection, including radiological supervision and interpretation; cervical62303$192.40$92.78---Myelography via lumbar injection, including radiological supervision and interpretation; thoracic62304$182.96$89.79---Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral62305$199.83$93.75---Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical)62320$127.89$76.89---Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance62321$192.47$82.87---Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)62322$119.77$66.23---Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance62323$189.46$75.62---Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)62324$110.63$69.21---Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance62325$169.04$79.44---Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)62326$117.02$68.28---Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance62327$173.51$72.63---Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)62350--$296.97--Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy62351--$636.16--Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomy62355--$200.79--Removal of previously implanted intrathecal or epidural catheter62360--$231.04--Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir62361--$266.40--Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump62362--$285.72--Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming62365--$220.33--Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion62367$31.31$18.68---Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill62368$42.94$26.10---Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming62369$93.74$26.38---Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill62370$97.97$34.55---Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring skill of a physician or other qualified health care professional)62380--I.C.--Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar63001--$896.55--Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical63003--$894.38--Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic63005--$857.55--Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; lumbar, except for spondylolisthesis63011--$799.96--Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral63012--$864.54--Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)63015--$1,071.75--Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical63016--$1,097.99--Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic63017--$907.76--Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar63020--$844.38--Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical63030--$707.65--Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar63035--$137.93--Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar (List separately in addition to code for primary procedure)63040--$1,010.10--Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical63042--$944.45--Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar63043--I.C.--Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional cervical interspace (List separately in addition to code for primary procedure)63044--I.C.--Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional lumbar interspace (List separately in addition to code for primary procedure)63045--$934.17--Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical63046--$888.69--Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; thoracic63047--$804.20--Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar63048--$152.20--Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure)63050--$1,083.00--Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments;63051--$1,241.48--Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and non-segmental fixation devices [eg, wire, suture, mini-plates], when performed)63055--$1,173.84--Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic63056--$1,075.25--Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc)63057--$230.30--Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (List separately in addition to code for primary procedure)63064--$1,278.38--Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment63066--$147.27--Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (List separately in addition to code for primary procedure)63075--$983.78--Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace63076--$177.10--Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure)63077--$1,088.81--Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace63078--$140.64--Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure)63081--$1,273.52--Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment63082--$191.44--Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, each additional segment (List separately in addition to code for primary procedure)63085--$1,381.15--Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment63086--$136.71--Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, each additional segment (List separately in addition to code for primary procedure)63087--$1,740.32--Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single segment63088--$186.99--Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; each additional segment (List separately in addition to code for primary procedure)63090--$1,425.38--Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment63091--$128.60--Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach with decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; each additional segment (List separately in addition to code for primary procedure)63101--$1,670.98--Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic, single segment63102--$1,648.57--Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); lumbar, single segment63103--$211.07--Vertebral corpectomy (vertebral body resection), partial or complete, lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg, for tumor or retropulsed bone fragments); thoracic or lumbar, each additional segment (List separately in addition to code for primary procedure)63170--$1,149.59--Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar63172--$1,002.36--Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space63173--$1,231.18--Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space63180--$1,073.52--Laminectomy and section of dentate ligaments, with or without dural graft, cervical; 1 or 2 segments63182--$1,006.30--Laminectomy and section of dentate ligaments, with or without dural graft, cervical; more than 2 segments63185--$829.75--Laminectomy with rhizotomy; 1 or 2 segments63190--$923.28--Laminectomy with rhizotomy; more than 2 segments63191--$982.02--Laminectomy with section of spinal accessory nerve63194--$1,154.13--Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; cervical63195--$1,108.25--Laminectomy with cordotomy, with section of 1 spinothalamic tract, 1 stage; thoracic63196--$1,041.30--Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; cervical63197--$1,234.01--Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage; thoracic63198--$1,225.78--Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; cervical63199--$1,286.09--Laminectomy with cordotomy with section of both spinothalamic tracts, 2 stages within 14 days; thoracic63200--$1,104.75--Laminectomy, with release of tethered spinal cord, lumbar63250--$2,021.40--Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical63251--$2,173.29--Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic63252--$2,171.10--Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar63265--$1,203.24--Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical63266--$1,237.07--Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic63267--$992.43--Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar63268--$1,033.15--Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral63270--$1,491.90--Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical63271--$1,483.22--Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic63272--$1,359.66--Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar63273--$1,338.61--Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral63275--$1,293.89--Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical63276--$1,284.93--Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic63277--$1,121.54--Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar63278--$1,146.94--Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral63280--$1,517.06--Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical63281--$1,499.80--Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic63282--$1,414.03--Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar63283--$1,359.14--Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral63285--$1,876.74--Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical63286--$1,851.29--Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic63287--$1,972.01--Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar63290--$1,980.42--Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level63295--$236.60--Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)63300--$1,323.89--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical63301--$1,580.69--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach63302--$1,558.51--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach63303--$1,653.12--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, lumbar or sacral by transperitoneal or retroperitoneal approach63304--$1,676.30--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical63305--$1,745.08--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach63306--$1,681.35--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach63307--$1,673.41--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, lumbar or sacral by transperitoneal or retroperitoneal approach63308--$231.53--Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; each additional segment (List separately in addition to codes for single segment)63600--$679.58--Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording)63610--$316.38--Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery63615--$719.75--Stereotactic biopsy, aspiration, or excision of lesion, spinal cord63620--$805.39--Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion63621--$180.55--Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure)63650$1,037.11$308.85---Percutaneous implantation of neurostimulator electrode array, epidural63655--$603.24--Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural63661$443.55$238.97---Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed63662--$608.69--Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed63663$604.31$336.30---Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed63664--$626.92--Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed63685--$271.57--Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling63688--$273.67--Revision or removal of implanted spinal neurostimulator pulse generator or receiver63700--$859.69--Repair of meningocele; less than 5 cm diameter63702--$939.95--Repair of meningocele; larger than 5 cm diameter63704--$1,193.38--Repair of myelomeningocele; less than 5 cm diameter63706--$1,241.09--Repair of myelomeningocele; larger than 5 cm diameter63707--$670.72--Repair of dural/cerebrospinal fluid leak, not requiring laminectomy63709--$801.60--Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy63710--$790.29--Dural graft, spinal63740--$684.64--Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy63741--$492.75--Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy63744--$488.79--Replacement, irrigation or revision of lumbosubarachnoid shunt63746--$438.84--Removal of entire lumbosubarachnoid shunt system without replacement64400$96.39$51.77---Injection, anesthetic agent; trigeminal nerve, any division or branch64402$97.79$57.10---Injection, anesthetic agent; facial nerve64405$76.14$46.39---Injection, anesthetic agent; greater occipital nerve64408$76.70$55.09---Injection, anesthetic agent; vagus nerve64410$92.77$51.24---Injection, anesthetic agent; phrenic nerve64413$95.49$59.57---Injection, anesthetic agent; cervical plexus64415$89.16$47.34---Injection, anesthetic agent; brachial plexus, single64416--$57.23--Injection, anesthetic agent; brachial plexus, continuous infusion by catheter (including catheter placement)64417$98.11$52.09---Injection, anesthetic agent; axillary nerve64418$111.19$56.46---Injection, anesthetic agent; suprascapular nerve64420$85.53$50.73---Injection, anesthetic agent; intercostal nerve, single64421$114.51$68.21---Injection, anesthetic agent; intercostal nerves, multiple, regional block64425$98.97$68.66---Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves64430$105.11$60.77---Injection, anesthetic agent; pudendal nerve64435$102.92$61.38---Injection, anesthetic agent; paracervical (uterine) nerve64445$102.97$52.73---Injection, anesthetic agent; sciatic nerve, single64446--$57.51--Injection, anesthetic agent; sciatic nerve, continuous infusion by catheter (including catheter placement)64447$90.51$48.14---Injection, anesthetic agent; femoral nerve, single64448--$51.62--Injection, anesthetic agent; femoral nerve, continuous infusion by catheter (including catheter placement)64449--$61.06--Injection, anesthetic agent; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement)64450$60.99$34.05---Injection, anesthetic agent; other peripheral nerve or branch64455$35.57$25.47---Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma)64461$112.13$63.58---Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)64462$63.12$40.11---Paravertebral block (PVB) (paraspinous block), thoracic; second and any additional injection site(s) (includes imaging guidance, when performed) (List separately in addition to code for primary procedure)64463$122.61$61.44---Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)64479$180.46$98.79---Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); cervical or thoracic, single level64480$86.04$46.75---Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional level (List separately in addition to code for primary procedure)64483$169.01$84.54---Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level64484$66.70$38.64---Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level (List separately in addition to code for primary procedure)64486$94.72$46.45---Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)64487$116.85$54.26---Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)64488$116.71$58.61---Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)64489$163.95$66.01---Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)64490$145.91$79.68---Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level64491$71.11$44.73---Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)64492$71.39$45.29---Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)64493$132.87$68.32---Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level64494$65.73$38.51---Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)64495$66.02$39.07---Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)64505$78.41$64.94---Injection, anesthetic agent; sphenopalatine ganglion64508$45.45$54.71---Injection, anesthetic agent; carotid sinus (separate procedure)64510$97.34$55.25---Injection, anesthetic agent; stellate ganglion (cervical sympathetic)64517$138.12$91.25---Injection, anesthetic agent; superior hypogastric plexus64520$143.92$60.57---Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)64530$146.88$68.86---Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring64550$12.06$6.45---Application of surface (transcutaneous) neurostimulator64553$158.55$117.30---Percutaneous implantation of neurostimulator electrode array; cranial nerve64555$159.96$114.78---Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)64561$630.52$222.75---Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed64565$143.94$98.76---Percutaneous implantation of neurostimulator electrode array; neuromuscular64566$98.68$22.35---Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming64568--$478.09--Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator64569--$568.53--Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator64570--$473.77--Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator64575--$236.28--Incision for implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)64580--$221.90--Incision for implantation of neurostimulator electrode array; neuromuscular64581--$486.75--Incision for implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)64585$186.89$106.90---Revision or removal of peripheral neurostimulator electrode array64590$201.42$119.48---Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling64595$188.63$94.62---Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver64600$296.17$160.90---Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch64605$560.63$294.02---Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale64610$551.04$351.23---Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring64611$86.60$75.09---Chemodenervation of parotid and submandibular salivary glands, bilateral64612$98.45$87.23---Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)64615$103.87$88.72---Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)64616$91.45$78.26---Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)64617$145.38$88.69---Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed64620$153.23$128.25---Destruction by neurolytic agent, intercostal nerve64630$173.09$142.50---Destruction by neurolytic agent; pudendal nerve64632$64.17$51.26---Destruction by neurolytic agent; plantar common digital nerve64633$325.14$170.23---Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint64634$147.49$50.95---Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)64635$321.48$167.97---Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint64636$134.38$44.57---Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)64640$102.09$70.66---Destruction by neurolytic agent; other peripheral nerve or branch64642$104.85$79.03---Chemodenervation of one extremity; 1-4 muscle(s)64643$68.40$52.68---Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)64644$120.89$86.65---Chemodenervation of one extremity; 5 or more muscles64645$84.35$60.21---Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure)64646$110.87$85.05---Chemodenervation of trunk muscle(s); 1-5 muscle(s)64647$130.99$99.28---Chemodenervation of trunk muscle(s); 6 or more muscles64650$58.39$30.61---Chemodenervation of eccrine glands; both axillae64653$72.16$38.77---Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day64680$237.71$124.33---Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus64681$260.86$140.47---Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus64702--$372.69--Neuroplasty; digital, 1 or both, same digit64704--$238.16--Neuroplasty; nerve of hand or foot64708--$369.70--Neuroplasty, major peripheral nerve, arm or leg, open; other than specified64712--$424.23--Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve64713--$531.70--Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus64714--$472.87--Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus64716--$401.92--Neuroplasty and/or transposition; cranial nerve (specify)64718--$440.28--Neuroplasty and/or transposition; ulnar nerve at elbow64719--$297.69--Neuroplasty and/or transposition; ulnar nerve at wrist64721$320.48$318.24---Neuroplasty and/or transposition; median nerve at carpal tunnel64722--$274.30--Decompression; unspecified nerve(s) (specify)64726--$205.62--Decompression; plantar digital nerve64727--$133.83--Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis)64732--$279.09--Transection or avulsion of; supraorbital nerve64734--$309.37--Transection or avulsion of; infraorbital nerve64736--$297.15--Transection or avulsion of; mental nerve64738--$314.93--Transection or avulsion of; inferior alveolar nerve by osteotomy64740--$343.05--Transection or avulsion of; lingual nerve64742--$366.87--Transection or avulsion of; facial nerve, differential or complete64744--$357.64--Transection or avulsion of; greater occipital nerve64746--$326.86--Transection or avulsion of; phrenic nerve64755--$665.81--Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy)64760--$369.71--Transection or avulsion of; vagus nerve (vagotomy), abdominal64763--$370.87--Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy64766--$445.24--Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy64771--$444.93--Transection or avulsion of other cranial nerve, extradural64772--$413.41--Transection or avulsion of other spinal nerve, extradural64774--$308.43--Excision of neuroma; cutaneous nerve, surgically identifiable64776--$291.57--Excision of neuroma; digital nerve, 1 or both, same digit64778--$105.26--Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure)64782--$336.59--Excision of neuroma; hand or foot, except digital nerve64783--$162.55--Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure)64784--$539.77--Excision of neuroma; major peripheral nerve, except sciatic64786--$786.93--Excision of neuroma; sciatic nerve64787--$178.08--Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision)64788--$295.18--Excision of neurofibroma or neurolemmoma; cutaneous nerve64790--$612.00--Excision of neurofibroma or neurolemmoma; major peripheral nerve64792--$860.14--Excision of neurofibroma or neurolemmoma; extensive (including malignant type)64795--$139.31--Biopsy of nerve64802--$497.30--Sympathectomy, cervical64804--$713.72--Sympathectomy, cervicothoracic64809--$729.97--Sympathectomy, thoracolumbar64818--$448.84--Sympathectomy, lumbar64820--$536.62--Sympathectomy; digital arteries, each digit64821--$512.84--Sympathectomy; radial artery64822--$512.84--Sympathectomy; ulnar artery64823--$582.12--Sympathectomy; superficial palmar arch64831--$509.29--Suture of digital nerve, hand or foot; 1 nerve64832--$247.38--Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)64834--$547.57--Suture of 1 nerve; hand or foot, common sensory nerve64835--$594.49--Suture of 1 nerve; median motor thenar64836--$596.49--Suture of 1 nerve; ulnar motor64837--$273.81--Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure)64840--$737.30--Suture of posterior tibial nerve64856--$745.88--Suture of major peripheral nerve, arm or leg, except sciatic; including transposition64857--$777.19--Suture of major peripheral nerve, arm or leg, except sciatic; without transposition64858--$833.72--Suture of sciatic nerve64859--$186.19--Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure)64861--$967.69--Suture of; brachial plexus64862--$1,098.17--Suture of; lumbar plexus64864--$653.68--Suture of facial nerve; extracranial64865--$842.37--Suture of facial nerve; infratemporal, with or without grafting64866--$861.92--Anastomosis; facial-spinal accessory64868--$757.96--Anastomosis; facial-hypoglossal64872--$89.08--Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)64874--$125.40--Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture)64876--$129.65--Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)64885--$852.30--Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length64886--$966.71--Nerve graft (includes obtaining graft), head or neck; more than 4 cm length64890--$808.47--Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length64891--$863.14--Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length64892--$773.32--Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length64893--$840.56--Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length64895--$982.03--Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length64896--$1,064.23--Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length64897--$922.77--Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length64898--$1,000.29--Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length64901--$411.14--Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure)64902--$483.88--Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure)64905--$760.61--Nerve pedicle transfer; first stage64907--$989.87--Nerve pedicle transfer; second stage64910--$612.03--Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve64911--$752.35--Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve64999--I.C.--Unlisted procedure, nervous system65091--$479.28--Evisceration of ocular contents; without implant65093--$474.21--Evisceration of ocular contents; with implant65101--$557.11--Enucleation of eye; without implant65103--$581.23--Enucleation of eye; with implant, muscles not attached to implant65105--$640.00--Enucleation of eye; with implant, muscles attached to implant65110--$916.80--Exenteration of orbit (does not include skin graft), removal of orbital contents; only65112--$1,063.36--Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone65114--$1,116.25--Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap65125$350.89$220.96---Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)65130--$552.04--Insertion of ocular implant secondary; after evisceration, in scleral shell65135--$560.05--Insertion of ocular implant secondary; after enucleation, muscles not attached to implant65140--$608.54--Insertion of ocular implant secondary; after enucleation, muscles attached to implant65150--$432.65--Reinsertion of ocular implant; with or without conjunctival graft65155--$636.94--Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant65175--$496.37--Removal of ocular implant65205$42.10$32.84---Removal of foreign body, external eye; conjunctival superficial65210$51.75$39.69---Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating65220$43.28$30.93---Removal of foreign body, external eye; corneal, without slit lamp65222$50.07$38.85---Removal of foreign body, external eye; corneal, with slit lamp65235--$534.81--Removal of foreign body, intraocular; from anterior chamber of eye or lens65260--$720.86--Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route65265--$811.51--Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction65270$204.65$105.03---Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure65272$382.62$263.63---Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization65273--$285.66--Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization65275$437.36$346.43---Repair of laceration; cornea, nonperforating, with or without removal foreign body65280--$503.16--Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue65285--$829.74--Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue65286$535.90$372.00---Repair of laceration; application of tissue glue, wounds of cornea and/or sclera65290--$366.51--Repair of wound, extraocular muscle, tendon and/or Tenon's capsule65400$514.08$454.31---Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium65410$108.39$78.08---Biopsy of cornea65420$394.46$285.57---Excision or transposition of pterygium; without graft65426$496.57$360.18---Excision or transposition of pterygium; with graft65430$85.78$77.36---Scraping of cornea, diagnostic, for smear and/or culture65435$60.13$52.28---Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage)65436$291.64$279.57---Removal of corneal epithelium; with application of chelating agent (eg, EDTA)65450$246.13$243.88---Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization65600$298.84$259.55---Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo)65710--$830.61--Keratoplasty (corneal transplant); anterior lamellar65730--$920.16--Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia)65750--$923.65--Keratoplasty (corneal transplant); penetrating (in aphakia)65755--$918.71--Keratoplasty (corneal transplant); penetrating (in pseudophakia)65756--$885.35--Keratoplasty (corneal transplant); endothelial65757--I.C.--Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)65760--I.C.--Keratomileusis65765--I.C.--Keratophakia65767--I.C.--Epikeratoplasty65770--$1,050.00--Keratoprosthesis65771--I.C.--Radial keratotomy65772$340.96$306.16---Corneal relaxing incision for correction of surgically induced astigmatism65775--$415.13--Corneal wedge resection for correction of surgically induced astigmatism65778$1,134.37$43.25---Placement of amniotic membrane on the ocular surface; without sutures65779$945.21$112.84---Placement of amniotic membrane on the ocular surface; single layer, sutured65780--$545.06--Ocular surface reconstruction; amniotic membrane transplantation, multiple layers65781--$998.89--Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor)65782--$862.28--Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)65785$1,657.67$287.04---Implantation of intrastromal corneal ring segments65800$89.44$67.83---Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous65810--$350.20--Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection65815$485.46$359.46---Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection65820--$564.93--Goniotomy65850--$628.99--Trabeculotomy ab externo65855$208.02$182.20---Trabeculoplasty by laser surgery65860$232.93$189.43---Severing adhesions of anterior segment, laser technique (separate procedure)65865--$356.35--Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae65870--$444.60--Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae, except goniosynechiae65875--$474.34--Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae65880--$497.06--Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions65900--$720.78--Removal of epithelial downgrowth, anterior chamber of eye65920--$592.99--Removal of implanted material, anterior segment of eye65930--$478.31--Removal of blood clot, anterior segment of eye66020$142.37$99.15---Injection, anterior chamber of eye (separate procedure); air or liquid66030$126.89$83.68---Injection, anterior chamber of eye (separate procedure); medication66130$525.24$425.62---Excision of lesion, sclera66150--$660.76--Fistulization of sclera for glaucoma; trephination with iridectomy66155--$660.23--Fistulization of sclera for glaucoma; thermocauterization with iridectomy66160--$742.97--Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy66170--$733.25--Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery66172--$930.30--Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents)66174--$709.62--Transluminal dilation of aqueous outflow canal; without retention of device or stent66175--$743.08--Transluminal dilation of aqueous outflow canal; with retention of device or stent66179--$809.07--Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft66180--$853.45--Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft66183--$774.18--Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach66184--$591.29--Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft66185--$635.94--Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft66220--$561.98--Repair of scleral staphyloma; without graft66225--$697.26--Repair of scleral staphyloma; with graft66250$569.88$419.18---Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure66500--$268.01--Iridotomy by stab incision (separate procedure); except transfixion66505--$293.90--Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe66600--$626.38--Iridectomy, with corneoscleral or corneal section; for removal of lesion66605--$791.73--Iridectomy, with corneoscleral or corneal section; with cyclectomy66625--$323.36--Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)66630--$427.87--Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure)66635--$432.02--Iridectomy, with corneoscleral or corneal section; optical (separate procedure)66680--$389.84--Repair of iris, ciliary body (as for iridodialysis)66682--$481.51--Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)66700$340.00$295.38---Ciliary body destruction; diathermy66710$331.86$295.09---Ciliary body destruction; cyclophotocoagulation, transscleral66711--$483.59--Ciliary body destruction; cyclophotocoagulation, endoscopic66720$359.30$319.73---Ciliary body destruction; cryotherapy66740$329.89$295.38---Ciliary body destruction; cyclodialysis66761$225.05$177.62---Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session)66762$358.80$320.92---Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle)66770$398.02$363.79---Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)66820--$298.59--Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife)66821$250.31$235.71---Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages)66825--$573.26--Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)66830--$534.00--Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section, with or without iridectomy (iridocapsulotomy, iridocapsulectomy)66840--$522.77--Removal of lens material; aspiration technique, 1 or more stages66850--$594.48--Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration66852--$632.87--Removal of lens material; pars plana approach, with or without vitrectomy66920--$565.30--Removal of lens material; intracapsular66930--$641.95--Removal of lens material; intracapsular, for dislocated lens66940--$586.91--Removal of lens material; extracapsular (other than 66840, 66850, 66852)66982--$594.77--Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage66983--$554.00--Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)66984--$479.67--Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification)66985--$578.55--Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal66986--$680.83--Exchange of intraocular lens66990--$67.04--Use of ophthalmic endoscope (List separately in addition to code for primary procedure)66999--I.C.--Unlisted procedure, anterior segment of eye67005--$355.93--Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal67010--$407.49--Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy67015--$436.76--Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)67025$548.85$475.60---Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure)67027--$638.56--Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous67028$76.19$74.79---Intravitreal injection of a pharmacologic agent (separate procedure)67030--$402.00--Discission of vitreous strands (without removal), pars plana approach67031$293.31$268.62---Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)67036--$675.82--Vitrectomy, mechanical, pars plana approach;67039--$723.11--Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation67040--$780.68--Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation67041--$861.56--Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)67042--$861.84--Vitrectomy, mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg, for repair of macular hole, diabetic macular edema), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil)67043--$909.29--Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization), includes, if performed, intraocular tamponade (ie, air, gas or silicone oil) and laser photocoagulation67101$592.27$506.11---Repair of retinal detachment, 1 or more sessions; cryotherapy or diathermy, including drainage of subretinal fluid, when performed67105$542.11$483.17---Repair of retinal detachment, 1 or more sessions; photocoagulation, including drainage of subretinal fluid, when performed67107--$761.37--Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid67108--$980.14--Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique67110$575.61$525.65---Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)67113--$1,057.08--Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens67115--$376.46--Release of encircling material (posterior segment)67120$497.20$419.74---Removal of implanted material, posterior segment; extraocular67121--$680.85--Removal of implanted material, posterior segment; intraocular67141$395.17$367.10---Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, 1 or more sessions; cryotherapy, diathermy67145$397.15$374.70---Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, 1 or more sessions; photocoagulation (laser or xenon arc)67208$450.16$434.17---Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; cryotherapy, diathermy67210$390.04$376.29---Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation67218--$1,031.85--Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source)67220$402.67$376.29---Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions67221$215.99$158.46---Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion)67225$22.04$20.64---Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy, second eye, at single session (List separately in addition to code for primary eye treatment)67227$218.12$192.58---Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy67228$255.75$229.65---Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation67229--$828.68--Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy67250--$587.84--Scleral reinforcement (separate procedure); without graft67255--$514.54--Scleral reinforcement (separate procedure); with graft67299--I.C.--Unlisted procedure, posterior segment67311--$449.18--Strabismus surgery, recession or resection procedure; 1 horizontal muscle67312--$533.43--Strabismus surgery, recession or resection procedure; 2 horizontal muscles67314--$505.58--Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique)67316--$600.19--Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique)67318--$528.93--Strabismus surgery, any procedure, superior oblique muscle67320--$239.08--Transposition procedure (eg, for paretic extraocular muscle), any extraocular muscle (specify) (List separately in addition to code for primary procedure)67331--$226.80--Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure)67332--$246.13--Strabismus surgery on patient with scarring of extraocular muscles (eg, prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (eg, dysthyroid ophthalmopathy) (List separately in addition to code for primary procedure)67334--$223.75--Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure)67335--$110.06--Placement of adjustable suture(s) during strabismus surgery, including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery)67340--$266.01--Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure)67343--$491.05--Release of extensive scar tissue without detaching extraocular muscle (separate procedure)67345$180.71$161.62---Chemodenervation of extraocular muscle67346--$144.30--Biopsy of extraocular muscle67399--I.C.--Unlisted procedure, extraocular muscle67400--$700.21--Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy67405--$598.79--Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only67412--$640.59--Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion67413--$644.04--Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body67414--$991.52--Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression67415--$77.40--Fine needle aspiration of orbital contents67420--$1,209.07--Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion67430--$931.93--Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body67440--$903.66--Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage67445--$1,047.89--Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression67450--$942.33--Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy67500$57.39$52.62---Retrobulbar injection; medication (separate procedure, does not include supply of medication)67505$66.48$60.58---Retrobulbar injection; alcohol67515$72.20$66.31---Injection of medication or other substance into Tenon's capsule67550--$725.56--Orbital implant (implant outside muscle cone); insertion67560--$743.01--Orbital implant (implant outside muscle cone); removal or revision67570--$866.26--Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)67599--I.C.--Unlisted procedure, orbit67700$207.35$87.80---Blepharotomy, drainage of abscess, eyelid67710$173.17$73.83---Severing of tarsorrhaphy67715$183.97$81.81---Canthotomy (separate procedure)67800$96.03$77.51---Excision of chalazion; single67801$122.09$99.92---Excision of chalazion; multiple, same lid67805$152.26$123.35---Excision of chalazion; multiple, different lids67808--$277.74--Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple67810$131.61$52.75---Incisional biopsy of eyelid skin including lid margin67820$37.33$40.13---Correction of trichiasis; epilation, by forceps only67825$97.11$91.78---Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery)67830$204.71$103.96---Correction of trichiasis; incision of lid margin67835--$329.01--Correction of trichiasis; incision of lid margin, with free mucous membrane graft67840$210.64$118.87---Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure67850$163.41$101.95---Destruction of lesion of lid margin (up to 1 cm)67875$131.14$72.76---Temporary closure of eyelids by suture (eg, Frost suture)67880$347.75$277.31---Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;67882$426.36$355.08---Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate67900$483.41$381.26---Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)67901$573.29$432.69---Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia)67902--$541.05--Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)67903$447.85$362.26---Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach67904$552.90$447.66---Repair of blepharoptosis; (tarso) levator resection or advancement, external approach67906--$379.62--Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)67908$373.31$319.71---Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)67909$405.29$329.52---Reduction of overcorrection of ptosis67911--$421.66--Correction of lid retraction67912$675.56$367.42---Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)67914$358.72$247.59---Repair of ectropion; suture67915$224.66$150.57---Repair of ectropion; thermocauterization67916$449.98$323.97---Repair of ectropion; excision tarsal wedge67917$457.04$344.23---Repair of ectropion; extensive (eg, tarsal strip operations)67921$352.49$235.18---Repair of entropion; suture67922$222.70$150.29---Repair of entropion; thermocauterization67923$449.79$324.07---Repair of entropion; excision tarsal wedge67924$479.06$344.35---Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation)67930$275.75$178.64---Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness67935$448.15$329.72---Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness67938$186.88$87.53---Removal of embedded foreign body, eyelid67950$432.82$347.79---Canthoplasty (reconstruction of canthus)67961$435.17$341.72---Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin67966$578.63$492.19---Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin67971--$541.36--Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage67973--$695.56--Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage67974--$694.23--Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage67975--$512.34--Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage67999--I.C.--Unlisted procedure, eyelids68020$90.12$83.10---Incision of conjunctiva, drainage of cyst68040$46.96$37.70---Expression of conjunctival follicles (eg, for trachoma)68100$129.86$72.89---Biopsy of conjunctiva68110$172.39$112.05---Excision of lesion, conjunctiva; up to 1 cm68115$238.51$138.32---Excision of lesion, conjunctiva; over 1 cm68130$409.41$310.63---Excision of lesion, conjunctiva; with adjacent sclera68135$117.93$113.72---Destruction of lesion, conjunctiva68200$31.13$26.08---Subconjunctival injection68320$551.34$406.25---Conjunctivoplasty; with conjunctival graft or extensive rearrangement68325--$494.24--Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)68326--$485.00--Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement68328--$530.89--Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)68330$459.19$347.22---Repair of symblepharon; conjunctivoplasty, without graft68335--$486.43--Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)68340$414.78$300.84---Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens68360$403.69$310.24---Conjunctival flap; bridge or partial (separate procedure)68362--$492.95--Conjunctival flap; total (such as Gunderson thin flap or purse string flap)68371--$311.21--Harvesting conjunctival allograft, living donor68399--I.C.--Unlisted procedure, conjunctiva68400$218.61$99.06---Incision, drainage of lacrimal gland68420$246.39$125.99---Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)68440$77.80$75.55---Snip incision of lacrimal punctum68500--$732.12--Excision of lacrimal gland (dacryoadenectomy), except for tumor; total68505--$727.42--Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial68510$337.36$217.25---Biopsy of lacrimal gland68520--$516.39--Excision of lacrimal sac (dacryocystectomy)68525--$194.96--Biopsy of lacrimal sac68530$326.14$192.55---Removal of foreign body or dacryolith, lacrimal passages68540--$698.21--Excision of lacrimal gland tumor; frontal approach68550--$821.75--Excision of lacrimal gland tumor; involving osteotomy68700--$453.46--Plastic repair of canaliculi68705$180.00$125.28---Correction of everted punctum, cautery68720--$567.43--Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)68745--$570.61--Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube68750--$590.69--Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent68760$153.40$110.19---Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery68761$112.44$89.99---Closure of the lacrimal punctum; by plug, each68770--$471.95--Closure of lacrimal fistula (separate procedure)68801$77.06$66.40---Dilation of lacrimal punctum, with or without irrigation68810$149.47$115.51---Probing of nasolacrimal duct, with or without irrigation;68811--$126.56--Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia68815$305.33$167.26---Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent68816$503.32$153.64---Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation68840$96.99$88.57---Probing of lacrimal canaliculi, with or without irrigation68850$45.71$41.78---Injection of contrast medium for dacryocystography68899--I.C.--Unlisted procedure, lacrimal system69000$144.08$89.91---Drainage external ear, abscess or hematoma; simple69005$163.69$117.94---Drainage external ear, abscess or hematoma; complicated69020$180.67$108.55---Drainage external auditory canal, abscess69090--I.C.--Ear piercing69100$76.61$36.20---Biopsy external ear69105$109.23$48.05---Biopsy external auditory canal69110$352.23$246.15---Excision external ear; partial, simple repair69120--$310.48--Excision external ear; complete amputation69140--$675.37--Excision exostosis(es), external auditory canal69145$308.41$190.82---Excision soft tissue lesion, external auditory canal69150--$788.74--Radical excision external auditory canal lesion; without neck dissection69155--$1,252.22--Radical excision external auditory canal lesion; with neck dissection69200$76.28$35.02---Removal foreign body from external auditory canal; without general anesthesia69205--$77.13--Removal foreign body from external auditory canal; with general anesthesia69209--$9.98--Removal impacted cerumen using irrigation/lavage, unilateral69210$36.91$24.01---Removal impacted cerumen requiring instrumentation, unilateral69220$85.42$38.55---Debridement, mastoidectomy cavity, simple (eg, routine cleaning)69222$170.61$104.66---Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)69300$564.47$358.77---Otoplasty, protruding ear, with or without size reduction69310--$836.96--Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure)69320--$1,177.14--Reconstruction external auditory canal for congenital atresia, single stage69399--I.C.--Unlisted procedure, external ear69420$148.46$91.77---Myringotomy including aspiration and/or eustachian tube inflation69421--$113.05--Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia69424$99.12$46.92---Ventilating tube removal requiring general anesthesia69433$156.31$100.75---Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia69436--$121.37--Tympanostomy (requiring insertion of ventilating tube), general anesthesia69440--$526.07--Middle ear exploration through postauricular or ear canal incision69450--$417.36--Tympanolysis, transcanal69501--$555.43--Transmastoid antrotomy (simple mastoidectomy)69502--$734.58--Mastoidectomy; complete69505--$918.95--Mastoidectomy; modified radical69511--$938.07--Mastoidectomy; radical69530--$1,255.61--Petrous apicectomy including radical mastoidectomy69535--$2,011.99--Resection temporal bone, external approach69540$163.06$97.67---Excision aural polyp69550--$797.02--Excision aural glomus tumor; transcanal69552--$1,183.73--Excision aural glomus tumor; transmastoid69554--$1,822.95--Excision aural glomus tumor; extended (extratemporal)69601--$791.32--Revision mastoidectomy; resulting in complete mastoidectomy69602--$823.89--Revision mastoidectomy; resulting in modified radical mastoidectomy69603--$970.17--Revision mastoidectomy; resulting in radical mastoidectomy69604--$841.70--Revision mastoidectomy; resulting in tympanoplasty69605--$1,186.24--Revision mastoidectomy; with apicectomy69610$291.11$217.02---Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch69620$534.88$370.99---Myringoplasty (surgery confined to drumhead and donor area)69631--$674.06--Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction69632--$817.82--Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction (eg, postfenestration)69633--$794.50--Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])69635--$943.62--Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction69636--$1,055.45--Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction69637--$1,049.67--Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg, partial ossicular replacement prosthesis [PORP], total ossicular replacement prosthesis [TORP])69641--$789.77--Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction69642--$1,010.71--Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction69643--$926.34--Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed wall, without ossicular chain reconstruction69644--$1,125.51--Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or reconstructed canal wall, with ossicular chain reconstruction69645--$1,107.52--Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction69646--$1,174.34--Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction69650--$612.00--Stapes mobilization69660--$700.93--Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;69661--$912.55--Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out69662--$873.18--Revision of stapedectomy or stapedotomy69666--$613.65--Repair oval window fistula69667--$613.91--Repair round window fistula69670--$718.07--Mastoid obliteration (separate procedure)69676--$632.48--Tympanic neurectomy69700--$520.23--Closure postauricular fistula, mastoid (separate procedure)69710--I.C.--Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone69711--$656.04--Removal or repair of electromagnetic bone conduction hearing device in temporal bone69714--$812.59--Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; without mastoidectomy69715--$997.89--Implantation, osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; with mastoidectomy69717--$852.58--Replacement (including removal of existing device), osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; without mastoidectomy69718--$1,007.85--Replacement (including removal of existing device), osseointegrated implant, temporal bone, with percutaneous attachment to external speech processor/cochlear stimulator; with mastoidectomy69720--$919.16--Decompression facial nerve, intratemporal; lateral to geniculate ganglion69725--$1,408.82--Decompression facial nerve, intratemporal; including medial to geniculate ganglion69740--$878.05--Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion69745--$1,032.27--Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion69799--I.C.--Unlisted procedure, middle ear69801$149.18$93.34---Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal69805--$792.99--Endolymphatic sac operation; without shunt69806--$713.45--Endolymphatic sac operation; with shunt69820--$650.27--Fenestration semicircular canal69840--$690.11--Revision fenestration operation69905--$696.18--Labyrinthectomy; transcanal69910--$766.30--Labyrinthectomy; with mastoidectomy69915--$1,152.28--Vestibular nerve section, translabyrinthine approach69930--$918.57--Cochlear device implantation, with or without mastoidectomy69949--I.C.--Unlisted procedure, inner ear69950--$1,329.99--Vestibular nerve section, transcranial approach69955--$1,493.49--Total facial nerve decompression and/or repair (may include graft)69960--$1,435.01--Decompression internal auditory canal69970--$1,601.68--Removal of tumor, temporal bone69979--I.C.--Unlisted procedure, temporal bone, middle fossa approach69990--$155.35--Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)80500$16.24$14.28---Clinical pathology consultation; limited, without review of patient's history and medical records80502$52.67$50.71---Clinical pathology consultation; comprehensive, for a complex diagnostic problem, with review of patient's history and medical records83020---$13.56-Hemoglobin electrophoresis84165---$13.56-Protein e-phoresis serum84166---$13.56-Protein e-phoresis/urine/csf84181---$13.56-Western blot test84182---$13.56-Protein western blot test85060--$18.57--Blood smear, peripheral, interpretation by physician with written report85097$68.35$36.92---Bone marrow, smear interpretation85390---$13.56-Fibrinolysins screen i&r85396--$15.40--Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic clot assessment), including use of any pharmacologic additive(s), as indicated, including interpretation and written report, per day85576---$13.56-Blood platelet aggregation86077$41.97$38.60---Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report86078$41.69$38.60---Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report86079$41.13$38.04---Blood bank physician services; authorization for deviation from standard blood banking procedures (eg, use of outdated blood, transfusion of Rh incompatible units), with written report86153---$25.28-Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood); physician interpretation and report, when required86255---$13.56-Fluorescent antibody screen86256---$13.56-Fluorescent antibody titer86320---$13.56-Serum immunoelectrophoresis86325---$13.56-Other immunoelectrophoresis86327---$15.40-Immunoelectrophoresis assay86334---$13.56-Immunofix e-phoresis serum86335---$13.56-Immunfix e-phorsis/urine/csf86486--$3.80--Skin test; unlisted antigen, each86490--$55.16--Skin test; coccidioidomycosis86510--$4.65--Skin test; histoplasmosis86580--$6.05--Skin test; tuberculosis, intradermal87164---$13.56-Dark field examination87207---$13.56-Smear special stain88104--$58.43$22.07$36.36Cytopath fl nongyn smears88106--$58.06$14.96$43.09Cytopath fl nongyn filter88108--$55.92$17.32$38.60Cytopath concentrate tech88112--$55.06$21.23$33.83Cytopath cell enhance tech88120--$497.93$43.83$454.10Cytp urne 3-5 probes ea spec88121--$434.96$37.99$396.98Cytp urine 3-5 probes cmptr88125--$17.51$10.06$7.45Forensic cytopathology88141--$24.54--Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician88160--$55.77$19.98$35.80Cytopath smear other source88161--$49.88$19.13$30.74Cytopath smear other source88162--$80.42$30.16$50.26Cytopath smear other source88172--$43.39$27.80$15.59Cytp dx eval fna 1st ea site88173--$117.76$54.30$63.45Cytopath eval fna report88177--$22.98$17.08$5.89Cytp fna eval ea addl88182--$86.29$27.45$58.84Cell marker study88184--$59.65--Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker88185--$36.48--Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)88187--$53.03--Flow cytometry, interpretation; 2 to 8 markers88188--$67.69--Flow cytometry, interpretation; 9 to 15 markers88189--$82.80--Flow cytometry, interpretation; 16 or more markers88199--I.C.--Cytopathology procedure88291--$23.73--Cytogenetics and molecular cytogenetics, interpretation and report88299--I.C.--Unlisted cytogenetic study88300--$11.62$3.33$8.29Surgical path gross88302--$25.25$5.45$19.80Tissue exam by pathologist88304--$35.41$8.60$26.82Tissue exam by pathologist88305--$55.87$29.06$26.82Tissue exam by pathologist88307--$240.06$64.07$175.99Tissue exam by pathologist88309--$363.44$113.48$249.95Tissue exam by pathologist88311--$16.28$9.67$6.61Decalcify tissue88312--$75.88$20.72$55.16Special stains group 188313--$53.32$9.11$44.22Special stains group 288314--$59.54$17.01$42.53Histochemical stains add-on88319--$68.89$20.74$48.14Enzyme histochemistry88321$76.10$63.75---Consultation and report on referred slides prepared elsewhere88323$105.30$65.57$39.73Microslide consultation88325$129.31$100.68---Consultation, comprehensive, with review of records and specimens, with report on referred material88329$37.99$27.60---Pathology consultation during surgery;88331--$72.63$48.06$24.57Path consult intraop 1 bloc88332--$38.43$23.68$14.75Path consult intraop addl88333--$76.25$48.32$27.94Intraop cyto path consult 188334--$46.94$29.67$17.27Intraop cyto path consult 288341--$69.29$20.46$48.83Immunohisto antibody slide88344--$134.12$29.85$104.27Immunohisto antibody slide88346--$71.33$27.96$43.37Immunofluorescent study88348--$268.63$57.94$210.69Electron microscopy88350--$55.19$20.95$34.24Immunofluor antb addl stain88355--$119.25$61.28$57.97Analysis skeletal muscle88356--$154.46$89.44$65.01Analysis nerve88358--$64.64$33.62$31.03Analysis tumor88360--$92.34$41.39$50.95Tumor immunohistochem/manual88361--$113.91$44.44$69.47Tumor immunohistochem/comput88362--$198.54$82.32$116.21Nerve teasing preparations88363$17.08$14.56---Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis)88365--$137.22$33.51$103.71Insitu hybridization (fish)88366--$202.72$47.38$155.35Insitu hybridization (fish)88367--$81.87$26.15$55.72Insitu hybridization auto88368--$87.39$29.99$57.41Insitu hybridization manual88369--$83.14$23.21$59.93M/phmtrc alysishquant/semiq88371--$13.56Protein western blot tissue88372--$13.56Protein analysis w/probe88374--$268.44$33.67$234.77M/phmtrc alys ishquant/semiq88375--$36.43--Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session88377--$319.07$48.51$270.56M/phmtrc alys ishquant/semiq88380--$110.79$42.85$67.94Microdissection laser88381--$90.93$18.78$72.15Microdissection manual88387--$31.50$24.33$7.17Tiss exam molecular study88388--$26.15$18.41$7.73Tiss ex molecul study add-on88399--I.C.--Surgical pathology procedure89049$202.01$47.38---Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report89060---$13.56-Exam synovial fluid crystals89220--$12.78--Sputum, obtaining specimen, aerosol induced technique (separate procedure)89230--$4.08--Sweat collection by iontophoresis89240--I.C.--Unlisted miscellaneous pathology testG0105$392.96$194.11---Colorectal cancer screening; colonoscopy on individual at high riskG0121$393.17$194.32---Colorectal cancer screening; colonoscopy on individual not meeting criteria for high riskS2260--I.C.--Induced abortion, 17 to 24 weeks 316.06: Severability The provisions of 101 CMR 316.00 are hereby declared to be severable and if any such provisions or the application of such provisions to any person or circumstances shall be held to be invalid or unconstitutional, such invalidity shall not be construed to affect the validity or constitutionality of any remaining provisions to eligible providers or circumstances other than those held invalid. 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F M P S V $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gdL $$Ifa$gd!   ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* " ) , / 2 $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* © ĩ ũ u v | }  ( ) / 0 2 3 = > @ A ! " ( ) + , 6 7 9 : ɬ ʬ Ь Ѭ Ӭ Ԭ ެ ߬ R S Y Z \ ] g h j k     hZkh_\h_\B*phhZkh_\B*phZ ĩ ǩ Ω թ ۩ $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd,$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*  u $Ifgd! $$Ifa$gd! $$Ifa$gdLu v | ! $Ifgd!kdU$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*|  ( $Ifgd! $$Ifa$gd! $$Ifa$gdL( ) / ! $Ifgd!kd~$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*/ 2 5 = @ C $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* ! $Ifgd! $$Ifa$gd! $$Ifa$gdL! 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( + . \ $Ifgd! $$Ifa$gd! $$Ifa$gdL\ ] c ! $Ifgd!kdB$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*c f i q t w $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdk$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* Ŀ $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*  ~ $Ifgd! $$Ifa$gd! $$Ifa$gdL~  ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL  ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*     S $Ifgd! $$Ifa$gd! $$Ifa$gdLS T Z ! $Ifgd!kd8$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*Z ] ` h k n $Ifgd! $$Ifa$gd! $$Ifa$gdLi k l         { | $ % + , . / 9 : < = $ % + , . / 9 : < = hZkh_\h_\B*phhZkh_\B*phZ ! $Ifgd!kda$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL  ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*     { $Ifgd! $$Ifa$gd! $$Ifa$gdL{ | ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd $$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $ $Ifgd! $$Ifa$gd! $$Ifa$gdL$ % + ! $Ifgd!kd $$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*+ . 1 9 < ? $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd. $$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdW $$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $ $Ifgd! $$Ifa$gd! $$Ifa$gdL$ % + ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*+ . 1 9 < ? $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL   $ % ' ( / 0 2 3 \ ] c d f g q r t u       ! " K L R S U V ` a c d      hZkh_\h_\B*phhZkh_\B*phZ ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL  $ ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*$ ' * / 2 5 \ $Ifgd! $$Ifa$gd! $$Ifa$gdL\ ] c ! $Ifgd!kd$$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*c f i q t w $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdM$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL  ! $Ifgd!kdv$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*    ! $ K $Ifgd! $$Ifa$gd! $$Ifa$gdLK L R ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*R U X ` c f $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL  ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*    " % W $Ifgd! $$Ifa$gd! $$Ifa$gdL " # W X ^ _ a b l m o p ! 5 6 8 9 ; <       ( ) + , a b x y { | ~    hZkh_\h_\B*phhZkh_\B*phZW X ^ ! $Ifgd!kdC$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*^ a d l o r $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdl$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! ' ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*' . 5 8 ; > $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL   ! $Ifgd!kd!$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*  ( + . a $Ifgd! $$Ifa$gd! $$Ifa$gdLa b h ! $Ifgd!kd9"$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*h p x { ~ $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kdb#$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd$$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL   ! $Ifgd!kd%$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*     $ % ' ( ? @ F G I J T U W X o p v w y z * + A B D E G H % & , - / 0 : ; = > _ ` v w y z | } 9 : @ A C D N O hZkh_\h_\B*phhZkh_\B*phZ   $ ' * ? $Ifgd! $$Ifa$gd! $$Ifa$gdL? @ F ! $Ifgd!kd&$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*F I L T W Z o $Ifgd! $$Ifa$gd! $$Ifa$gdLo p v ! $Ifgd!kd($$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*v y | $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd/)$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* * $Ifgd! $$Ifa$gdL $$Ifa$gd!* + 1 ! $Ifgd!kdX*$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*1 9 A D G J $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd+$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* % $Ifgd! $$Ifa$gd! $$Ifa$gdL% & , ! $Ifgd!kd,$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*, / 2 : = @ _ $Ifgd! $$Ifa$gd! $$Ifa$gdL_ ` f ! $Ifgd!kd-$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*f n v y |  $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd.$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* 9 $Ifgd! $$Ifa$gd! $$Ifa$gdL9 : @ ! $Ifgd!kd%0$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*@ C F N Q T $Ifgd! $$Ifa$gd! $$Ifa$gdLO Q R         x y      N O U V X Y ` a c d  * + 1 2 4 5 ? @ hZkh_\h_\B*phhZkh_\B*phZ ! $Ifgd!kdN1$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL  ! $Ifgd!kdw2$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*      x $Ifgd! $$Ifa$gd! $$Ifa$gdLx y  ! $Ifgd!kd3$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd4$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*    N $Ifgd! $$Ifa$gd! $$Ifa$gdLN O U ! $Ifgd!kd5$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*U X [ ` c f $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd7$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdD8$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdm9$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*   * $Ifgd! $$Ifa$gd! $$Ifa$gdL* + 1 ! $Ifgd!kd:$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*1 4 7 ? B E e $Ifgd! $$Ifa$gd! $$Ifa$gdL@ B C e f | }        $ % ' (        ! s t z { } ~ 4 5 ; < > ? I J L M p q w x z {    hZkh_\h_\B*phhZkh_\B*phZe f l ! $Ifgd!kd;$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*l t |  $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd<$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL   ! $Ifgd!kd>$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*   $ ' * $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd:?$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL  ! $Ifgd!kdc@$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*    # s $Ifgd! $$Ifa$gd! $$Ifa$gdLs t z ! $Ifgd!kdA$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*z } 4 $Ifgd! $$Ifa$gd! $$Ifa$gdL4 5 ; ! $Ifgd!kdB$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*; > A I L O p $Ifgd! $$Ifa$gd! $$Ifa$gdLp q w ! $Ifgd!kdC$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*w z } $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdE$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*   $Ifgd! $$Ifa$gd! $$Ifa$gdL Z [ a b d e o p r s   $ % ' ( 2 3 5 6 z {       ) * , - : ; A B D E O P R S h_\B*ph hZkh_\hZkh_\B*phZ ! $Ifgd!kd0F$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* Z $Ifgd! $$Ifa$gd! $$Ifa$gdLZ [ a ! $Ifgd!kdYG$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*a d g o r u  $Ifgd! $$Ifa$gd! $$Ifa$gdL  $ ! $Ifgd!kdH$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*$ ' * 2 5 8 z $Ifgd! $$Ifa$gd! $$Ifa$gdLz { ! $Ifgd!kdI$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL   ! $Ifgd!kdJ$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*   ) , / $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdK$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* : $Ifgd! $$Ifa$gd! $$Ifa$gdL: ; A ! $Ifgd!kd&M$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*A D G O R U $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdON$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdxO$$Ifl~֞* _%ddmdddd/DC t 44 lBapFytyw* ? $Ifgd! $$Ifa$gd! $$Ifa$gdL ? @ V W Y Z \ ] r s  D E K L N O V W Y Z , - 3 4 6 7 > ? A B e f l m o p w x z {     h_\B*ph hZkh_\hZkh_\B*phZ? @ F ! $Ifgd!kdP$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*F N V Y \ _ r $Ifgd! $$Ifa$gdL $$Ifa$gd!r s y ! $Ifgd!kdQ$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*y $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kdR$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdT$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* D $Ifgd! $$Ifa$gdL $$Ifa$gd!D E K ! $Ifgd!kdEU$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*K N Q V Y \ $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdnV$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* , $Ifgd! $$Ifa$gd! $$Ifa$gdL, - 3 ! $Ifgd!kdW$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*3 6 9 > A D e $Ifgd! $$Ifa$gd! $$Ifa$gdLe f l ! $Ifgd!kdX$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*l o r w z } $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdY$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd[$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*   @ $Ifgd! $$Ifa$gdL $$Ifa$gd! @ A G H J K U V X Y     { |       ! ^ _ s t v w y z      " # @ A G H J K U V X Y w x ~  h_\B*ph hZkh_\hZkh_\B*phZ@ A G ! $Ifgd!kd;\$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*G J M U X [ $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdd]$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gdL $$Ifa$gd! ! $Ifgd!kd^$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd_$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*     { $Ifgd! $$Ifa$gdL $$Ifa$gd!{ | ! $Ifgd!kd`$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gdL $$Ifa$gd!  ! $Ifgd!kdb$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*    # ^ $Ifgd! $$Ifa$gdL $$Ifa$gd!^ _ e ! $Ifgd!kd1c$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*e l s v y | $Ifgd! $$Ifa$gdL $$Ifa$gd!  ! $Ifgd!kdZd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*    " % @ $Ifgd! $$Ifa$gd! $$Ifa$gdL@ A G ! $Ifgd!kde$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*G J M U X [ w $Ifgd! $$Ifa$gd! $$Ifa$gdLw x ~ ! $Ifgd!kdf$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*~ $Ifgd! $$Ifa$gd! $$Ifa$gdL    " # - . 0 1  " # ) * , - 9 : < =       J K Q R T U _ ` b c h_\B*ph hZkh_\hZkh_\B*phZ ! $Ifgd!kdg$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw*  $Ifgd! $$Ifa$gd! $$Ifa$gdL   ! $Ifgd!kdh$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* " % - 0 3  $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kd'j$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdPk$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* " $Ifgd! $$Ifa$gd! $$Ifa$gdL" # ) ! $Ifgd!kdyl$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*) , / 9 < ? $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdm$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL  ! $Ifgd!kdn$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*    J $Ifgd! $$Ifa$gd! $$Ifa$gdLJ K Q ! $Ifgd!kdo$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*Q T W _ b e $Ifgd! $$Ifa$gd! $$Ifa$gdL ! $Ifgd!kdq$$Ifl,֞* _%ddmdddd/DC t 44 lBapFytyw* $Ifgd! $$Ifa$gd! $$Ifa$gdL        ` a u v x y { |      * + - . 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" $ % § ȧ ɧ ˧ ̧ ا ٧ ۧ ܧ ^ _ e f h i u v x y ) * 0 1 3 4 @ A C D # $ * + - . 8 9 ; < 9 : @ A C D P Q S T e f l m o p z { } ~         hZkh;,h;,B*phhZkh;,B*phZ  ! $Ifgd!kdC$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*   ! $ ' $Ifgd! $$Ifa$gd! $$Ifa$gd;, § ȧ ! $Ifgd!kdD$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*ȧ ˧ Χ ا ۧ ާ ^ $Ifgd! $$Ifa$gd! $$Ifa$gd;,^ _ e ! $Ifgd!kdE$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*e h k u x { ) $Ifgd! $$Ifa$gd! $$Ifa$gd;,) * 0 ! $Ifgd!kdF$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*0 3 6 @ C F # $Ifgd! $$Ifa$gd! $$Ifa$gd;,# $ * ! $Ifgd!kd#H$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw** - 0 8 ; > 9 $Ifgd! $$Ifa$gd! $$Ifa$gd;,9 : @ ! $Ifgd!kdLI$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*@ C F P S V e $Ifgd! $$Ifa$gd! $$Ifa$gd;,e f l ! $Ifgd!kduJ$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*l o r z } $Ifgd! $$Ifa$gd! $$Ifa$gd;,  ! $Ifgd!kdK$$Ifl$֞* _%ddmdddd/DC t 44 lBapFytyw*     $Ifgd! $$Ifa$gd! $$Ifa$gd;, ! $Ifgd!kdL$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*   $Ifgd! $$Ifa$gd! $$Ifa$gd;,            h i o p r s        & ' ) * w x ~  9 : @ A C D N O Q R          $ % ' ( 2 3 5 6       ( ) + , M N T U W X hZkh;,h;,B*phhZkh;,B*phZ  ! $Ifgd!kdM$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*     h $Ifgd! $$Ifa$gd! $$Ifa$gd;,h i o ! $Ifgd!kdO$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*o r u   $Ifgd! $$Ifa$gd! $$Ifa$gd;,   ! $Ifgd!kdBP$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*   & ) , w $Ifgd! $$Ifa$gd! $$Ifa$gd;,w x ~ ! $Ifgd!kdkQ$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*~ 9 $Ifgd! $$Ifa$gd! $$Ifa$gd;,9 : @ ! $Ifgd!kdR$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*@ C F N Q T $Ifgd! $$Ifa$gd! $$Ifa$gd;,   ! $Ifgd!kdS$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*     $Ifgd! $$Ifa$gd! $$Ifa$gd;,  $ ! $Ifgd!kdT$$Ifl4֞* _%ddmdddd/DC t 44 lBapFytyw*$ ' * 2 5 8  $Ifgd! $$Ifa$gd! $$Ifa$gd;,   ! $Ifgd!kdV$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*  ( + . 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Y" Z" `" a" c" d" p" q" s" t" \# ]# c# d# f# g# q# r# t# u# $ $ $ $ $ $ $ $ $ $ % % hZkh;,h;,B*phhZkh;,B*phZ      X $Ifgd! $$Ifa$gd! $$Ifa$gd;,X Y _ ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*_ b e m p s a $Ifgd! $$Ifa$gd! $$Ifa$gd;,a b h ! $Ifgd!kd>$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*h k n x { ~ , $Ifgd! $$Ifa$gd! $$Ifa$gd;,, - 3 ! $Ifgd!kdg$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*3 6 9 A D G : $Ifgd! $$Ifa$gd! $$Ifa$gd;,: ; A ! $Ifgd!kd$$Ifl$֞* _%ddmdddd/DC t 44 lBapFytyw*A D G Q T W (! $Ifgd! $$Ifa$gd! $$Ifa$gd;,(! )! /! ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*/! 2! 5! =! @! C! 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(. ). e. f. l. m. o. p. |. }. . . . . hZkh;,h;,B*phhZkh;,B*phZ* * * * * + 4+ $Ifgd! $$Ifa$gd! $$Ifa$gd;,4+ 5+ ;+ ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*;+ >+ A+ K+ N+ Q+ + $Ifgd! $$Ifa$gd! $$Ifa$gd;,+ + + ! $Ifgd!kd $$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*+ + + + + + , $Ifgd! $$Ifa$gd! $$Ifa$gd;,, , , ! $Ifgd!kdI$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*, ", %, /, 2, 5, , $Ifgd! $$Ifa$gd! $$Ifa$gd;,, , , ! $Ifgd!kdr$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*, , , , , , - $Ifgd! $$Ifa$gd! $$Ifa$gd;,- - - ! $Ifgd!kd$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw* - - - - - !- - $Ifgd! $$Ifa$gd! $$Ifa$gd;,- - - ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*- - - - - - . $Ifgd! $$Ifa$gd! $$Ifa$gd;,. . . ! $Ifgd!kd$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*. . . %. (. +. e. $Ifgd! $$Ifa$gd! $$Ifa$gd;,e. f. l. ! $Ifgd!kd!$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*l. o. r. |. . . . $Ifgd! $$Ifa$gd! $$Ifa$gd;,. . . ! $Ifgd!kd?"$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*. . . . . . . . . Y/ Z/ `/ a/ c/ d/ p/ q/ s/ t/ / / / / / / / / / / \0 ]0 c0 d0 f0 g0 s0 t0 v0 w0 0 0 0 0 0 0 0 0 0 0 `1 a1 g1 h1 j1 k1 w1 x1 z1 {1 1 1 1 1 1 1 1 1 1 1 X2 Y2 _2 `2 b2 c2 o2 p2 r2 s2 2 2 2 2 2 2 2 2 2 2 B3 C3 hZkh;,h;,B*phhZkh;,B*phZ. . . . . . Y/ $Ifgd! $$Ifa$gd! $$Ifa$gd;,Y/ Z/ `/ ! $Ifgd!kdh#$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*`/ c/ f/ p/ s/ v/ / $Ifgd! $$Ifa$gd! $$Ifa$gd;,/ / / ! $Ifgd!kd$$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*/ / / / / / \0 $Ifgd! $$Ifa$gd! $$Ifa$gd;,\0 ]0 c0 ! $Ifgd!kd%$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*c0 f0 i0 s0 v0 y0 0 $Ifgd! $$Ifa$gd! $$Ifa$gd;,0 0 0 ! $Ifgd!kd&$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*0 0 0 0 0 0 `1 $Ifgd! $$Ifa$gd! $$Ifa$gd;,`1 a1 g1 ! $Ifgd!kd ($$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*g1 j1 m1 w1 z1 }1 1 $Ifgd! $$Ifa$gd! $$Ifa$gd;,1 1 1 ! $Ifgd!kd5)$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*1 1 1 1 1 1 X2 $Ifgd! $$Ifa$gd! $$Ifa$gd;,X2 Y2 _2 ! $Ifgd!kd^*$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*_2 b2 e2 o2 r2 u2 2 $Ifgd! $$Ifa$gd! $$Ifa$gd;,2 2 2 ! $Ifgd!kd+$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*2 2 2 2 2 2 B3 $Ifgd! $$Ifa$gd! $$Ifa$gd;,B3 C3 I3 ! $Ifgd!kd,$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*C3 I3 J3 L3 M3 Y3 Z3 \3 ]3 3 3 3 3 3 3 3 3 3 3 !4 "4 (4 )4 +4 ,4 84 94 ;4 <4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 ^5 _5 e5 f5 h5 i5 u5 v5 x5 y5 5 5 5 5 5 5 5 5 5 5 T6 U6 [6 \6 ^6 _6 k6 l6 n6 o6 6 6 6 6 6 6 6 6 6 6 67 77 hZkh;,h;,B*phhZkh;,B*phZI3 L3 O3 Y3 \3 _3 3 $Ifgd! $$Ifa$gd! $$Ifa$gd;,3 3 3 ! $Ifgd!kd-$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*3 3 3 3 3 3 !4 $Ifgd! $$Ifa$gd! $$Ifa$gd;,!4 "4 (4 ! $Ifgd!kd/$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*(4 +4 .4 84 ;4 >4 4 $Ifgd! $$Ifa$gd! $$Ifa$gd;,4 4 4 ! $Ifgd!kd+0$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*4 4 4 4 4 4 4 $Ifgd! $$Ifa$gd! $$Ifa$gd;,4 4 4 ! $Ifgd!kdT1$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*4 4 5 5 5 5 ^5 $Ifgd! $$Ifa$gd! $$Ifa$gd;,^5 _5 e5 ! $Ifgd!kd}2$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*e5 h5 k5 u5 x5 {5 5 $Ifgd! $$Ifa$gd! $$Ifa$gd;,5 5 5 ! $Ifgd!kd3$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*5 5 5 5 5 5 T6 $Ifgd! $$Ifa$gd! $$Ifa$gd;,T6 U6 [6 ! $Ifgd!kd4$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*[6 ^6 a6 k6 n6 q6 6 $Ifgd! $$Ifa$gd! $$Ifa$gd;,6 6 6 ! $Ifgd!kd5$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*6 6 6 6 6 6 67 $Ifgd! $$Ifa$gd! $$Ifa$gd;,67 77 =7 ! $Ifgd!kd!7$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*77 =7 >7 @7 A7 M7 N7 P7 Q7 7 7 7 7 7 7 7 7 7 7 ,8 -8 38 48 68 78 C8 D8 F8 G8 8 8 8 8 8 8 8 8 8 8 39 49 :9 ;9 =9 >9 H9 I9 K9 L9 9 9 9 9 9 9 : : : : : : : : : : : : : : [; \; b; c; e; f; r; s; u; v; !< "< (< )< +< ,< 8< 9< ;< << = = hZkh;,h;,B*phhZkh;,B*phZ=7 @7 C7 M7 P7 S7 7 $Ifgd! $$Ifa$gd! $$Ifa$gd;,7 7 7 ! $Ifgd!kdJ8$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*7 7 7 7 7 7 ,8 $Ifgd! $$Ifa$gd! $$Ifa$gd;,,8 -8 38 ! $Ifgd!kds9$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*38 68 98 C8 F8 I8 8 $Ifgd! $$Ifa$gd! $$Ifa$gd;,8 8 8 ! $Ifgd!kd:$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*8 8 8 8 8 8 39 $Ifgd! $$Ifa$gd! $$Ifa$gd;,39 49 :9 ! $Ifgd!kd;$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*:9 =9 @9 H9 K9 N9 9 $Ifgd! $$Ifa$gd! $$Ifa$gd;,9 9 9 ! $Ifgd!kd<$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*9 9 9 : : : : $Ifgd! $$Ifa$gd! $$Ifa$gd;,: : : ! $Ifgd!kd>$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*: : : : : : [; $Ifgd! $$Ifa$gd! $$Ifa$gd;,[; \; b; ! $Ifgd!kd@?$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*b; e; h; r; u; x; !< $Ifgd! $$Ifa$gd! $$Ifa$gd;,!< "< (< ! $Ifgd!kdi@$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*(< +< .< 8< ;< >< = $Ifgd! $$Ifa$gd! $$Ifa$gd;,= = = ! $Ifgd!kdA$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*= = = = = = = = = = = = = = = = = = = v> w> }> ~> > > > > > > t^h>t^B*phhZkh>t^B*ph hZkh;,h;,B*phhZkh;,B*phP = = = = = != = $Ifgd! $$Ifa$gd! $$Ifa$gd;,= = = ! $Ifgd!kdB$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*= = = = = = v> $Ifgd! $$Ifa$gd! $$Ifa$gd>t^v> w> }> ! $Ifgd!kdC$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*}> > > > > > t^t^@ @ &@ ! $Ifgd!kd6F$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*&@ )@ ,@ 4@ 7@ :@ A $Ifgd! $$Ifa$gd! $$Ifa$gd>t^A A A ! $Ifgd!kd_G$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw* A A A A A !A A $Ifgd! $$Ifa$gd! $$Ifa$gd>t^A A A ! $Ifgd!kdH$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*A A A A A A "B $Ifgd! $$Ifa$gd! $$Ifa$gd>t^"B #B )B ! $Ifgd!kdI$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*)B ,B /B 7B :B =B B $Ifgd! $$Ifa$gd! $$Ifa$gd>t^B B B ! $Ifgd!kdJ$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*B B B B B B B B B B B C C C C C C C C C C C C C C C C $D %D +D ,D .D /D 9D :D t^h>t^B*phhZkh>t^B*phZB B B B B B B $Ifgd! $$Ifa$gd! $$Ifa$gd>t^B B C ! $Ifgd!kdL$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*C C C C C C C $Ifgd! $$Ifa$gd! $$Ifa$gd>t^C C C ! $Ifgd!kd,M$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*C C C C C C $D $Ifgd! $$Ifa$gd>t^ $$Ifa$gd!$D %D +D ! $Ifgd!kdUN$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*+D .D 1D 9D t^D D D ! $Ifgd!kd~O$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*D D D D D D E $Ifgd! $$Ifa$gd>t^ $$Ifa$gd!E E "E ! $Ifgd!kdP$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*"E %E (E 0E 3E 6E E $Ifgd! $$Ifa$gd! $$Ifa$gd>t^E E E ! $Ifgd!kdQ$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*E E E E E E oF $Ifgd! $$Ifa$gd>t^ $$Ifa$gd!oF pF vF ! $Ifgd!kdR$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*vF yF |F F F F :G $Ifgd! $$Ifa$gd! $$Ifa$gd>t^:G ;G AG ! $Ifgd!kd"T$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*AG DG GG OG RG UG G $Ifgd! $$Ifa$gd! $$Ifa$gd>t^G G G ! $Ifgd!kdKU$$Ifl֞* _%ddmdddd/DC t 44 lBapFytyw*G G G G G G 1H $Ifgd! $$Ifa$gd! $$Ifa$gd>t^G G G 1H 2H 8H 9H ;H t^h>t^B*phhZkh>t^B*phZ1H 2H 8H ! $Ifgd!kdtV$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*8H ;H >H FH IH LH {H $Ifgd! $$Ifa$gd! $$Ifa$gd>t^{H |H H ! $Ifgd!kdW$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*H H H H H H H $Ifgd! $$Ifa$gd! $$Ifa$gd>t^H H H ! $Ifgd!kdX$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*H H H H H H I $Ifgd! $$Ifa$gd! $$Ifa$gd>t^I I I ! $Ifgd!kdY$$IflX֞* _%ddmdddd/DC t 44 lBapFytyw*I "I %I /I 2I 5I kI $Ifgd! 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A B D P Q b 4 5 7 8 : A B C E F H T U f  # h m n | }  k l n o q r t ~  M N P Q S T V ` a z : ; = > @ A C M N g ` e f g i j l o q r t u w A B D E G N O P R S U ` a x   ! # * + , . / 1 < = T      0      ( z { } ~ ] ^ ` a c j k l n o q | } < = ? @ B I J K M N P Z [            ! # - . S              $            ' ( M              4                           ! + , Q I J L M O V W X Z [ ] h j  : ; = > @ G H I K L N Y [ w % * + , . / 1 8 9 : < = ? J L h     ' ( ) + , . 9 ; W u v x y {      / " # % & ( 1 2 3 5 6 8 F G b               -            " # >                             - . 0 1 3 : ; < > ? A K M i        ! " # % & ( 2 4 P                             _ ` b c e l m n p q s | }  h i k l n w x y { | ~    3 4 6 7 9 @ A B D E G P Q k ; @ A B D E G P Q R T U W ` a { / 0 2 3 5 < = > @ A C L M g ` a c d f o p q s t v    c d f g i p q r t u w                                                          , p q s t v  ! K! P! Q! R! T! U! W! `! a! b! d! e! g! r! s! ! ! ! ! ! ! ! ! ! ! ! ! ! ! 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[. \. ^. _. a. j. k. l. n. o. q. |. }. . . . . . . . . . . . . . . / =/ >/ @/ A/ C/ L/ M/ N/ P/ Q/ S/ ^/ _/ u/ / / / / / / / / / / / / / / 30 40 60 70 90 B0 C0 D0 F0 G0 I0 T0 U0 k0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41 91 :1 ;1 =1 >1 @1 G1 H1 I1 K1 L1 N1 Z1 [1 s1 1 1 1 1 1 1 2 2 2 2 2 2 2 *2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 b3 c3 e3 f3 h3 q3 r3 s3 u3 v3 x3 3 3 3 (4 )4 +4 ,4 .4 74 84 94 ;4 <4 >4 G4 H4 b4 5 5 5 5 5 5 5 5 5 5 !5 *5 +5 E5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 }6 ~6 6 6 6 6 6 6 6 6 6 6 6 6 C7 D7 F7 G7 I7 R7 S7 T7 V7 W7 Y7 b7 c7 }7 &8 '8 )8 *8 ,8 38 48 58 78 88 :8 C8 D8 ^8 9 9 9 9 9 9 9 9 9 9 !9 )9 *9 69 9 9 9 9 9 9 9 9 9 9 9 9 9 9 ): *: ,: -: /: 6: 7: 8: :: ;: =: I: J: `: : : : : : : : : : : : : : : : : ; ; ; ; ; ; ; ; ; ; ; ; !; =; ; ; ; ; ; ; ; ; ; ; ; ; < %< *< +< ,< .< /< 1< 8< 9< :< << =< ?< J< K< ^< < < < < < < < < < < < < < = != "= #= %= &= (= /= 0= 1= 3= 4= 6= == >= W= = = = = = = = = = = = = > p> u> v> w> y> z> |> > > > > > > > > > ;? @? A? B? D? E? G? N? O? P? R? S? U? ^? _? p? ? ? ? ? ? ? ? ? ? ? ? ? ? ? 8@ 9@ ;@ <@ >@ E@ F@ G@ I@ J@ L@ R@ S@ g@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ A A A "A #A %A .A /A 0A 2A 3A 5A ;A D @D ID KD gD D D D D D D D D D D D D D D D D D D D D D D E 6E 7E 9E :E f If Jf ^f f f f f f f f f f f =g >g @g Ag Cg Dg Fg Vg Wg ng g g g g g g g g g g g g h h h h h h h h h h h 7i 8i :i ;i =i >i @i Pi Qi fi i i i i i i i j j j Fj Gj Ij Jj Lj Mj Oj Zj [j oj j j j j j j j j j j j j j j j j j k k k k k k k k k k k k k l l l l l l l l l l l l l \m ]m _m `m bm cm em pm qm m Un Vn Xn Yn [n \n ^n in jn ~n n n n n n n n n n n o o o o o o o o o 0o o o o o o o o o o o o p p p p p p p p *p p p p p p p p p p p p p p q q q q q q )q Qq Rq Tq Uq Wq Xq Zq jq kq }q q q q q q q q q q q q r r r r r r r r r 'r (r x Ex Fx Gx Ix Jx Lx Wx Xx gx |x }x x x x x x x x x x x x x x x x x x x x x x x x x x y y y y !y #y *y +y ,y .y /y 1y z z z z z z z z z z z z { { { >{ ?{ A{ B{ D{ K{ L{ M{ O{ P{ R{ ]{ ^{ l{ { { { { { { { { { { { { { { $| )| *| +| -| .| 0| 7| 8| 9| ;| <| >| I| J| X| | | | | | | | | | | | | | | | | | | | | | | | | | | | } .} /} 1} 2} 4} ;} <} =} ?} @} B} J} K} ^} } } } } } } } } } } } } } } ~ ~ ~ ~ ~ !~ "~ #~ %~ &~ (~ 0~ 1~ A~ g~ h~ j~ k~ m~ t~ u~ v~ x~ y~ {~ ~ ~ ~            & ' 8 a b d e g n o p r s u } ~                    ' ( ) + , . 6 7 I o p r s u | } ~ ˀ ̀ ΀ π р ؀ ـ ڀ ܀ ݀ ߀ 5 6 8 9 ; B C D F G I O P X ` a c d f m n o q r t Ł ǁ ́ ́ ΁ Ё с Ӂ ځ ہ ܁ ށ ߁          & ( . 6 7 9 : < C D E G H J W Y o } ~ ‚  à Ƃ ǂ ɂ ւ ؂  & . / 1 2 4 ; < = ? @ B H I Z x y { | ~      ! " # % & ( . / : e f h i k r s t v w y  „ ̈́  f g i j l s t u w x z Ѕ      ! " $ % ' - . A † Æ Ć Ɔ dž Ɇ φ І 7 < = > @ A C J K L N O Q W X k m r s t v w y Ç ć ԇ    D E G H J Q R S U V X c e | ˆ È ň ˈ ̈ ͈ ψ Ј ҈ ؈ و O P R S U \ ] ^ ` a c i j }    { | ~   H I K L N U V W Y Z \ a b { Nj ȋ ɋ ˋ ̋ ΋ Ӌ ԋ 0 1 3 4 6 = > ? A B D I J c ӌ      ! " # % & ( - . G ƍ      ! " # % & ( - . G Ď         ! " $ ) * @ ɏ - . 0 1 3 : ; < > ? A F G ^ l m o p r y z { } ~ Ő Ɛ ܐ     ! ( ) * , - / 4 5 L Ǒ ȑ ʑ ˑ ͑ ԑ Ց ֑ ؑ ّ ۑ       ! " $ % ' 3 4 G \ ] _ ` b i j k m n p { | ǒ      $ Q R T U W ^ _ ` b c e q r Ó ē Ɠ Ǔ ɓ ғ ӓ ԓ ֓ ד ٓ S T V W Y b c d f g i u v ݔ         & l m o p r y z { } ~ ݖ ޖ  4 9 : ; = > @ G H I K L N Y Z l ˗ ̗ Η ϗ ї ؗ ٗ ڗ ܗ ݗ ߗ          / l m o p r s u | }       + j k m n p q s z { ƙ Ǚ ș ʙ ˙ ͙ ԙ ՙ  " # % , - . 0 1 3 : ; K Ě Ś ՚    ) * , - / 0 2 8 9 T ؛       ! ( ) * , - / 5 6 Q ǜ              4 s t v w y       . _ d e f h i k r s t v w y  ž Þ Ӟ Ԟ ֞ מ ٞ ڞ ܞ @ A C D F G I O P Y q r t u w x z ǟ ȟ ʟ ˟ ͟ Ο П ؟ ٟ       ! ) * @ o p r s u v x   ? D E U V X Y [ \ ^ i j v ͡ Ρ С ѡ ӡ ԡ ֡ ޡ ߡ  $ % & ( ) + 2 3 4 6 7 9 E F d u v x y {   % : ; = > @ G H I K L N Z [ | أ  Ȥ ʤ Ф Ѥ Ӥ Ԥ ֤ ٤ ۤ ܤ ޤ ߤ     & ' ) * , / 1 2 4 5 7 = > H J O P ` a c d f g i p q ȥ ɥ ʥ ̥ ͥ ϥ ֥ ץ    0 1 3 4 6 7 9 B C W     - _ ` b c e l m n p q s y z ԧ է ק ا ڧ A F G Y Z \ ] _ ` b n o Ө          ! " $ 0 1 D ʩ ϩ Щ o t u v x y { ƪ Ȫ ͪ Ϊ ު ߪ   " # % & ( 0 1 F v { | }  ' , - . 0 1 3 : ; < > ? A I J _      + í ˭ ̭ i j l m o v w x z { } ® Į ˮ ̮ ͮ Ϯ Ю Ү ٮ ڮ         ! " $ + , : T Y Z i j l m o p r { } ϯ Я ү ӯ կ ֯ د 3 4 6 7 9 : < D E V X ] ^ _ a b d k l m o p r  ° ɰ ʰ ˰ Ͱ ΰ а ݰ ް  ! " $ % ' . / 0 2 3 5 B C P ű         ! " $ 1 2 ? ̲ Ͳ ϲ в Ҳ ٲ ڲ ۲ ݲ ޲ < = ? @ B I J K M N P \ ] p ij ų ٳ   ! " $ + , - / 0 2 9 : N      ! " $ % ' / 0 @    3 4 6 7 9 @ A B D E G M N d q v w            ! " 2 c d f g i p q r t u w ҷ ӷ շ ַ ط ߷  6 7 9 : < C D E G H J T V k ɸ         ! # - / D     @ A C D F M N O Q R T Z [ k ͺ Һ Ӻ  ' ( * + - . 0 7 8 ` o t u v x y { ƻ ˻ ̻ ܻ ݻ ߻ " # % & ( ) + 2 3 R j k m n p q s Ѽ Ҽ Լ ռ ׼ ؼ ڼ n o q r t u w Ž ʽ ˽ ̽ ν Ͻ ѽ ؽ ٽ ڽ ܽ ݽ ߽  { 4 9 : ; = > @ G H I K L N [ \ o ¿ ɿ ʿ      ' ( * + - 4 5 6 8 9 ; B C T     . 3 4 5 7 8 : A B C E F H U V k         $ % 8 : ; = > @ C E F H I K S T o ~       *    ( ) + , . / 1 : ; R I N O ] ^ ` a c d f r s   # $ & ' ) * , 4 5 I        ) a b d e g n o p r s u  ^ _ a b d k l m o p r | ~ b c e f h o p q s t v T Y Z j k m n p q s y z         3       ! * + , . / 1 7 8 J # ( ) 9 : < = ? @ B I J `    Q R T U W X Z e f y Y ^ _ ` b c e n o p r s u    ( ) + , . / 1 < = P j k m n p q s ~  M N P Q S T V a b q = B C D F G I P Q R T U W ` a p H I K L N U V W Y Z \ c d  % - . 0 1 3 : ; < > ? 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" $ % ' ( * 4 5 K  ! # $ & ' ) / 0 F k l n o q r t z {       5 M N P Q S T V \ ] s       & ' 7 8 = > M N P Q S T V ] ^ q   E F H I K R S T V W Y g h w       # x } ~                                    5 _ ` b c e f h n o }                     , - / 0 2 3 5 = > U                              0 M R S T V W Y ` a b d e g x z                : ; = > @ G H I K L N _ a                      & ' ( * + - 3 4 I              6 7 9 : < = ? K L [ z                             $ 2 3 5 6 8 ; = > @ A C K L b d i j y z | }                 % & ( ) + , . 2 3 G Q V W X Z [ ] d e f h i k s t    - . 0 1 3 4 6 < = N P U V W Y Z \ c d e g h j r s " ' ( ) + , . 5 6 7 9 : < D E V v w y z |        " # 6 @ E F G I J L S T U W X Z o p      " # $ & ' ) > ? \       " ) * 9 R W X Y [ \ ^ e f g i j l s t                        1 O T U V X Y [ b c d f g i p q               Q R T U W X Z a b w           . / 1 2 4 5 7 @ A S k p q r t u w z | }                            ! 6 g h j k m n p x y                                        . 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