| SURGERY-MD | ||
| SERVICE CHARGE CODE | SERVICE DESCRIPTION | SERVICE CHARGE PRICE |
| MD10040 | ACNE SURGERY | 91.12 |
| MD10060 | DRAINAGE OF SKIN ABSCESS | 120.06 |
| MD10061 | DRAINAGE OF SKIN ABSCESS | 272.29 |
| MD10080 | DRAINAGE OF PILONIDAL CYST | 149.01 |
| MD10081 | DRAINAGE OF PILONIDAL CYST | 359.12 |
| MD10120 | REMOVE FOREIGN BODY | 134.00 |
| MD10121 | REMOVE FOREIGN BODY | 343.04 |
| MD10140 | DRAINAGE OF HEMATOMA/FLUID | 137.22 |
| MD10160 | PUNCTURE DRAINAGE OF LESION | 114.70 |
| MD10180 | COMPLEX DRAINAGE, WOUND | 448.10 |
| MD11000 | SURGICAL CLEANSING OF SKIN | 113.63 |
| MD11001 | DEBRIDE INFECTED SKIN ADD-ON | 97.55 |
| MD11010 | DEBRIDE SKIN, FX | 832.94 |
| MD11011 | DEBRIDE SKIN/MUSCLE FX | 993.74 |
| MD11012 | DEBRIDE SKIN/MUSCLE/BONE, FX | 1,436.48 |
| MD11040 | DEBRIDE SKIN, PARTIAL | 107.20 |
| MD11041 | DEBRIDE SKIN, FULL | 205.82 |
| MD11042 | CLEANSING OF SKIN/TISSUE | 320.53 |
| MD11043 | CLEANSING OF TISSUE/MUSCLE | 546.72 |
| MD11044 | CLEANSING TISSUE/MUSCLE/BONE | 749.33 |
| MD11055 | TRIM SKIN LESION | 48.24 |
| MD11056 | TRIM SKIN LESIONS, 2 TO 4 | 72.90 |
| MD11057 | TRIM SKIN LESIONS, OVER 4 | 83.62 |
| MD11100 | BIOPSY OF SKIN LESION | 128.64 |
| MD11101 | BIOPSY, SKIN ADD-ON | 80.40 |
| MD11200 | REMOVAL OF SKIN TAGS | 114.70 |
| MD11201 | REMOVE SKIN TAGS ADD-ON | 78.26 |
| MD11300 | SHAVE SKIN LESION | 107.20 |
| MD11301 | SHAVE SKIN LESION | 135.07 |
| MD11302 | SHAVE SKIN LESION | 174.74 |
| MD11303 | SHAVE SKIN LESION | 247.63 |
| MD11305 | SHAVE SKIN LESION | 115.78 |
| MD11306 | SHAVE SKIN LESION | 150.08 |
| MD11307 | SHAVE SKIN LESION | 201.54 |
| MD11308 | SHAVE SKIN LESION | 295.87 |
| MD11310 | SHAVE SKIN LESION | 132.93 |
| MD11311 | SHAVE SKIN LESION | 181.17 |
| MD11312 | SHAVE SKIN LESION | 222.98 |
| MD11313 | SHAVE SKIN LESION | 321.60 |
| MD11400 | REMOVAL OF SKIN LESION | 139.36 |
| MD11401 | REMOVAL OF SKIN LESION | 171.52 |
| MD11402 | REMOVAL OF SKIN LESION | 226.19 |
| MD11403 | REMOVAL OF SKIN LESION | 286.22 |
| MD11404 | REMOVAL OF SKIN LESION | 405.22 |
| MD11406 | REMOVAL OF SKIN LESION | 533.86 |
| MD11420 | REMOVAL OF SKIN LESION | 150.08 |
| MD11421 | REMOVAL OF SKIN LESION | 187.60 |
| MD11422 | REMOVAL OF SKIN LESION | 268.00 |
| MD11423 | REMOVAL OF SKIN LESION | 353.76 |
| MD11424 | REMOVAL OF SKIN LESION | 428.80 |
| MD11426 | REMOVAL OF SKIN LESION | 603.54 |
| MD11440 | REMOVAL OF SKIN LESION | 176.88 |
| MD11441 | REMOVAL OF SKIN LESION | 233.70 |
| MD11442 | REMOVAL OF SKIN LESION | 295.87 |
| MD11443 | REMOVAL OF SKIN LESION | 406.29 |
| MD11444 | REMOVAL OF SKIN LESION | 520.99 |
| MD11446 | REMOVAL OF SKIN LESION | 694.66 |
| MD11450 | REMOVAL, SWEAT GLAND LESION | 938.00 |
| MD11451 | REMOVAL, SWEAT GLAND LESION | 1,370.02 |
| MD11462 | REMOVAL, SWEAT GLAND LESION | 956.22 |
| MD11463 | REMOVAL, SWEAT GLAND LESION | 1,092.37 |
| MD11470 | REMOVAL, SWEAT GLAND LESION | 1,376.45 |
| MD11471 | REMOVAL, SWEAT GLAND LESION | 1,160.98 |
| MD11600 | REMOVAL OF SKIN LESION | 224.05 |
| MD11601 | REMOVAL OF SKIN LESION | 284.08 |
| MD11602 | REMOVAL OF SKIN LESION | 338.75 |
| MD11603 | REMOVAL OF SKIN LESION | 444.88 |
| MD11604 | REMOVAL OF SKIN LESION | 545.65 |
| MD11606 | REMOVAL OF SKIN LESION | 701.09 |
| MD11620 | REMOVAL OF SKIN LESION | 273.36 |
| MD11621 | REMOVAL OF SKIN LESION | 359.12 |
| MD11622 | REMOVAL OF SKIN LESION | 437.38 |
| MD11623 | REMOVAL OF SKIN LESION | 593.89 |
| MD11624 | REMOVAL OF SKIN LESION | 712.88 |
| MD11626 | REMOVAL OF SKIN LESION | 854.38 |
| MD11640 | REMOVAL OF SKIN LESION | 345.18 |
| MD11641 | REMOVAL OF SKIN LESION | 473.82 |
| MD11642 | REMOVAL OF SKIN LESION | 619.62 |
| MD11643 | REMOVAL OF SKIN LESION | 736.46 |
| MD11644 | REMOVAL OF SKIN LESION | 884.40 |
| MD11646 | REMOVAL OF SKIN LESION | 1,054.85 |
| MD11719 | TRIM NAIL(S) | 28.94 |
| MD11720 | DEBRIDE NAIL, 1-5 | 73.97 |
| MD11721 | DEBRIDE NAIL, 6 OR MORE | 107.20 |
| MD11730 | REMOVAL OF NAIL PLATE | 125.42 |
| MD11732 | REMOVE NAIL PLATE, ADD-ON | 76.11 |
| MD11740 | DRAIN BLOOD FROM UNDER NAIL | 93.26 |
| MD11750 | REMOVAL OF NAIL BED | 362.34 |
| MD11752 | REMOVE NAIL BED/FINGER TIP | 560.66 |
| MD11755 | BIOPSY, NAIL UNIT | 305.52 |
| MD11760 | REPAIR OF NAIL BED | 436.30 |
| MD11762 | RECONSTRUCTION OF NAIL BED | 607.82 |
| MD11765 | EXCISION OF NAIL FOLD, TOE | 194.03 |
| MD11770 | REMOVAL OF PILONIDAL LESION | 682.86 |
| MD11771 | REMOVAL OF PILONIDAL LESION | 1,115.95 |
| MD11772 | REMOVAL OF PILONIDAL LESION | 1,351.79 |
| MD11900 | INJECTION INTO SKIN LESIONS | 78.26 |
| MD11901 | ADDED SKIN LESION INJECTIONS | 110.42 |
| MD11920 | CORRECT SKIN COLOR DEFECTS | 593.89 |
| MD11921 | CORRECT SKIN COLOR DEFECTS | 1,144.90 |
| MD11922 | CORRECT SKIN COLOR DEFECTS | 804.00 |
| MD11950 | THERAPY FOR CONTOUR DEFECTS | 300.16 |
| MD11951 | THERAPY FOR CONTOUR DEFECTS | 453.46 |
| MD11952 | THERAPY FOR CONTOUR DEFECTS | 765.41 |
| MD11954 | THERAPY FOR CONTOUR DEFECTS | 1,023.76 |
| MD11960 | INSERT TISSUE EXPANDER(S) | 2,448.45 |
| MD11970 | REPLACE TISSUE EXPANDER | 2,787.20 |
| MD11971 | REMOVE TISSUE EXPANDER(S) | 1,059.14 |
| MD11975 | INSERT CONTRACEPTIVE CAP | 377.34 |
| MD11976 | REMOVAL OF CONTRACEPTIVE CAP | 237.98 |
| MD11977 | REMOVE/REINSERT CONTRA CAP | 643.20 |
| MD11980 | IMPLANT HORMONE PELLET (S) | 316.24 |
| MD12001 | REPAIR SUPERFICIAL WOUND(S) | 143.65 |
| MD12002 | REPAIR SUPERFICIAL WOUND(S) | 196.18 |
| MD12004 | REPAIR SUPERFICIAL WOUND(S) | 266.93 |
| MD12005 | REPAIR SUPERFICIAL WOUND(S) | 321.60 |
| MD12006 | REPAIR SUPERFICIAL WOUND(S) | 399.86 |
| MD12007 | REPAIR SUPERFICIAL WOUND(S) | 562.80 |
| MD12011 | REPAIR SUPERFICIAL WOUND(S) | 172.59 |
| MD12013 | REPAIR SUPERFICIAL WOUND(S) | 235.84 |
| MD12014 | REPAIR SUPERFICIAL WOUND(S) | 280.86 |
| MD12015 | REPAIR SUPERFICIAL WOUND(S) | 389.14 |
| MD12016 | REPAIR SUPERFICIAL WOUND(S) | 517.78 |
| MD12017 | REPAIR SUPERFICIAL WOUND(S) | 690.37 |
| MD12018 | REPAIR SUPERFICIAL WOUND(S) | 922.99 |
| MD12020 | CLOSURE OF SPLIT WOUND | 284.08 |
| MD12021 | CLOSURE OF SPLIT WOUND | 278.72 |
| MD12031 | LAYER CLOSURE OF WOUND(S) | 198.32 |
| MD12032 | LAYER CLOSURE OF WOUND(S) | 270.14 |
| MD12034 | LAYER CLOSURE OF WOUND(S) | 349.47 |
| MD12035 | LAYER CLOSURE OF WOUND(S) | 452.38 |
| MD12036 | LAYER CLOSURE OF WOUND(S) | 615.33 |
| MD12037 | LAYER CLOSURE OF WOUND(S) | 758.98 |
| MD12041 | LAYER CLOSURE OF WOUND(S) | 227.26 |
| MD12042 | LAYER CLOSURE OF WOUND(S) | 310.88 |
| MD12044 | LAYER CLOSURE OF WOUND(S) | 371.98 |
| MD12045 | LAYER CLOSURE OF WOUND(S) | 480.26 |
| MD12046 | LAYER CLOSURE OF WOUND(S) | 608.90 |
| MD12047 | LAYER CLOSURE OF WOUND(S) | 794.35 |
| MD12051 | LAYER CLOSURE OF WOUND(S) | 271.22 |
| MD12052 | LAYER CLOSURE OF WOUND(S) | 368.77 |
| MD12053 | LAYER CLOSURE OF WOUND(S) | 437.38 |
| MD12054 | LAYER CLOSURE OF WOUND(S) | 586.38 |
| MD12055 | LAYER CLOSURE OF WOUND(S) | 799.71 |
| MD12056 | LAYER CLOSURE OF WOUND(S) | 947.65 |
| MD12057 | LAYER CLOSURE OF WOUND(S) | 1,129.89 |
| MD13100 | REPAIR OF WOUND OR LESION | 305.52 |
| MD13101 | REPAIR OF WOUND OR LESION | 479.18 |
| MD13102 | REPAIR WOUND/LESION ADD-ON | 135.07 |
| MD13120 | REPAIR OF WOUND OR LESION | 405.22 |
| MD13121 | REPAIR OF WOUND OR LESION | 636.77 |
| MD13122 | REPAIR WOUND/LESION ADD-ON | 156.51 |
| MD13131 | REPAIR OF WOUND OR LESION | 498.48 |
| MD13132 | REPAIR OF WOUND OR LESION | 858.67 |
| MD13133 | REPAIR WOUND/LESION ADD-ON | 231.55 |
| MD13150 | REPAIR OF WOUND OR LESION | 455.60 |
| MD13151 | REPAIR OF WOUND OR LESION | 615.33 |
| MD13152 | REPAIR OF WOUND OR LESION | 1,080.58 |
| MD13153 | REPAIR WOUND/LESION ADD-ON | 254.06 |
| MD13160 | LATE CLOSURE OF WOUND | 1,050.56 |
| MD14000 | SKIN TISSUE REARRANGEMENT | 1,001.25 |
| MD14001 | SKIN TISSUE REARRANGEMENT | 1,362.51 |
| MD14020 | SKIN TISSUE REARRANGEMENT | 1,264.96 |
| MD14021 | SKIN TISSUE REARRANGEMENT | 1,679.82 |
| MD14040 | SKIN TISSUE REARRANGEMENT | 1,346.43 |
| MD14041 | SKIN TISSUE REARRANGEMENT | 1,879.22 |
| MD14060 | SKIN TISSUE REARRANGEMENT | 1,805.25 |
| MD14061 | SKIN TISSUE REARRANGEMENT | 2,529.92 |
| MD14300 | SKIN TISSUE REARRANGEMENT | 2,759.33 |
| MD14350 | SKIN TISSUE REARRANGEMENT | 1,450.42 |
| MD15000 | SKIN GRAFT | 761.12 |
| MD15001 | SKIN GRAFT ADD-ON | 122.21 |
| MD15050 | SKIN PINCH GRAFT | 678.58 |
| MD15100 | SKIN SPLIT GRAFT | 1,236.02 |
| MD15101 | SKIN SPLIT GRAFT ADD-ON | 766.48 |
| MD15120 | SKIN SPLIT GRAFT | 1,739.86 |
| MD15121 | SKIN SPLIT GRAFT ADD-ON | 1,039.84 |
| MD15200 | SKIN FULL GRAFT | 1,059.14 |
| MD15201 | SKIN FULL GRAFT ADD-ON | 525.28 |
| MD15220 | SKIN FULL GRAFT | 1,292.83 |
| MD15221 | SKIN FULL GRAFT ADD-ON | 905.84 |
| MD15240 | SKIN FULL GRAFT | 1,645.52 |
| MD15241 | SKIN FULL GRAFT ADD-ON | 860.82 |
| MD15260 | SKIN FULL GRAFT | 1,777.38 |
| MD15261 | SKIN FULL GRAFT ADD-ON | 773.98 |
| MD15350 | SKIN HOMOGRAFT | 539.22 |
| MD15351 | SKIN HOMOGRAFT ADD-ON | 107.20 |
| MD15400 | SKIN HETEROGRAFT | 530.64 |
| MD15401 | SKIN HETEROGRAFT ADD-ON | 107.20 |
| MD15570 | FORM SKIN PEDICLE FLAP | 2,216.90 |
| MD15572 | FORM SKIN PEDICLE FLAP | 2,439.87 |
| MD15574 | FORM SKIN PEDICLE FLAP | 2,840.80 |
| MD15576 | FORM SKIN PEDICLE FLAP | 2,050.74 |
| MD15600 | SKIN GRAFT | 892.98 |
| MD15610 | SKIN GRAFT | 964.80 |
| MD15620 | SKIN GRAFT | 1,327.14 |
| MD15630 | SKIN GRAFT | 1,317.49 |
| MD15650 | TRANSFER SKIN PEDICLE FLAP | 1,259.60 |
| MD15732 | MUSCLE-SKIN GRAFT, HEAD/NECK | 4,234.40 |
| MD15734 | MUSCLE-SKIN GRAFT, TRUNK | 4,208.67 |
| MD15736 | MUSCLE-SKIN GRAFT, ARM | 4,904.40 |
| MD15738 | MUSCLE-SKIN GRAFT, LEG | 4,663.20 |
| MD15740 | ISLAND PEDICLE FLAP GRAFT | 2,311.23 |
| MD15750 | NEUROVASCULAR PEDICLE GRAFT | 2,606.03 |
| MD15756 | FREE MUSCLE FLAP, MICROVASC | 7,083.78 |
| MD15757 | FREE SKIN FLAP, MICROVASC | 7,083.78 |
| MD15758 | FREE FASCIAL FLAP, MICROVASC | 7,083.78 |
| MD15760 | COMPOSITE SKIN GRAFT | 1,910.30 |
| MD15770 | DERMA-FAT-FASCIA GRAFT | 1,695.90 |
| MD15775 | HAIR TRANSPLANT PUNCH GRAFTS | 245.49 |
| MD15776 | HAIR TRANSPLANT PUNCH GRAFTS | 343.04 |
| MD15780 | ABRASION TREATMENT OF SKIN | 1,993.92 |
| MD15781 | ABRASION TREATMENT OF SKIN | 957.30 |
| MD15782 | ABRASION TREATMENT OF SKIN | 680.72 |
| MD15783 | ABRASION TREATMENT OF SKIN | 662.50 |
| MD15786 | ABRASION, LESION, SINGLE | 301.23 |
| MD15787 | ABRASION, LESIONS, ADD-ON | 156.51 |
| MD15788 | CHEMICAL PEEL, FACE, EPIDERM | 768.62 |
| MD15789 | CHEMICAL PEEL, FACE, DERMAL | 1,531.89 |
| MD15792 | CHEMICAL PEEL, NONFACIAL | 428.80 |
| MD15793 | CHEMICAL PEEL, NONFACIAL | 600.32 |
| MD15810 | SALABRASION | 643.20 |
| MD15811 | SALABRASION | 653.92 |
| MD15819 | PLASTIC SURGERY, NECK | 1,951.04 |
| MD15820 | REVISION OF LOWER EYELID | 1,649.81 |
| MD15821 | REVISION OF LOWER EYELID | 1,614.43 |
| MD15822 | REVISION OF UPPER EYELID | 1,558.69 |
| MD15823 | REVISION OF UPPER EYELID | 1,708.77 |
| MD15824 | REMOVAL OF FOREHEAD WRINKLES | 2,328.38 |
| MD15825 | REMOVAL OF NECK WRINKLES | 3,010.18 |
| MD15826 | REMOVAL OF BROW WRINKLES | 1,583.34 |
| MD15828 | REMOVAL OF FACE WRINKLES | 4,540.99 |
| MD15829 | REMOVAL OF SKIN WRINKLES | 4,448.80 |
| MD15831 | EXCISE EXCESSIVE SKIN TISSUE | 3,980.34 |
| MD15832 | EXCISE EXCESSIVE SKIN TISSUE | 4,073.60 |
| MD15833 | EXCISE EXCESSIVE SKIN TISSUE | 4,237.62 |
| MD15834 | EXCISE EXCESSIVE SKIN TISSUE | 3,977.12 |
| MD15835 | EXCISE EXCESSIVE SKIN TISSUE | 4,398.42 |
| MD15836 | EXCISE EXCESSIVE SKIN TISSUE | 2,760.40 |
| MD15837 | EXCISE EXCESSIVE SKIN TISSUE | 2,157.94 |
| MD15838 | EXCISE EXCESSIVE SKIN TISSUE | 1,595.14 |
| MD15839 | EXCISE EXCESSIVE SKIN TISSUE | 1,768.80 |
| MD15840 | GRAFT FOR FACE NERVE PALSY | 3,540.82 |
| MD15841 | GRAFT FOR FACE NERVE PALSY | 4,157.22 |
| MD15842 | GRAFT FOR FACE NERVE PALSY | 5,590.48 |
| MD15845 | SKIN AND MUSCLE REPAIR, FACE | 3,660.88 |
| MD15850 | REMOVAL OF SUTURES | 236.91 |
| MD15851 | REMOVAL OF SUTURES | 182.24 |
| MD15852 | DRESSING CHANGE, NOT FOR BURN | 220.83 |
| MD15860 | TEST FOR BLOOD FLOW IN GRAFT | 364.48 |
| MD15876 | SUCTION ASSISTED LIPECTOMY | 1,718.42 |
| MD15877 | SUCTION ASSISTED LIPECTOMY | 2,197.60 |
| MD15878 | SUCTION ASSISTED LIPECTOMY | 1,768.80 |
| MD15879 | SUCTION ASSISTED LIPECTOMY | 2,144.00 |
| MD15920 | REMOVAL OF TAIL BONE ULCER | 1,098.80 |
| MD15922 | REMOVAL OF TAIL BONE ULCER | 1,815.97 |
| MD15931 | REMOVE SACRUM PRESSURE SORE | 1,388.24 |
| MD15933 | REMOVE SACRUM PRESSURE SORE | 2,131.14 |
| MD15934 | REMOVE SACRUM PRESSURE SORE | 2,542.78 |
| MD15935 | REMOVE SACRUM PRESSURE SORE | 3,240.66 |
| MD15936 | REMOVE SACRUM PRESSURE SORE | 3,036.98 |
| MD15937 | REMOVE SACRUM PRESSURE SORE | 3,510.80 |
| MD15940 | REMOVE HIP PRESSURE SORE | 1,490.08 |
| MD15941 | REMOVE HIP PRESSURE SORE | 1,943.54 |
| MD15944 | REMOVE HIP PRESSURE SORE | 2,358.40 |
| MD15945 | REMOVE HIP PRESSURE SORE | 2,774.34 |
| MD15946 | REMOVE HIP PRESSURE SORE | 3,401.46 |
| MD15950 | REMOVE THIGH PRESSURE SORE | 1,393.60 |
| MD15951 | REMOVE THIGH PRESSURE SORE | 1,999.28 |
| MD15952 | REMOVE THIGH PRESSURE SORE | 1,983.20 |
| MD15953 | REMOVE THIGH PRESSURE SORE | 2,388.42 |
| MD15956 | REMOVE THIGH PRESSURE SORE | 3,484.00 |
| MD15958 | REMOVE THIGH PRESSURE SORE | 3,591.20 |
| MD15999 | REMOVAL OF PRESSURE SORE | 0.00 |
| MD16000 | INITIAL TREATMENT OF BURN(S) | 86.83 |
| MD16010 | TREATMENT OF BURN(S) | 218.69 |
| MD16015 | TREATMENT OF BURN(S) | 619.62 |
| MD16020 | TREATMENT OF BURN(S) | 91.12 |
| MD16025 | TREATMENT OF BURN(S) | 151.15 |
| MD16030 | TREATMENT OF BURN(S) | 227.26 |
| MD16035 | INCISION OF BURN SCAB | 825.44 |
| MD17000 | DESTRUCTION OF FACIAL LESION | 91.12 |
| MD17003 | DESTROY LESIONS, 2-14 | 31.09 |
| MD17004 | DESTROY LESIONS, 15 OR MORE | 449.17 |
| MD17106 | DESTRUCTION OF SKIN LESIONS | 484.54 |
| MD17107 | DESTRUCTION OF SKIN LESIONS | 925.14 |
| MD17108 | DESTRUCTION OF SKIN LESIONS | 1,608.00 |
| MD17110 | DESTRUCT LESION, 1-14 | 85.76 |
| MD17111 | DESTRUCT LESION, 15 OR MORE | 123.28 |
| MD17250 | CHEMICAL CAUTERY, TISSUE | 109.34 |
| MD17260 | DESTRUCTION OF SKIN LESIONS | 162.94 |
| MD17261 | DESTRUCTION OF SKIN LESIONS | 209.04 |
| MD17262 | DESTRUCTION OF SKIN LESIONS | 240.13 |
| MD17263 | DESTRUCTION OF SKIN LESIONS | 302.30 |
| MD17264 | DESTRUCTION OF SKIN LESIONS | 323.74 |
| MD17266 | DESTRUCTION OF SKIN LESIONS | 417.01 |
| MD17270 | DESTRUCTION OF SKIN LESIONS | 189.74 |
| MD17271 | DESTRUCTION OF SKIN LESIONS | 241.20 |
| MD17272 | DESTRUCTION OF SKIN LESIONS | 314.10 |
| MD17273 | DESTRUCTION OF SKIN LESIONS | 369.84 |
| MD17274 | DESTRUCTION OF SKIN LESIONS | 460.96 |
| MD17276 | DESTRUCTION OF SKIN LESIONS | 601.39 |
| MD17280 | DESTRUCTION OF SKIN LESIONS | 228.34 |
| MD17281 | DESTRUCTION OF SKIN LESIONS | 280.86 |
| MD17282 | DESTRUCTION OF SKIN LESIONS | 381.63 |
| MD17283 | DESTRUCTION OF SKIN LESIONS | 448.10 |
| MD17284 | DESTRUCTION OF SKIN LESIONS | 530.64 |
| MD17286 | DESTRUCTION OF SKIN LESIONS | 716.10 |
| MD17304 | CHEMOSURGERY OF SKIN LESION, 1ST STA | 775.06 |
| MD17305 | 2ND STAGE CHEMOSURGERY | 433.09 |
| MD17306 | 3RD STAGE CHEMOSURGERY | 417.01 |
| MD17307 | FOLLOWUP SKIN LESION THERAPY | 417.01 |
| MD17310 | EXTENSIVE SKIN CHEMOSURGERY | 117.92 |
| MD17340 | CRYOTHERAPY OF SKIN | 58.96 |
| MD17360 | SKIN PEEL THERAPY | 92.19 |
| MD17380 | HAIR REMOVAL BY ELECTROLYSIS | 91.12 |
| MD17999 | SKIN TISSUE PROCEDURE | 270.14 |
| MD19000 | DRAINAGE OF BREAST LESION | 136.14 |
| MD19001 | DRAIN BREAST LESION ADD-ON | 70.75 |
| MD19020 | INCISION OF BREAST LESION | 465.25 |
| MD19030 | INJECTION FOR BREAST X-RAY | 123.28 |
| MD19100 | BIOPSY OF BREAST | 197.25 |
| MD19101 | BIOPSY OF BREAST | 653.92 |
| MD19110 | NIPPLE EXPLORATION | 1,026.98 |
| MD19112 | EXCISE BREAST DUCT FISTULA | 862.96 |
| MD19120 | REMOVAL OF BREAST LESION | 889.76 |
| MD19125 | EXCISION, BREAST LESION | 1,072.00 |
| MD19126 | EXCISION, ADDL BREAST LESION | 746.11 |
| MD19140 | REMOVAL OF BREAST TISSUE | 1,703.41 |
| MD19160 | REMOVAL OF BREAST TISSUE | 1,595.14 |
| MD19162 | REMOVE BREAST TISSUE, NODES | 2,503.12 |
| MD19180 | REMOVAL OF BREAST | 2,253.34 |
| MD19182 | REMOVAL OF BREAST | 2,334.82 |
| MD19200 | REMOVAL OF BREAST | 2,894.40 |
| MD19220 | REMOVAL OF BREAST | 2,840.80 |
| MD19240 | REMOVAL OF BREAST | 2,969.44 |
| MD19260 | REMOVAL OF CHEST WALL LESION | 2,674.64 |
| MD19271 | REVISION OF CHEST WALL | 3,964.26 |
| MD19272 | EXTENSIVE CHEST WALL SURGERY | 4,609.60 |
| MD19290 | PLACE NEEDLE WIRE, BREAST | 190.82 |
| MD19291 | PLACE NEEDLE WIRE, BREAST | 128.64 |
| MD19316 | SUSPENSION OF BREAST | 2,358.40 |
| MD19318 | REDUCTION OF LARGE BREAST | 3,827.04 |
| MD19324 | ENLARGE BREAST | 1,618.72 |
| MD19325 | ENLARGE BREAST WITH IMPLANT | 2,100.05 |
| MD19328 | REMOVAL OF BREAST IMPLANT | 1,150.26 |
| MD19330 | REMOVAL OF IMPLANT MATERIAL | 2,507.41 |
| MD19340 | IMMEDIATE BREAST PROSTHESIS | 2,626.40 |
| MD19342 | DELAYED BREAST PROSTHESIS | 2,473.10 |
| MD19350 | BREAST RECONSTRUCTION | 1,886.72 |
| MD19355 | CORRECT INVERTED NIPPLE(S) | 1,393.60 |
| MD19357 | BREAST RECONSTRUCTION | 3,537.60 |
| MD19361 | BREAST RECONSTRUCTION | 4,609.60 |
| MD19364 | BREAST RECONSTRUCTION | 4,877.60 |
| MD19366 | BREAST RECONSTRUCTION | 5,038.40 |
| MD19367 | BREAST RECONSTRUCTION | 5,405.02 |
| MD19368 | BREAST RECONSTRUCTION | 7,482.56 |
| MD19369 | BREAST RECONSTRUCTION | 7,504.00 |
| MD19370 | SURGERY OF BREAST CAPSULE | 2,042.16 |
| MD19371 | REMOVAL OF BREAST CAPSULE | 2,251.20 |
| MD19380 | REVISE BREAST RECONSTRUCTION | 2,519.20 |
| MD19396 | DESIGN CUSTOM BREAST IMPLANT | 187.60 |
| MD19499 | BREAST SURGERY PROCEDURE | 0.00 |
| MD20000 | INCISION OF ABSCESS | 204.75 |
| MD20005 | INCISION OF DEEP ABSCESS | 573.52 |
| MD20100 | EXPLORE WOUND, NECK | 1,340.00 |
| MD20101 | EXPLORE WOUND, CHEST | 561.73 |
| MD20102 | EXPLORE WOUND, ABDOMEN | 616.40 |
| MD20103 | EXPLORE WOUND, EXTREMITY | 991.60 |
| MD20150 | EXCISE EPIPHYSEAL BAR | 2,491.33 |
| MD20200 | MUSCLE BIOPSY | 321.60 |
| MD20205 | DEEP MUSCLE BIOPSY | 509.20 |
| MD20206 | NEEDLE BIOPSY, MUSCLE | 206.90 |
| MD20220 | BONE BIOPSY, TROCAR/NEEDLE | 257.28 |
| MD20225 | BONE BIOPSY, TROCAR/NEEDLE | 681.79 |
| MD20240 | BONE BIOPSY, OPEN | 563.87 |
| MD20245 | BONE BIOPSY, EXCISIONAL | 875.82 |
| MD20250 | OPEN BONE BIOPSY | 2,647.84 |
| MD20251 | OPEN BONE BIOPSY | 2,077.54 |
| MD20500 | INJECTION OF SINUS TRACT | 85.76 |
| MD20501 | INJECT SINUS TRACT FOR X-RAY | 131.86 |
| MD20520 | REMOVAL OF FOREIGN BODY | 255.14 |
| MD20525 | REMOVAL OF FOREIGN BODY | 647.49 |
| MD20550 | INJ SINGLE TENDON SHEATH/LIGAMENT | 83.62 |
| MD20600 | DRAIN/INJECT, JOINT/BURSA | 80.40 |
| MD20605 | DRAIN/INJECT, JOINT/BURSA | 88.98 |
| MD20610 | DRAIN/INJECT, JOINT/BURSA | 106.13 |
| MD20615 | TREATMENT OF BONE CYST | 453.46 |
| MD20650 | INSERT AND REMOVE BONE PIN | 380.56 |
| MD20660 | APPLY, REMOVE FIXATION DEVICE | 814.72 |
| MD20661 | APPLICATION OF HEAD BRACE | 1,076.29 |
| MD20662 | APPLICATION OF PELVIS BRACE | 722.53 |
| MD20663 | APPLICATION OF THIGH BRACE | 677.50 |
| MD20664 | HALO BRACE APPLICATION | 806.14 |
| MD20665 | REMOVAL OF FIXATION DEVICE | 142.58 |
| MD20670 | REMOVAL OF SUPPORT IMPLANT | 352.69 |
| MD20680 | REMOVAL OF SUPPORT IMPLANT | 782.56 |
| MD20690 | APPLY BONE FIXATION DEVICE | 900.48 |
| MD20692 | APPLY BONE FIXATION DEVICE | 1,466.50 |
| MD20693 | ADJUST BONE FIXATION DEVICE | 716.10 |
| MD20694 | REMOVE BONE FIXATION DEVICE | 607.82 |
| MD20802 | REPLANTATION, ARM, COMPLETE | 8,848.29 |
| MD20805 | REPLANT, FOREARM, COMPLETE | 9,803.44 |
| MD20808 | REPLANTATION HAND, COMPLETE | 9,648.00 |
| MD20816 | REPLANTATION, DIGIT, COMPLETE | 4,956.93 |
| MD20822 | REPLANTATION, DIGIT, COMPLETE | 4,672.85 |
| MD20824 | REPLANTATION, THUMB, COMPLETE | 5,065.20 |
| MD20827 | REPLANTATION, THUMB, COMPLETE | 4,904.40 |
| MD20838 | REPLANTATION FOOT, COMPLETE | 9,534.37 |
| MD20900 | REMOVAL OF BONE FOR GRAFT | 835.09 |
| MD20902 | REMOVAL OF BONE FOR GRAFT | 1,200.64 |
| MD20910 | REMOVE CARTILAGE FOR GRAFT | 1,147.04 |
| MD20912 | REMOVE CARTILAGE FOR GRAFT | 1,269.25 |
| MD20920 | REMOVAL OF FASCIA FOR GRAFT | 558.51 |
| MD20922 | REMOVAL OF FASCIA FOR GRAFT | 881.18 |
| MD20924 | REMOVAL OF TENDON FOR GRAFT | 1,084.86 |
| MD20926 | REMOVAL OF TISSUE FOR GRAFT | 798.64 |
| MD20930 | SPINAL BONE ALLOGRAFT | 0.00 |
| MD20931 | SPINAL BONE ALLOGRAFT | 402.00 |
| MD20936 | SPINAL BONE AUTOGRAFT | 1,259.60 |
| MD20937 | SPINAL BONE AUTOGRAFT | 887.62 |
| MD20938 | SPINAL BONE AUTOGRAFT | 1,238.16 |
| MD20950 | FLUID PRESSURE, MUSCLE | 256.21 |
| MD20955 | MICROVASCULAR FIBULA GRAFT | 8,956.56 |
| MD20956 | ILIAC BONE GRAFT, MICROVASC | 6,784.69 |
| MD20957 | MT BONE GRAFT, MICROVASC | 7,029.10 |
| MD20962 | MICROVASCULAR BONE GRAFT | 6,925.12 |
| MD20969 | BONE-SKIN GRAFT | 7,162.03 |
| MD20970 | BONE-SKIN GRAFT, PELVIS | 7,198.48 |
| MD20972 | BONE/SKIN GRAFT, METATARSAL | 7,610.13 |
| MD20973 | BONE/SKIN GRAFT, GREAT TOE | 7,799.87 |
| MD20974 | ELECTRICAL BONE STIMULATION | 650.70 |
| MD20975 | ELECTRICAL BONE STIMULATION | 1,233.87 |
| MD20979 | US BONE STIMULATION | 102.91 |
| MD20999 | MUSCULOSKELETAL SURGERY | 0.00 |
| MD21010 | INCISION OF JAW JOINT | 2,219.04 |
| MD21015 | RESECTION OF FACIAL TUMOR | 1,346.43 |
| MD21025 | EXCISION OF BONE, LOWER JAW | 1,156.69 |
| MD21026 | EXCISION OF FACIAL BONE(S) | 1,141.68 |
| MD21029 | CONTOUR OF FACE BONE LESION | 1,267.10 |
| MD21030 | REMOVAL OF FACE BONE LESION | 1,657.31 |
| MD21031 | REMOVE EXOSTOSIS, MANDIBLE | 582.10 |
| MD21032 | REMOVE EXOSTOSIS, MAXILLA | 752.54 |
| MD21034 | REMOVAL OF FACE BONE LESION | 2,877.25 |
| MD21040 | REMOVAL OF JAW BONE LESION | 1,022.69 |
| MD21041 | REMOVAL OF JAW BONE LESION | 1,849.20 |
| MD21044 | REMOVAL OF JAW BONE LESION | 2,600.67 |
| MD21045 | EXTENSIVE JAW SURGERY | 5,437.18 |
| MD21050 | REMOVAL OF JAW JOINT | 2,927.63 |
| MD21060 | REMOVE JAW JOINT CARTILAGE | 2,935.14 |
| MD21070 | REMOVE CORONOID PROCESS | 2,480.61 |
| MD21076 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21077 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21079 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21080 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21081 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21082 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21083 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21084 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21085 | PREPARE FACE/ORAL PROSTHESIS | 358.05 |
| MD21086 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21087 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21088 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21089 | PREPARE FACE/ORAL PROSTHESIS | 0.00 |
| MD21100 | MAXILLOFACIAL FIXATION | 428.80 |
| MD21110 | INTERDENTAL FIXATION | 1,240.30 |
| MD21116 | INJECTION, JAW JOINT X-RAY | 170.45 |
| MD21120 | RECONSTRUCTION OF CHIN | 1,916.74 |
| MD21121 | RECONSTRUCTION OF CHIN | 2,459.17 |
| MD21122 | RECONSTRUCTION OF CHIN | 2,090.40 |
| MD21123 | RECONSTRUCTION OF CHIN | 2,338.03 |
| MD21125 | AUGMENTATION, LOWER JAW BONE | 1,983.20 |
| MD21127 | AUGMENTATION, LOWER JAW BONE | 2,090.40 |
| MD21137 | REDUCTION OF FOREHEAD | 2,047.52 |
| MD21138 | REDUCTION OF FOREHEAD | 2,549.22 |
| MD21139 | REDUCTION OF FOREHEAD | 3,060.56 |
| MD21141 | RECONSTRUCT MIDFACE, LEFORT | 3,883.86 |
| MD21142 | RECONSTRUCT MIDFACE, LEFORT | 4,028.58 |
| MD21143 | RECONSTRUCT MIDFACE, LEFORT | 4,187.23 |
| MD21145 | RECONSTRUCT MIDFACE, LEFORT | 4,494.90 |
| MD21146 | RECONSTRUCT MIDFACE, LEFORT | 4,537.78 |
| MD21147 | RECONSTRUCT MIDFACE, LEFORT | 5,146.67 |
| MD21150 | RECONSTRUCT MIDFACE, LEFORT | 4,904.40 |
| MD21151 | RECONSTRUCT MIDFACE, LEFORT | 6,488.82 |
| MD21154 | RECONSTRUCT MIDFACE, LEFORT | 6,056.80 |
| MD21155 | RECONSTRUCT MIDFACE, LEFORT | 5,896.00 |
| MD21159 | RECONSTRUCT MIDFACE, LEFORT | 9,730.54 |
| MD21160 | RECONSTRUCT MIDFACE, LEFORT | 10,656.75 |
| MD21172 | RECONSTRUCT ORBIT/FOREHEAD | 6,718.22 |
| MD21175 | RECONSTRUCT ORBIT/FOREHEAD | 8,332.66 |
| MD21179 | RECONSTRUCT ENTIRE FOREHEAD | 6,030.00 |
| MD21180 | RECONSTRUCT ENTIRE FOREHEAD | 5,735.20 |
| MD21181 | CONTOUR CRANIAL BONE LESION | 1,340.00 |
| MD21182 | RECONSTRUCT CRANIAL BONE | 6,539.20 |
| MD21183 | RECONSTRUCT CRANIAL BONE | 4,476.67 |
| MD21184 | RECONSTRUCT CRANIAL BONE | 5,552.96 |
| MD21188 | RECONSTRUCTION OF MIDFACE | 3,971.76 |
| MD21193 | RECONSTRUCT LOWER JAW BONE | 3,964.26 |
| MD21194 | RECONSTRUCT LOWER JAW BONE | 4,639.62 |
| MD21195 | RECONSTRUCT LOWER JAW BONE | 4,259.06 |
| MD21196 | RECONSTRUCT LOWER JAW BONE | 4,854.02 |
| MD21198 | RECONSTRUCT LOWER JAW BONE | 3,377.87 |
| MD21206 | RECONSTRUCT UPPER JAW BONE | 2,860.10 |
| MD21208 | AUGMENTATION OF FACIAL BONES | 2,238.34 |
| MD21209 | REDUCTION OF FACIAL BONES | 2,219.04 |
| MD21210 | FACE BONE GRAFT | 3,199.92 |
| MD21215 | LOWER JAW BONE GRAFT | 3,504.37 |
| MD21230 | RIB CARTILAGE GRAFT | 3,465.78 |
| MD21235 | EAR CARTILAGE GRAFT | 2,258.70 |
| MD21240 | RECONSTRUCTION OF JAW JOINT | 3,760.58 |
| MD21242 | RECONSTRUCTION OF JAW JOINT | 3,417.54 |
| MD21243 | RECONSTRUCTION OF JAW JOINT | 4,118.62 |
| MD21244 | RECONSTRUCTION OF LOWER JAW | 3,730.56 |
| MD21245 | RECONSTRUCTION OF JAW | 2,854.74 |
| MD21246 | RECONSTRUCTION OF JAW | 3,229.94 |
| MD21247 | RECONSTRUCT LOWER JAW BONE | 4,459.52 |
| MD21248 | RECONSTRUCTION OF JAW | 2,871.89 |
| MD21249 | RECONSTRUCTION OF JAW | 5,835.97 |
| MD21255 | RECONSTRUCT LOWER JAW BONE | 4,890.46 |
| MD21256 | RECONSTRUCTION OF ORBIT | 5,158.46 |
| MD21260 | REVISE EYE SOCKETS | 6,035.36 |
| MD21261 | REVISE EYE SOCKETS | 6,809.34 |
| MD21263 | REVISE EYE SOCKETS | 8,442.00 |
| MD21267 | REVISE EYE SOCKETS | 5,802.74 |
| MD21268 | REVISE EYE SOCKETS | 8,694.99 |
| MD21270 | AUGMENTATION, CHEEK BONE | 2,470.96 |
| MD21275 | REVISION, ORBITOFACIAL BONES | 5,252.80 |
| MD21280 | REVISION OF EYELID | 2,074.32 |
| MD21282 | REVISION OF EYELID | 1,747.36 |
| MD21295 | REVISION OF JAW MUSCLE/BONE | 0.00 |
| MD21296 | REVISION OF JAW MUSCLE/BONE | 0.00 |
| MD21299 | CRANIO/MAXILLOFACIAL SURGERY | 0.00 |
| MD21300 | TREATMENT OF SKULL FRACTURE | 421.30 |
| MD21310 | TREATMENT OF NOSE FRACTURE | 374.13 |
| MD21315 | TREATMENT OF NOSE FRACTURE | 399.86 |
| MD21320 | TREATMENT OF NOSE FRACTURE | 701.09 |
| MD21325 | TREATMENT OF NOSE FRACTURE | 1,188.85 |
| MD21330 | TREATMENT OF NOSE FRACTURE | 2,088.26 |
| MD21335 | TREATMENT OF NOSE FRACTURE | 2,748.61 |
| MD21336 | TREAT NASAL SEPTAL FRACTURE | 1,434.34 |
| MD21337 | TREAT NASAL SEPTAL FRACTURE | 839.38 |
| MD21338 | TREAT NASOETHMOID FRACTURE | 2,328.38 |
| MD21339 | TREAT NASOETHMOID FRACTURE | 2,631.76 |
| MD21340 | TREATMENT OF NOSE FRACTURE | 2,855.81 |
| MD21343 | TREATMENT OF SINUS FRACTURE | 3,030.54 |
| MD21344 | TREATMENT OF SINUS FRACTURE | 3,567.62 |
| MD21345 | TREAT NOSE/JAW FRACTURE | 2,762.54 |
| MD21346 | TREAT NOSE/JAW FRACTURE | 2,984.45 |
| MD21347 | TREAT NOSE/JAW FRACTURE | 3,444.34 |
| MD21348 | TREAT NOSE/JAW FRACTURE | 3,160.26 |
| MD21355 | TREAT CHEEK BONE FRACTURE | 1,334.64 |
| MD21356 | TREAT CHEEK BONE FRACTURE | 1,536.18 |
| MD21360 | TREAT CHEEK BONE FRACTURE | 2,005.71 |
| MD21365 | TREAT CHEEK BONE FRACTURE | 3,122.74 |
| MD21366 | TREAT CHEEK BONE FRACTURE | 3,532.24 |
| MD21385 | TREAT EYE SOCKET FRACTURE | 2,097.90 |
| MD21386 | TREAT EYE SOCKET FRACTURE | 2,606.03 |
| MD21387 | TREAT EYE SOCKET FRACTURE | 2,996.24 |
| MD21390 | TREAT EYE SOCKET FRACTURE | 3,043.41 |
| MD21395 | TREAT EYE SOCKET FRACTURE | 3,386.45 |
| MD21400 | TREAT EYE SOCKET FRACTURE | 603.54 |
| MD21401 | TREAT EYE SOCKET FRACTURE | 2,127.92 |
| MD21406 | TREAT EYE SOCKET FRACTURE | 2,350.90 |
| MD21407 | TREAT EYE SOCKET FRACTURE | 2,890.11 |
| MD21408 | TREAT EYE SOCKET FRACTURE | 2,723.95 |
| MD21421 | TREAT MOUTH ROOF FRACTURE | 1,850.27 |
| MD21422 | TREAT MOUTH ROOF FRACTURE | 2,597.46 |
| MD21423 | TREAT MOUTH ROOF FRACTURE | 2,436.66 |
| MD21431 | TREAT CRANIOFACIAL FRACTURE | 2,579.23 |
| MD21432 | TREAT CRANIOFACIAL FRACTURE | 3,119.52 |
| MD21433 | TREAT CRANIOFACIAL FRACTURE | 4,281.57 |
| MD21435 | TREAT CRANIOFACIAL FRACTURE | 3,844.19 |
| MD21436 | TREAT CRANIOFACIAL FRACTURE | 4,549.57 |
| MD21440 | TREAT DENTAL RIDGE FRACTURE | 1,485.79 |
| MD21445 | TREAT DENTAL RIDGE FRACTURE | 2,000.35 |
| MD21450 | TREAT LOWER JAW FRACTURE | 686.08 |
| MD21451 | TREAT LOWER JAW FRACTURE | 1,810.61 |
| MD21452 | TREAT LOWER JAW FRACTURE | 1,123.46 |
| MD21453 | TREAT LOWER JAW FRACTURE | 1,961.76 |
| MD21454 | TREAT LOWER JAW FRACTURE | 2,334.82 |
| MD21461 | TREAT LOWER JAW FRACTURE | 2,444.16 |
| MD21462 | TREAT LOWER JAW FRACTURE | 2,874.03 |
| MD21465 | TREAT LOWER JAW FRACTURE | 2,475.25 |
| MD21470 | TREAT LOWER JAW FRACTURE | 3,650.16 |
| MD21480 | RESET DISLOCATED JAW | 263.71 |
| MD21485 | RESET DISLOCATED JAW | 661.42 |
| MD21490 | REPAIR DISLOCATED JAW | 2,052.88 |
| MD21493 | TREAT HYOID BONE FRACTURE | 602.46 |
| MD21494 | TREAT HYOID BONE FRACTURE | 1,779.52 |
| MD21495 | TREAT HYOID BONE FRACTURE | 2,258.70 |
| MD21497 | INTERDENTAL WIRING | 1,629.44 |
| MD21499 | HEAD SURGERY PROCEDURE | 0.00 |
| MD21501 | DRAIN NECK/CHEST LESION | 653.92 |
| MD21502 | DRAIN CHEST LESION | 962.66 |
| MD21510 | DRAINAGE OF BONE LESION | 859.74 |
| MD21550 | BIOPSY OF NECK/CHEST | 341.97 |
| MD21555 | REMOVE LESION, NECK/CHEST | 553.15 |
| MD21556 | REMOVE LESION, NECK/CHEST | 981.95 |
| MD21557 | REMOVE TUMOR, NECK/CHEST | 2,502.05 |
| MD21600 | PARTIAL REMOVAL OF RIB | 991.60 |
| MD21610 | PARTIAL REMOVAL OF RIB | 3,229.94 |
| MD21615 | REMOVAL OF RIB | 2,609.25 |
| MD21616 | REMOVAL OF RIB AND NERVES | 2,386.27 |
| MD21620 | PARTIAL REMOVAL OF STERNUM | 2,655.34 |
| MD21627 | STERNAL DEBRIDEMENT | 1,880.29 |
| MD21630 | EXTENSIVE STERNUM SURGERY | 3,400.38 |
| MD21632 | EXTENSIVE STERNUM SURGERY | 4,337.31 |
| MD21700 | REVISION OF NECK MUSCLE | 1,479.36 |
| MD21705 | REVISION OF NECK MUSCLE/RIB | 1,970.34 |
| MD21720 | REVISION OF NECK MUSCLE | 1,284.26 |
| MD21725 | REVISION OF NECK MUSCLE | 1,395.74 |
| MD21740 | RECONSTRUCTION OF STERNUM | 3,391.81 |
| MD21750 | REPAIR OF STERNUM SEPARATION | 2,057.17 |
| MD21800 | TREATMENT OF RIB FRACTURE | 168.30 |
| MD21805 | TREATMENT OF RIB FRACTURE | 1,294.98 |
| MD21810 | TREATMENT OF RIB FRACTURE(S) | 3,187.06 |
| MD21820 | TREAT STERNUM FRACTURE | 323.74 |
| MD21825 | TREAT STERNUM FRACTURE | 1,478.29 |
| MD21899 | NECK/CHEST SURGERY PROCEDURE | 664.64 |
| MD21920 | BIOPSY SOFT TISSUE OF BACK | 375.20 |
| MD21925 | BIOPSY SOFT TISSUE OF BACK | 725.74 |
| MD21930 | REMOVE LESION, BACK OR FLANK | 1,394.67 |
| MD21935 | REMOVE TUMOR, BACK | 3,006.96 |
| MD22100 | REMOVE PART OF NECK VERTEBRA | 1,442.91 |
| MD22101 | REMOVE PART, THORAX VERTEBRA | 1,291.76 |
| MD22102 | REMOVE PART, LUMBAR VERTEBRA | 1,521.17 |
| MD22103 | REMOVE EXTRA SPINE SEGMENT | 450.24 |
| MD22110 | REMOVE PART OF NECK VERTEBRA | 2,138.64 |
| MD22112 | REMOVE PART, THORAX VERTEBRA | 1,774.16 |
| MD22114 | REMOVE PART, LUMBAR VERTEBRA | 1,707.70 |
| MD22116 | REMOVE EXTRA SPINE SEGMENT | 0.00 |
| MD22210 | REVISION OF NECK SPINE | 5,161.68 |
| MD22212 | REVISION OF THORAX SPINE | 4,925.84 |
| MD22214 | REVISION OF LUMBAR SPINE | 4,771.47 |
| MD22216 | REVISE, EXTRA SPINE SEGMENT | 0.00 |
| MD22220 | REVISION OF NECK SPINE | 4,189.38 |
| MD22222 | REVISION OF THORAX SPINE | 4,738.24 |
| MD22224 | REVISION OF LUMBAR SPINE | 4,098.26 |
| MD22226 | REVISE, EXTRA SPINE SEGMENT | 0.00 |
| MD22305 | TREAT SPINE PROCESS FRACTURE | 576.74 |
| MD22310 | TREAT SPINE FRACTURE | 877.97 |
| MD22315 | TREAT SPINE FRACTURE | 1,337.86 |
| MD22318 | TREAT ODONTOID FX W/O GRAFT | 3,958.90 |
| MD22319 | TREAT ODONTOID FX W/ GRAFT | 4,471.31 |
| MD22325 | TREAT SPINE FRACTURE | 3,532.24 |
| MD22326 | TREAT NECK SPINE FRACTURE | 3,644.80 |
| MD22327 | TREAT THORAX SPINE FRACTURE | 3,432.54 |
| MD22328 | TREAT EACH ADD SPINE FX | 939.07 |
| MD22505 | MANIPULATION OF SPINE | 425.58 |
| MD22548 | NECK SPINE FUSION | 4,556.00 |
| MD22554 | NECK SPINE FUSION | 4,561.36 |
| MD22556 | THORAX SPINE FUSION | 4,409.14 |
| MD22558 | LUMBAR SPINE FUSION | 4,577.44 |
| MD22585 | ADDITIONAL SPINAL FUSION | 1,403.25 |
| MD22590 | SPINE & SKULL SPINAL FUSION | 6,386.98 |
| MD22595 | NECK SPINAL FUSION | 5,006.24 |
| MD22600 | NECK SPINE FUSION | 3,816.32 |
| MD22610 | THORAX SPINE FUSION | 4,126.13 |
| MD22612 | LUMBAR SPINE FUSION | 4,425.22 |
| MD22614 | SPINE FUSION, EXTRA SEGMENT | 1,554.40 |
| MD22630 | LUMBAR SPINE FUSION | 4,398.42 |
| MD22632 | SPINE FUSION, EXTRA SEGMENT | 1,286.40 |
| MD22800 | FUSION OF SPINE | 4,663.20 |
| MD22802 | FUSION OF SPINE | 5,827.39 |
| MD22804 | FUSION OF SPINE | 5,825.25 |
| MD22808 | FUSION OF SPINE | 3,993.20 |
| MD22810 | FUSION OF SPINE | 4,336.24 |
| MD22812 | FUSION OF SPINE | 5,312.83 |
| MD22818 | KYPHECTOMY, 1-2 SEGMENTS | 5,567.97 |
| MD22819 | KYPHECTOMY, 3 OR MORE | 5,963.54 |
| MD22830 | EXPLORATION OF SPINAL FUSION | 3,733.78 |
| MD22840 | INSERT SPINE FIXATION DEVICE | 5,338.56 |
| MD22841 | INSERT SPINE FIXATION DEVICE | 2,432.37 |
| MD22842 | INSERT SPINE FIXATION DEVICE | 5,809.17 |
| MD22843 | INSERT SPINE FIXATION DEVICE | 1,882.43 |
| MD22844 | INSERT SPINE FIXATION DEVICE | 2,299.44 |
| MD22845 | INSERT SPINE FIXATION DEVICE | 5,728.77 |
| MD22846 | INSERT SPINE FIXATION DEVICE | 5,815.60 |
| MD22847 | INSERT SPINE FIXATION DEVICE | 0.00 |
| MD22848 | INSERT PELV FIXATION DEVICE | 0.00 |
| MD22849 | REINSERT SPINAL FIXATION | 3,526.88 |
| MD22850 | REMOVE SPINE FIXATION DEVICE | 1,691.62 |
| MD22851 | APPLY SPINE PROSTH DEVICE | 1,964.98 |
| MD22852 | REMOVE SPINE FIXATION DEVICE | 2,144.00 |
| MD22855 | REMOVE SPINE FIXATION DEVICE | 2,990.88 |
| MD22899 | SPINE SURGERY PROCEDURE | 0.00 |
| MD22900 | REMOVE ABDOMINAL WALL LESION | 1,298.19 |
| MD22999 | ABDOMEN SURGERY PROCEDURE | 0.00 |
| MD23000 | REMOVAL OF CALCIUM DEPOSITS | 969.09 |
| MD23020 | RELEASE SHOULDER JOINT | 1,572.62 |
| MD23030 | DRAIN SHOULDER LESION | 587.46 |
| MD23031 | DRAIN SHOULDER BURSA | 399.86 |
| MD23035 | DRAIN SHOULDER BONE LESION | 1,557.62 |
| MD23040 | EXPLORATORY SHOULDER SURGER | 1,716.27 |
| MD23044 | EXPLORATORY SHOULDER SURGER | 1,183.49 |
| MD23065 | BIOPSY SHOULDER TISSUES | 334.46 |
| MD23066 | BIOPSY SHOULDER TISSUES | 671.07 |
| MD23075 | REMOVAL OF SHOULDER LESION | 520.99 |
| MD23076 | REMOVAL OF SHOULDER LESION | 775.06 |
| MD23077 | REMOVE TUMOR OF SHOULDER | 2,758.26 |
| MD23100 | BIOPSY OF SHOULDER JOINT | 1,584.42 |
| MD23101 | SHOULDER JOINT SURGERY | 1,200.64 |
| MD23105 | REMOVE SHOULDER JOINT LINING | 2,116.13 |
| MD23106 | INCISION OF COLLARBONE JOINT | 1,678.75 |
| MD23107 | EXPLORE TREAT SHOULDER JOINT | 2,040.02 |
| MD23120 | PARTIAL REMOVAL, COLLARBONE | 1,214.58 |
| MD23125 | REMOVAL OF COLLARBONE | 2,095.76 |
| MD23130 | REMOVE SHOULDER BONE, PART | 1,554.40 |
| MD23140 | REMOVAL OF BONE LESION | 902.62 |
| MD23145 | REMOVAL OF BONE LESION | 1,582.27 |
| MD23146 | REMOVAL OF BONE LESION | 1,030.19 |
| MD23150 | REMOVAL OF HUMERUS LESION | 1,679.82 |
| MD23155 | REMOVAL OF HUMERUS LESION | 2,056.10 |
| MD23156 | REMOVAL OF HUMERUS LESION | 1,763.44 |
| MD23170 | REMOVE COLLARBONE LESION | 935.86 |
| MD23172 | REMOVE SHOULDER BLADE LESION | 1,048.42 |
| MD23174 | REMOVE HUMERUS LESION | 1,575.84 |
| MD23180 | REMOVE COLLARBONE LESION | 907.98 |
| MD23182 | REMOVE SHOULDERBLADE LESION | 1,048.42 |
| MD23184 | REMOVE HUMERUS LESION | 1,565.12 |
| MD23190 | PARTIAL REMOVAL OF SCAPULA | 1,171.70 |
| MD23195 | REMOVAL OF HEAD OF HUMERUS | 1,972.48 |
| MD23200 | REMOVAL OF COLLARBONE | 1,878.14 |
| MD23210 | REMOVAL OF SHOULDERBLADE | 2,580.30 |
| MD23220 | PARTIAL REMOVAL OF HUMERUS | 2,324.10 |
| MD23221 | PARTIAL REMOVAL OF HUMERUS | 3,024.11 |
| MD23222 | PARTIAL REMOVAL OF HUMERUS | 3,147.39 |
| MD23330 | REMOVE SHOULDER FOREIGN BODY | 340.90 |
| MD23331 | REMOVE SHOULDER FOREIGN BODY | 1,452.56 |
| MD23332 | REMOVE SHOULDER FOREIGN BODY | 2,558.86 |
| MD23350 | INJECTION FOR SHOULDER X-RAY | 135.07 |
| MD23395 | MUSCLE TRANSFER,SHOULDER/ARM | 2,124.70 |
| MD23397 | MUSCLE TRANSFERS | 2,291.94 |
| MD23400 | FIXATION OF SHOULDERBLADE | 2,034.66 |
| MD23405 | INCISION OF TENDON & MUSCLE | 1,327.14 |
| MD23406 | INCISE TENDON(S) & MUSCLE(S) | 1,747.36 |
| MD23410 | REPAIR OF TENDON(S) | 2,190.10 |
| MD23412 | REPAIR OF TENDON(S) | 2,468.82 |
| MD23415 | RELEASE OF SHOULDER LIGAMENT | 1,393.60 |
| MD23420 | REPAIR OF SHOULDER | 2,886.90 |
| MD23430 | REPAIR BICEPS TENDON | 1,740.93 |
| MD23440 | REMOVE/TRANSPLANT TENDON | 1,627.30 |
| MD23450 | REPAIR SHOULDER CAPSULE | 2,791.49 |
| MD23455 | REPAIR SHOULDER CAPSULE | 2,954.43 |
| MD23460 | REPAIR SHOULDER CAPSULE | 2,744.32 |
| MD23462 | REPAIR SHOULDER CAPSULE | 3,127.02 |
| MD23465 | REPAIR SHOULDER CAPSULE | 2,636.05 |
| MD23466 | REPAIR SHOULDER CAPSULE | 3,119.52 |
| MD23470 | RECONSTRUCT SHOULDER JOINT | 3,351.07 |
| MD23472 | RECONSTRUCT SHOULDER JOINT | 4,895.82 |
| MD23480 | REVISION OF COLLARBONE | 1,554.40 |
| MD23485 | REVISION OF COLLARBONE | 1,924.24 |
| MD23490 | REINFORCE CLAVICLE | 1,805.25 |
| MD23491 | REINFORCE SHOULDER BONES | 1,872.78 |
| MD23500 | TREAT CLAVICLE FRACTURE | 273.36 |
| MD23505 | TREAT CLAVICLE FRACTURE | 503.84 |
| MD23515 | TREAT CLAVICLE FRACTURE | 1,352.86 |
| MD23520 | TREAT CLAVICLE DISLOCATION | 308.74 |
| MD23525 | TREAT CLAVICLE DISLOCATION | 480.26 |
| MD23530 | TREAT CLAVICLE DISLOCATION | 1,294.98 |
| MD23532 | TREAT CLAVICLE DISLOCATION | 1,528.67 |
| MD23540 | TREAT CLAVICLE DISLOCATION | 298.02 |
| MD23545 | TREAT CLAVICLE DISLOCATION | 484.54 |
| MD23550 | TREAT CLAVICLE DISLOCATION | 1,797.74 |
| MD23552 | TREAT CLAVICLE DISLOCATION | 2,246.91 |
| MD23570 | TREAT SHOULDERBLADE FX | 351.62 |
| MD23575 | TREAT SHOULDERBLADE FX | 479.18 |
| MD23585 | TREAT SCAPULA FRACTURE | 1,979.98 |
| MD23600 | TREAT HUMERUS FRACTURE | 438.45 |
| MD23605 | TREAT HUMERUS FRACTURE | 752.54 |
| MD23615 | TREAT HUMERUS FRACTURE | 1,865.28 |
| MD23616 | TREAT HUMERUS FRACTURE | 3,804.53 |
| MD23620 | TREAT HUMERUS FRACTURE | 471.68 |
| MD23625 | TREAT HUMERUS FRACTURE | 576.74 |
| MD23630 | TREAT HUMERUS FRACTURE | 1,479.36 |
| MD23650 | TREAT SHOULDER DISLOCATION | 398.78 |
| MD23655 | TREAT SHOULDER DISLOCATION | 606.75 |
| MD23660 | TREAT SHOULDER DISLOCATION | 1,757.01 |
| MD23665 | TREAT DISLOCATION/FRACTURE | 675.36 |
| MD23670 | TREAT DISLOCATION/FRACTURE | 1,827.76 |
| MD23675 | TREAT DISLOCATION/FRACTURE | 741.82 |
| MD23680 | TREAT DISLOCATION/FRACTURE | 2,275.86 |
| MD23700 | FIXATION OF SHOULDER | 558.51 |
| MD23800 | FUSION OF SHOULDER JOINT | 3,042.34 |
| MD23802 | FUSION OF SHOULDER JOINT | 2,966.22 |
| MD23900 | AMPUTATION OF ARM & GIRDLE | 3,778.80 |
| MD23920 | AMPUTATION AT SHOULDER JOINT | 2,934.06 |
| MD23921 | AMPUTATION FOLLOW-UP SURGERY | 772.91 |
| MD23929 | SHOULDER SURGERY PROCEDURE | 0.00 |
| MD23930 | DRAINAGE OF ARM LESION | 634.62 |
| MD23931 | DRAINAGE OF ARM BURSA | 448.10 |
| MD23935 | DRAIN ARM/ELBOW BONE LESION | 1,121.31 |
| MD24000 | EXPLORATORY ELBOW SURGERY | 1,543.68 |
| MD24006 | RELEASE ELBOW JOINT | 1,655.17 |
| MD24065 | BIOPSY ARM/ELBOW SOFT TISSUE | 323.74 |
| MD24066 | BIOPSY ARM/ELBOW SOFT TISSUE | 692.51 |
| MD24075 | REMOVE ARM/ELBOW LESION | 611.04 |
| MD24076 | REMOVE ARM/ELBOW LESION | 964.80 |
| MD24077 | REMOVE TUMOR OF ARM/ELBOW | 2,026.08 |
| MD24100 | BIOPSY ELBOW JOINT LINING | 994.82 |
| MD24101 | EXPLORE/TREAT ELBOW JOINT | 1,767.73 |
| MD24102 | REMOVE ELBOW JOINT LINING | 1,926.38 |
| MD24105 | REMOVAL OF ELBOW BURSA | 844.74 |
| MD24110 | REMOVE HUMERUS LESION | 1,446.13 |
| MD24115 | REMOVE/GRAFT BONE LESION | 1,886.72 |
| MD24116 | REMOVE/GRAFT BONE LESION | 1,757.01 |
| MD24120 | REMOVE ELBOW LESION | 1,353.94 |
| MD24125 | REMOVE/GRAFT BONE LESION | 1,565.12 |
| MD24126 | REMOVE/GRAFT BONE LESION | 1,366.80 |
| MD24130 | REMOVAL OF HEAD OF RADIUS | 1,305.70 |
| MD24134 | REMOVAL OF ARM BONE LESION | 1,629.44 |
| MD24136 | REMOVE RADIUS BONE LESION | 1,554.40 |
| MD24138 | REMOVE ELBOW BONE LESION | 1,595.14 |
| MD24140 | PARTIAL REMOVAL OF ARM BONE | 1,790.24 |
| MD24145 | PARTIAL REMOVAL OF RADIUS | 1,305.70 |
| MD24147 | PARTIAL REMOVAL OF ELBOW | 1,227.44 |
| MD24149 | RADICAL RESECTION OF ELBOW | 2,365.90 |
| MD24150 | EXTENSIVE HUMERUS SURGERY | 2,420.58 |
| MD24151 | EXTENSIVE HUMERUS SURGERY | 2,583.52 |
| MD24152 | EXTENSIVE RADIUS SURGERY | 2,034.66 |
| MD24153 | EXTENSIVE RADIUS SURGERY | 2,710.02 |
| MD24155 | REMOVAL OF ELBOW JOINT | 2,097.90 |
| MD24160 | REMOVE ELBOW JOINT IMPLANT | 1,367.87 |
| MD24164 | REMOVE RADIUS HEAD IMPLANT | 1,333.57 |
| MD24200 | REMOVAL OF ARM FOREIGN BODY | 289.44 |
| MD24201 | REMOVAL OF ARM FOREIGN BODY | 768.62 |
| MD24220 | INJECTION FOR ELBOW X-RAY | 146.86 |
| MD24301 | MUSCLE/TENDON TRANSFER | 1,911.38 |
| MD24305 | ARM TENDON LENGTHENING | 840.45 |
| MD24310 | REVISION OF ARM TENDON | 782.56 |
| MD24320 | REPAIR OF ARM TENDON | 2,265.14 |
| MD24330 | REVISION OF ARM MUSCLES | 1,811.68 |
| MD24331 | REVISION OF ARM MUSCLES | 1,967.12 |
| MD24340 | REPAIR OF BICEPS TENDON | 1,802.03 |
| MD24341 | REPAIR ARM TENDON/MUSCLE | 1,673.39 |
| MD24342 | REPAIR OF RUPTURED TENDON | 2,166.51 |
| MD24350 | REPAIR OF TENNIS ELBOW | 835.09 |
| MD24351 | REPAIR OF TENNIS ELBOW | 915.49 |
| MD24352 | REPAIR OF TENNIS ELBOW | 1,323.92 |
| MD24354 | REPAIR OF TENNIS ELBOW | 1,066.64 |
| MD24356 | REVISION OF TENNIS ELBOW | 1,356.08 |
| MD24360 | RECONSTRUCT ELBOW JOINT | 2,981.23 |
| MD24361 | RECONSTRUCT ELBOW JOINT | 2,744.32 |
| MD24362 | RECONSTRUCT ELBOW JOINT | 3,194.56 |
| MD24363 | REPLACE ELBOW JOINT | 4,336.24 |
| MD24365 | RECONSTRUCT HEAD OF RADIUS | 1,416.11 |
| MD24366 | RECONSTRUCT HEAD OF RADIUS | 1,541.54 |
| MD24400 | REVISION OF HUMERUS | 2,191.17 |
| MD24410 | REVISION OF HUMERUS | 2,256.56 |
| MD24420 | REVISION OF HUMERUS | 2,355.18 |
| MD24430 | REPAIR OF HUMERUS | 2,459.17 |
| MD24435 | REPAIR HUMERUS WITH GRAFT | 3,083.07 |
| MD24470 | REVISION OF ELBOW JOINT | 1,230.66 |
| MD24495 | DECOMPRESSION OF FOREARM | 1,870.64 |
| MD24498 | REINFORCE HUMERUS | 1,755.94 |
| MD24500 | TREAT HUMERUS FRACTURE | 436.30 |
| MD24505 | TREAT HUMERUS FRACTURE | 867.25 |
| MD24515 | TREAT HUMERUS FRACTURE | 2,041.09 |
| MD24516 | TREAT HUMERUS FRACTURE | 2,351.97 |
| MD24530 | TREAT HUMERUS FRACTURE | 509.20 |
| MD24535 | TREAT HUMERUS FRACTURE | 992.67 |
| MD24538 | TREAT HUMERUS FRACTURE | 1,614.43 |
| MD24545 | TREAT HUMERUS FRACTURE | 2,215.82 |
| MD24546 | TREAT HUMERUS FRACTURE | 2,733.60 |
| MD24560 | TREAT HUMERUS FRACTURE | 465.25 |
| MD24565 | TREAT HUMERUS FRACTURE | 769.70 |
| MD24566 | TREAT HUMERUS FRACTURE | 1,215.65 |
| MD24575 | TREAT HUMERUS FRACTURE | 1,397.89 |
| MD24576 | TREAT HUMERUS FRACTURE | 477.04 |
| MD24577 | TREAT HUMERUS FRACTURE | 855.46 |
| MD24579 | TREAT HUMERUS FRACTURE | 1,792.38 |
| MD24582 | TREAT HUMERUS FRACTURE | 1,333.57 |
| MD24586 | TREAT ELBOW FRACTURE | 2,548.14 |
| MD24587 | TREAT ELBOW FRACTURE | 3,206.35 |
| MD24600 | TREAT ELBOW DISLOCATION | 390.21 |
| MD24605 | TREAT ELBOW DISLOCATION | 560.66 |
| MD24615 | TREAT ELBOW DISLOCATION | 1,717.34 |
| MD24620 | TREAT ELBOW FRACTURE | 827.58 |
| MD24635 | TREAT ELBOW FRACTURE | 2,010.00 |
| MD24640 | TREAT ELBOW DISLOCATION | 206.90 |
| MD24650 | TREAT RADIUS FRACTURE | 368.77 |
| MD24655 | TREAT RADIUS FRACTURE | 672.14 |
| MD24665 | TREAT RADIUS FRACTURE | 1,432.19 |
| MD24666 | TREAT RADIUS FRACTURE | 1,780.59 |
| MD24670 | TREAT ULNAR FRACTURE | 382.70 |
| MD24675 | TREAT ULNAR FRACTURE | 664.64 |
| MD24685 | TREAT ULNAR FRACTURE | 1,599.42 |
| MD24800 | FUSION OF ELBOW JOINT | 2,197.60 |
| MD24802 | FUSION/GRAFT OF ELBOW JOINT | 2,567.44 |
| MD24900 | AMPUTATION OF UPPER ARM | 1,624.08 |
| MD24920 | AMPUTATION OF UPPER ARM | 1,489.01 |
| MD24925 | AMPUTATION FOLLOW-UP SURGERY | 675.36 |
| MD24930 | AMPUTATION FOLLOW-UP SURGERY | 1,375.38 |
| MD24931 | AMPUTATE UPPER ARM & IMPLANT | 1,783.81 |
| MD24935 | REVISION OF AMPUTATION | 2,031.44 |
| MD24940 | REVISION OF UPPER ARM | 2,120.42 |
| MD24999 | UPPER ARM/ELBOW SURGERY | 0.00 |
| MD25000 | INCISION OF TENDON SHEATH | 922.99 |
| MD25020 | DECOMPRESS FOREARM 1 SPACE | 1,198.50 |
| MD25023 | DECOMPRESS FOREARM 1 SPACE | 1,248.88 |
| MD25028 | DRAINAGE OF FOREARM LESION | 629.26 |
| MD25031 | DRAINAGE OF FOREARM BURSA | 466.32 |
| MD25035 | TREAT FOREARM BONE LESION | 1,257.46 |
| MD25040 | EXPLORE/TREAT WRIST JOINT | 1,169.55 |
| MD25065 | BIOPSY FOREARM SOFT TISSUES | 339.82 |
| MD25066 | BIOPSY FOREARM SOFT TISSUES | 552.08 |
| MD25075 | REMOVE FOREARM LESION SUBCUT | 525.28 |
| MD25076 | REMOVE FOREARM LESION DEEP | 933.71 |
| MD25077 | REMOVE TUMOR, FOREARM/WRIST | 2,385.20 |
| MD25085 | INCISION OF WRIST CAPSULE | 1,383.95 |
| MD25100 | BIOPSY OF WRIST JOINT | 1,104.16 |
| MD25101 | EXPLORE/TREAT WRIST JOINT | 1,216.72 |
| MD25105 | REMOVE WRIST JOINT LINING | 1,427.90 |
| MD25107 | REMOVE WRIST JOINT CARTILAGE | 1,340.00 |
| MD25110 | REMOVE WRIST TENDON LESION | 635.70 |
| MD25111 | REMOVE WRIST TENDON LESION | 954.08 |
| MD25112 | REREMOVE WRIST TENDON LESION | 1,100.94 |
| MD25115 | REMOVE WRIST/FOREARM LESION | 1,604.78 |
| MD25116 | REMOVE WRIST/FOREARM LESION | 1,725.92 |
| MD25118 | EXCISE WRIST TENDON SHEATH | 1,665.89 |
| MD25119 | PARTIAL REMOVAL OF ULNA | 1,469.71 |
| MD25120 | REMOVAL OF FOREARM LESION | 1,409.68 |
| MD25125 | REMOVE/GRAFT FOREARM LESION | 1,583.34 |
| MD25126 | REMOVE/GRAFT FOREARM LESION | 1,291.76 |
| MD25130 | REMOVAL OF WRIST LESION | 1,283.18 |
| MD25135 | REMOVE & GRAFT WRIST LESION | 1,608.00 |
| MD25136 | REMOVE & GRAFT WRIST LESION | 1,340.00 |
| MD25145 | REMOVE FOREARM BONE LESION | 1,629.44 |
| MD25150 | PARTIAL REMOVAL OF ULNA | 1,403.25 |
| MD25151 | PARTIAL REMOVAL OF RADIUS | 1,278.90 |
| MD25170 | EXTENSIVE FOREARM SURGERY | 2,115.06 |
| MD25210 | REMOVAL OF WRIST BONE | 1,352.86 |
| MD25215 | REMOVAL OF WRIST BONES | 1,852.42 |
| MD25230 | PARTIAL REMOVAL OF RADIUS | 973.38 |
| MD25240 | PARTIAL REMOVAL OF ULNA | 1,206.00 |
| MD25246 | INJECTION FOR WRIST X-RAY | 201.54 |
| MD25248 | REMOVE FOREARM FOREIGN BODY | 809.36 |
| MD25250 | REMOVAL OF WRIST PROSTHESIS | 1,498.66 |
| MD25251 | REMOVAL OF WRIST PROSTHESIS | 1,873.86 |
| MD25260 | REPAIR FOREARM TENDON/MUSCLE | 1,273.54 |
| MD25263 | REPAIR FOREARM TENDON/MUSCLE | 1,233.87 |
| MD25265 | REPAIR FOREARM TENDON/MUSCLE | 1,624.08 |
| MD25270 | REPAIR FOREARM TENDON/MUSCLE | 1,064.50 |
| MD25272 | REPAIR FOREARM TENDON/MUSCLE | 1,135.25 |
| MD25274 | REPAIR FOREARM TENDON/MUSCLE | 1,435.41 |
| MD25280 | REVISE WRIST/FOREARM TENDON | 1,254.24 |
| MD25290 | INCISE WRIST/FOREARM TENDON | 820.08 |
| MD25295 | RELEASE WRIST/FOREARM TENDON | 1,225.30 |
| MD25300 | FUSION OF TENDONS AT WRIST | 1,700.19 |
| MD25301 | FUSION OF TENDONS AT WRIST | 1,270.32 |
| MD25310 | TRANSPLANT FOREARM TENDON | 1,392.53 |
| MD25312 | TRANSPLANT FOREARM TENDON | 1,772.02 |
| MD25315 | REVISE PALSY HAND TENDON(S) | 1,855.63 |
| MD25316 | REVISE PALSY HAND TENDON(S) | 2,228.69 |
| MD25320 | REPAIR/REVISE WRIST JOINT | 2,007.86 |
| MD25332 | REVISE WRIST JOINT | 2,267.28 |
| MD25335 | REALIGNMENT OF HAND | 2,896.54 |
| MD25337 | RECONSTRUCT ULNA/RADIOULNAR | 1,768.80 |
| MD25350 | REVISION OF RADIUS | 1,789.17 |
| MD25355 | REVISION OF RADIUS | 1,778.45 |
| MD25360 | REVISION OF ULNA | 1,458.99 |
| MD25365 | REVISE RADIUS & ULNA | 1,981.06 |
| MD25370 | REVISE RADIUS OR ULNA | 1,991.78 |
| MD25375 | REVISE RADIUS & ULNA | 2,562.08 |
| MD25390 | SHORTEN RADIUS OR ULNA | 1,900.66 |
| MD25391 | LENGTHEN RADIUS OR ULNA | 2,256.56 |
| MD25392 | SHORTEN RADIUS & ULNA | 2,375.55 |
| MD25393 | LENGTHEN RADIUS & ULNA | 2,615.68 |
| MD25400 | REPAIR RADIUS OR ULNA | 1,709.84 |
| MD25405 | REPAIR/GRAFT RADIUS OR ULNA | 2,328.38 |
| MD25415 | REPAIR RADIUS & ULNA | 2,304.80 |
| MD25420 | REPAIR/GRAFT RADIUS & ULNA | 2,682.14 |
| MD25425 | REPAIR/GRAFT RADIUS OR ULNA | 2,062.53 |
| MD25426 | REPAIR/GRAFT RADIUS & ULNA | 2,631.76 |
| MD25440 | REPAIR/GRAFT WRIST BONE | 2,174.02 |
| MD25441 | RECONSTRUCT WRIST JOINT | 1,952.11 |
| MD25442 | RECONSTRUCT WRIST JOINT | 1,565.12 |
| MD25443 | RECONSTRUCT WRIST JOINT | 1,793.46 |
| MD25444 | RECONSTRUCT WRIST JOINT | 2,006.78 |
| MD25445 | RECONSTRUCT WRIST JOINT | 1,913.52 |
| MD25446 | WRIST REPLACEMENT | 3,332.85 |
| MD25447 | REPAIR WRIST JOINT(S) | 2,330.53 |
| MD25449 | REMOVE WRIST JOINT IMPLANT | 1,601.57 |
| MD25450 | REVISION OF WRIST JOINT | 1,038.77 |
| MD25455 | REVISION OF WRIST JOINT | 1,442.91 |
| MD25490 | REINFORCE RADIUS | 1,428.98 |
| MD25491 | REINFORCE ULNA | 1,521.17 |
| MD25492 | REINFORCE RADIUS AND ULNA | 1,704.48 |
| MD25500 | TREAT FRACTURE OF RADIUS | 388.06 |
| MD25505 | TREAT FRACTURE OF RADIUS | 670.00 |
| MD25515 | TREAT FRACTURE OF RADIUS | 1,541.54 |
| MD25520 | TREAT FRACTURE OF RADIUS | 1,400.03 |
| MD25525 | TREAT FRACTURE OF RADIUS | 2,211.54 |
| MD25526 | TREAT FRACTURE OF RADIUS | 2,332.67 |
| MD25530 | TREAT FRACTURE OF ULNA | 415.94 |
| MD25535 | TREAT FRACTURE OF ULNA | 709.66 |
| MD25545 | TREAT FRACTURE OF ULNA | 1,515.81 |
| MD25560 | TREAT FRACTURE RADIUS & ULNA | 483.47 |
| MD25565 | TREAT FRACTURE RADIUS & ULNA | 938.00 |
| MD25574 | TREAT FRACTURE RADIUS & ULNA | 1,969.26 |
| MD25575 | TREAT FRACTURE OF RADIUS/ULNA | 2,325.17 |
| MD25600 | TREAT FRACTURE RADIUS/ULNA | 454.53 |
| MD25605 | TREAT FRACTURE RADIUS/ULNA | 695.73 |
| MD25611 | TREAT FRACTURE RADIUS/ULNA | 1,387.17 |
| MD25620 | TREAT FRACTURE RADIUS/ULNA | 1,560.83 |
| MD25622 | TREAT WRIST BONE FRACTURE | 452.38 |
| MD25624 | TREAT WRIST BONE FRACTURE | 736.46 |
| MD25628 | TREAT WRIST BONE FRACTURE | 1,634.80 |
| MD25630 | TREAT WRIST BONE FRACTURE | 438.45 |
| MD25635 | TREAT WRIST BONE FRACTURE | 638.91 |
| MD25645 | TREAT WRIST BONE FRACTURE | 1,228.51 |
| MD25650 | TREAT WRIST BONE FRACTURE | 644.27 |
| MD25660 | TREAT WRIST DISLOCATION | 667.86 |
| MD25670 | TREAT WRIST DISLOCATION | 1,409.68 |
| MD25675 | TREAT WRIST DISLOCATION | 564.94 |
| MD25676 | TREAT WRIST DISLOCATION | 1,410.75 |
| MD25680 | TREAT WRIST FRACTURE | 932.64 |
| MD25685 | TREAT WRIST FRACTURE | 1,872.78 |
| MD25690 | TREAT WRIST DISLOCATION | 921.92 |
| MD25695 | TREAT WRIST DISLOCATION | 1,695.90 |
| MD25800 | FUSION OF WRIST JOINT | 2,353.04 |
| MD25805 | FUSION/GRAFT OF WRIST JOINT | 2,350.90 |
| MD25810 | FUSION/GRAFT OF WRIST JOINT | 2,796.85 |
| MD25820 | FUSION OF HAND BONES | 1,891.01 |
| MD25825 | FUSE HAND BONES WITH GRAFT | 2,558.86 |
| MD25830 | FUSION, RADIOULNAR JNT/ULNA | 1,929.60 |
| MD25900 | AMPUTATION OF FOREARM | 1,794.53 |
| MD25905 | AMPUTATION OF FOREARM | 1,356.08 |
| MD25907 | AMPUTATION FOLLOW-UP SURGERY | 748.26 |
| MD25909 | AMPUTATION FOLLOW-UP SURGERY | 1,471.86 |
| MD25915 | AMPUTATION OF FOREARM | 2,348.75 |
| MD25920 | AMPUTATE HAND AT WRIST | 1,460.06 |
| MD25922 | AMPUTATE HAND AT WRIST | 814.72 |
| MD25924 | AMPUTATION FOLLOW-UP SURGERY | 1,389.31 |
| MD25927 | AMPUTATION OF HAND | 1,616.58 |
| MD25929 | AMPUTATION FOLLOW-UP SURGERY | 657.14 |
| MD25931 | AMPUTATION FOLLOW-UP SURGERY | 1,434.34 |
| MD25999 | FOREARM OR WRIST SURGERY | 0.00 |
| MD26010 | DRAINAGE OF FINGER ABSCESS | 188.67 |
| MD26011 | DRAINAGE OF FINGER ABSCESS | 455.60 |
| MD26020 | DRAIN HAND TENDON SHEATH | 828.66 |
| MD26025 | DRAINAGE OF PALM BURSA | 959.44 |
| MD26030 | DRAINAGE OF PALM BURSA(S) | 1,654.10 |
| MD26034 | TREAT HAND BONE LESION | 1,286.40 |
| MD26035 | DECOMPRESS FINGERS/HAND | 2,046.45 |
| MD26037 | DECOMPRESS FINGERS/HAND | 1,863.14 |
| MD26040 | RELEASE PALM CONTRACTURE | 707.52 |
| MD26045 | RELEASE PALM CONTRACTURE | 1,232.80 |
| MD26055 | INCISE FINGER TENDON SHEATH | 911.20 |
| MD26060 | INCISION OF FINGER TENDON | 478.11 |
| MD26070 | EXPLORE/TREAT HAND JOINT | 725.74 |
| MD26075 | EXPLORE/TREAT FINGER JOINT | 927.28 |
| MD26080 | EXPLORE/TREAT FINGER JOINT | 793.28 |
| MD26100 | BIOPSY HAND JOINT LINING | 866.18 |
| MD26105 | BIOPSY FINGER JOINT LINING | 880.11 |
| MD26110 | BIOPSY FINGER JOINT LINING | 780.42 |
| MD26115 | REMOVE HAND LESION SUBCUT | 696.80 |
| MD26116 | REMOVE HAND LESION, DEEP | 1,197.42 |
| MD26117 | REMOVE TUMOR, HAND/FINGER | 2,113.98 |
| MD26121 | RELEASE PALM CONTRACTURE | 2,046.45 |
| MD26123 | RELEASE PALM CONTRACTURE | 2,306.94 |
| MD26125 | RELEASE PALM CONTRACTURE | 1,449.34 |
| MD26130 | REMOVE WRIST JOINT LINING | 1,327.14 |
| MD26135 | REVISE FINGER JOINT, EACH | 1,318.56 |
| MD26140 | REVISE FINGER JOINT,EACH | 1,188.85 |
| MD26145 | TENDON EXCISION, PALM/FINGER | 1,506.16 |
| MD26160 | REMOVE TENDON SHEATH LESION | 746.11 |
| MD26170 | REMOVAL OF PALM TENDON, EACH | 782.56 |
| MD26180 | REMOVAL OF FINGER TENDON | 745.04 |
| MD26185 | REMOVE FINGER BONE | 820.08 |
| MD26200 | REMOVE HAND BONE LESION | 1,001.25 |
| MD26205 | REMOVE/GRAFT BONE LESION | 1,458.99 |
| MD26210 | REMOVAL OF FINGER LESION | 950.86 |
| MD26215 | REMOVE/GRAFT FINGER LESION | 1,149.18 |
| MD26230 | PARTIAL REMOVAL OF HAND BONE | 991.60 |
| MD26235 | PARTIAL REMOVAL, FINGER BONE | 843.66 |
| MD26236 | PARTIAL REMOVAL, FINGER BONE | 838.30 |
| MD26250 | EXTENSIVE HAND SURGERY | 1,501.87 |
| MD26255 | EXTENSIVE HAND SURGERY | 1,940.32 |
| MD26260 | EXTENSIVE FINGER SURGERY | 1,438.62 |
| MD26261 | EXTENSIVE FINGER SURGERY | 1,693.76 |
| MD26262 | PARTIAL REMOVAL OF FINGER | 1,447.20 |
| MD26320 | REMOVAL OF IMPLANT FROM HAND | 778.27 |
| MD26350 | REPAIR FINGER/HAND TENDON | 1,625.15 |
| MD26352 | REPAIR/GRAFT HAND TENDON | 2,073.25 |
| MD26356 | REPAIR FINGER/HAND TENDON | 1,889.94 |
| MD26357 | REPAIR FINGER/HAND TENDON | 2,150.43 |
| MD26358 | PARTIAL/GRAFT HAND TENDON | 2,064.67 |
| MD26370 | REPAIR FINGER/HAND TENDON | 1,513.66 |
| MD26372 | REPAIR/GRAFT HAND TENDON | 1,815.97 |
| MD26373 | REPAIR FINGER/HAND TENDON | 1,588.70 |
| MD26390 | REVISE HAND/FINGER TENDON | 1,487.94 |
| MD26392 | REPAIR/GRAFT HAND TENDON | 1,587.63 |
| MD26410 | REPAIR HAND TENDON | 895.12 |
| MD26412 | REPAIR/GRAFT HAND TENDON | 1,222.08 |
| MD26415 | EXCISION, HAND/FINGER TENDON | 1,136.32 |
| MD26416 | GRAFT HAND OR FINGER TENDON | 1,461.14 |
| MD26418 | REPAIR FINGER TENDON | 991.60 |
| MD26420 | REPAIR/GRAFT FINGER TENDON | 1,286.40 |
| MD26426 | REPAIR FINGER/HAND TENDON | 1,388.24 |
| MD26428 | REPAIR/GRAFT FINGER TENDON | 1,601.57 |
| MD26432 | REPAIR FINGER TENDON | 855.46 |
| MD26433 | REPAIR FINGER TENDON | 1,162.05 |
| MD26434 | REPAIR/GRAFT FINGER TENDON | 1,206.00 |
| MD26437 | REALIGNMENT OF TENDONS | 1,303.55 |
| MD26440 | RELEASE PALM/FINGER TENDON | 1,136.32 |
| MD26442 | RELEASE PALM & FINGER TENDON | 1,194.21 |
| MD26445 | RELEASE HAND/FINGER TENDON | 1,000.18 |
| MD26449 | RELEASE FOREARM/HAND TENDON | 1,394.67 |
| MD26450 | INCISION OF PALM TENDON | 681.79 |
| MD26455 | INCISION OF FINGER TENDON | 766.48 |
| MD26460 | INCISE HAND/FINGER TENDON | 600.32 |
| MD26471 | FUSION OF FINGER TENDONS | 1,130.96 |
| MD26474 | FUSION OF FINGER TENDONS | 871.54 |
| MD26476 | TENDON LENGTHENING | 866.18 |
| MD26477 | TENDON SHORTENING | 887.62 |
| MD26478 | LENGHTENING OF HAND TENDON | 1,240.30 |
| MD26479 | SHORTENING OF HAND TENDON | 1,034.48 |
| MD26480 | TRANSPLANT HAND TENDON | 1,392.53 |
| MD26483 | TRANSPLANT/GRAFT HAND TENDON | 1,760.22 |
| MD26485 | TRANSPLANT PALM TENDON | 1,608.00 |
| MD26489 | TRANSPLANT/GRAFT PALM TENDON | 1,948.90 |
| MD26490 | REVISE THUMB TENDON | 1,691.62 |
| MD26492 | TENDON TRANSFER WITH GRAFT | 1,961.76 |
| MD26494 | HAND TENDON/MUSCLE TRANSFER | 1,940.32 |
| MD26496 | REVISE THUMB TENDON | 2,052.88 |
| MD26497 | FINGER TENDON TRANSFER | 1,934.96 |
| MD26498 | FINGER TENDON TRANSFER | 2,511.70 |
| MD26499 | REVISION OF FINGER | 1,937.10 |
| MD26500 | HAND TENDON RECONSTRUCTION | 1,088.08 |
| MD26502 | HAND TENDON RECONSTRUCTION | 1,355.01 |
| MD26504 | HAND TENDON RECONSTRUCTION | 1,436.48 |
| MD26508 | RELEASE THUMB CONTRACTURE | 1,252.10 |
| MD26510 | THUMB TENDON TRANSFER | 1,544.75 |
| MD26516 | FUSION OF KNUCKLE JOINTS | 1,184.56 |
| MD26517 | FUSION OF KNUCKLE JOINTS | 1,509.38 |
| MD26518 | FUSION OF KNUCKLE JOINTS | 1,869.57 |
| MD26520 | RELEASE KNUCKLE CONTRACTURE | 1,247.81 |
| MD26525 | RELEASE FINGER CONTRACTURE | 1,209.22 |
| MD26530 | REVISE KNUCKLE JOINT | 1,348.58 |
| MD26531 | REVISE KNUCKLE WITH IMPLANT | 1,702.34 |
| MD26535 | REVISE FINGER JOINT | 1,388.24 |
| MD26536 | REVISE/IMPLANT FINGER JOINT | 1,570.48 |
| MD26540 | REPAIR HAND JOINT | 1,574.77 |
| MD26541 | REPAIR HAND JOINT WITH GRAFT | 1,929.60 |
| MD26542 | REPAIR HAND JOINT WITH GRAFT | 1,692.69 |
| MD26545 | RECONSTRUCTION FINGER JOINT | 1,299.26 |
| MD26546 | REPAIR NON-UNION HAND | 1,547.97 |
| MD26548 | RECONSTRUCT FINGER JOINT | 1,639.09 |
| MD26550 | CONSTRUCT THUMB REPLACEMENT | 2,609.25 |
| MD26551 | GREAT TOE-HAND TRANSFER | 8,066.80 |
| MD26553 | SINGLE TRANSFER, TOE-HAND | 8,009.98 |
| MD26554 | DOUBLE TRANSFER, TOE-HAND | 9,552.59 |
| MD26555 | POSITIONAL CHANGE OF FINGER | 2,505.26 |
| MD26556 | TOE JOINT TRANSFER | 8,146.13 |
| MD26560 | REPAIR OF WEB FINGER | 1,484.72 |
| MD26561 | REPAIR OF WEB FINGER | 1,747.36 |
| MD26562 | REPAIR OF WEB FINGER | 2,115.06 |
| MD26565 | CORRECT METACARPAL FLAW | 1,403.25 |
| MD26567 | CORRECT FINGER DEFORMITY | 1,204.93 |
| MD26568 | LENGTHEN METACARPAL/FINGER | 1,959.62 |
| MD26580 | REPAIR HAND DEFORMITY | 3,090.58 |
| MD26587 | RECONSTRUCT EXTRA FINGER | 1,752.72 |
| MD26590 | REPAIR FINGER DEFORMITY | 1,962.83 |
| MD26591 | REPAIR MUSCLES OF HAND | 1,715.20 |
| MD26593 | RELEASE MUSCLES OF HAND | 1,426.83 |
| MD26596 | EXCISION CONSTRICTING TISSUE | 1,742.00 |
| MD26600 | TREAT METACARPAL FRACTURE | 299.09 |
| MD26605 | TREAT METACARPAL FRACTURE | 454.53 |
| MD26607 | TREAT METACARPAL FRACTURE | 829.73 |
| MD26608 | TREAT METACARPAL FRACTURE | 933.71 |
| MD26615 | TREAT METACARPAL FRACTURE | 1,217.79 |
| MD26641 | TREAT THUMB DISLOCATION | 462.03 |
| MD26645 | TREAT THUMB FRACTURE | 598.18 |
| MD26650 | TREAT THUMB FRACTURE | 891.90 |
| MD26665 | TREAT THUMB FRACTURE | 1,588.70 |
| MD26670 | TREAT HAND DISLOCATION | 271.22 |
| MD26675 | TREAT HAND DISLOCATION | 620.69 |
| MD26676 | PIN HAND DISLOCATION | 758.98 |
| MD26685 | TREAT HAND DISLOCATION | 1,032.34 |
| MD26686 | TREAT HAND DISLOCATION | 1,243.52 |
| MD26700 | TREAT KNUCKLE DISLOCATION | 314.10 |
| MD26705 | TREAT KNUCKLE DISLOCATION | 481.33 |
| MD26706 | PIN KNUCKLE DISLOCATION | 624.98 |
| MD26715 | TREAT KNUCKLE DISLOCATION | 1,024.83 |
| MD26720 | TREAT FINGER FRACTURE, EACH | 221.90 |
| MD26725 | TREAT FINGER FRACTURE, EACH | 360.19 |
| MD26727 | TREAT FINGER FRACTURE, EACH | 868.32 |
| MD26735 | TREAT FINGER FRACTURE, EACH | 1,091.30 |
| MD26740 | TREAT FINGER FRACTURE, EACH | 383.78 |
| MD26742 | TREAT FINGER FRACTURE, EACH | 528.50 |
| MD26746 | TREAT FINGER FRACTURE, EACH | 1,206.00 |
| MD26750 | TREAT FINGER FRACTURE, EACH | 188.67 |
| MD26755 | TREAT FINGER FRACTURE, EACH | 302.30 |
| MD26756 | PIN FINGER FRACTURE, EACH | 650.70 |
| MD26765 | TREAT FINGER FRACTURE, EACH | 726.82 |
| MD26770 | TREAT FINGER DISLOCATION | 218.69 |
| MD26775 | TREAT FINGER DISLOCATION | 343.04 |
| MD26776 | PIN FINGER DISLOCATION | 462.03 |
| MD26785 | TREAT FINGER DISLOCATION | 725.74 |
| MD26820 | THUMB FUSION WITH GRAFT | 1,795.60 |
| MD26841 | FUSION OF THUMB | 1,510.45 |
| MD26842 | THUMB FUSION WITH GRAFT | 1,819.18 |
| MD26843 | FUSION OF HAND JOINT | 1,248.88 |
| MD26844 | FUSION/GRAFT OF HAND JOINT | 1,437.55 |
| MD26850 | FUSION OF KNUCKLE | 1,228.51 |
| MD26852 | FUSION OF KNUCKLE WITH GRAFT | 1,366.80 |
| MD26860 | FUSION OF FINGER JOINT | 1,072.00 |
| MD26861 | FUSION OF FINGER JNT, ADD-ON | 512.42 |
| MD26862 | FUSION/GRAFT OF FINGER JOINT | 1,374.30 |
| MD26863 | FUSE/GRAFT ADDED JOINT | 627.12 |
| MD26910 | AMPUTATE METACARPAL BONE | 1,329.28 |
| MD26951 | AMPUTATION OF FINGER/THUMB | 766.48 |
| MD26952 | AMPUTATION OF FINGER/THUMB | 1,096.66 |
| MD26989 | HAND/FINGER SURGERY | 589.60 |
| MD26990 | DRAINAGE OF PELVIS LESION | 766.48 |
| MD26991 | DRAINAGE OF PELVIS BURSA | 574.59 |
| MD26992 | DRAINAGE OF BONE LESION | 1,485.79 |
| MD27000 | INCISION OF HIP TENDON | 414.86 |
| MD27001 | INCISION OF HIP TENDON | 723.60 |
| MD27003 | INCISION OF HIP TENDON | 953.01 |
| MD27005 | INCISION OF HIP TENDON | 1,097.73 |
| MD27006 | INCISION OF HIP TENDONS | 865.10 |
| MD27025 | INCISION OF HIP/THIGH FASCIA | 1,477.22 |
| MD27030 | DRAINAGE OF HIP JOINT | 2,026.08 |
| MD27033 | EXPLORATION OF HIP JOINT | 2,014.29 |
| MD27035 | DENERVATION OF HIP JOINT | 2,342.32 |
| MD27036 | EXCISION OF HIP JOINT/MUSCLE | 2,183.66 |
| MD27040 | BIOPSY OF SOFT TISSUES | 355.90 |
| MD27041 | BIOPSY OF SOFT TISSUES | 561.73 |
| MD27047 | REMOVE HIP/PELVIS LESION | 540.29 |
| MD27048 | REMOVE HIP/PELVIS LESION | 1,011.97 |
| MD27049 | REMOVE TUMOR, HIP/PELVIS | 2,401.28 |
| MD27050 | BIOPSY OF SAROILIAC JOINT | 832.94 |
| MD27052 | BIOPSY OF HIP JOINT | 1,881.36 |
| MD27054 | REMOVAL OF HIP JOINT LINING | 2,601.74 |
| MD27060 | REMOVAL OF ISCHIAL BURSA | 917.63 |
| MD27062 | REMOVE FEMUR LESION/BURSA | 843.66 |
| MD27065 | REMOVAL OF HIP BONE LESION | 1,076.29 |
| MD27066 | REMOVAL OF HIP BONE LESION | 1,674.46 |
| MD27067 | REMOVE/GRAFT HIP BONE LESION | 2,157.94 |
| MD27070 | PARTIAL REMOVAL OF HIP BONE | 1,104.16 |
| MD27071 | PARTIAL REMOVAL OF HIP BONE | 1,807.39 |
| MD27075 | EXTENSIVE HIP SURGERY | 2,883.68 |
| MD27076 | EXTENSIVE HIP SURGERY | 3,490.43 |
| MD27077 | EXTENSIVE HIP SURGERY | 5,043.76 |
| MD27078 | EXTENSIVE HIP SURGERY | 1,737.71 |
| MD27079 | EXTENSIVE HIP SURGERY | 1,940.32 |
| MD27080 | REMOVAL OF TAIL BONE | 1,074.14 |
| MD27086 | REMOVE HIP FOREIGN BODY | 283.01 |
| MD27087 | REMOVE HIP FOREIGN BODY | 727.89 |
| MD27090 | REMOVAL OF HIP PROSTHESIS | 1,922.10 |
| MD27091 | REMOVAL OF HIP PROSTHESIS | 5,021.25 |
| MD27093 | INJECTION FOR HIP X-RAY | 213.33 |
| MD27095 | INJECTION FOR HIP X-RAY | 383.78 |
| MD27096 | INJECT SACROILIAC JOINT | 598.18 |
| MD27097 | REVISION OF HIP TENDON | 1,762.37 |
| MD27098 | TRANSFER TENDON TO PELVIS | 1,908.16 |
| MD27100 | TRANSFER OF ABDOMINAL MUSCLE | 2,238.34 |
| MD27105 | TRANSFER OF SPINAL MUSCLE | 1,983.20 |
| MD27110 | TRANSFER OF ILIOPSOAS MUSCLE | 2,470.96 |
| MD27111 | TRANSFER OF ILIOPSOAS MUSCLE | 2,428.08 |
| MD27120 | RECONSTRUCTION OF HIP SOCKET | 3,613.71 |
| MD27122 | RECONSTRUCTION OF HIP SOCKET | 2,952.29 |
| MD27125 | PARTIAL HIP REPLACEMENT | 3,673.74 |
| MD27130 | TOTAL HIP ARTHROPLASTY | 5,291.39 |
| MD27132 | TOTAL HIP ARTHROPLASTY | 6,098.61 |
| MD27134 | REVISE HIP JOINT REPLACEMENT | 6,485.60 |
| MD27137 | REVISE HIP JOINT REPLACEMENT | 5,527.23 |
| MD27138 | REVISE HIP JOINT REPLACEMENT | 5,554.03 |
| MD27140 | TRANSPLANT FEMUR RIDGE | 1,693.76 |
| MD27146 | INCISION OF HIP BONE | 2,919.06 |
| MD27147 | REVISION OF HIP BONE | 3,729.49 |
| MD27151 | INCISION OF HIP BONES | 3,676.96 |
| MD27156 | REVISION OF HIP BONES | 4,052.16 |
| MD27158 | REVISION OF PELVIS | 3,610.50 |
| MD27161 | INCISION OF NECK OF FEMUR | 2,767.90 |
| MD27165 | INCISION/FIXATION OF FEMUR | 3,104.51 |
| MD27170 | REPAIR/GRAFT FEMUR HEAD/NECK | 3,375.73 |
| MD27175 | TREAT SLIPPED EPIPHYSIS | 1,532.96 |
| MD27176 | TREAT SLIPPED EPIPHYSIS | 2,729.31 |
| MD27177 | TREAT SLIPPED EPIPHYSIS | 3,013.39 |
| MD27178 | TREAT SLIPPED EPIPHYSIS | 3,023.04 |
| MD27179 | REVISE HEAD/NECK OF FEMUR | 2,240.48 |
| MD27181 | TREAT SLIPPED EPIPHYSIS | 3,301.76 |
| MD27185 | REVISION OF FEMUR EPIPHYSIS | 991.60 |
| MD27187 | REINFORCE HIP BONES | 3,752.00 |
| MD27193 | TREAT PELVIC RING FRACTURE | 843.66 |
| MD27194 | TREAT PELVIC RING FRACTURE | 1,484.72 |
| MD27200 | TREAT TAIL BONE FRACTURE | 351.62 |
| MD27202 | REPAIR TAIL BONE FRACTURE | 718.24 |
| MD27215 | TREAT PELVIC FRACTURE(S) | 2,225.47 |
| MD27216 | TREAT PELVIC RING FRACTURE | 2,215.82 |
| MD27217 | TREAT PELVIC RING FRACTURE | 2,701.44 |
| MD27218 | TREAT PELVIC RING FRACTURE | 3,627.65 |
| MD27220 | TREAT HIP SOCKET FRACTURE | 693.58 |
| MD27222 | TREAT HIP SOCKET FRACTURE | 1,332.50 |
| MD27226 | TREAT HIP WALL FRACTURE | 3,100.22 |
| MD27227 | TREAT HIP FRACTURE(S) | 4,359.82 |
| MD27228 | TREAT HIP FRACTURE(S) | 5,591.55 |
| MD27230 | TREAT THIGH FRACTURE | 771.84 |
| MD27232 | TREAT THIGH FRACTURE | 1,453.63 |
| MD27235 | TREAT THIGH FRACTURE | 2,870.82 |
| MD27236 | TREAT THIGH FRACTURE | 3,272.82 |
| MD27238 | TREAT THIGH FRACTURE | 884.40 |
| MD27240 | TREAT THIGH FRACTURE | 1,639.09 |
| MD27244 | TREAT THIGH FRACTURE | 2,994.10 |
| MD27245 | TREAT THIGH FRACTURE | 3,592.27 |
| MD27246 | TREATMENT OF THIGH FRACTURE | 778.27 |
| MD27248 | TREAT THIGH FRACTURE | 1,708.77 |
| MD27250 | TREAT HIP DISLOCATION | 696.80 |
| MD27252 | TREAT HIP DISLOCATION | 964.80 |
| MD27253 | TREAT HIP DISLOCATION | 2,145.07 |
| MD27254 | TREAT HIP DISLOCATION | 3,049.84 |
| MD27256 | TREAT HIP DISLOCATION | 1,300.34 |
| MD27257 | TREAT HIP DISLOCATION | 1,462.21 |
| MD27258 | TREAT HIP DISLOCATION | 2,460.24 |
| MD27259 | TREAT HIP DISLOCATION | 2,808.64 |
| MD27265 | TREAT HIP DISLOCATION | 641.06 |
| MD27266 | TREAT HIP DISLOCATION | 1,034.48 |
| MD27275 | MANIPULATION OF HIP JOINT | 468.46 |
| MD27280 | FUSION OF SACROILIAC JOINT | 2,281.22 |
| MD27282 | FUSION OF PUBIC BONES | 2,336.96 |
| MD27284 | FUSION OF HIP JOINT | 4,029.65 |
| MD27286 | FUSION OF HIP JOINT | 3,613.71 |
| MD27290 | AMPUTATION OF LEG AT HIP | 5,789.87 |
| MD27295 | AMPUTATION OF LEG AT HIP | 3,929.95 |
| MD27299 | PELVIS/HIP JOINT SURGERY | 0.00 |
| MD27301 | DRAIN THIGH/KNEE LESION | 781.49 |
| MD27303 | DRAINAGE OF BONE LESION | 1,666.96 |
| MD27305 | INCISE THIGH TENDON & FASCIA | 902.62 |
| MD27306 | INCISION OF THIGH TENDON | 582.10 |
| MD27307 | INCISION OF THIGH TENDONS | 1,002.32 |
| MD27310 | EXPLORATION OF KNEE JOINT | 1,564.05 |
| MD27315 | PARTIAL REMOVAL, THIGH NERVE | 1,616.58 |
| MD27320 | PARTIAL REMOVAL, THIGH NERVE | 1,484.72 |
| MD27323 | BIOPSY, THIGH SOFT TISSUES | 294.80 |
| MD27324 | BIOPSY, THIGH SOFT TISSUES | 707.52 |
| MD27327 | REMOVAL OF THIGH LESION | 614.26 |
| MD27328 | REMOVAL OF THIGH LESION | 965.87 |
| MD27329 | REMOVE TUMOR, THIGH/KNEE | 2,445.23 |
| MD27330 | BIOPSY KNEE JOINT LINING | 1,640.16 |
| MD27331 | EXPLORE/TREAT KNEE JOINT | 1,807.39 |
| MD27332 | REMOVAL OF KNEE CARTILAGE | 2,209.39 |
| MD27333 | REMOVAL OF KNEE CARTILAGE | 2,476.32 |
| MD27334 | REMOVE KNEE JOINT LINING | 2,180.45 |
| MD27335 | REMOVE KNEE JOINT LINING | 2,514.91 |
| MD27340 | REMOVAL OF KNEECAP BURSA | 1,018.40 |
| MD27345 | REMOVAL OF KNEE CYST | 1,344.29 |
| MD27347 | REMOVE KNEE CYST | 672.14 |
| MD27350 | REMOVAL OF KNEECAP | 1,870.64 |
| MD27355 | REMOVE FEMUR LESION | 1,505.09 |
| MD27356 | REMOVE FEMUR LESION/GRAFT | 1,956.40 |
| MD27357 | REMOVE FEMUR LESION/GRAFT | 2,081.82 |
| MD27358 | REMOVE FEMUR LESION/FIXATION | 2,355.18 |
| MD27360 | PARTIAL REMOVAL, LEG BONE(S) | 1,665.89 |
| MD27365 | EXTENSIVE LEG SURGERY | 2,775.41 |
| MD27370 | INJECTION FOR KNEE X-RAY | 171.52 |
| MD27372 | REMOVAL OF FOREIGN BODY | 786.85 |
| MD27380 | REPAIR OF KNEECAP TENDON | 1,469.71 |
| MD27381 | REPAIR/GRAFT KNEECAP TENDON | 2,358.40 |
| MD27385 | REPAIR OF THIGH MUSCLE | 1,823.47 |
| MD27386 | REPAIR/GRAFT OF THIGH MUSCLE | 2,423.79 |
| MD27390 | INCISION OF THIGH TENDON | 820.08 |
| MD27391 | INCISION OF THIGH TENDONS | 1,166.34 |
| MD27392 | INCISION OF THIGH TENDONS | 1,695.90 |
| MD27393 | LENGTHENING OF THIGH TENDON | 965.87 |
| MD27394 | LENGTHENING OF THIGH TENDONS | 1,361.44 |
| MD27395 | LENGTHENING OF THIGH TENDONS | 1,848.13 |
| MD27396 | TRANSPLANT OF THIGH TENDON | 2,015.36 |
| MD27397 | TRANSPLANTS OF THIGH TENDONS | 2,093.62 |
| MD27400 | REVISE THIGH MUSCLES/TENDONS | 1,930.67 |
| MD27403 | REPAIR OF KNEE CARTILAGE | 2,365.90 |
| MD27405 | REPAIR OF KNEE LIGAMENT | 2,085.04 |
| MD27407 | REPAIR OF KNEE LIGAMENT | 2,621.04 |
| MD27409 | REPAIR OF KNEE LIGAMENTS | 2,930.85 |
| MD27418 | REPAIR DEGENERATED KNEECAP | 2,860.10 |
| MD27420 | REVISION OF UNSTABLE KNEECAP | 2,258.70 |
| MD27422 | REVISION OF UNSTABLE KNEECAP | 2,339.10 |
| MD27424 | REVISION/REMOVAL OF KNEECAP | 2,440.94 |
| MD27425 | LATERAL RETINACULAR RELEASE | 1,973.55 |
| MD27427 | RECONSTRUCTION, KNEE | 2,856.88 |
| MD27428 | RECONSTRUCTION, KNEE | 3,484.00 |
| MD27429 | RECONSTRUCTION, KNEE | 4,281.57 |
| MD27430 | REVISION OF THIGH MUSCLES | 2,198.67 |
| MD27435 | INCISION OF KNEE JOINT | 1,856.70 |
| MD27437 | REVISE KNEECAP | 1,864.21 |
| MD27438 | REVISE KNEECAP WITH IMPLANT | 2,385.20 |
| MD27440 | REVISION OF KNEE JOINT | 2,924.42 |
| MD27441 | REVISION OF KNEE JOINT | 2,728.24 |
| MD27442 | REVISION OF KNEE JOINT | 3,005.89 |
| MD27443 | REVISION OF KNEE JOINT | 3,371.44 |
| MD27445 | REVISION OF KNEE JOINT | 4,002.85 |
| MD27446 | REVISION OF KNEE JOINT | 4,341.60 |
| MD27447 | TOTAL KNEE ARTHROPLASTY | 5,190.62 |
| MD27448 | INCISION OF THIGH | 2,483.82 |
| MD27450 | INCISION OF THIGH | 2,842.94 |
| MD27454 | REALIGNMENT OF THIGH BONE | 2,801.14 |
| MD27455 | REALIGNMENT OF KNEE | 2,080.75 |
| MD27457 | REALIGNMENT OF KNEE | 2,514.91 |
| MD27465 | SHORTENING OF THIGH BONE | 2,762.54 |
| MD27466 | LENGTHENING OF THIGH BONE | 3,596.56 |
| MD27468 | SHORTEN/LENGTHEN THIGHS | 4,715.73 |
| MD27470 | REPAIR OF THIGH | 2,812.93 |
| MD27472 | REPAIR/GRAFT OF THIGH | 3,441.12 |
| MD27475 | SURGERY TO STOP LEG GROWTH | 2,026.08 |
| MD27477 | SURGERY TO STOP LEG GROWTH | 2,425.94 |
| MD27479 | SURGERY TO STOP LEG GROWTH | 2,889.04 |
| MD27485 | SURGERY TO STOP LEG GROWTH | 1,601.57 |
| MD27486 | REVISE/REPLACE KNEE JOINT | 4,502.40 |
| MD27487 | REVISE/REPLACE KNEE JOINT | 6,037.50 |
| MD27488 | REMOVAL OF KNEE PROSTHESIS | 2,892.26 |
| MD27495 | REINFORCE THIGH | 3,157.04 |
| MD27496 | DECOMPRESSION OF THIGH/KNEE | 1,006.61 |
| MD27497 | DECOMPRESSION OF THIGH/KNEE | 1,297.12 |
| MD27498 | DECOMPRESSION OF THIGH/KNEE | 1,768.80 |
| MD27499 | DECOMPRESSION OF THIGH/KNEE | 1,934.96 |
| MD27500 | TREATMENT OF THIGH FRACTURE | 1,005.54 |
| MD27501 | TREATMENT OF THIGH FRACTURE | 1,361.44 |
| MD27502 | TREATMENT OF THIGH FRACTURE | 1,514.74 |
| MD27503 | TREATMENT OF THIGH FRACTURE | 1,608.00 |
| MD27506 | TREATMENT OF THIGH FRACTURE | 3,252.45 |
| MD27507 | TREATMENT OF THIGH FRACTURE | 2,922.27 |
| MD27508 | TREATMENT OF THIGH FRACTURE | 812.58 |
| MD27509 | TREATMENT OF THIGH FRACTURE | 1,458.99 |
| MD27510 | TREATMENT OF THIGH FRACTURE | 1,169.55 |
| MD27511 | TREATMENT OF THIGH FRACTURE | 2,910.48 |
| MD27513 | TREATMENT OF THIGH FRACTURE | 3,048.77 |
| MD27514 | REPAIR OF THIGH FRACTURE | 2,883.68 |
| MD27516 | TREAT THIGH FX GROWTH PLATE | 994.82 |
| MD27517 | TREAT THIGH FX GROWTH PLATE | 1,323.92 |
| MD27519 | TREAT THIGH FX GROWTH PLATE | 2,653.20 |
| MD27520 | TREAT KNEECAP FRACTURE | 489.90 |
| MD27524 | TREAT KNEECAP FRACTURE | 1,959.62 |
| MD27530 | TREAT KNEE FRACTURE | 678.58 |
| MD27532 | TREAT KNEE FRACTURE | 946.58 |
| MD27535 | TREAT KNEE FRACTURE | 2,272.64 |
| MD27536 | TREAT KNEE FRACTURE | 2,254.42 |
| MD27538 | TREAT KNEE FRACTURE(S) | 696.80 |
| MD27540 | TREAT KNEE FRACTURE | 2,125.78 |
| MD27550 | TREAT KNEE DISLOCATION | 546.72 |
| MD27552 | TREAT KNEE DISLOCATION | 828.66 |
| MD27556 | TREAT KNEE DISLOCATION | 2,647.84 |
| MD27557 | TREAT KNEE DISLOCATION | 3,389.66 |
| MD27558 | TREAT KNEE DISLOCATION | 2,642.48 |
| MD27560 | TREAT KNEECAP DISLOCATION | 381.63 |
| MD27562 | TREAT KNEECAP DISLOCATION | 609.97 |
| MD27566 | TREAT KNEECAP DISLOCATION | 1,876.00 |
| MD27570 | FIXATION OF KNEE JOINT | 435.23 |
| MD27580 | FUSION OF KNEE | 3,143.10 |
| MD27590 | AMPUTATE LEG AT THIGH | 2,225.47 |
| MD27591 | AMPUTATE LEG AT THIGH | 2,363.76 |
| MD27592 | AMPUTATE LEG AT THIGH | 2,304.80 |
| MD27594 | AMPUTATION FOLLOW-UP SURGERY | 970.16 |
| MD27596 | AMPUTATION FOLLOW-UP SURGERY | 1,992.85 |
| MD27598 | AMPUTATE LOWER LEG AT KNEE | 2,288.72 |
| MD27599 | LEG SURGERY PROCEDURE | 0.00 |
| MD27600 | DECOMPRESSION OF LOWER LEG | 857.60 |
| MD27601 | DECOMPRESSION OF LOWER LEG | 994.82 |
| MD27602 | DECOMPRESSION OF LOWER LEG | 1,098.80 |
| MD27603 | DRAIN LOWER LEG LESION | 674.29 |
| MD27604 | DRAIN LOWER LEG BURSA | 392.35 |
| MD27605 | INCISION OF ACHILLES TENDON | 455.60 |
| MD27606 | INCISION OF ACHILLES TENDON | 841.52 |
| MD27607 | TREAT LOWER LEG BONE LESION | 1,261.74 |
| MD27610 | EXPLORE/TREAT ANKLE JOINT | 1,286.40 |
| MD27612 | EXPLORATION OF ANKLE JOINT | 1,395.74 |
| MD27613 | BIOPSY LOWER LEG SOFT TISSUE | 362.34 |
| MD27614 | BIOPSY LOWER LEG SOFT TISSUE | 705.38 |
| MD27615 | REMOVE TUMOR, LOWER LEG | 2,428.08 |
| MD27618 | REMOVE LOWER LEG LESION | 696.80 |
| MD27619 | REMOVE LOWER LEG LESION | 1,072.00 |
| MD27620 | EXPLORE/TREAT ANKLE JOINT | 1,501.87 |
| MD27625 | REMOVE ANKLE JOINT LINING | 1,836.34 |
| MD27626 | REMOVE ANKLE JOINT LINING | 1,808.46 |
| MD27630 | REMOVAL OF TENDON LESION | 657.14 |
| MD27635 | REMOVE LOWER LEG BONE LESION | 1,672.32 |
| MD27637 | REMOVE/GRAFT LEG BONE LESION | 1,878.14 |
| MD27638 | REMOVE/GRAFT LEG BONE LESION | 1,929.60 |
| MD27640 | PARTIAL REMOVAL OF TIBIA | 1,983.20 |
| MD27641 | PARTIAL REMOVAL OF FIBULA | 1,608.00 |
| MD27645 | EXTENSIVE LOWER LEG SURGERY | 2,680.00 |
| MD27646 | EXTENSIVE LOWER LEG SURGERY | 2,021.79 |
| MD27647 | EXTENSIVE ANKLE/HEEL SURGERY | 2,389.49 |
| MD27648 | INJECTION FOR ANKLE X-RAY | 164.02 |
| MD27650 | REPAIR ACHILLES TENDON | 1,624.08 |
| MD27652 | REPAIR/GRAFT ACHILLES TENDON | 2,082.90 |
| MD27654 | REPAIR OF ACHILLES TENDON | 2,168.66 |
| MD27656 | REPAIR LEG FASCIA DEFECT | 826.51 |
| MD27658 | REPAIR OF LEG TENDON, EACH | 1,009.82 |
| MD27659 | REPAIR OF LEG TENDON, EACH | 1,389.31 |
| MD27664 | REPAIR OF LEG TENDON, EACH | 959.44 |
| MD27665 | REPAIR OF LEG TENDON, EACH | 1,001.25 |
| MD27675 | REPAIR LOWER LEG TENDONS | 1,147.04 |
| MD27676 | REPAIR LOWER LEG TENDONS | 1,192.06 |
| MD27680 | RELEASE OF LOWER LEG TENDON | 994.82 |
| MD27681 | RELEASE OF LOWER LEG TENDONS | 876.90 |
| MD27685 | REVISION OF LOWER LEG TENDON | 1,038.77 |
| MD27686 | REVISE LOWER LEG TENDONS | 1,092.37 |
| MD27687 | REVISION OF CALF TENDON | 1,085.94 |
| MD27690 | REVISE LOWER LEG TENDON | 1,479.36 |
| MD27691 | REVISE LOWER LEG TENDON | 1,707.70 |
| MD27692 | REVISE ADDITIONAL LEG TENDON | 456.67 |
| MD27695 | REPAIR OF ANKLE LIGAMENT | 1,462.21 |
| MD27696 | REPAIR OF ANKLE LIGAMENTS | 1,921.02 |
| MD27698 | REPAIR OF ANKLE LIGAMENT | 2,220.11 |
| MD27700 | REVISION OF ANKLE JOINT | 2,646.77 |
| MD27702 | RECONSTRUCT ANKLE JOINT | 3,832.40 |
| MD27703 | RECONSTRUCTION, ANKLE JOINT | 3,157.04 |
| MD27704 | REMOVAL OF ANKLE IMPLANT | 1,490.08 |
| MD27705 | INCISION OF TIBIA | 1,998.21 |
| MD27707 | INCISION OF FIBULA | 1,119.17 |
| MD27709 | INCISION OF TIBIA & FIBULA | 2,581.38 |
| MD27712 | REALIGNMENT OF LOWER LEG | 2,490.26 |
| MD27715 | REVISION OF LOWER LEG | 3,181.70 |
| MD27720 | REPAIR OF TIBIA | 2,318.74 |
| MD27722 | REPAIR/GRAFT OF TIBIA | 2,774.34 |
| MD27724 | REPAIR/GRAFT OF TIBIA | 2,850.45 |
| MD27725 | REPAIR OF LOWER LEG | 3,163.47 |
| MD27727 | REPAIR OF LOWER LEG | 2,338.03 |
| MD27730 | REPAIR OF TIBIA EPIPHYSIS | 1,408.61 |
| MD27732 | REPAIR OF FIBULA EPIPHYSIS | 1,182.42 |
| MD27734 | REPAIR LOWER LEG EPIPHYSES | 1,793.46 |
| MD27740 | REPAIR OF LEG EPIPHYSES | 2,315.52 |
| MD27742 | REPAIR OF LEG EPIPHYSES | 2,628.54 |
| MD27745 | REINFORCE TIBIA | 2,162.22 |
| MD27750 | TREATMENT OF TIBIA FRACTURE | 584.24 |
| MD27752 | TREATMENT OF TIBIA FRACTURE | 973.38 |
| MD27756 | TREATMENT OF TIBIA FRACTURE | 1,895.30 |
| MD27758 | TREATMENT OF TIBIA FRACTURE | 2,900.83 |
| MD27759 | TREATMENT OF TIBIA FRACTURE | 2,832.22 |
| MD27760 | TREATMENT OF ANKLE FRACTURE | 383.78 |
| MD27762 | TREATMENT OF ANKLE FRACTURE | 678.58 |
| MD27766 | TREATMENT OF ANKLE FRACTURE | 1,474.00 |
| MD27780 | TREATMENT OF FIBULA FRACTURE | 359.12 |
| MD27781 | TREATMENT OF FIBULA FRACTURE | 679.65 |
| MD27784 | TREATMENT OF FIBULA FRACTURE | 1,286.40 |
| MD27786 | TREATMENT OF ANKLE FRACTURE | 391.28 |
| MD27788 | TREATMENT OF ANKLE FRACTURE | 667.86 |
| MD27792 | TREATMENT OF ANKLE FRACTURE | 1,411.82 |
| MD27808 | TREATMENT OF ANKLE FRACTURE | 471.68 |
| MD27810 | TREATMENT OF ANKLE FRACTURE | 1,054.85 |
| MD27814 | TREATMENT OF ANKLE FRACTURE | 1,964.98 |
| MD27816 | TREATMENT OF ANKLE FRACTURE | 628.19 |
| MD27818 | TREATMENT OF ANKLE FRACTURE | 1,100.94 |
| MD27822 | TREATMENT OF ANKLE FRACTURE | 2,169.73 |
| MD27823 | TREATMENT OF ANKLE FRACTURE | 2,551.36 |
| MD27824 | TREAT LOWER LEG FRACTURE | 570.30 |
| MD27825 | TREAT LOWER LEG FRACTURE | 1,179.20 |
| MD27826 | TREAT LOWER LEG FRACTURE | 2,053.95 |
| MD27827 | TREAT LOWER LEG FRACTURE | 2,438.80 |
| MD27828 | TREAT LOWER LEG FRACTURE | 2,747.54 |
| MD27829 | TREAT LOWER LEG JOINT | 1,302.48 |
| MD27830 | TREAT LOWER LEG DISLOCATION | 509.20 |
| MD27831 | TREAT LOWER LEG DISLOCATION | 665.71 |
| MD27832 | TREAT LOWER LEG DISLOCATION | 1,115.95 |
| MD27840 | TREAT ANKLE DISLOCATION | 368.77 |
| MD27842 | TREAT ANKLE DISLOCATION | 584.24 |
| MD27846 | TREAT ANKLE DISLOCATION | 1,755.94 |
| MD27848 | TREAT ANKLE DISLOCATION | 1,962.83 |
| MD27860 | FIXATION OF ANKLE JOINT | 315.17 |
| MD27870 | FUSION OF ANKLE JOINT | 2,675.71 |
| MD27871 | FUSION OF TIBIOFIBULAR JOINT | 1,793.46 |
| MD27880 | AMPUTATION OF LOWER LEG | 2,120.42 |
| MD27881 | AMPUTATION OF LOWER LEG | 2,239.41 |
| MD27882 | AMPUTATION OF LOWER LEG | 1,795.60 |
| MD27884 | AMPUTATION FOLLOW-UP SURGERY | 1,200.64 |
| MD27886 | AMPUTATION FOLLOW-UP SURGERY | 2,100.05 |
| MD27888 | AMPUTATION OF FOOT AT ANKLE | 1,922.10 |
| MD27889 | AMPUTATION OF FOOT AT ANKLE | 1,767.73 |
| MD27892 | DECOMPRESSION OF LEG | 1,472.93 |
| MD27893 | DECOMPRESSION OF LEG | 1,315.34 |
| MD27894 | DECOMPRESSION OF LEG | 1,774.16 |
| MD27899 | LEG/ANKLE SURGERY PROCEDURE | 0.00 |
| MD28001 | DRAINAGE OF BURSA OF FOOT | 346.26 |
| MD28002 | TREATMENT OF FOOT INFECTION | 603.54 |
| MD28003 | TREATMENT OF FOOT INFECTION | 819.01 |
| MD28005 | TREAT FOOT BONE LESION | 809.36 |
| MD28008 | INCISION OF FOOT FASCIA | 546.72 |
| MD28010 | INCISION OF TOE TENDON | 292.66 |
| MD28011 | INCISION OF TOE TENDONS | 463.10 |
| MD28020 | EXPLORATION OF FOOT JOINT | 804.00 |
| MD28022 | EXPLORATION OF FOOT JOINT | 607.82 |
| MD28024 | EXPLORATION OF TOE JOINT | 558.51 |
| MD28030 | REMOVAL OF FOOT NERVE | 1,152.40 |
| MD28035 | DECOMPRESSION OF TIBIA NERVE | 1,386.10 |
| MD28043 | EXCISION OF FOOT LESION | 438.45 |
| MD28045 | EXCISION OF FOOT LESION | 866.18 |
| MD28046 | RESECTION OF TUMOR,FOOT | 1,584.42 |
| MD28050 | BIOPSY OF TOE JOINT LINING | 884.40 |
| MD28052 | BIOPSY OF TOE JOINT LINING | 577.81 |
| MD28054 | BIOPSY OF TOE JOINT LINING | 515.63 |
| MD28060 | PARTIAL REMOVAL, FOOT FASCIA | 831.87 |
| MD28062 | REMOVAL OF FOOT FASCIA | 1,543.68 |
| MD28070 | REMOVAL OF FOOT JOINT LINING | 945.50 |
| MD28072 | REMOVAL OF FOOT JOINT LINING | 576.74 |
| MD28080 | REMOVAL OF FOOT LESION | 788.99 |
| MD28086 | EXCISE FOOT TENDON SHEATH | 1,141.68 |
| MD28088 | EXCISE FOOT TENDON SHEATH | 720.38 |
| MD28090 | REMOVAL OF FOOT LESION | 734.32 |
| MD28092 | REMOVAL OF TOE LESIONS | 536.00 |
| MD28100 | REMOVAL OF ANKLE/HEEL LESION | 1,082.72 |
| MD28102 | REMOVE/GRAFT FOOT LESION | 1,388.24 |
| MD28103 | REMOVE/GRAFT FOOT LESION | 1,389.31 |
| MD28104 | REMOVAL OF FOOT LESION | 884.40 |
| MD28106 | REMOVE/GRAFT FOOT LESION | 1,120.24 |
| MD28107 | REMOVE/GRAFT FOOT LESION | 861.89 |
| MD28108 | REMOVAL OF TOE LESIONS | 728.96 |
| MD28110 | PART REMOVAL OF METATARSAL | 715.02 |
| MD28111 | PART REMOVAL OF METATARSAL | 955.15 |
| MD28112 | PART REMOVAL OF METATARSAL | 791.14 |
| MD28113 | PART REMOVAL OF METATARSAL | 753.62 |
| MD28114 | REMOVAL OF METATARSAL HEADS | 1,881.36 |
| MD28116 | REVISION OF FOOT | 1,249.95 |
| MD28118 | REMOVAL OF HEEL BONE | 1,039.84 |
| MD28119 | REMOVAL OF HEEL SPUR | 964.80 |
| MD28120 | PART REMOVAL OF ANKLE/HEEL | 1,037.70 |
| MD28122 | PARTIAL REMOVAL OF FOOT BONE | 919.78 |
| MD28124 | PARTIAL REMOVAL OF TOE | 643.20 |
| MD28126 | PARTIAL REMOVAL OF TOE | 628.19 |
| MD28130 | REMOVAL OF ANKLE BONE | 1,412.90 |
| MD28140 | REMOVAL OF METATARSAL | 962.66 |
| MD28150 | REMOVAL OF TOE | 590.67 |
| MD28153 | PARTIAL REMOVAL OF TOE | 621.76 |
| MD28160 | PARTIAL REMOVAL OF TOE | 559.58 |
| MD28171 | EXTENSIVE FOOT SURGERY | 1,415.04 |
| MD28173 | EXTENSIVE FOOT SURGERY | 1,194.21 |
| MD28175 | EXTENSIVE FOOT SURGERY | 885.47 |
| MD28190 | REMOVAL OF FOOT FOREIGN BODY | 177.95 |
| MD28192 | REMOVAL OF FOOT FOREIGN BODY | 482.40 |
| MD28193 | REMOVAL OF FOOT FOREIGN BODY | 750.40 |
| MD28200 | REPAIR OF FOOT TENDON | 999.10 |
| MD28202 | REPAIR/GRAFT OF FOOT TENDON | 1,356.08 |
| MD28208 | REPAIR OF FOOT TENDON | 673.22 |
| MD28210 | REPAIR/GRAFT OF FOOT TENDON | 919.78 |
| MD28220 | RELEASE OF FOOT TENDON | 747.18 |
| MD28222 | RELEASE OF FOOT TENDONS | 953.01 |
| MD28225 | RELEASE OF FOOT TENDON | 466.32 |
| MD28226 | RELEASE OF FOOT TENDONS | 675.36 |
| MD28230 | INCISION OF FOOT TENDON(S) | 501.70 |
| MD28232 | INCISION OF TOE TENDON | 321.60 |
| MD28234 | INCISION OF FOOT TENDON | 362.34 |
| MD28238 | REVISION OF FOOT TENDON | 1,398.96 |
| MD28240 | RELEASE OF BIG TOE | 616.40 |
| MD28250 | REVISION OF FOOT FASCIA | 907.98 |
| MD28260 | RELEASE OF MIDFOOT JOINT | 1,452.56 |
| MD28261 | REVISION OF FOOT TENDON | 1,484.72 |
| MD28262 | REVISION OF FOOT AND ANKLE | 2,551.36 |
| MD28264 | RELEASE OF MIDFOOT JOINT | 1,803.10 |
| MD28270 | RELEASE OF FOOT CONTRACTURE | 586.38 |
| MD28272 | RELEASE OF TOE JOINT, EACH | 582.10 |
| MD28280 | FUSION OF TOES | 673.22 |
| MD28285 | REPAIR OF HAMMERTOE | 716.10 |
| MD28286 | REPAIR OF HAMMERTOE | 760.05 |
| MD28288 | PARTIAL REMOVAL OF FOOT BONE | 866.18 |
| MD28289 | REPAIR HALLUX RIGIDUS | 768.62 |
| MD28290 | CORRECTION OF BUNION | 1,072.00 |
| MD28292 | CORRECTION OF BUNION | 1,355.01 |
| MD28293 | CORRECTION OF BUNION | 1,608.00 |
| MD28294 | CORRECTION OF BUNION | 1,650.88 |
| MD28296 | CORRECTION OF BUNION | 1,743.07 |
| MD28297 | CORRECTION OF BUNION | 1,603.71 |
| MD28298 | CORRECTION OF BUNION | 1,194.21 |
| MD28299 | CORRECTION OF BUNION | 1,680.90 |
| MD28300 | INCISION OF HEEL BONE | 1,326.06 |
| MD28302 | INCISION OF ANKLE BONE | 1,464.35 |
| MD28304 | INCISION OF MIDFOOT BONES | 1,337.86 |
| MD28305 | INCISE/GRAFT MIDFOOT BONES | 1,470.78 |
| MD28306 | INCISION OF METATARSAL | 1,079.50 |
| MD28307 | INCISION OF METATARSAL | 1,208.14 |
| MD28308 | INCISION OF METATARSAL | 901.55 |
| MD28309 | INCISION OF METATARSALS | 1,562.98 |
| MD28310 | REVISION OF BIG TOE | 892.98 |
| MD28312 | REVISION OF TOE | 656.06 |
| MD28313 | REPAIR DEFORMITY OF TOE | 814.72 |
| MD28315 | REMOVAL OF SESAMOID BONE | 903.70 |
| MD28320 | REPAIR OF FOOT BONES | 1,168.48 |
| MD28322 | REPAIR OF METATARSALS | 912.27 |
| MD28340 | RESECT ENLARGED TOE TISSUE | 1,239.23 |
| MD28341 | RESECT ENLARGED TOE | 1,362.51 |
| MD28344 | REPAIR EXTRA TOE(S) | 857.60 |
| MD28345 | REPAIR WEBBED TOE(S) | 1,390.38 |
| MD28360 | RECONSTRUCT CLEFT FOOT | 1,879.22 |
| MD28400 | TREATMENT OF HEEL FRACTURE | 450.24 |
| MD28405 | TREATMENT OF HEEL FRACTURE | 830.80 |
| MD28406 | TREATMENT OF HEEL FRACTURE | 1,168.48 |
| MD28415 | TREAT HEEL FRACTURE | 1,929.60 |
| MD28420 | TREAT/GRAFT HEEL FRACTURE | 2,356.26 |
| MD28430 | TREATMENT OF ANKLE FRACTURE | 397.71 |
| MD28435 | TREATMENT OF ANKLE FRACTURE | 696.80 |
| MD28436 | TREATMENT OF ANKLE FRACTURE | 846.88 |
| MD28445 | TREAT ANKLE FRACTURE | 1,670.18 |
| MD28450 | TREAT MIDFOOT FRACTURE,EACH | 364.48 |
| MD28455 | TREAT MIDFOOT FRACTURE,EACH | 540.29 |
| MD28456 | TREAT MIDFOOT FRACTURE | 656.06 |
| MD28465 | TREAT MIDFOOT FRACTURE, EACH | 1,059.14 |
| MD28470 | TREAT METATARSAL FRACTURE | 318.38 |
| MD28475 | TREAT METATARSAL FRACTURE | 482.40 |
| MD28476 | TREAT METATARSAL FRACTURE | 801.86 |
| MD28485 | TREAT METATARSAL FRACTURE | 1,009.82 |
| MD28490 | TREAT BIG TOE FRACTURE | 180.10 |
| MD28495 | TREAT BIG TOE FRACTURE | 306.59 |
| MD28496 | TREAT BIG TOE FRACTURE | 452.38 |
| MD28505 | TREAT BIG TOE FRACTURE | 671.07 |
| MD28510 | TREATMENT OF TOE FRACTURE | 146.86 |
| MD28515 | TREATMENT OF TOE FRACTURE | 212.26 |
| MD28525 | TREAT TOE FRACTURE | 549.94 |
| MD28530 | TREAT SESAMOID BONE FRACTURE | 221.90 |
| MD28531 | TREAT SESAMOID BONE FRACTURE | 0.00 |
| MD28540 | TREAT FOOT DISLOCATION | 353.76 |
| MD28545 | TREAT FOOT DISLOCATION | 503.84 |
| MD28546 | TREAT FOOT DISLOCATION | 677.50 |
| MD28555 | REPAIR FOOT DISLOCATION | 1,031.26 |
| MD28570 | TREAT FOOT DISLOCATION | 335.54 |
| MD28575 | TREAT FOOT DISLOCATION | 524.21 |
| MD28576 | TREAT FOOT DISLOCATION | 621.76 |
| MD28585 | REPAIR FOOT DISLOCATION | 1,308.91 |
| MD28600 | TREAT FOOT DISLOCATION | 391.28 |
| MD28605 | TREAT FOOT DISLOCATION | 524.21 |
| MD28606 | TREAT FOOT DISLOCATION | 911.20 |
| MD28615 | REPAIR FOOT DISLOCATION | 1,005.54 |
| MD28630 | TREAT TOE DISLOCATION | 237.98 |
| MD28635 | TREAT TOE DISLOCATION | 330.18 |
| MD28636 | TREAT TOE DISLOCATION | 473.82 |
| MD28645 | REPAIR TOE DISLOCATION | 665.71 |
| MD28660 | TREAT TOE DISLOCATION | 151.15 |
| MD28665 | TREAT TOE DISLOCATION | 284.08 |
| MD28666 | TREAT TOE DISLOCATION | 412.72 |
| MD28675 | REPAIR OF TOE DISLOCATION | 587.46 |
| MD28705 | FUSION OF FOOT BONES | 2,626.40 |
| MD28715 | FUSION OF FOOT BONES | 2,540.64 |
| MD28725 | FUSION OF FOOT BONES | 1,954.26 |
| MD28730 | FUSION OF FOOT BONES | 1,716.27 |
| MD28735 | FUSION OF FOOT BONES | 1,897.44 |
| MD28737 | REVISION OF FOOT BONES | 1,627.30 |
| MD28740 | FUSION OF FOOT BONES | 1,376.45 |
| MD28750 | FUSION OF BIG TOE JOINT | 1,230.66 |
| MD28755 | FUSION OF BIG TOE JOINT | 835.09 |
| MD28760 | FUSION OF BIG TOE JOINT | 935.86 |
| MD28800 | AMPUTATION OF MIDFOOT | 1,608.00 |
| MD28805 | AMPUTATION THRU METATARSAL | 1,581.20 |
| MD28810 | AMPUTATION TOE & METATARSAL | 978.74 |
| MD28820 | AMPUTATION OF TOE | 749.33 |
| MD28825 | PARTIAL AMPUTATION OF TOE | 569.23 |
| MD28899 | FOOT/TOES SURGERY PROCEDURE | 0.00 |
| MD29000 | APPLICATION OF BODY CAST | 613.18 |
| MD29010 | APPLICATION OF BODY CAST | 438.45 |
| MD29015 | APPLICATION OF BODY CAST | 557.44 |
| MD29020 | APPLICATION OF BODY CAST | 411.65 |
| MD29025 | APPLICATION OF BODY CAST | 533.86 |
| MD29035 | APPLICATION OF BODY CAST | 384.85 |
| MD29040 | APPLICATION OF BODY CAST | 415.94 |
| MD29044 | APPLICATION OF BODY CAST | 341.97 |
| MD29046 | APPLICATION OF BODY CAST | 426.66 |
| MD29049 | APPLICATION OF SHOULDER CAST | 161.87 |
| MD29055 | APPLICATION OF SHOULDER CAST | 321.60 |
| MD29058 | APPLICATION OF SHOULDER CAST | 170.45 |
| MD29065 | APPLICATION OF LONG ARM CAST | 160.80 |
| MD29075 | APPLICATION OF FOREARM CAST | 134.00 |
| MD29085 | APPLY HAND/WRIST CAST | 128.64 |
| MD29105 | APPLY LONG ARM SPLINT | 108.27 |
| MD29125 | APPLY FOREARM SPLINT | 80.40 |
| MD29126 | APPLY FOREARM SPLINT | 125.42 |
| MD29130 | APPLICATION OF FINGER SPLINT | 55.74 |
| MD29131 | APPLICATION OF FINGER SPLINT | 120.06 |
| MD29200 | STRAPPING OF CHEST | 69.68 |
| MD29220 | STRAPPING OF LOW BACK | 73.97 |
| MD29240 | STRAPPING OF SHOULDER | 65.39 |
| MD29260 | STRAPPING OF ELBOW OR WRIST | 54.67 |
| MD29280 | STRAPPING OF HAND OR FINGER | 60.03 |
| MD29305 | APPLICATION OF HIP CAST | 428.80 |
| MD29325 | APPLICATION OF HIP CASTS | 470.61 |
| MD29345 | APPLICATION OF LONG LEG CAST | 210.11 |
| MD29355 | APPLICATION OF LONG LEG CAST | 224.05 |
| MD29358 | APPLY LONG LEG CAST BRACE | 405.22 |
| MD29365 | APPLICATION OF LONG LEG CAST | 209.04 |
| MD29405 | APPLY SHORT LEG CAST | 166.16 |
| MD29425 | APPLY SHORT LEG CAST | 201.54 |
| MD29435 | APPLY SHORT LEG CAST | 211.18 |
| MD29440 | ADDITION OF WALKER TO CAST | 49.31 |
| MD29445 | APPLY RIGID LEG CAST | 303.38 |
| MD29450 | APPLICATION OF LEG CAST | 136.14 |
| MD29505 | APPLICATION, LONG LEG SPLINT | 117.92 |
| MD29515 | APPLICATION LOWER LEG SPLINT | 103.98 |
| MD29520 | STRAPPING OF HIP | 85.76 |
| MD29530 | STRAPPING OF KNEE | 81.47 |
| MD29540 | STRAPPING OF ANKLE | 54.67 |
| MD29550 | STRAPPING OF TOES | 53.60 |
| MD29580 | APPLICATION OF PASTE BOOT | 80.40 |
| MD29590 | APPLICATION OF FOOT SPLINT | 72.90 |
| MD29700 | REMOVAL/REVISION OF CAST | 80.40 |
| MD29705 | REMOVAL/REVISION OF CAST | 81.47 |
| MD29710 | REMOVAL/REVISION OF CAST | 155.44 |
| MD29715 | REMOVAL/REVISION OF CAST | 109.34 |
| MD29720 | REPAIR OF BODY CAST | 65.39 |
| MD29730 | WINDOWING OF CAST | 62.18 |
| MD29740 | WEDGING OF CAST | 116.85 |
| MD29750 | WEDGING OF CLUBFOOT CAST | 85.76 |
| MD29799 | CASTING/STRAPPING PROCEDURE | 0.00 |
| MD29800 | JAW ARTHROSCOPY/SURGERY | 1,050.56 |
| MD29804 | JAW ARTHROSCOPY/SURGERY | 2,070.03 |
| MD29815 | SHOULDER ARTHROSCOPY | 1,110.59 |
| MD29819 | SHOULDER ARTHROSCOPY/SURGERY | 1,934.96 |
| MD29820 | SHOULDER ARTHROSCOPY/SURGERY | 1,933.89 |
| MD29821 | SHOULDER ARTHROSCOPY/SURGERY | 2,170.80 |
| MD29822 | SHOULDER ARTHROSCOPY/SURGERY | 2,109.70 |
| MD29823 | SHOULDER ARTHROSCOPY/SURGERY | 2,577.09 |
| MD29825 | SHOULDER ARTHROSCOPY/SURGERY | 2,191.17 |
| MD29826 | SHOULDER ARTHROSCOPY/SURGERY | 2,811.86 |
| MD29830 | ELBOW ARTHROSCOPY | 1,016.26 |
| MD29834 | ELBOW ARTHROSCOPY/SURGERY | 1,731.28 |
| MD29835 | ELBOW ARTHROSCOPY/SURGERY | 2,004.64 |
| MD29836 | ELBOW ARTHROSCOPY/SURGERY | 2,232.98 |
| MD29837 | ELBOW ARTHROSCOPY/SURGERY | 1,889.94 |
| MD29838 | ELBOW ARTHROSCOPY/SURGERY | 2,117.20 |
| MD29840 | WRIST ARTHROSCOPY | 1,072.00 |
| MD29843 | WRIST ARTHROSCOPY/SURGERY | 1,569.41 |
| MD29844 | WRIST ARTHROSCOPY/SURGERY | 1,700.19 |
| MD29845 | WRIST ARTHROSCOPY/SURGERY | 1,573.70 |
| MD29846 | WRIST ARTHROSCOPY/SURGERY | 2,053.95 |
| MD29847 | WRIST ARTHROSCOPY/SURGERY | 2,119.34 |
| MD29848 | WRIST ENDOSCOPY/SURGERY | 1,579.06 |
| MD29850 | KNEE ARTHROSCOPY/SURGERY | 1,957.47 |
| MD29851 | KNEE ARTHROSCOPY/SURGERY | 2,676.78 |
| MD29855 | TIBIAL ARTHROSCOPY/SURGERY | 2,524.56 |
| MD29856 | TIBIAL ARTHROSCOPY/SURGERY | 2,742.18 |
| MD29860 | HIP ARTHROSCOPY, DX | 1,463.28 |
| MD29861 | HIP ARTHROSCOPY/SURGERY | 2,171.87 |
| MD29862 | HIP ARTHROSCOPY/SURGERY | 2,389.49 |
| MD29863 | HIP ARTHROSCOPY/SURGERY | 2,181.52 |
| MD29870 | KNEE ARTHROSCOPY, DX | 1,194.21 |
| MD29871 | KNEE ARTHROSCOPY/DRAINAGE | 1,791.31 |
| MD29874 | KNEE ARTHROSCOPY/SURGERY | 2,134.35 |
| MD29875 | KNEE ARTHROSCOPY/SURGERY | 2,251.20 |
| MD29876 | KNEE ARTHROSCOPY/SURGERY | 2,561.01 |
| MD29877 | KNEE ARTHROSCOPY/SURGERY | 2,449.52 |
| MD29879 | KNEE ARTHROSCOPY/SURGERY | 2,596.38 |
| MD29880 | KNEE ARTHROSCOPY/SURGERY | 3,112.02 |
| MD29881 | KNEE ARTHROSCOPY/SURGERY | 2,567.44 |
| MD29882 | KNEE ARTHROSCOPY/SURGERY | 2,841.87 |
| MD29883 | KNEE ARTHROSCOPY/SURGERY | 3,295.33 |
| MD29884 | KNEE ARTHROSCOPY/SURGERY | 2,182.59 |
| MD29885 | KNEE ARTHROSCOPY/SURGERY | 2,776.48 |
| MD29886 | KNEE ARTHROSCOPY/SURGERY | 2,439.87 |
| MD29887 | KNEE ARTHROSCOPY/SURGERY | 2,866.53 |
| MD29888 | KNEE ARTHROSCOPY/SURGERY | 4,609.60 |
| MD29889 | KNEE ARTHROSCOPY/SURGERY | 4,824.00 |
| MD29891 | ANKLE ARTHROSCOPY/SURGERY | 2,040.02 |
| MD29892 | ANKLE ARTHROSCOPY/SURGERY | 2,104.34 |
| MD29893 | SCOPE, PLANTAR FASCIOTOMY | 1,166.34 |
| MD29894 | ANKLE ARTHROSCOPY/SURGERY | 2,065.74 |
| MD29895 | ANKLE ARTHROSCOPY/SURGERY | 1,966.05 |
| MD29897 | ANKLE ARTHROSCOPY/SURGERY | 1,853.49 |
| MD29898 | ANKLE ARTHROSCOPY/SURGERY | 2,498.83 |
| MD30000 | DRAINAGE OF NOSE LESION | 246.56 |
| MD30020 | DRAINAGE OF NOSE LESION | 268.00 |
| MD30100 | INTRANASAL BIOPSY | 167.23 |
| MD30110 | REMOVAL OF NOSE POLYP(S) | 328.03 |
| MD30115 | REMOVAL OF NOSE POLYP(S) | 782.56 |
| MD30117 | REMOVAL OF INTRANASAL LESION | 664.64 |
| MD30118 | REMOVAL OF INTRANASAL LESION | 1,758.08 |
| MD30120 | REVISION OF NOSE | 1,642.30 |
| MD30124 | REMOVAL OF NOSE LESION | 536.00 |
| MD30125 | REMOVAL OF NOSE LESION | 1,539.39 |
| MD30130 | REMOVAL OF TURBINATE BONES | 571.38 |
| MD30140 | REMOVAL OF TURBINATE BONES | 876.90 |
| MD30150 | PARTIAL REMOVAL OF NOSE | 1,945.68 |
| MD30160 | REMOVAL OF NOSE | 2,823.65 |
| MD30200 | INJECTION TREATMENT OF NOSE | 112.56 |
| MD30210 | NASAL SINUS THERAPY | 172.59 |
| MD30220 | INSERT NASAL SEPTAL BUTTON | 330.18 |
| MD30300 | REMOVE NASAL FOREIGN BODY | 113.63 |
| MD30310 | REMOVE NASAL FOREIGN BODY | 429.87 |
| MD30320 | REMOVE NASAL FOREIGN BODY | 1,281.04 |
| MD30400 | RECONSTRUCTION OF NOSE | 2,749.68 |
| MD30410 | RECONSTRUCTION OF NOSE | 3,309.26 |
| MD30420 | RECONSTRUCTION OF NOSE | 4,097.18 |
| MD30430 | REVISION OF NOSE | 1,481.50 |
| MD30435 | REVISION OF NOSE | 2,293.01 |
| MD30450 | REVISION OF NOSE | 3,522.59 |
| MD30460 | REVISION OF NOSE | 2,235.12 |
| MD30462 | REVISION OF NOSE | 4,269.78 |
| MD30520 | REPAIR OF NASAL SEPTUM | 2,240.48 |
| MD30540 | REPAIR NASAL DEFECT | 1,796.67 |
| MD30545 | REPAIR NASAL DEFECT | 2,555.65 |
| MD30560 | RELEASE OF NASAL ADHESIONS | 201.54 |
| MD30580 | REPAIR UPPER JAW FISTULA | 1,499.73 |
| MD30600 | REPAIR MOUTH/NOSE FISTULA | 1,633.73 |
| MD30620 | INTRANASAL RECONSTRUCTION | 2,522.42 |
| MD30630 | REPAIR NASAL SEPTUM DEFECT | 1,849.20 |
| MD30801 | CAUTERIZATION, INNER NOSE | 233.70 |
| MD30802 | CAUTERIZATION, INNER NOSE | 331.25 |
| MD30901 | CONTROL OF NOSEBLEED | 149.01 |
| MD30903 | CONTROL OF NOSEBLEED | 219.76 |
| MD30905 | CONTROL OF NOSEBLEED | 388.06 |
| MD30906 | REPEAT CONTROL OF NOSEBLEED | 370.91 |
| MD30915 | LIGATION, NASAL SINUS ARTERY | 1,559.76 |
| MD30920 | LIGATION, UPPER JAW ARTERY | 2,254.42 |
| MD30930 | THERAPY, FRACTURE OF NOSE | 336.61 |
| MD30999 | NASAL SURGERY PROCEDURE | 0.00 |
| MD31000 | IRRIGATION, MAXILLARY SINUS | 155.44 |
| MD31002 | IRRIGATION, SPHENOID SINUS | 273.36 |
| MD31020 | EXPLORATION, MAXILLARY SINUS | 677.50 |
| MD31030 | EXPLORATION, MAXILLARY SINUS | 1,855.63 |
| MD31032 | EXPLORE SINUS, REMOVE POLYPS | 2,006.78 |
| MD31040 | EXPLORATION BEHIND UPPER JAW | 2,593.17 |
| MD31050 | EXPLORATION, SPHENOID SINUS | 1,355.01 |
| MD31051 | SPHENOID SINUS SURGERY | 1,645.52 |
| MD31070 | EXPLORATION OF FRONTAL SINUS | 1,237.09 |
| MD31075 | EXPLORATION OF FRONTAL SINUS | 2,247.98 |
| MD31080 | REMOVAL OF FRONTAL SINUS | 2,556.72 |
| MD31081 | REMOVAL OF FRONTAL SINUS | 2,618.90 |
| MD31084 | REMOVAL OF FRONTAL SINUS | 3,309.26 |
| MD31085 | REMOVAL OF FRONTAL SINUS | 3,592.27 |
| MD31086 | REMOVAL OF FRONTAL SINUS | 2,698.22 |
| MD31087 | REMOVAL OF FRONTAL SINUS | 2,801.14 |
| MD31090 | EXPLORATION OF SINUSES | 3,518.30 |
| MD31200 | REMOVAL OF ETHMOID SINUS | 1,059.14 |
| MD31201 | REMOVAL OF ETHMOID SINUS | 1,651.95 |
| MD31205 | REMOVAL OF ETHMOID SINUS | 2,086.11 |
| MD31225 | REMOVAL OF UPPER JAW | 3,863.49 |
| MD31230 | REMOVAL OF UPPER JAW | 4,770.40 |
| MD31231 | NASAL ENDOSCOPY, DX | 217.62 |
| MD31233 | NASAL/SINUS ENDOSCOPY, DX | 585.31 |
| MD31235 | NASAL/SINUS ENDOSCOPY, DX | 663.57 |
| MD31237 | NASAL/SINUS ENDOSCOPY, SURG | 683.94 |
| MD31238 | NASAL/SINUS ENDOSCOPY, SURG | 826.51 |
| MD31239 | NASAL/SINUS ENDOSCOPY, SURG | 2,217.97 |
| MD31240 | NASAL/SINUS ENDOSCOPY, SURG | 721.46 |
| MD31254 | REVISION OF ETHMOID SINUS | 1,351.79 |
| MD31255 | REMOVAL OF ETHMOID SINUS | 2,066.82 |
| MD31256 | EXPLORATION MAXILLARY SINUS | 1,188.85 |
| MD31267 | ENDOSCOPY, MAXILLARY SINUS | 1,581.20 |
| MD31276 | SINUS ENDOSCOPY, SURGICAL | 1,654.10 |
| MD31287 | NASAL/SINUS ENDOSCOPY, SURG | 1,249.95 |
| MD31288 | NASAL/SINUS ENDOSCOPY, SURG | 1,351.79 |
| MD31290 | NASAL/SINUS ENDOSCOPY, SURG | 3,125.95 |
| MD31291 | NASAL/SINUS ENDOSCOPY, SURG | 3,584.77 |
| MD31292 | NASAL/SINUS ENDOSCOPY, SURG | 2,908.34 |
| MD31293 | NASAL/SINUS ENDOSCOPY, SURG | 3,125.95 |
| MD31294 | NASAL/SINUS ENDOSCOPY, SURG | 3,323.20 |
| MD31299 | SINUS SURGERY PROCEDURE | 0.00 |
| MD31300 | REMOVAL OF LARYNX LESION | 2,733.60 |
| MD31320 | DIAGNOSTIC INCISION, LARYNX | 1,061.28 |
| MD31360 | REMOVAL OF LARYNX | 3,644.80 |
| MD31365 | REMOVAL OF LARYNX | 5,442.54 |
| MD31367 | PARTIAL REMOVAL OF LARYNX | 3,959.97 |
| MD31368 | PARTIAL REMOVAL OF LARYNX | 5,661.23 |
| MD31370 | PARTIAL REMOVAL OF LARYNX | 4,215.10 |
| MD31375 | PARTIAL REMOVAL OF LARYNX | 3,795.95 |
| MD31380 | PARTIAL REMOVAL OF LARYNX | 3,774.51 |
| MD31382 | PARTIAL REMOVAL OF LARYNX | 3,847.41 |
| MD31390 | REMOVAL OF LARYNX & PHARYNX | 5,681.60 |
| MD31395 | RECONSTRUCT LARYNX & PHARYNX | 6,807.20 |
| MD31400 | REVISION OF LARYNX | 2,680.00 |
| MD31420 | REMOVAL OF EPIGLOTTIS | 2,083.97 |
| MD31500 | INSERT EMERGENCY AIRWAY | 268.00 |
| MD31502 | CHANGE OF WINDPIPE AIRWAY | 153.30 |
| MD31505 | DIAGNOSTIC LARYNGOSCOPY | 142.58 |
| MD31510 | LARYNGOSCOPY WITH BIOPSY | 274.43 |
| MD31511 | REMOVE FOREIGN BODY, LARYNX | 303.38 |
| MD31512 | REMOVAL OF LARYNX LESION | 398.78 |
| MD31513 | INJECTION INTO VOCAL CORD | 516.70 |
| MD31515 | LARYNGOSOCPY FOR ASPIRATION | 353.76 |
| MD31520 | DIAGNOSTIC LARYNGOSCOPY | 486.69 |
| MD31525 | DIAGNOSTIC LARYNGOSCOPY | 536.00 |
| MD31526 | DIAGNOSTIC LARYNGOSCOPY | 869.39 |
| MD31527 | LARYNGOSCOPY FOR TREATMENT | 984.10 |
| MD31528 | LARYNGOSCOPY AND DILATION | 708.59 |
| MD31529 | LARYNGOSCOPY AND DILATION | 664.64 |
| MD31530 | OPERATIVE LARYNGOSCOPY | 820.08 |
| MD31531 | OPERATIVE LARYNGOSCOPY | 1,021.62 |
| MD31535 | OPERATIVE LARYNGOSCOPY | 812.58 |
| MD31536 | OPERATIVE LARYNGOSCOPY | 1,060.21 |
| MD31540 | OPERATIVE LARYNGOSCOPY | 1,018.40 |
| MD31541 | OPERATIVE LARYNGOSCOPY | 1,272.46 |
| MD31560 | OPERATIVE LARYNGOSCOPY | 1,716.27 |
| MD31561 | OPERATIVE LARYNGOSCOPY | 2,090.40 |
| MD31570 | LARYNGOSCOPY WITH INJECTION | 1,254.24 |
| MD31571 | LARYNGOSCOPY WITH INJECTION | 1,196.35 |
| MD31575 | DIAGNOSTIC LARYNGOSCOPY | 283.01 |
| MD31576 | LARYNGOSCOPY WITH BIOPSY | 520.99 |
| MD31577 | REMOVE FOREIGN BODY, LARYNX | 750.40 |
| MD31578 | REMOVAL OF LARYNX LESION | 991.60 |
| MD31579 | DIAGNOSTIC LARYNGOSCOPY | 496.34 |
| MD31580 | REVISION OF LARYNX | 3,049.84 |
| MD31582 | REVISION OF LARYNX | 3,804.53 |
| MD31584 | TREAT LARYNX FRACTURE | 3,695.18 |
| MD31585 | TREAT LARYNX FRACTURE | 545.65 |
| MD31586 | TREAT LARYNX FRACTURE | 943.36 |
| MD31587 | REVISION OF LARYNX | 2,251.20 |
| MD31588 | REVISION OF LARYNX | 2,912.62 |
| MD31590 | REINNERVATE LARYNX | 2,179.38 |
| MD31595 | LARYNX NERVE SURGERY | 2,155.79 |
| MD31599 | LARYNX SURGERY PROCEDURE | 0.00 |
| MD31600 | INCISION OF WINDPIPE | 1,061.28 |
| MD31601 | INCISION OF WINDPIPE | 1,151.33 |
| MD31603 | INCISION OF WINDPIPE | 1,096.66 |
| MD31605 | INCISION OF WINDPIPE | 835.09 |
| MD31610 | INCISION OF WINDPIPE | 1,705.55 |
| MD31611 | SURGERY/SPEECH PROSTHESIS | 1,457.92 |
| MD31612 | PUNCTURE/CLEAR WINDPIPE | 227.26 |
| MD31613 | REPAIR WINDPIPE OPENING | 688.22 |
| MD31614 | REPAIR WINDPIPE OPENING | 1,688.40 |
| MD31615 | VISUALIZATION OF WINDPIPE | 509.20 |
| MD31622 | DX BRONCHOSCOPE/WASH | 652.85 |
| MD31623 | DX BRONCHOSCOPE/BRUSH | 643.20 |
| MD31624 | DX BRONCHOSCOPE/LAVAGE | 649.63 |
| MD31625 | BRONCHOSCOPY WITH BIOPSY | 745.04 |
| MD31628 | BRONCHOSCOPY WITH BIOPSY | 830.80 |
| MD31629 | BRONCHOSCOPY WITH BIOPSY | 857.60 |
| MD31630 | BRONCHOSCOPY WITH REPAIR | 876.90 |
| MD31631 | BRONCHOSCOPY WITH DILATION | 916.56 |
| MD31635 | REMOVE FOREIGN BODY, AIRWAY | 911.20 |
| MD31640 | BRONCHOSCOPY & REMOVE LESION | 1,032.34 |
| MD31641 | BRONCHOSCOPY, TREAT BLOCKAGE | 1,409.68 |
| MD31643 | DIAG BRONCHOSCOPE/CATHETER | 568.16 |
| MD31645 | BRONCHOSCOPY, CLEAR AIRWAYS | 711.81 |
| MD31646 | BRONCHOSCOPY, RECLEAR AIRWAY | 677.50 |
| MD31656 | BRONCHOSCOPY, INJ FOR X-RAY | 589.60 |
| MD31700 | INSERTION OF AIRWAY CATHETER | 326.96 |
| MD31708 | INSTILL AIRWAY CONTRAST DYE | 185.46 |
| MD31710 | INSERTION OF AIRWAY CATHETER | 212.26 |
| MD31715 | INJECTION FOR BRONCHUS X-RAY | 139.36 |
| MD31717 | BRONCHIAL BRUSH BIOPSY | 221.90 |
| MD31720 | CLEARANCE OF AIRWAYS | 166.16 |
| MD31725 | CLEARANCE OF AIRWAYS | 316.24 |
| MD31730 | INTRO, WINDPIPE WIRE/TUBE | 525.28 |
| MD31750 | REPAIR OF WINDPIPE | 3,280.32 |
| MD31755 | REPAIR OF WINDPIPE | 3,396.10 |
| MD31760 | REPAIR OF WINDPIPE | 3,718.77 |
| MD31766 | RECONSTRUCTION OF WINDPIPE | 3,848.48 |
| MD31770 | REPAIR/GRAFT OF BRONCHUS | 3,701.62 |
| MD31775 | RECONSTRUCT BRONCHUS | 4,040.37 |
| MD31780 | RECONSTRUCT WINDPIPE | 3,560.11 |
| MD31781 | RECONSTRUCT WINDPIPE | 3,949.25 |
| MD31785 | REMOVE WINDPIPE LESION | 2,830.08 |
| MD31786 | REMOVE WINDPIPE LESION | 3,914.94 |
| MD31800 | REPAIR OF WINDPIPE INJURY | 2,688.58 |
| MD31805 | REPAIR OF WINDPIPE INJURY | 2,744.32 |
| MD31820 | CLOSURE OF WINDPIPE LESION | 824.37 |
| MD31825 | REPAIR OF WINDPIPE DEFECT | 998.03 |
| MD31830 | REVISE WINDPIPE SCAR | 812.58 |
| MD31899 | AIRWAYS SURGICAL PROCEDURE | 0.00 |
| MD32000 | DRAINAGE OF CHEST | 241.20 |
| MD32002 | TREATMENT OF COLLAPSED LUNG | 460.96 |
| MD32005 | TREAT LUNG LINING CHEMICALLY | 402.00 |
| MD32020 | INSERTION OF CHEST TUBE | 561.73 |
| MD32035 | EXPLORATION OF CHEST | 1,438.62 |
| MD32036 | EXPLORATION OF CHEST | 1,636.94 |
| MD32095 | BIOPSY THROUGH CHEST WALL | 1,699.12 |
| MD32100 | EXPLORATION/BIOPSY OF CHEST | 2,506.34 |
| MD32110 | EXPLORE/REPAIR CHEST | 2,407.71 |
| MD32120 | RE-EXPLORATION OF CHEST | 2,165.44 |
| MD32124 | EXPLORE CHEST FREE ADHESIONS | 2,284.43 |
| MD32140 | REMOVAL OF LUNG LESION(S) | 2,476.32 |
| MD32141 | REMOVE/TREAT LUNG LESIONS | 2,508.48 |
| MD32150 | REMOVAL OF LUNG LESION(S) | 2,323.02 |
| MD32151 | REMOVE LUNG FOREIGN BODY | 1,996.06 |
| MD32160 | OPEN CHEST HEART MASSAGE | 2,264.06 |
| MD32200 | DRAIN, OPEN, LUNG LESION | 2,036.80 |
| MD32201 | DRAIN, PERCUT, LUNG LESION | 632.48 |
| MD32215 | TREAT CHEST LINING | 2,238.34 |
| MD32220 | RELEASE OF LUNG | 3,205.28 |
| MD32225 | PARTIAL RELEASE OF LUNG | 2,128.99 |
| MD32310 | REMOVAL OF CHEST LINING | 2,674.64 |
| MD32320 | FREE/REMOVE CHEST LINING | 3,853.84 |
| MD32400 | NEEDLE BIOPSY CHEST LINING | 313.02 |
| MD32402 | OPEN BIOPSY CHEST LINING | 1,552.26 |
| MD32405 | BIOPSY, LUNG OR MEDIASTINUM | 448.10 |
| MD32420 | PUNCTURE/CLEAR LUNG | 402.00 |
| MD32440 | REMOVAL OF LUNG | 4,338.38 |
| MD32442 | SLEEVE PNEUMONECTOMY | 4,306.22 |
| MD32445 | REMOVAL OF LUNG | 4,559.22 |
| MD32480 | PARTIAL REMOVAL OF LUNG | 3,832.40 |
| MD32482 | BILOBECTOMY | 3,927.81 |
| MD32484 | SEGMENTECTOMY | 3,853.84 |
| MD32486 | SLEEVE LOBECTOMY | 3,923.52 |
| MD32488 | COMPLETION PNEUMONECTOMY | 4,475.60 |
| MD32491 | LUNG VOLUME REDUCTION | 0.00 |
| MD32500 | PARTIAL REMOVAL OF LUNG | 2,949.07 |
| MD32501 | REPAIR BRONCHUS ADD-ON | 0.00 |
| MD32520 | REMOVE LUNG & REVISE CHEST | 3,974.98 |
| MD32522 | REMOVE LUNG & REVISE CHEST | 4,663.20 |
| MD32525 | REMOVE LUNG & REVISE CHEST | 4,833.65 |
| MD32540 | REMOVAL OF LUNG LESION | 3,261.02 |
| MD32601 | THORACOSCOPY, DIAGNOSTIC | 964.80 |
| MD32602 | THORACOSCOPY, DIAGNOSTIC | 1,072.00 |
| MD32603 | THORACOSCOPY, DIAGNOSTIC | 1,284.26 |
| MD32604 | THORACOSCOPY, DIAGNOSTIC | 1,433.26 |
| MD32605 | THORACOSCOPY, DIAGNOSTIC | 1,162.05 |
| MD32606 | THORACOSCOPY, DIAGNOSTIC | 1,589.78 |
| MD32650 | THORACOSCOPY, SURGICAL | 1,983.20 |
| MD32651 | THORACOSCOPY, SURGICAL | 2,440.94 |
| MD32652 | THORACOSCOPY, SURGICAL | 3,358.58 |
| MD32653 | THORACOSCOPY, SURGICAL | 2,297.30 |
| MD32654 | THORACOSCOPY, SURGICAL | 2,379.84 |
| MD32655 | THORACOSCOPY, SURGICAL | 2,706.80 |
| MD32656 | THORACOSCOPY, SURGICAL | 2,579.23 |
| MD32657 | THORACOSCOPY, SURGICAL | 2,654.27 |
| MD32658 | THORACOSCOPY, SURGICAL | 2,461.31 |
| MD32659 | THORACOSCOPY, SURGICAL | 2,747.54 |
| MD32660 | THORACOSCOPY, SURGICAL | 3,323.20 |
| MD32661 | THORACOSCOPY, SURGICAL | 3,055.20 |
| MD32662 | THORACOSCOPY, SURGICAL | 2,853.66 |
| MD32663 | THORACOSCOPY, SURGICAL | 3,431.47 |
| MD32664 | THORACOSCOPY, SURGICAL | 2,616.75 |
| MD32665 | THORACOSCOPY, SURGICAL | 3,016.61 |
| MD32800 | REPAIR LUNG HERNIA | 1,993.92 |
| MD32810 | CLOSE CHEST AFTER DRAINAGE | 2,304.80 |
| MD32815 | CLOSE BRONCHIAL FISTULA | 3,362.86 |
| MD32820 | RECONSTRUCT INJURED CHEST | 3,430.40 |
| MD32850 | DONOR PNEUMONECTOMY | 0.00 |
| MD32851 | LUNG TRANSPLANT, SINGLE | 5,628.00 |
| MD32852 | LUNG TRANSPLANT WITH BYPASS | 5,896.00 |
| MD32853 | LUNG TRANSPLANT, DOUBLE | 8,040.00 |
| MD32854 | LUNG TRANSPLANT WITH BYPASS | 9,433.60 |
| MD32900 | REMOVAL OF RIB(S) | 1,762.37 |
| MD32905 | REVISE & REPAIR CHEST WALL | 2,574.94 |
| MD32906 | REVISE & REPAIR CHEST WALL | 3,216.00 |
| MD32940 | REVISION OF LUNG | 2,015.36 |
| MD32960 | THERAPEUTIC PNEUMOTHORAX | 225.12 |
| MD32997 | TOTAL LUNG LAVAGE | 888.69 |
| MD32999 | CHEST SURGERY PROCEDURE | 0.00 |
| MD33010 | DRAINAGE OF HEART SAC | 415.94 |
| MD33011 | REPEAT DRAINAGE OF HEART SAC | 383.78 |
| MD33015 | INCISION OF HEART SAC | 783.63 |
| MD33020 | INCISION OF HEART SAC | 2,300.51 |
| MD33025 | INCISION OF HEART SAC | 2,544.93 |
| MD33030 | PARTIAL REMOVAL OF HEART SAC | 3,694.11 |
| MD33031 | PARTIAL REMOVAL OF HEART SAC | 4,664.27 |
| MD33050 | REMOVAL OF HEART SAC LESION | 2,733.60 |
| MD33120 | REMOVAL OF HEART LESION | 6,102.90 |
| MD33130 | REMOVAL OF HEART LESION | 3,843.12 |
| MD33140 | HEART REVASCULARIZE (TMR) | 0.00 |
| MD33200 | INSERTION OF HEART PACEMAKER | 2,731.46 |
| MD33201 | INSERTION OF HEART PACEMAKER | 2,662.85 |
| MD33206 | INSERTION OF HEART PACEMAKER | 2,251.20 |
| MD33207 | INSERTION OF HEART PACEMAKER | 2,137.57 |
| MD33208 | INSERTION OF HEART PACEMAKER | 2,733.60 |
| MD33210 | INSERTION OF HEART ELECTRODE | 746.11 |
| MD33211 | INSERTION OF HEART ELECTRODE | 862.96 |
| MD33212 | INSERTION OF PULSE GENERATOR | 1,264.96 |
| MD33213 | INSERTION OF PULSE GENERATOR | 1,412.90 |
| MD33214 | UPGRADE OF PACEMAKER SYSTEM | 1,602.64 |
| MD33216 | REVISE ELTRD PACING-DEFIB | 1,286.40 |
| MD33217 | REVISE ELTRD PACING-DEFIB | 1,286.40 |
| MD33218 | REVISE ELTRD PACING-DEFIB | 1,164.19 |
| MD33220 | REVISE ELTRD PACING-DEFIB | 1,018.40 |
| MD33222 | REVISE POCKET, PACEMAKER | 1,217.79 |
| MD33223 | REVICE POCKET, PACING-DEFIB | 1,189.92 |
| MD33233 | REMOVAL OF PACEMAKER SYSTEM | 776.13 |
| MD33234 | REMOVAL OF PACEMAKER SYSTEM | 1,128.82 |
| MD33235 | REMOVAL PACEMAKER ELECTRODE | 1,340.00 |
| MD33236 | REMOVE ELECTRODE/THORACOTOMY | 1,640.16 |
| MD33237 | REMOVE ELECTRODE/THORACOTOMY | 2,573.87 |
| MD33238 | REMOVE ELECTRODE/THORACOTOMY | 2,581.38 |
| MD33240 | INSERT PULSE GENERATOR | 1,431.12 |
| MD33241 | REMOVE PULSE GENERATOR | 862.96 |
| MD33243 | REMOVE ELTRD/THORACOTOMY | 2,948.00 |
| MD33244 | REMOVE ELTRD, TRANSVEN | 1,945.68 |
| MD33245 | INSERT EPIC ELTRD PACE-DEFIB | 3,291.04 |
| MD33246 | INSERT EPIC ELTRD/GENERATOR | 4,732.88 |
| MD33249 | ELTRD/INSERT PACE-DEFIB | 3,548.32 |
| MD33250 | ABLATE HEART DYSRHYTHM FOCUS | 3,226.72 |
| MD33251 | ABLATE HEART DYSRHYTHM FOCUS | 4,931.20 |
| MD33253 | RECONSTRUCT ATRIA | 6,010.70 |
| MD33261 | ABLATE HEART DYSRHYTHM FOCUS | 4,208.67 |
| MD33282 | IMPLANT PAT-ACTIVE HT RECORD | 0.00 |
| MD33284 | REMOVE PAT-ACTIVE HT RECORD | 0.00 |
| MD33300 | REPAIR OF HEART WOUND | 3,386.45 |
| MD33305 | REPAIR OF HEART WOUND | 4,078.96 |
| MD33310 | EXPLORATORY HEART SURGERY | 3,391.81 |
| MD33315 | EXPLORATORY HEART SURGERY | 4,556.00 |
| MD33320 | REPAIR MAJOR BLOOD VESSEL(S) | 4,123.98 |
| MD33321 | REPAIR MAJOR VESSEL | 4,502.40 |
| MD33322 | REPAIR MAJOR BLOOD VESSEL(S) | 4,341.60 |
| MD33330 | INSERT MAJOR VESSEL GRAFT | 5,648.37 |
| MD33332 | INSERT MAJOR VESSEL GRAFT | 0.00 |
| MD33335 | INSERT MAJOR VESSEL GRAFT | 5,475.78 |
| MD33400 | REPAIR OF AORTIC VALVE | 5,427.54 |
| MD33401 | VALVULOPLASTY, OPEN | 4,297.65 |
| MD33403 | VALVULOPLASTY, W/CP BYPASS | 4,626.75 |
| MD33404 | PREPARE HEART-AORTA CONDUIT | 6,003.20 |
| MD33405 | REPLACEMENT OF AORTIC VALVE | 7,102.00 |
| MD33406 | REPLACEMENT OF AORTIC VALVE | 6,925.12 |
| MD33410 | REPLACEMENT OF AORTIC VALVE | 0.00 |
| MD33411 | REPLACEMENT OF AORTIC VALVE | 7,075.20 |
| MD33412 | REPLACEMENT OF AORTIC VALVE | 6,646.40 |
| MD33413 | REPLACEMENT OF AORTIC VALVE | 7,229.57 |
| MD33414 | REPAIR OF AORTIC VALVE | 6,761.10 |
| MD33415 | REVISION, SUBVALVULAR TISSUE | 4,931.20 |
| MD33416 | REVISE VENTRICLE MUSCLE | 5,949.60 |
| MD33417 | REPAIR OF AORTIC VALVE | 6,222.96 |
| MD33420 | REVISION OF MITRAL VALVE | 4,663.20 |
| MD33422 | REVISION OF MITRAL VALVE | 6,006.42 |
| MD33425 | REPAIR OF MITRAL VALVE | 6,392.34 |
| MD33426 | REPAIR OF MITRAL VALVE | 7,005.52 |
| MD33427 | REPAIR OF MITRAL VALVE | 6,190.80 |
| MD33430 | REPLACEMENT OF MITRAL VALVE | 7,236.00 |
| MD33460 | REVISION OF TRICUSPID VALVE | 5,313.90 |
| MD33463 | VALVULOPLASTY, TRICUSPID | 6,003.20 |
| MD33464 | VALVULOPLASTY, TRICUSPID | 6,120.05 |
| MD33465 | REPLACE TRICUSPID VALVE | 5,943.17 |
| MD33468 | REVISION OF TRICUSPID VALVE | 6,432.00 |
| MD33470 | REVISION OF PULMONARY VALVE | 4,736.10 |
| MD33471 | VALVOTOMY, PULMONARY VALVE | 4,417.71 |
| MD33472 | REVISION OF PULMONARY VALVE | 4,556.00 |
| MD33474 | REVISION OF PULMONARY VALVE | 5,245.30 |
| MD33475 | REPLACEMENT, PULMONARY VALVE | 5,681.60 |
| MD33476 | REVISION OF HEART CHAMBER | 5,579.76 |
| MD33478 | REVISION OF HEART CHAMBER | 5,691.25 |
| MD33496 | REPAIR, PROSTH VALVE CLOT | 5,365.36 |
| MD33500 | REPAIR HEART VESSEL FISTULA | 4,556.00 |
| MD33501 | REPAIR HEART VESSEL FISTULA | 3,226.72 |
| MD33502 | CORONARY ARTERY CORRECTION | 3,805.60 |
| MD33503 | CORONARY ARTERY GRAFT | 4,253.70 |
| MD33504 | CORONARY ARTERY GRAFT | 5,059.84 |
| MD33505 | REPAIR ARTERY W/TUNNEL | 5,896.00 |
| MD33506 | REPAIR ARTERY, TRANSLOCATION | 5,896.00 |
| MD33510 | CABG, VEIN, SINGLE | 6,617.46 |
| MD33511 | CABG, VEIN, TWO | 6,821.14 |
| MD33512 | CABG, VEIN, THREE | 7,351.78 |
| MD33513 | CABG, VEIN, FOUR | 7,893.14 |
| MD33514 | CABG, VEIN, FIVE | 9,731.62 |
| MD33516 | CABG, VEIN, SIX OR MORE | 10,240.82 |
| MD33517 | CABG, ARTERY-VEIN, SINGLE | 846.88 |
| MD33518 | CABG, ARTERY-VEIN, TWO | 1,260.67 |
| MD33519 | CABG, ARTERY-VEIN, THREE | 1,670.18 |
| MD33521 | CABG, ARTERY-VEIN, FOUR | 2,420.58 |
| MD33522 | CABG, ARTERY-VEIN, FIVE | 3,082.00 |
| MD33523 | CABG, ARTERY-VEIN, SIX OR MORE | 3,833.47 |
| MD33530 | CORONARY ARTERY, BYPASS/REOP | 1,536.18 |
| MD33533 | CABG, ARTERIAL, SINGLE | 5,694.46 |
| MD33534 | CABG, ARTERIAL, TWO | 7,154.53 |
| MD33535 | CABG, ARTERIAL, THREE | 7,860.98 |
| MD33536 | CABG, ARTERIAL, FOUR OR MORE | 8,223.31 |
| MD33542 | REMOVAL OF HEART LESION | 6,424.50 |
| MD33545 | REPAIR OF HEART DAMAGE | 6,571.36 |
| MD33572 | OPEN CORONARY ENDARTERECTOMY | 877.97 |
| MD33600 | CLOSURE OF VALVE | 6,309.79 |
| MD33602 | CLOSURE OF VALVE | 6,130.77 |
| MD33606 | ANASTOMOSIS/ARTERY-AORTA | 6,318.37 |
| MD33608 | REPAIR ANOMALY W/CONDUIT | 6,667.84 |
| MD33610 | REPAIR BY ENLARGEMENT | 6,487.74 |
| MD33611 | REPAIR DOUBLE VENTRICLE | 7,075.20 |
| MD33612 | REPAIR DOUBLE VENTRICLE | 7,182.40 |
| MD33615 | REPAIR, SIMPLE FONTAN | 6,860.80 |
| MD33617 | REPAIR, MODIFIED FONTAN | 7,266.02 |
| MD33619 | REPAIR SINGLE VENTRICLE | 7,927.44 |
| MD33641 | REPAIR HEART SEPTUM DEFECT | 5,143.46 |
| MD33645 | REVISION OF HEART VEINS | 5,724.48 |
| MD33647 | REPAIR HEART SEPTUM DEFECTS | 6,217.60 |
| MD33660 | REPAIR OF HEART DEFECTS | 6,126.48 |
| MD33665 | REPAIR OF HEART DEFECTS | 6,608.88 |
| MD33670 | REPAIR OF HEART CHAMBERS | 6,392.34 |
| MD33681 | REPAIR HEART SEPTUM DEFECT | 5,585.12 |
| MD33684 | REPAIR HEART SEPTUM DEFECT | 5,863.84 |
| MD33688 | REPAIR HEART SEPTUM DEFECT | 5,896.00 |
| MD33690 | REINFORCE PULMONARY ARTERY | 2,686.43 |
| MD33692 | REPAIR OF HEART DEFECTS | 6,222.96 |
| MD33694 | REPAIR OF HEART DEFECTS | 6,287.28 |
| MD33697 | REPAIR OF HEART DEFECTS | 6,056.80 |
| MD33702 | REPAIR OF HEART DEFECTS | 5,654.80 |
| MD33710 | REPAIR OF HEART DEFECTS | 5,794.16 |
| MD33720 | REPAIR OF HEART DEFECT | 5,834.90 |
| MD33722 | REPAIR OF HEART DEFECT | 5,928.16 |
| MD33730 | REPAIR HEART-VEIN DEFECT(S) | 5,933.52 |
| MD33732 | REPAIR HEART-VEIN DEFECT | 5,370.72 |
| MD33735 | REVISION OF HEART CHAMBER | 3,778.80 |
| MD33736 | REVISION OF HEART CHAMBER | 4,759.68 |
| MD33737 | REVISION OF HEART CHAMBER | 4,127.20 |
| MD33750 | MAJOR VESSEL SHUNT | 3,934.24 |
| MD33755 | MAJOR VESSEL SHUNT | 4,259.06 |
| MD33762 | MAJOR VESSEL SHUNT | 4,100.40 |
| MD33764 | MAJOR VESSEL SHUNT & GRAFT | 3,644.80 |
| MD33766 | MAJOR VESSEL SHUNT | 3,939.60 |
| MD33767 | ATRIAL SEPTECTOMY/SEPTOSTOMY | 4,234.40 |
| MD33770 | REPAIR GREAT VESSELS DEFECT | 6,700.00 |
| MD33771 | REPAIR GREAT VESSELS DEFECT | 6,968.00 |
| MD33774 | REPAIR GREAT VESSELS DEFECT | 6,217.60 |
| MD33775 | REPAIR GREAT VESSELS DEFECT | 6,560.64 |
| MD33776 | REPAIR GREAT VESSELS DEFECT | 7,343.20 |
| MD33777 | REPAIR GREAT VESSELS DEFECT | 7,405.38 |
| MD33778 | REPAIR GREAT VESSELS DEFECT | 7,493.28 |
| MD33779 | REPAIR GREAT VESSELS DEFECT | 7,498.64 |
| MD33780 | REPAIR GREAT VESSELS DEFECT | 7,501.86 |
| MD33781 | REPAIR GREAT VESSELS DEFECT | 7,493.28 |
| MD33786 | REPAIR ARTERIAL TRUNK | 6,973.36 |
| MD33788 | REVISION OF PULMONARY ARTERY | 4,663.20 |
| MD33800 | AORTIC SUSPENSION | 2,543.86 |
| MD33802 | REPAIR VESSEL DEFECT | 3,308.19 |
| MD33803 | REPAIR VESSEL DEFECT | 3,719.84 |
| MD33813 | REPAIR SEPTAL DEFECT | 3,762.72 |
| MD33814 | REPAIR SEPTAL DEFECT | 5,422.18 |
| MD33820 | REVISE MAJOR VESSEL | 3,049.84 |
| MD33822 | REVISE MAJOR VESSEL | 3,031.62 |
| MD33824 | REVISE MAJOR VESSEL | 3,836.69 |
| MD33840 | REMOVE AORTA CONSTRICTION | 3,794.88 |
| MD33845 | REMOVE AORTA CONSTRICTION | 4,768.26 |
| MD33851 | REMOVE AORTA CONSTRICTION | 4,877.60 |
| MD33852 | REPAIR SEPTAL DEFECT | 5,043.76 |
| MD33853 | REPAIR SEPTAL DEFECT | 6,222.96 |
| MD33860 | ASCENDING AORTIC GRAFT | 6,758.96 |
| MD33861 | ASCENDING AORTIC GRAFT | 6,829.71 |
| MD33863 | ASCENDING AORTIC GRAFT | 6,989.44 |
| MD33870 | TRANSVERSE AORTIC ARCH GRAFT | 8,053.94 |
| MD33875 | THORACIC AORTIC GRAFT | 6,740.74 |
| MD33877 | THORACOABDOMINAL GRAFT | 8,361.60 |
| MD33910 | REMOVE LUNG ARTERY EMBOLI | 5,167.04 |
| MD33915 | REMOVE LUNG ARTERY EMBOLI | 3,537.60 |
| MD33916 | SURGERY OF GREAT VESSEL | 4,609.60 |
| MD33917 | REPAIR PULMONARY ARTERY | 5,242.08 |
| MD33918 | REPAIR PULMONARY ATRESIA | 5,572.26 |
| MD33919 | REPAIR PULMONARY ATRESIA | 6,657.12 |
| MD33920 | REPAIR PULMONARY ATRESIA | 6,480.24 |
| MD33922 | TRANSECT PULMONARY ARTERY | 4,770.40 |
| MD33924 | REMOVE PULMONARY SHUNT | 0.00 |
| MD33930 | REMOVAL OF DONOR HEART/LUNG | 0.00 |
| MD33935 | TRANSPLANTATION, HEART/LUNG | 0.00 |
| MD33940 | REMOVAL OF DONOR HEART | 2,511.70 |
| MD33945 | TRANSPLANTATION OF HEART | 10,991.22 |
| MD33960 | EXTERNAL CIRCULATION ASSIST | 2,217.97 |
| MD33961 | EXTERNAL CIRCULATION ASSIST | 1,594.06 |
| MD33968 | REMOVE AORTIC ASSIST DEVICE | 0.00 |
| MD33970 | AORTIC CIRCULATION ASSIST | 1,748.43 |
| MD33971 | AORTIC CIRCULATION ASSIST | 1,460.06 |
| MD33973 | INSERT BALLOON DEVICE | 1,913.52 |
| MD33974 | REMOVE INTRA-AORTIC BALLOON | 1,908.16 |
| MD33975 | IMPLANT VENTRICULAR DEVICE | 3,396.10 |
| MD33976 | IMPLANT VENTRICULAR DEVICE | 4,234.40 |
| MD33977 | REMOVE VENTRICULAR DEVICE | 2,781.84 |
| MD33978 | REMOVE VENTRICULAR DEVICE | 3,323.20 |
| MD33999 | CARDIAC SURGERY PROCEDURE | 0.00 |
| MD34001 | REMOVAL OF ARTERY CLOT | 2,485.97 |
| MD34051 | REMOVAL OF ARTERY CLOT | 2,875.10 |
| MD34101 | REMOVAL OF ARTERY CLOT | 2,254.42 |
| MD34111 | REMOVAL OF ARM ARTERY CLOT | 2,455.95 |
| MD34151 | REMOVAL OF ARTERY CLOT | 2,877.25 |
| MD34201 | REMOVAL OF ARTERY CLOT | 2,375.55 |
| MD34203 | REMOVAL OF LEG ARTERY CLOT | 2,366.98 |
| MD34401 | REMOVAL OF VEIN CLOT | 2,621.04 |
| MD34421 | REMOVAL OF VEIN CLOT | 2,010.00 |
| MD34451 | REMOVAL OF VEIN CLOT | 2,744.32 |
| MD34471 | REMOVAL OF VEIN CLOT | 1,934.96 |
| MD34490 | REMOVAL OF VEIN CLOT | 1,743.07 |
| MD34501 | REPAIR VALVE, FEMORAL VEIN | 1,930.67 |
| MD34502 | RECONSTRUCT VENA CAVA | 4,722.16 |
| MD34510 | TRANSPOSITION OF VEIN VALVE | 2,086.11 |
| MD34520 | CROSS-OVER VEIN GRAFT | 3,198.85 |
| MD34530 | LEG VEIN FUSION | 2,626.40 |
| MD35001 | REPAIR DEFECT OF ARTERY | 3,597.63 |
| MD35002 | REPAIR ARTERY RUPTURE, NECK | 3,929.95 |
| MD35005 | REPAIR DEFECT OF ARTERY | 2,990.88 |
| MD35011 | REPAIR DEFECT OF ARTERY | 3,287.82 |
| MD35013 | REPAIR ARTERY RUPTURE, ARM | 3,386.45 |
| MD35021 | REPAIR DEFECT OF ARTERY | 3,819.54 |
| MD35022 | REPAIR ARTERY RUPTURE, CHEST | 4,072.53 |
| MD35045 | REPAIR DEFECT OF ARM ARTERY | 3,162.40 |
| MD35081 | REPAIR DEFECT OF ARTERY | 5,484.35 |
| MD35082 | REPAIR ARTERY RUPTURE, AORTA | 5,819.89 |
| MD35091 | REPAIR DEFECT OF ARTERY | 6,003.20 |
| MD35092 | REPAIR ARTERY RUPTURE, AORTA | 6,313.01 |
| MD35102 | REPAIR DEFECT OF ARTERY | 5,630.14 |
| MD35103 | REPAIR ARTERY RUPTURE, GROIN | 5,605.49 |
| MD35111 | REPAIR DEFECT OF ARTERY | 3,645.87 |
| MD35112 | REPAIR ARTERY RUPTURE, SPLEEN | 3,173.12 |
| MD35121 | REPAIR DEFECT OF ARTERY | 4,382.34 |
| MD35122 | REPAIR ARTERY RUPTURE, BELLY | 4,818.64 |
| MD35131 | REPAIR DEFECT OF ARTERY | 4,233.33 |
| MD35132 | REPAIR ARTERY RUPTURE, GROIN | 4,277.28 |
| MD35141 | REPAIR DEFECT OF ARTERY | 3,556.90 |
| MD35142 | REPAIR ARTERY RUPTURE, THIGH | 4,059.66 |
| MD35151 | REPAIR DEFECT OF ARTERY | 3,853.84 |
| MD35152 | REPAIR ARTERY RUPTURE, KNEE | 3,621.22 |
| MD35180 | REPAIR BLOOD VESSEL LESION | 2,801.14 |
| MD35182 | REPAIR BLOOD VESSEL LESION | 3,484.00 |
| MD35184 | REPAIR BLOOD VESSEL LESION | 3,064.85 |
| MD35188 | REPAIR BLOOD VESSEL LESION | 3,001.60 |
| MD35189 | REPAIR BLOOD VESSEL LESION | 3,578.34 |
| MD35190 | REPAIR BLOOD VESSEL LESION | 3,358.58 |
| MD35201 | REPAIR BLOOD VESSEL LESION | 3,411.10 |
| MD35206 | REPAIR BLOOD VESSEL LESION | 2,990.88 |
| MD35207 | REPAIR BLOOD VESSEL LESION | 3,591.20 |
| MD35211 | REPAIR BLOOD VESSEL LESION | 4,435.94 |
| MD35216 | REPAIR BLOOD VESSEL LESION | 3,985.70 |
| MD35221 | REPAIR BLOOD VESSEL LESION | 3,602.99 |
| MD35226 | REPAIR BLOOD VESSEL LESION | 2,961.94 |
| MD35231 | REPAIR BLOOD VESSEL LESION | 3,361.79 |
| MD35236 | REPAIR BLOOD VESSEL LESION | 4,154.00 |
| MD35241 | REPAIR BLOOD VESSEL LESION | 4,486.32 |
| MD35246 | REPAIR BLOOD VESSEL LESION | 3,881.71 |
| MD35251 | REPAIR BLOOD VESSEL LESION | 4,522.77 |
| MD35256 | REPAIR BLOOD VESSEL LESION | 3,622.29 |
| MD35261 | REPAIR BLOOD VESSEL LESION | 3,843.12 |
| MD35266 | REPAIR BLOOD VESSEL LESION | 3,762.72 |
| MD35271 | REPAIR BLOOD VESSEL LESION | 4,017.86 |
| MD35276 | REPAIR BLOOD VESSEL LESION | 3,419.68 |
| MD35281 | REPAIR BLOOD VESSEL LESION | 3,944.96 |
| MD35286 | REPAIR BLOOD VESSEL LESION | 3,688.75 |
| MD35301 | RECHANNELING OF ARTERY | 3,698.40 |
| MD35311 | RECHANNELING OF ARTERY | 3,843.12 |
| MD35321 | RECHANNELING OF ARTERY | 3,462.56 |
| MD35331 | RECHANNELING OF ARTERY | 4,578.51 |
| MD35341 | RECHANNELING OF ARTERY | 4,363.04 |
| MD35351 | RECHANNELING OF ARTERY | 3,959.97 |
| MD35355 | RECHANNELING OF ARTERY | 3,510.80 |
| MD35361 | RECHANNELING OF ARTERY | 4,893.68 |
| MD35363 | RECHANNELING OF ARTERY | 4,314.80 |
| MD35371 | RECHANNELING OF ARTERY | 3,233.15 |
| MD35372 | RECHANNELING OF ARTERY | 3,291.04 |
| MD35381 | RECHANNELING OF ARTERY | 3,565.47 |
| MD35390 | REOPERATION, CAROTID ADD-ON | 562.80 |
| MD35400 | ANGIOSCOPY | 534.93 |
| MD35450 | REPAIR ARTERIAL BLOCKAGE | 2,256.56 |
| MD35452 | REPAIR ARTERIAL BLOCKAGE | 1,272.46 |
| MD35454 | REPAIR ARTERIAL BLOCKAGE | 2,385.20 |
| MD35456 | REPAIR ARTERIAL BLOCKAGE | 2,412.00 |
| MD35458 | REPAIR ARTERIAL BLOCKAGE | 2,006.78 |
| MD35459 | REPAIR ARTERIAL BLOCKAGE | 1,961.76 |
| MD35460 | REPAIR VENOUS BLOCKAGE | 1,420.40 |
| MD35470 | REPAIR ARTERIAL BLOCKAGE | 1,768.80 |
| MD35471 | REPAIR ARTERIAL BLOCKAGE | 1,888.86 |
| MD35472 | REPAIR ARTERIAL BLOCKAGE | 2,251.20 |
| MD35473 | REPAIR ARTERIAL BLOCKAGE | 1,582.27 |
| MD35474 | REPAIR ARTERIAL BLOCKAGE | 1,849.20 |
| MD35475 | REPAIR ARTERIAL BLOCKAGE | 2,064.67 |
| MD35476 | REPAIR VENOUS BLOCKAGE | 1,366.80 |
| MD35480 | ATHERECTOMY, OPEN | 2,787.20 |
| MD35481 | ATHERECTOMY, OPEN | 0.00 |
| MD35482 | ATHERECTOMY, OPEN | 1,442.91 |
| MD35483 | ATHERECTOMY, OPEN | 1,956.40 |
| MD35484 | ATHERECTOMY, OPEN | 2,256.56 |
| MD35485 | ATHERECTOMY, OPEN | 1,715.20 |
| MD35490 | ATHERECTOMY, PERCUTANEOUS | 2,261.92 |
| MD35491 | ATHERECTOMY, PERCUTANEOUS | 1,347.50 |
| MD35492 | ATHERECTOMY, PERCUTANEOUS | 1,618.72 |
| MD35493 | ATHERECTOMY, PERCUTANEOUS | 1,843.84 |
| MD35494 | ATHERECTOMY, PERCUTANEOUS | 2,026.08 |
| MD35495 | ATHERECTOMY, PERCUTANEOUS | 1,554.40 |
| MD35500 | HARVEST VEIN FOR BYPASS | 0.00 |
| MD35501 | ARTERY BYPASS GRAFT | 3,333.92 |
| MD35506 | ARTERY BYPASS GRAFT | 3,917.09 |
| MD35507 | ARTERY BYPASS GRAFT | 3,601.92 |
| MD35508 | ARTERY BYPASS GRAFT | 3,655.52 |
| MD35509 | ARTERY BYPASS GRAFT | 3,629.79 |
| MD35511 | ARTERY BYPASS GRAFT | 3,251.38 |
| MD35515 | ARTERY BYPASS GRAFT | 3,323.20 |
| MD35516 | ARTERY BYPASS GRAFT | 3,247.09 |
| MD35518 | ARTERY BYPASS GRAFT | 3,862.42 |
| MD35521 | ARTERY BYPASS GRAFT | 4,223.68 |
| MD35526 | ARTERY BYPASS GRAFT | 4,020.00 |
| MD35531 | ARTERY BYPASS GRAFT | 4,475.60 |
| MD35533 | ARTERY BYPASS GRAFT | 3,934.24 |
| MD35536 | ARTERY BYPASS GRAFT | 4,348.03 |
| MD35541 | ARTERY BYPASS GRAFT | 4,014.64 |
| MD35546 | ARTERY BYPASS GRAFT | 4,191.52 |
| MD35548 | ARTERY BYPASS GRAFT | 3,819.54 |
| MD35549 | ARTERY BYPASS GRAFT | 4,462.74 |
| MD35551 | ARTERY BYPASS GRAFT | 4,323.38 |
| MD35556 | ARTERY BYPASS GRAFT | 3,972.83 |
| MD35558 | ARTERY BYPASS GRAFT | 3,792.74 |
| MD35560 | ARTERY BYPASS GRAFT | 3,964.26 |
| MD35563 | ARTERY BYPASS GRAFT | 3,368.22 |
| MD35565 | ARTERY BYPASS GRAFT | 3,792.74 |
| MD35566 | ARTERY BYPASS GRAFT | 4,384.48 |
| MD35571 | ARTERY BYPASS GRAFT | 4,117.55 |
| MD35583 | VEIN BYPASS GRAFT | 4,513.12 |
| MD35585 | VEIN BYPASS GRAFT | 4,947.28 |
| MD35587 | VEIN BYPASS GRAFT | 4,844.37 |
| MD35601 | ARTERY BYPASS GRAFT | 3,579.41 |
| MD35606 | ARTERY BYPASS GRAFT | 3,703.76 |
| MD35612 | ARTERY BYPASS GRAFT | 3,605.14 |
| MD35616 | ARTERY BYPASS GRAFT | 3,189.20 |
| MD35621 | ARTERY BYPASS GRAFT | 3,726.27 |
| MD35623 | BYPASS GRAFT, NOT VEIN | 3,859.20 |
| MD35626 | ARTERY BYPASS GRAFT | 4,048.94 |
| MD35631 | ARTERY BYPASS GRAFT | 4,096.11 |
| MD35636 | ARTERY BYPASS GRAFT | 4,158.29 |
| MD35641 | ARTERY BYPASS GRAFT | 4,119.70 |
| MD35642 | ARTERY BYPASS GRAFT | 3,385.38 |
| MD35645 | ARTERY BYPASS GRAFT | 3,167.76 |
| MD35646 | ARTERY BYPASS GRAFT | 4,534.56 |
| MD35650 | ARTERY BYPASS GRAFT | 3,644.80 |
| MD35651 | ARTERY BYPASS GRAFT | 3,940.67 |
| MD35654 | ARTERY BYPASS GRAFT | 4,904.40 |
| MD35656 | ARTERY BYPASS GRAFT | 3,861.34 |
| MD35661 | ARTERY BYPASS GRAFT | 3,500.08 |
| MD35663 | ARTERY BYPASS GRAFT | 3,299.62 |
| MD35665 | ARTERY BYPASS GRAFT | 4,014.64 |
| MD35666 | ARTERY BYPASS GRAFT | 3,894.58 |
| MD35671 | ARTERY BYPASS GRAFT | 3,536.53 |
| MD35681 | COMPOSITE BYPASS GRAFT | 2,775.41 |
| MD35682 | COMPOSITE BYPASS GRAFT | 1,163.12 |
| MD35683 | COMPOSITE BYPASS GRAFT | 1,327.14 |
| MD35691 | ARTERIAL TRANSPOSITION | 3,644.80 |
| MD35693 | ARTERIAL TRANSPOSITION | 3,054.13 |
| MD35694 | ARTERIAL TRANSPOSITION | 3,108.80 |
| MD35695 | ARTERIAL TRANSPOSITION | 3,299.62 |
| MD35700 | REOPERATION, BYPASS GRAFT | 860.82 |
| MD35701 | EXPLORATION, CAROTID ARTERY | 1,476.14 |
| MD35721 | EXPLORATION, FEMORAL ARTERY | 1,387.17 |
| MD35741 | EXPLORATION POPLITEAL ARTERY | 1,434.34 |
| MD35761 | EXPLORATION OF ARTERY/VEIN | 1,498.66 |
| MD35800 | EXPLORE NECK VESSELS | 1,439.70 |
| MD35820 | EXPLORE CHEST VESSELS | 2,165.44 |
| MD35840 | EXPLORE ABDOMINAL VESSELS | 2,112.91 |
| MD35860 | EXPLORE LIMB VESSELS | 1,529.74 |
| MD35870 | REPAIR VESSEL GRAFT DEFECT | 5,009.46 |
| MD35875 | REMOVAL OF CLOT IN GRAFT | 2,308.02 |
| MD35876 | REMOVAL OF CLOT IN GRAFT | 2,519.20 |
| MD35879 | REVISE GRAFT W/ VEIN | 2,726.10 |
| MD35881 | REVISE GRAFT W/ VEIN | 2,988.74 |
| MD35901 | EXCISION, GRAFT, NECK | 1,915.66 |
| MD35903 | EXCISION, GRAFT, EXTREMITY | 2,304.80 |
| MD35905 | EXCISION, GRAFT, THORAX | 2,206.18 |
| MD35907 | EXCISION, GRAFT, ABDOMEN | 2,948.00 |
| MD36000 | PLACE NEEDLE IN VEIN | 111.49 |
| MD36005 | INJECTION EXT VENOGRAPHY | 168.30 |
| MD36010 | PLACE CATHETER IN VEIN | 549.94 |
| MD36011 | PLACE CATHETER IN VEIN | 462.03 |
| MD36012 | PLACE CATHETER IN VEIN | 611.04 |
| MD36013 | PLACE CATHETER IN ARTERY | 494.19 |
| MD36014 | PLACE CATHETER IN ARTERY | 546.72 |
| MD36015 | PLACE CATHETER IN ARTERY | 557.44 |
| MD36100 | ESTABLISH ACCESS TO ARTERY | 584.24 |
| MD36120 | ESTABLISH ACCESS TO ARTERY | 590.67 |
| MD36140 | ESTABLISH ACCESS TO ARTERY | 428.80 |
| MD36145 | ARTERY TO VEIN SHUNT | 598.18 |
| MD36160 | ESTABLISH ACCESS TO AORTA | 516.70 |
| MD36200 | PLACE CATHETER IN AORTA | 482.40 |
| MD36215 | PLACE CATHETER IN ARTERY | 582.10 |
| MD36216 | PLACE CATHETER IN ARTERY | 651.78 |
| MD36217 | PLACE CATHETER IN ARTERY | 951.94 |